What drugs are used to treat vulvitis? Vulvitis: therapy with medications and folk remedies Drug treatment of vulvitis in women

The term “vulvitis” refers to inflammation of the vulva, the external female genital organs. The main symptoms that make you seek help from a gynecologist are severe itching and discharge of various types. After the first signs of the disease appear, it is necessary to immediately diagnose and begin treatment. Vulvitis in women with an advanced course will lead to the spread of the process in an ascending way to all genital organs. When the vulva and vagina are affected, they speak of the development of vulvovaginitis (colpitis).

Causes and symptoms

In gynecology, there are several forms of vulvitis and vulvovaginitis:

infectious (caused by fungi and bacteria);
allergic;
atrophic (against the background of hormonal changes during menopause).

The type of vulvitis will determine treatment tactics and the choice of medications. Vulvitis during pregnancy deserves special attention. The use of medications during this period is limited due to the high risk of negative consequences for the fetus.

Symptoms:

hyperemia (redness) and swelling of the skin of the external genitalia in the area of the labia minora and majora, clitoris;
itching, burning and pain in the vulva;
pathological discharge;
plaque on the labia.

In the acute stage, the symptoms will be most pronounced, in the subacute stage they will be smoothed out. In a chronic course, there may be a complete absence of symptoms. If the first signs of vulvitis occur, you should consult a doctor as soon as possible.

Treatment of vulvitis

There are drugs for the treatment of vulvitis in women with local and general use. Traditional medicine is prescribed as additional care. In the acute stage, physical rest and abstinence from sexual activity are important. This is a necessary condition for the patient to avoid mechanical damage to the inflamed vulva.

Upon examination, acute and chronic vulvitis do not differ, and in the photo, women can see pronounced swelling of the labia, redness, and discharge. A long-term disease with periods of exacerbation has the same symptoms. It is distinguished by their lesser severity.

Means for local treatment of vulvitis

Ointments, suppositories or creams from the following groups are prescribed as topical preparations:

antibiotics;
antifungal agents;
antiseptics;
preparations for normalizing vaginal microflora.

Polygynax is highly effective due to the combination of an antibiotic and an antifungal substance in one capsule.
Terzhinan is very similar in composition, but additionally it contains prednisolone to reduce the inflammatory process. It significantly relieves burning sensation when urinating and itching.
Betadine contains povidone-iodine as the main active ingredient. Thanks to its antimicrobial effect, it is aimed at combating a large number of pathogenic microorganisms.
The action of Hexicon in vaginal suppositories resolves the inflammatory process provoked by the causative agent of a sexually transmitted disease.
Pimafucin is effective against thrush and is used for vulvovaginal candidiasis.
Klion-D 100 and Neo-Penotran forte contain metronidazole, which allows the use of these drugs for anaerobic infections.

You can find out more about the indications and contraindications for each drug in the instructions. During pregnancy, products are selected that are safe for the baby and the expectant mother. Refusal of treatment during this period risks infection of the fetus and infection of the newborn during childbirth during the passage of the birth canal. In the future, the baby may become infected if close contact is inevitable.

The listed suppositories are most often used before bedtime. The required dosage is prescribed by the gynecologist depending on the cause of inflammation of the labia. Treatment of a man (sexual partner) is carried out by a urologist.

To treat the affected areas of the genital organs, a cream or ointment is prescribed. They not only relieve redness, but also moisturize the genital mucosa. Broad-spectrum antibiotics include Synthomycin Liniment and Levomekol. The last remedy differs only in the presence of methyluracil, which accelerates tissue healing.

It is recommended to use Triderm as a complex treatment. It combines an antibiotic (gentamicin), an anti-inflammatory (betamethasone) and an antifungal (clotrimazole). Triderm relieves itching and burning. Thanks to the combination of the main active ingredients, the genitals stop becoming inflamed from vulvitis. This significantly alleviates the patient’s condition in a short time from the start of treatment.

One of the antiseptic solutions for topical use is Miramistin. It is used not only as a treatment, but also as a prevention of sexually transmitted diseases and exacerbation of chronic forms of vulvitis.

At the end of the therapy, an obligatory part is the restoration of the disturbed vaginal microflora. Lactagel copes with this task.

