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Vaginitis

Symptoms, Causes, Treatments, Questions & Related Topics

Key Points

  • Vaginitis is a common vaginal infection with symptoms such as discharge, itching, redness, and burning in the vagina and vulva.
  • The causes of vaginitis can be varied, including antibiotic use, douching, sexual intercourse, hormonal changes, and sexually transmitted diseases like trichomoniasis.
  • There are several prevention strategies for vaginitis, such as avoiding douching, using condoms, wearing breathable clothing, proper cleaning of reusable vaginal products, correct hygiene practices, avoiding bidet toilets, and abstaining from drug or alcohol abuse.
  • Treatment options for vaginitis are diverse and may include antibiotics, vaginal gels and creams, antifungal medication, estrogen creams, tablets, or rings, and sexual abstinence.
  • Vaginitis is also referred to as vaginal infection, vaginal inflammation, vulvovaginitis, bacterial vaginosis, yeast infection, trichomoniasis, or atrophic vaginitis.

Possible Symptoms for Vaginitis

  • Thin white or gray vaginal discharge
  • Thick white discharge that resembles cottage cheese
  • Watery discharge with no odor
  • Gray-green discharge with a strong odor
  • Strong, fish-like odor
  • Itching on vagina and vulva
  • Redness on vagina and vulva
  • Burning sensation on the vagina and vulva
  • Soreness of vagina and vulva
  • Burning during urination

Top 5 Vaginitis Causes

1. Antibiotics

Antibiotics work by killing bacteria and preventing it from reproducing. However, the vagina has a certain balance of “good” bacteria that protects it from harmful “bad” bacteria and yeast that cause infections like vaginitis. Antibiotics target both good and bad bacteria, increasing the risk for vaginitis.

2. Douching

Many douching products contain iodine, vinegar, baking soda, and other ingredients that can upset the natural pH balance of the vagina and increase the risk for vaginitis. Doctors do not recommend douching due to the way it causes an overgrowth of harmful bacteria in the vagina. Other health problems linked to douching include pelvic inflammatory disease, pregnancy complications, and sexually transmitted infections.

3. Sexual Intercourse

Having unprotected sex with a new partner or having multiple sex partners may change the balance of yeast and good bacteria in the vagina. Some women have an allergic reaction to their partner’s semen or are exposed to harmful organisms during sex that may lead to infection and vaginitis. Other factors that link vaginitis with sex include the use of lubricants, condoms, spermicides, sex toys, and friction to the vagina and vulva during intercourse.

4. Hormonal Changes

Changes to the body’s estrogen levels can upset the balance of healthy bacteria in the vagina and cause vaginitis. Factors such as pregnancy, menopause, weight gain, diabetes, and thyroid problems are just some common causes of hormonal imbalances.

5. Trichomoniasis

Trichomoniasis is a common sexually transmitted disease that can cause vaginitis. This disease is caused by a parasite that passes from one partner to the other during sexual intercourse. In women, trichomoniasis is characterized by discomfort while urinating, changes in the appearance and odor of vaginal discharge, and itching, burning, redness, or soreness of the vagina and vulva.

8 Ways to Prevent Vaginitis

1. Avoid Douching

The vagina cleans itself by making mucous that naturally washes away semen, blood, and vaginal discharge. Instead of douching, allow your vagina to clean itself naturally, or stick to using warm water and mild soap.

2. Avoid Scented Vaginal Products

Scented vaginal products like tampons, pads, sprays, and powders can throw off the vagina’s healthy pH balance and cause infection or vaginitis. These products also contain harmful ingredients that can lead to bacteria buildup, irritation, itching, and soreness. Do not use any scented vaginal products. Instead, use pads and tampons that are natural or organic, or that lack harmful ingredients.

3. Use Condoms During Sex

Condoms help prevent the transmission of infections and diseases like trichomoniasis that cause vaginitis. Condoms also form a barrier against sperm to reduce the risk of allergic reactions and irritation.

4. Wear Breathable Clothing

Breathable fabrics help prevent the trapping of heat and moisture near your vagina. Stick to wearing clothing made from breathable fabrics like cotton and linen whenever possible. Synthetic fabrics like nylon, polyester, and acrylic can trap heat and sweat against the skin to create a breeding ground for bacteria and vaginitis. Pantyhose and tight pants may also contribute to vaginitis.

