Vulvitis

　　1. Exogenous infection

　　Pathogens can be Escherichia coli, trichomonas, fungi, viruses, and so on.

　　2. Foreign body stimulation

　　Such as urine, feces, abnormal vaginal discharge, and so on.

　　3. Local symptoms of systemic diseases

　　Such as diabetes and so on.

　　Vulvitis is prone to complications such as urethritis, vaginitis, cervicitis, and dermatitis. Dermatitis can occur as shallow vesicular papules, appearing in clusters; it can also form eczematous erosion, limited to the vulva or extending around the perineum, anal area, and perineal folds, up to the inner side of the thigh. The appearance is completely similar to acute or subacute eczema, with thickening and erosion of the mucosa between the labia and around the clitoris; some may cause small white pustules, and in severe cases, ulcers may occur, with pain at the affected site and inflammation of local lymph nodes.

　　Common clinical symptoms include vulvar itching, pain, burning sensation, even swelling, rash, erosion, and ulceration. After a long time, the skin may become thick, rough, cracked, and even lichenoid.

　　This disease is easy to spread and easy to relapse after treatment, so prevention must be emphasized.

　　(One) Strengthen health education and pay attention to personal hygiene.

　　(Two) Public bathhouses should have shower, bathtub, bath pad, etc., with disinfection equipment. Public toilets should be squatting type. Strictly manage swimming pools, and those with trichomonas must be treated before entering the pool.

　　(Three) The family members of the patient should also be examined. If trichomonas is found, treatment should be given.

　　(Four) Gynecological examination instruments should be strictly disinfected to avoid cross-infection.

　　Pay attention to the following four points in life to prevent vulvitis:

　　1. Do not wear synthetic panties, tight pants, wear cotton underwear and pants. Pay attention to the concentration, temperature, and time of the solution, and注意事项 when taking a local sitz bath.

　　2. Keep the vulva clean and dry, especially during menstruation, pregnancy, and postpartum period, wash the vulva and change underwear every day.

　　3. Do not use soaps, drugs with stimulating properties, or water that is too cold or too hot to clean the vulva.

　　4. Those with vulvar pruritus should frequently trim their nails, wash their hands frequently, do not scratch the skin, to prevent ulceration and infection, thereby causing secondary bacterial infection.

　　Gynecological routine examination. Laboratory examination of vaginal discharge. Histopathological examination is of decisive significance for differential diagnosis and is a common examination measure in clinical practice. Examine the vulva: whether the skin of the vulva is smooth, the color is normal or not, whether there are ulcers, dermatitis, growths, and hypopigmentation phenomena. The pubic hair of a normal vulva is downward, triangular in distribution, the labia minora are faintly red, the labia majora are pigmented, and the mucosa around the urethral opening is pale pink.

　　Firstly,Prohibited foods: Avoid spicy and刺激性 foods, such as chili, pepper, fennel, Sichuan pepper, star anise, onion, oil noodles, roasted lamb, electric roasted chicken, fried quail, fried pork chop, fried chicken wings. Also, smoking, drinking, seafood, sweet and greasy foods, etc. should be prohibited. Prevent the inflammation from worsening.

　　Secondly,Eat more: Drink plenty of water, eat more fresh fruits and vegetables.

　　Western medicine treatment for vulvitis Common treatment methods for vulvitis in Western medicine include the following aspects:

      1.Effectively treat the primary disease actively.

　　2.Local treatment: Keep the vulva clean and dry, avoid adverse stimulation. Use different liquid preparations for sitz baths, apply antibiotic ointments, antifungal preparations, etc. to the vulva.

　　3.Antibiotics can be appropriately used for those with fever and increased white blood cell count.