Antibacterial and symptomatic drugs

The drugs are used in acute cases of the process, when not only the labia, but also the vagina, cervix, and uterine cavity can be affected. For the treatment of nonspecific forms of vulvitis, Amoxiclav is chosen. In combination with clavulanic acid, the drug is considered a powerful treatment for the disease.

If vulvitis is caused by another infection, then Trichopolum (), Sumamed and Doxycycline (for gonorrhea), Erythromycin (for chlamydia) are prescribed.

Most often at night, the vulva area begins to itch very much, which is why any girl complains of insomnia. To cope with sleep disorders, B vitamins and magnesium supplements are indicated. Magnesium-B6 or Magnicum is prescribed in solutions or tablets. Immunal, Immunoflazid or Proteflazid are prescribed as means to strengthen the immune system.

Treatment of atrophic vulvitis is complemented by the use of estrogen-containing agents. This therapy is used during the climatic period and can significantly alleviate its course.

Treatment of vulvitis with folk remedies

When a woman experiences itching of the vulva, the necessary treatment with traditional methods is carried out after consultation with a gynecologist. This is due to low effectiveness against microbes, although many products have a good antiseptic effect. Therefore, treating vulvitis at home only with the help of traditional medicine can transform the acute process into a chronic form. The most well-known and effective means are:

pharmaceutical camomile;
Oak bark;
St. John's wort;
nettle;
marigold flowers;
onion peel.

Chamomile infusion is added to water to prepare a sitz bath or as a means of irrigating the external genitalia. The decoction is prepared with 300 ml of hot water, to which 30 g of dry chamomile is added. Then it is filtered and used for its intended purpose. It relieves irritation well, and with constant use, the genital mucosa can no longer become inflamed.

You can prepare a bath using several plants. For a glass of boiling water you will need 20 g of oak bark, the same amount of chamomile and 20-30 g of nettle. After preparing the solution, it is filtered and used. A tablespoon of St. John's wort is poured into 0.5 liters of hot water and left for several hours. After straining, the infusion is used up to 3 times a day.

Onion peels make a good product for irrigating the genitals. For 0.5 liters of water you will need 4 large onions. The resulting mixture must cool, then it is filtered and used for its intended purpose. An infusion of marigolds is prepared in boiling water, into which 1 tablespoon of the dry plant is placed. After the liquid turns golden, the resulting solution is removed from the heat and allowed to cool, then filtered. All prepared infusions are stored in a cool place.

Homeopathic medicines in the treatment of vulvitis are used only to relieve symptoms and in combination with traditional medicine methods. Before using any medicine, you must consult a homeopathic doctor.

Treatment of vulvitis with tampons and medicinal drinks

Pharmacy medications, such as suppositories, ointments and creams, quickly eliminate discomfort in the perineal area. There are methods with local use in the form of tampons soaked in a product that alleviates the symptoms of vulvitis. They use drugs intended for oral administration.

If there is no allergy, then a tampon is soaked in honey or sea buckthorn oil and inserted into the vagina, or the labia can be lubricated with these products. The frequency of treatment is prescribed by the gynecologist.

Strengthens the immune system and eases the course of the disease with a herbal mixture that combines wintergreen leaves, coltsfoot, and sweet clover. All components are poured into 300 ml of hot water and placed in a water bath for up to 20 minutes. The solution is filtered and should be taken orally in a tablespoon no more than 3 times a day.

Treatment of vulvitis in girls

Only after establishing the cause, the gynecologist will tell you how to treat vulvitis in girls. In childhood the following is prescribed:

Special powders.
Irrigation of the external genitalia with a solution of chamomile, potassium permanganate or furatsilin.
For unbearable itching and severe irritation, anesthetics are used.
Compresses and lotions with eucalyptus.
Before going to bed, use ointments with an antipruritic effect.

The combination of all treatment procedures can alleviate the symptoms of vulvitis in a girl and cure it in a short time. The girl’s future health will depend on compliance with all hygiene standards and doctor’s recommendations.

Timely prescribed therapy allows you to avoid complications, the spread of inflammation to neighboring organs and the transition from acute to chronic. Vulvitis in women is treated comprehensively, so all medications should be used as prescribed by the doctor. It is not advisable to skip medications. This can lead to a protracted course of the disease.

