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Senile vaginitis, also known as atrophic vaginitis; is a non-specific vaginitis. Mostly occurs in women after menopause, but after ovariectomy or breast-feeding women may also occur. Clinical manifestations The main symptoms are vaginal discharge increased yellowish or purulent water, smell, severe infection, vaginal bleeding may occur bit by bit, and there fall pain and vaginal burning. Such as involving the vestibular mucosa and around the urethra, often appear urinary frequency, dysuria. Diagnosis According to age, medical history, combined with local examination showed genital flushing, wet vaginal congestion, there are sporadic bleeding, the most obvious after fornix and cervix.Vaginal mucous membrane after stripping the formation of ulcers . Generally not difficult to diagnose. When the formation of chronic inflammation, may occur two results: First, under the vaginal mucous membrane of connective tissue fibrosis, loss of vaginal elasticity, vaginal stenosis, and the final formation of scar; In other cases, adhesion to vaginal atresia vaginal wall, or even more than in the closed form vaginal empyema. The assumed such a rare, but serious condition. Differential diagnosis And identify specific vaginitis, should take the examination vaginal discharge other than trichomoniasis, fungi and other pathogens. Bloody vaginal discharge should be the identification of uterine cancer. Gynecological examination attention to size and shape of the uterus, bleeding source and vaginal cytology , if necessary, cervical or endometrial biopsy, etc.. Treatment measures The treatment of senile vaginitis principle is to enhance resistance to vaginal mucosa and inhibit bacterial growth. Systemic administration may be oral diethylstilbestrol 0.25 ~ 0.5mg, 1 day, 7 days. After the withdrawal of medication can sometimes lead to uterine bleeding. Topical, improve vaginal pH , with 1% lactic acid or 1:5000 potassium permanganate vaginal washing. Vaginal suppository every night can hold, B phenol film 0.25 ~ 0.5mg, into the vagina, 1 day, 7 days. Apply when necessary, Locally spreading antibiotic powder or ointment. Etiology Mainly due to ovarian failure, low estrogen levels or lack of vaginal epithelial cells in glycogen reduction in vaginal pH values were alkaline, reduced ability to kill pathogens. Meanwhile, due to shrinkage of the vaginal mucous membrane, the Pifei thin, inadequate blood supply to the vagina reduce resistance, easy to breed bacteria cause inflammation of invasive disease. In addition, poor personal hygiene, nutritional deficiencies, especially lack of vitamin B group, may be related to the pathogenesis. 2010-08-04
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