Vulvar vulvitis

　　The onset of vulvar vulvitis may be related to the following factors:
　　1. Dermatosis Such as lichen sclerosus, lichen planus, eczema, vulvar fissures, etc.
　　2. Vaginal disease Infectious factors, such as fungal or bacterial infections, especially non-albicans candidiasis and group B beta-hemolytic streptococcus; non-infectious factors, such as atrophic vaginitis, desquamative inflammatory vaginitis.
　　3. Allergic to estrogen and progesterone Some studies have found that patients with vulvar vulvitis resistant to multiple treatments are allergic to estrogen or progesterone.

　　Vulvar vulvitis is an inflammatory disease of the vulva, and its clinical etiology is not clear. Secretion examination shows bacterial infection, although the positive rate is only 61%, it is still believed that the etiology of the disease is related to bacterial infection. Bacterial infection can lead to vaginitis, cervicitis, and other diseases. Infection of adjacent tissues can lead to urethritis, with symptoms such as frequent urination, urgency, and dysuria.

　　Vulvar vulvitis patients first feel discomfort in the vulva, followed by itching and pain, or a burning sensation. The symptoms of this disease are intermittent and related to the menstrual cycle, usually occurring before or during menstruation, and often exacerbated after sexual intercourse. Examination of the vulva can reveal obvious erythema, distributed in a ring shape, and there is tenderness when wiped with a cotton swab.

　　Vulvar vulvitis usually occurs in young women, and its cause is closely related to frequent sexual activity. Of course, in addition to frequent sexual activity, the hygiene of the reproductive organs during sexual activity is also a key factor. Therefore, attention should be paid to sexual hygiene, regularly clean the vulva, and do not clean the vagina during the cleaning process to avoid causing vaginal flora disorder. Use sanitary napkins reasonably and avoid products with added fragrance.

　　The fungal smear of vaginal secretion in vulvovaginitis has a positive rate of only 61%. Sometimes, Group B beta-hemolytic Streptococcus can be cultured. Some patients may develop a delayed-type hypersensitivity reaction when using estrogen-progesterone for intradermal tests.

　　In addition to conventional antibacterial treatment, diet is also an important auxiliary treatment method for vulvovaginitis. The suitable diet and dietary taboos for vulvovaginitis are as follows:

　　Firstly, Suitable Diet
　　1. The diet should be light, and foods that can cause an outbreak, such as mutton, shrimp, crab, eel, salted fish, and black fish, should not be eaten.
　　2. Eat more lean meats, chicken, eggs, quail eggs, crucian carp, and turtle.
　　3. Eat more foods rich in vitamin B, such as wheat, sorghum, chestnuts, honey, tofu, chives, and milk.
　　4. Eat more fruits and fresh vegetables, such as cabbage, asparagus, celery, spinach, cucumber, winter melon, tofu, kelp, nori, and fruits.

　　Secondly, Taboos in Diet
　　1. Avoid spicy foods. Excessive consumption of spicy foods can easily cause dryness and heat, causing internal organs to accumulate heat and toxicity, leading to symptoms such as itching and pain in the anterior and posterior vulva, thereby aggravating the symptoms of this disease.
　　2. Avoid seafood and other irritants. Fish, shrimps, crabs, and other fishy and pungent foods can promote damp-heat, and eating them can worsen vulvar pruritus, which is not conducive to the regression of inflammation, so they should be avoided.
　　3. Avoid sweet and greasy foods. Foods such as lard, butter, and beef fat, and high-sugar foods such as chocolate and sweet pastries have the effect of promoting dampness and heat, which can increase the secretion of leukorrhea and affect the treatment effect.
　　4. Avoid smoking and drinking. This is because nicotine in tobacco can weaken the binding force of arterial blood and oxygen, and alcohol can promote damp-heat, so it should be avoided. Similarly, drinks containing alcohol, such as rice wine and medicinal wine, are not suitable for drinking.

　　The treatment of vulvovaginitis mainly involves the use of antifungal drugs (such as nystatin) intravaginally, with continuous treatment for 4-6 weeks; or the use of acetic acid gel to change the vaginal pH value, which is also effective for some cases. Some scholars recommend continuous antifungal treatment, taking fluconazole orally every 1-7 days, and at the same time, placing fluconazole intravaginally for 3 consecutive days after taking the medicine to eliminate the infection of Candida albicans, while avoiding contact with irritant ointments on the vulva.