Vulvitis is an inflammation of the external genitalia in women or girls. These include the labia majora and minora, the vestibule of the vagina, the external opening of the urethra, the hymen, Bartholin's glands, the clitoris, the pubis and the perineum. This pathology is diagnosed in adults and children. Girls aged 1–9 years are most susceptible to vulvitis. Inflammation of the genitals if not treated correctly can lead to dangerous consequences, including damage to the uterus, appendages and infertility.

Reasons for the development of vulvitis

In more than half of the cases, the skin and mucous membranes become inflamed due to infection and changes in the normal microflora. The causative agents of the disease are:

Fungi.
E. coli.
Streptococci.
Viruses.
Trichomonas.
Chlamydia.
Gonococci.

The allergic form of the disease can be triggered by contact with irritating substances. The latter include food products (chocolate, citrus fruits, nuts, protein), medicines, latex, lubricants, synthetic underwear, pads and tampons with fragrances and intimate hygiene products.

Before puberty in girls, the reaction of the environment in the vagina is neutral or slightly alkaline. This is due to the absence of lactobacilli. Such microflora contributes to a decrease in immunity, which increases the risk of inflammation. The following etiological factors take part in the development of vulvitis:

Often, infection with specific microbes occurs due to frequent changes of sexual partners and commercial sex.

Symptoms

Primary and secondary vulvitis proceed in the same way. The main symptoms of the disease are:

burning;
pain;
soreness of the genitals;
discomfort during sexual intercourse;
increased body temperature;
irritability;
redness;
swelling;
tearfulness.

The incubation period ranges from 2 to 10 days. When the vaginal mucosa is involved in the process, pathological discharge appears. They may be greenish-yellow, foamy, and have an unpleasant odor. With a fungal etiology of the disease, a white coating is detected. The discharge may resemble cottage cheese.

In sick girls with acute vulvitis, appetite and sleep are often disturbed. Possible enlargement of the lymph nodes in the groin area. With herpetic etiology of the disease, rashes are found in the genital area. They are represented by small single or grouped bubbles. Their diameter is 2–8 mm. The blisters burst, leaving behind ulcers.

With secondary vulvitis, pain in the lower abdomen may appear against the background of vaginitis or inflammation of the cervical canal. If the cause of genital damage is syphilis, then it occurs. This is a painless erosion or round ulcer about 1 cm in size. The allergic form of inflammation is characterized by severe itching, redness of the genitals and burning. Symptoms subside when taking an antihistamine.

Vulvitis against the background of human papillomavirus infection is characterized by the formation of papillomas (warts) or (painless growths on the stalk) on the skin and mucous membranes. They tend to grow and merge. Condylomas can spread to the perineum and anus. Every gynecologist has seen photos of such patients.

Methods for detecting the disease

Therapy for vulvitis begins after the diagnosis has been clarified and other pathologies have been excluded. For this you will need:

collection of anamnesis of illness and life;
gynecological examination on an obstetric chair;
smear analysis for microflora and STI pathogens;
rectal examination;
general blood analysis;
examination of stool for helminth eggs;
scraping from the perianal area for enterobiasis;
Ultrasound of the pelvic organs;
bacteriological culture;
polymerase chain reaction;
linked immunosorbent assay;
blood chemistry;
palpation of the abdomen.

When bacteria are detected in a smear of a woman with vulvitis, their sensitivity to antibacterial drugs is determined. This allows the doctor to select the optimal medicine. Diagnosis necessarily includes an assessment of the obstetric and gynecological history. It allows you to identify previous diseases, sexual activity and risk factors for developing vulvitis.

How to treat vulvitis

This inflammatory disease requires an integrated approach to treatment.

Drug therapy

The main aspects of therapy are:

temporary abstinence from sexual intercourse;
use of local medications;
systemic etiotropic therapy;
elimination of etiological factors;
increasing immunity;
physiotherapy;
good nutrition;
treatment of sexual partners.

For specific and nonspecific vulvitis, antibiotics are prescribed. For mixed microflora, penicillins or cephalosporins (Amoxiclav, Cefazolin sodium salt, Ceftriaxone Kabi) are indicated. If gonococci are detected in the smear, then the drugs of choice are macrolides, cephalosporins and fluoroquinolones.

Medicines containing metronidazole may be prescribed. The treatment regimen for gonococcal vulvitis includes vaccination and taking immunostimulants (Licopida, Immunorma). For Trichomonas inflammation, the following medications are effective:

Klion;
Metrogil;
Trichopolum;
Metron;
Batsimex;
Metronidazole Nycomed;
Ornidazole;
Tiberal;
Dazolic;
Gairo;
Klion.