5. Clean Reusable Vaginal Products

Reusable vaginal products, such as menstrual cups, diaphragms, cervical caps, and spermicide applicators, must be cleaned after every use.[3] This reduces the risk of infection and vaginitis the next time you use those products. Read the instructions that come with reusable vaginal products to learn how they can be safely and effectively cleaned.

6. Wipe Front to Back

Always wipe front to back from your vagina to your anus after urinating or having intercourse. Wiping the opposite direction from back to front can expose the vagina to harmful waste and bacteria that contribute to vaginitis.

7. Avoid Bidet Toilets

Habitual use of bidet or warm-water cleaning toilets is shown to upset the balance of healthy bacteria in the vagina. Bidet toilets also expose the vagina to fecal bacteria that can cause vaginitis. Do not use bidet toilets, and stick to using warm water and mild soap instead.

8. Don’t Abuse Drugs or Alcohol

Drug and alcohol use can lower your inhibitions and make you more likely to engage in risky sexual behavior. Unprotected sex and sex with multiple partners are examples of risky sexual behaviors that can lead to sexually transmitted infections and female health problems like vaginitis. Avoid using illicit drugs and always drink responsibly to reduce your risk for vaginitis.

Possible Vaginitis Treatment Options:

  • Prescription antibiotics
  • Vaginal gels and creams
  • Antifungal cream or suppository
  • Oral antifungal medication
  • Estrogen creams, tablets, or rings
  • Abstinence from sex

Questions Your Doctor May Ask About Vaginitis Treatment:

  • How long have you been experiencing symptoms?
  • Do you douche?
  • What type of menstrual products do you use?
  • Are you sexually active?
  • What type of protection do you use, if any, during sex?
  • Do you experience unusual vaginal discharge?
  • What is the color and consistency of the discharge?
  • Does your vagina or discharge have a strong or unusual odor?
  • Have you recently taken antibiotics?
  • Are you pregnant, breastfeeding, or going through menopause?
  • Do you have any known hormonal health conditions like diabetes or polycystic ovarian syndrome?

Vaginitis May Also Be Known as:

  • Vaginal infection
  • Vaginal inflammation
  • Vulvovaginitis
  • Bacterial vaginosis
  • Yeast infection
  • Trichomoniasis
  • Atrophic vaginitis

Frequently asked questions

  • What are the symptoms of vaginitis?

    Symptoms of vaginitis include vaginal discharge, itching, redness, and a burning sensation in the vagina and vulva.
  • What are some of the causes of vaginitis?

    Vaginitis can be caused by a range of factors including the use of antibiotics, douching, sexual intercourse, hormonal changes, and sexually transmitted diseases like trichomoniasis.
  • How can vaginitis be prevented?

    Prevention strategies include avoiding douching, using condoms during sex, wearing breathable clothing, cleaning reusable vaginal products properly, wiping from front to back, avoiding bidet toilets, and abstaining from drug or alcohol abuse.
  • What are the treatment options for vaginitis?

    Treatments for vaginitis can include prescription antibiotics, vaginal gels and creams, antifungal medication, estrogen creams, tablets, or rings, and abstinence from sex.
  • Are there other names for vaginitis?

    Yes, vaginitis may also be known as vaginal infection, vaginal inflammation, vulvovaginitis, bacterial vaginosis, yeast infection, trichomoniasis, or atrophic vaginitis.
  • Can sexual activity cause vaginitis?

    Yes, sexual intercourse can be a cause of vaginitis, particularly if a sexually transmitted disease like trichomoniasis is contracted.
  • Can certain types of clothing prevent vaginitis?

    Yes, wearing breathable clothing can help prevent vaginitis by reducing moisture and heat which can lead to bacterial growth.
  • How does a doctor determine the best treatment plan for vaginitis?

    A doctor may ask about your symptoms, sexual activity, menstrual products, and recent antibiotic use to determine the best treatment plan for vaginitis.
Sources

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

Related Health Concerns

Bacterial Vaginosis

Chancroid

Chlamydia

Family Planning

Genital Herpes

Gonorrhea

HIV

Hepatitis B

Hepatitis C

Herpes

Human Papillomavirus (HPV)

Myomectomy

Pubic Lice

Sexual Health

Sexually Transmitted Diseases

Syphilis

Trichomoniasis

Urinary Tract Infection (UTI)

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