Vaginitis

Clinic

• Also known as vulvovaginitis, is inflammation of the vagina and vulva. Symptoms may include itching, burning, pain, discharge, and a bad smell. Certain types of vaginitis may result in complications during pregnancy.

Signs and symptoms

• Irritation or itching
• Redness, swelling
• vaginal discharge
• Foul vaginal odor
• Pain/ Irritation with sexual intercourse

Causes

Infection

Infectious vaginitis accounts for 90% of all cases in reproductive age women:

• Candidiasis: vaginitis caused by proliferation of Candida albicans, Candida tropicalis, Candida krusei
• Bacterial vaginosis: vaginitis caused by increased growth of Gardnerella (a bacterium).
• Aerobic vaginitis

Hormonal

Hormonal vaginitis includes atrophic vaginitis usually found in postmenopausal women.

Irritation/ Allergy

• Irritant vaginitis can be caused by allergies or reactions to vaginal sprays, douches, spermicides, soaps, detergents, or fabric softeners. It can also be caused by hot tubs, abrasion, tissue, tampons, or topical medications.
• Foreign body vaginitis (most common foreign bodies are retained tampons or condoms) may cause extremely malodorous vaginal discharges. Treatment consists of removal, for which ring forceps may be useful. Further treatment is generally not necessary.

Vaginitis Remedies

Vaginal Dryness	Top Remedies	Sep	Vaginal dryness is attended with marked itching. Pain from vaginal dryness during intercourse also indicates the use of Sepia. Vaginal dryness during menopause and after childbirth. Sex drive may be low in such cases.
		Lyc	Lycopodium is selected where burning accompanies dryness in the vagina. Pain and burning are worse during and after coition.
	Due to Menopause	Sep	Dyspareunia + Occasional bleeding Hot flushes and mood swings that accompany menopause. Bearing down sensation in the uterus and prolapse of the uterus are other common complaints for which Sepia is frequently used.
		Nat-m	Soreness, itching and smarting pain along with dryness in the vagina. Dyspareunia from dryness of vagina.
	With Dyspareunia	Sep	Dyspareunia from vaginal dryness. Bleeding may also appear during coition. Low sex drive. Irritability and mood swings may also be noted.
		Plat	Hypersensitivity of genitals accompanies dry vagina. Dyspareunia and vaginismus due to vaginal dryness Itching may also accompany dryness of vagina in such cases. Sexual desire is high
	Bleeding after Intercourse	Arg-n	Most suitable among medicines for vaginal dryness in cases where sex is painful and bleeding follows intercourse.
		Sep	Esp in menopausal age. Aversion to sex. Genitals are tender to touch
Vaginal itching	Violent Itching	Kreos	Itching is intolerable, making the person rub the area compulsively Evening agg Soreness and burning is felt after scratching. Vaginal pain is felt after urinating. Acrid, corrosive, gushing and highly offensive discharge Vaginitis: Smarting / Stitching/ Burning during intercourse.
	Itching + Discharges	Sep	Leukorrhea vary in nature: Yellow / Greenish/ Milky. Excessive vaginal itching+ Lumpy discharge Excoriating Discharge cause burning. Severe itching of the vulva + Pimples/ Vesicular eruptions Vaginitis / Vaginal infections
	Marked Burning	Merc	Marked burning/ Smarting/ Corroding / Biting sensation Itching in vagina agg from contact of urine Vaginal discharges agg at night Discharges are green and sticky.
	Itching + Vaginal Dryness	Nat-m	After menses agg Burning and soreness felt in the vagina that appears mainly after urinating. Pimples on the external genitals + Marked itching Falling of genital hair Itching due to genital herpes.
	Evening agg	Calc	Itching agg after going to bed. Vaginal discharges with white milky character Itching on the vulva + Soreness. Stitching pains are also felt on the vulva along + Excessive sweat on the genitalia. Itching / Burning in vagina Before / After menses
	Before Menses amel	Graph	Smarting/ Excoriations in the vagina Vesicular eruptions Acrid, excoriating, profuse, gushing leucorrhea Leucorrhea is yellowish-white in color that excoriates the skin. Itching pimples on / Vulva / Labia that may cause a smarting sensation and be painful
	During Menses agg	Lyc	Dryness and burning sensation in the vagina Milky, acrid vaginal discharge + vaginal burning
	After Menses agg	Con	Violent itching which is felt deep in the vagina Stitching pain in the vagina White or yellow, acrid vaginal discharge + Burning / Smarting sensation
	Burning, Soreness	Sul	Agg by sitting. Intense itching of the vulva + Pimples Chronic thin and profuse vaginal discharge causing burning and smarting in vulva
	Stitching Pains	Nit-ac	Itching in the vagina agg after intercourse. Burning in the vagina is also felt and vagina may be swollen too. Ulcers in the vagina + Burning+ Itching.
Catarrhal (With Leukorrhea)	Thick Leukorrhea	Puls	White (like milk) and Agg on lying down. Burning felt in the vagina + Backache
	Itching in Vagina	Kreos	Intense and violent itching Soreness and burning in the vagina after scratching. The genitals are swollen White or yellow and smells putrid Leukorrhea S Standing and walking agg Weakness may appear with Leukorrhea There is a frequent urge to urinate.
	Burning due to Leukorrhea	Alum	Leukorrhea agg during the daytime and may be transparent or light yellow. They are also highly acrid, corrosive, excoriating. Cold washing tends to relieve the symptoms. Stitching and throbbing pain in the vagina
	White Leukorrhea	Nat-m	Thick and profuse Leukorrhea agg at night. Acrid Leukorrhea + Itching / Smarting pain in genitals. General weakness
	Greenish Leukorrhea in Vaginitis	Merc	Night agg Blood-stained, corrosive and itchy, leading to scratching Leukorrhea. Scratching is often followed by burning. Smarting and biting sensation in genitals Swollen genitals Pain, itching, and burning during urination i
	Yellow Leukorrhea in Vaginitis	Hydr	Profuse, thick, tenacious, and highly viscid Leukorrhea Stringy / Ropy / Offensive Leukorrhea Itching in the vagina
	Vaginitis + Dyspareunia	Sep	Clear, watery or yellowish-greenish/ Blood-stained Leukorrhea Agg after urinating Excoriating with severe vaginal itching and burning pain. Fetid odo Urination frequency
	Profuse, Gushing Leukorrhea	Graph	White or yellowish-white Leukorrhea It flows through the day and night Acrid and excoriate the skin Biting pain in the vagina Back feels weak due to copious discharges.
	With Foul Leukorrhea	Nit-ac	Green, brown, flesh-colored or clear like water. The discharge is acrid and causes burning in the vulva and vagina. Stitching pain
	Sour-Smelling Leukorrhea	Nat-p	The discharges from the vagina may be creamy or watery, and often honey-colored. They are often acidic.
	Fish-like Odour Leukorrhea	Med	The discharges are acrid, excoriating with excessive itching. Washing with lukewarm water relieves the itching. The discharges are also very thick. History of gonorrhea

Banerji protocols
First line	Nit-ac C3 BD
Second line	Kreos C200 BD
Third line	Carb-an C200 BD

Related disease

• PID
• Herpetic eruptions
• Endometritis
• Cystitis