The gynecologist selects the drug taking into account the age of the patient and contraindications. Many medications are not used during pregnancy. In case of recurrent trichomonas vulvitis, the Solcotrichovac vaccine can be administered. If there are signs of candidiasis of the external genitalia, then antifungal medications are used. These include: Irunin, Levorin, Itrazol, Orungamin, Orungal, Diflucan, Fluconazole, Mikosist and Flucostat. These medications come in the form of capsules and tablets.

Treatment of allergic vulvitis involves stopping contact with the irritant (avoiding synthetic underwear, hyperallergenic products, latex, lubricants and pads with fragrances), taking H1-histamine receptor blockers and corticosteroids. If a herpes simplex virus is detected in the blood, patients are prescribed an antiviral drug (Acyclovir Akrikhin, Zovirax, Valtrex, Famvir).

If there are papillomas or condylomas in the genital area, then Isoprinosine is prescribed. If necessary, growths are removed using cryodestruction (freezing), electro- or laser coagulation. This treatment allows you to eliminate a cosmetic defect. Radical therapy is not mandatory and is carried out at the request of the patient.

Use of local drugs

An important aspect of vulvitis therapy is local treatment. It involves the use of antiseptics, local antifungal, antibacterial or antiviral drugs in the form of ointments, gels, creams, vaginal tablets or solutions. For inflammation of the genitals the following are used:

Miramistin;
Chlorhexidine;
Tantum Rose;
Sangviritrin;
Lomexin;
Polygynax;
Chlorophyllipt;
Galenophyllipt;
Eucalymin;
Furacillin;
tetracycline and erythromycin ointments.

For vulvitis, infusions and decoctions based on medicinal plants (oak bark, St. John's wort, calendula, eucalyptus, celandine) help. In the chronic form of the disease with frequent relapses, immunostimulants are indicated (Licopid, Eleutherococcus or ginseng tincture, Panavir, Viferon, Immunal).

For helminthic etiology of the disease, taking an anthelmintic drug (Vermox, Nemozol or Pirantel) is indicated. For vulvitis, enzymes, sedatives and interferon inducers are often used. Sometimes hormonal medications are prescribed. For combined infectious inflammation of the genitals and vagina, eubiotics (Acilact) are indicated.

It is imperative to observe the rules of personal hygiene. They include:

washing the genitals and perineum from front to back after each visit to the toilet;
daily change of underwear;
regular washing of linen and ironing;
trimming nails (important for enterobiasis);
use of a separate towel;
replacing synthetic underwear with cotton;
limiting the use of soap.

With vulvitis, normalization of the general condition is important. To do this you need:

carry out sanitation of foci of chronic infection;
walk in the fresh air more often;
go to bed earlier;
organize your working day correctly;
eliminate stressful situations;
eat more fruits and vegetables;
drink vitamins;
give up alcohol.

Most often, treatment is carried out. If complications develop, hospitalization is required.

Diet

If vulvitis develops, then it is necessary to adhere to proper nutrition. The diet involves:

It is beneficial for patients to eat fish and seafood. In the fungal form of the disease, the nature of nutrition is different. It is necessary to limit the consumption of foods rich in simple carbohydrates (sweets and baked goods).

Complications

If you do not use ointment, systemic medications and do not follow the doctor’s recommendations, the following complications are possible:

gluing of the vagina and labia;
formation of adhesions (adhesions);
inflammation of the urethra and bladder;
scar formation;
inflammation of the vagina;
inflammation of the uterus and its appendages.

The chronic infectious form of vulvitis can cause female infertility.

Preventive measures

There is no specific prevention of the disease. In order to prevent inflammation of the genitals, it is necessary:

refuse promiscuity;
use a barrier method of contraception;
do not overcool;
do not masturbate;
quit smoking, alcohol and drugs;
observe the rules of personal hygiene;
treat enterobiasis in a timely manner;
exclude any injuries;
eat more dairy products, vegetables and fruits;
normalize hormonal levels;
visit a gynecologist regularly;
wash and shower daily;
wear underwear made of natural fabric.

Allergic vulvitis can be prevented by avoiding contact with irritating substances. To do this, you need to give up lubricants, aromatic pads and certain products.

