- Change in vaginal secretions (in terms of color, odor, or amount)
- Vaginal itching or irritation
- Light vaginal bleeding
- Painful sexual intercourse
- Painful urination
What are the causes of vaginitis?
1. Bacterial vaginosis. Occurs when the normal balance of vaginal bacteria is disturbed due to a surplus of "bad" bacteria. Vaginal secretions may be grayish-white and have a fishy odor; this type is common during pregnancy, though many women never even detect it.
2. Yeast infection. Marked primarily by vaginal itching, yeast infections are caused by a fungus called Candida albicans. A secondary symptom is a thick, white, curd-like vaginal secretion. Three out of four women will experience a yeast infection in her lifetime.
3. Trichomoniasis. Caused by a parasite, this form of vaginal inflammation is often passed along during sexual intercourse. It is marked by a greenish-yellow vaginal secretion.
4. Atrophic vaginitis. After menopause or following the removal of the ovaries, decreasing estrogen levels may cause vaginal itching and burning due to the thinning and drying of vaginal tissues.
5. Noninfectious vaginitis. Triggered by a specific irritant, such as a new soap or tampons.
- Avoid baths, hot tubs and spas.
- Wear cotton underwear for better breathability. Try sleeping without underwear.
- Avoid wearing tight-fitting or damp clothing to reduce chances of vaginal itching.
- Eat yogurt with active lactobacillus cultures to increase levels of "good" bacteria.
- Avoid douching, feminine hygiene sprays and scented soaps that may irritate delicate vaginal tissues.
- Wipe from front to back when using the toilet.
- Yeast Infection: if you have had a previous yeast infection and experience similar symptoms again, an over-the-counter yeast infection medication will probably do the trick. Try a 1-day, 3-day, or 7-day cream or suppository with miconazole, clotrimazole or fluconazole.
- Trichomoniasis: A prescription medication of metronidazole pills is necessary.
- Bacterial vaginosis: see your doctor for a diagnosis and prescription of metronidazole or clindamycin.
- Atrophic vaginitis: A doctor will prescribe estrogen in the form of cream, tablets or rings to improve the quality of the vaginal tissues and lessen risk of dryness and burning.
- Noninfectious vaginitis: Identify and eliminate the specific irritant(s), such as perfumed sprays or soaps, new tampons or pads, douches, and tight-fitting clothing.
- For yeast infections, look for antifungal treatments in the form of cream or vaginal suppositories. These contain miconazole (Monistat, Vagistat-3) or clotrimazole (Gyne-Lotrimin).
- Another effective yeast infection treatment is over-the-counter fluconazole (Diflucan), an oral antifungal medication.
Be sure to see a doctor if:
- You have never had vaginitis before.
- You have had multiple bouts of vaginitis, but not all have been due to yeast infections.
- You have multiple sex partners, or a new sexual partner.