Vulvitis in women is an inflammatory process affecting the external genitalia, called the vulva. This area includes the clitoris, labia (both major and minor), pubis, and the entire hymen (in girls). In addition, the vulva includes the vagina itself, the glands contained in it, and the formation that covers the urinary canal and is located in the labia (bulb).

This disease has an acute and chronic course. If a woman begins to feel the first symptoms of acute vulvitis, then it should be treated immediately so that it does not become chronic.

Causes of the disease

The factors that cause vulvitis are such natural causes as the presence of constant high humidity combined with the high temperature in which the external genital organs are located. In addition, the presence of vulvar folds and increased tissue sensitivity lead to the development of the disease.

The main reasons that cause vulvitis:

infections (streptococci, various fungi, as well as gonococci, chlamydia and various viruses);
oral sex;
long-term use of antibiotics, drugs containing hormones, as well as drugs that suppress the functions of the immune system (immunity will decrease and inflammation of the genital organs may develop). The above agents kill normal microflora and cause dysbacteriosis. It can manifest itself as sexual intercourse;
other diseases, which include leukemia;
malignant tumors that arise in the female genital organs;
other inflammatory diseases - pyosalpinx, or;
inflammatory processes in the urethra;
formation of fistulas between the vagina and bladder;
presence of helminths (worms);
allergies to various substances that are part of perfumes or cosmetics, toilet paper, soap, deodorants;
poor adherence to personal hygiene rules (especially for women who are overweight and prone to diaper rash). With insufficient care, inflammation occurs on the external genital organs, which can also spread to the internal genital organs;
factors of mechanical, chemical type (masturbation, douching with aggressive substances);
prolonged exposure to damp conditions (bathing).

Vaginitis and vulvitis tend to develop during the period when the female body contains a large amount of the hormone estrogen - in childhood, adolescence or postmenopause. Vulvitis also often develops during pregnancy, which requires close attention from a specialist and special treatment. Only a good specialist should treat him, and all the drugs he will prescribe should not harm the health of the unborn child.

Symptoms

Acute vulvitis characterized by the following symptoms:

the presence of redness in the vulva area;
swelling of the labia (major or minor);
painful sensations that become stronger during walking, urination or sexual intercourse;
itching and burning sensations in the genital area;
the presence of bubbles that contain liquid. After some time, they open and then become crusty;
the presence of plaque, ulcerative formations, plaques (these symptoms are characteristic of a chronic course);
in some cases – fever and general malaise.

Chronic vulvitis tends to manifest itself in the form of itching in the genitals. Often this disease develops in women with diabetes. If the patient experiences a symptom such as itching, do not aggravate the situation and scratch the genitals, as this can cause tissue infection.

Before contacting a specialist, you should take a warm bath, into which you can pour a decoction of chamomile, calendula or string flowers. It is also worth knowing that you should wipe your vulva carefully, moving from front to back, but not vice versa. The genitals should always be clean and dry. The first symptoms of the disease should be a signal to contact a gynecologist, because it will be more difficult to treat acute vulvitis, which in the future may spread to the vagina and internal genital organs.

Types of disease

The causes of the development of the disease divide the pathology into two types:

primary type vulvitis– manifests itself in childhood or adolescence against the background of propensities for other diseases;
secondary type vulvitis– manifests itself when a woman is of reproductive age and has other diseases.

According to the clinical course of the disease, it can be divided into:

acute vulvitis. This disease has more pronounced symptoms;
chronic vulvitis. Symptoms are less noticeable. If the disease is not treated, complications will begin to develop in the form of ulcers (ulcerative vulvitis).

Diagnosis of the disease

Vulvitis is easy to diagnose, but the main thing is to start treating it correctly. Usually the reason for visiting a doctor is one or more symptoms of the disease. For example, itching or burning. The doctor, after reviewing the history of life and illnesses, will conclude that there are other diseases that could cause inflammation of the external genitalia. The gynecologist, whom a woman needs to contact in such cases, will carry out a number of necessary diagnostic procedures in order to begin treating inflammation based on the data obtained.

Manipulations performed by a gynecologist:

examine organs using a magnifying glass. This will allow him to identify areas of inflammation and identify bubbles with liquid;
will conduct an examination (vaginal, rectal or bimanual);
will take a smear for cytological examination. It can detect whether there are malignant cells on the external genitalia. The analysis will also identify the causative agent of the disease;
perform vulvoscopy if necessary;
will prescribe a stool test to detect helminths.

Treatment of the disease

Treatment of vulvitis consists of eliminating the cause that causes the symptoms of the disease. If a woman has an acute stage of the disease, the gynecologist will recommend that she abstain from sexual activity and undergo treatment in bed. The disease can be treated with special medications that restore the microflora of the genital organs. In addition, the doctor will prescribe the patient to take baths that contain herbal decoctions, as well as solutions of chlorhexidine, potassium permanganate and other medications.

Treatment of vulvitis requires the use of antibacterial drugs (creams, ointments), which are applied to the external genital area and also introduced into the internal organs (vagina). To completely cure a disease means to rid the patient of all unpleasant symptoms. It will be possible to say that a woman is completely healthy only after taking a second smear, in which no pathogens will be detected.

Often, women after menopause develop atrophic vulvitis. This disease is usually diagnosed at an appointment with a gynecologist. In some cases, the woman does not even make any complaints. Treatment of this disease should only be comprehensive - taking vitamins, baths with medicinal herbs, as well as treating the external genitalia with creams and ointments.

Treatment of vulvitis is also carried out with the help of vitamins (group E, C, A). Allergic vulvitis is treated using special antiallergic drugs. Also, in order to properly treat the disease, you need to eliminate allergens. For example, replace intimate hygiene products, soap and other cosmetics. If a woman has been diagnosed with allergic vulvitis, then she needs to choose hypoallergenic hygiene products. It is completely possible to cure this disease both in adolescence and postmenopausal age.

Prevention of the disease

Allergic vulvitis or another type of it can be prevented by following the rules of personal hygiene and also leading a safe sex life. You also need to avoid those factors that are fundamental to this disease. If a woman notices symptoms of vulvitis or vaginitis, she should immediately consult a qualified doctor and undergo adequate treatment.

Doctors prescribe different ointments for vulvitis: the choice of drug depends on the cause of the disease. If the pathology is caused by fungi, then the patient is prescribed medications with a fungicidal effect; vulvitis of bacterial origin is eliminated with antibacterial ointments. Hormonal and wound-healing drugs are also used in treatment: they help relieve inflammation, relieve swelling, and restore damaged tissue.

Antifungal

Vulvitis of fungal origin is caused by Candida yeast. In the treatment of the disease, drugs of various forms are used, but ointments are the most convenient, because they act directly on the source of the pathology, without affecting other organs. Ointments, unlike suppositories, can be prescribed not only to women, but also to girls who are not yet sexually active. When prescribing a medicine for external use, the doctor explains how to use it.

The most popular antifungal ointments are the following:

Before using any external medicine, it is necessary to clean the genitals, for example, by treating them with antiseptic drugs. The ointment is carefully applied to the affected areas of the vulva. If complications occur (itching, swelling), you must stop using the medicine and consult a doctor. The doctor will select another medication.

Hormonal

During puberty, hormonal changes occur in the body. Changes in hormonal levels are also observed in women who have entered menopause. In both cases, the functioning of the Bartholin glands is disrupted, which leads to vaginal dryness and changes in microflora. Against this background, it often develops. If the patient goes to a medical facility, the doctor will prescribe her a hormonal ointment with corticosteroids. These medications include ointments:

Only a doctor can prescribe hormonal ointments. He examines the patient, sends her for tests, and after receiving the results, selects a course of local treatment. Trying to eliminate the pathology on her own, a woman risks developing many complications: uterine bleeding, irregular menstruation, etc.

Antibacterial

Before prescribing an ointment, the doctor identifies the causative agent of the disease. Depending on this, the drug is selected.

For antibacterial ointments:

Vulvitis of bacterial origin, like any infectious disease, requires complex treatment. Before using the ointment, it is necessary to treat the genitals with antiseptics. Along with external agents, medications for oral administration are also prescribed. The patient is recommended to take vitamins, minerals, and bifidobacteria.

Healing

Another group of ointments used for vulvitis are healing ones. They are used after acute symptoms of the disease have been relieved. Healing medications can relieve inflammation and irritation and regenerate damaged tissue. Medicines in this group include:

Vaginorm C. This medicine heals the mucous membrane of the genital organs damaged by vulvitis. Vaginorm normalizes pH levels and microflora, and has a positive effect on local immunity. The drug also has protective effects: its active substances prevent harmful microorganisms from penetrating into the woman’s reproductive system. Vaginorm is prescribed by doctors as a prophylactic for chronic vulvitis.
Actovegin. This ointment is prepared based on the blood of cattle. Gynecologists prescribe the drug to patients who have problems with the acid-base balance of the vagina, which occurs with vulvitis. The medicine accelerates the process of tissue restoration and improves their nutrition at the cellular level.
Radevit. The medicine is used to relieve inflammation and itching, and heal damaged areas. The drug has protective functions.

Any healing ointment is used for 3-4 weeks, until the soft tissues of the external genitalia are completely restored after the disease. It is important to follow the rules of personal hygiene and doctor’s recommendations.

Patients need to understand that ointments are effective only in the initial stages of the disease. If vulvitis caused by fungi or bacteria is advanced, then along with external agents it is necessary to take antibiotics and antimycotics orally. Any treatment must be carried out under the supervision of a physician.

Vulvitis is an inflammation of a woman’s external genitalia caused by pathogenic bacteria or fungi. The lips major and minor, the mucous membranes of the vaginal vestibule, clitoris, hymen, and Bartholin glands become infected.

For localized inflammation of the labia, local treatment with ointments is prescribed. Drugs are selected depending on the cause of the disease. If the pathology is caused by a fungal infection, then ointments with a fungicidal effect are prescribed; in case of bacterial infection, the genitals are treated with antibacterial agents. Hormonal and wound-healing ointments relieve inflammation, swelling, accelerate the regeneration of mucous membranes, and normalize the functioning of the Bartholin glands.

The advantage of using external preparations is the effect directly on the lesion. This method of treatment is less likely to cause side effects and makes it possible to carry out therapy in girls, pregnant and breastfeeding women.

Antifungal ointments

Candidiasis vulvitis is caused by yeast fungi of the genus Candida. Women are bothered by itching, burning in the genital area, and whitish discharge with a cheesy consistency appears. A small rash and erosions form on the mucous membranes.

A gynecologist will explain how to treat vulvitis with ointments after an examination and laboratory tests of vaginal discharge. Women who are sexually active are usually prescribed vaginal suppositories, but this method of treatment is not suitable for virgins.

An alternative option is the use of external ointments with antimycotics.

Clotrimazole cream is applied to the affected areas 2-3 times a day, the course of treatment for vulvitis is 1-2 weeks. The drug can be injected deep into the vagina at a dose of 5 mg 1 time per day, this therapy gives results within 3 days. The pharmacological action of Clotrimazole is based on the destruction of fungal cells; the drug is active against yeast and mold fungi, gram-positive and gram-negative bacteria. When administered intravaginally, the cream may cause irritation, swelling, itching and mucous discharge from the vagina.

Pimafucin ointment is applied to previously cleansed genitals 4 times a day, the duration of therapy for vulvitis depends on the severity of the disease, external treatment is continued for another 4 days after the disappearance of clinical symptoms of candidiasis. The active ingredient of Pumafucin is natamycin - it is a broad-spectrum antibiotic; fungi of the genus Candida are especially sensitive to it. The ointment rarely causes side effects and is approved for use by pregnant and nursing mothers.

Candide is an ointment for vulvitis for women that has a fungicidal, antibacterial and antiprotozoal effect. The drug is applied to washed, dry skin of the genital organs 2-3 times a day for 10-14 days. The cream should not be used during menstruation, in the first trimester of pregnancy, or in case of individual intolerance.

Nystatin ointment is effective against Candida fungi, which cause symptoms of thrush. The drug is recommended for use for prophylactic purposes during long-term use of antibiotics and chronic mycotic infections. The cream is applied to the external genitalia or administered intravaginally. The duration of treatment for vulvitis is 7–10 days, for chronic forms of the disease – 20–30 days.

Before applying ointments, the skin of the genital organs is washed with gels for intimate hygiene or treated with antiseptic solutions (Furacilin, Chlorhexidine) and dried. The medicine is evenly distributed over the affected areas and rubbed in gently. If symptoms of irritation, swelling and severe itching appear, stop using this drug.

Hormonal ointments

Treatment of vulvitis in adolescents, during menopause and in cases of allergic nature of the pathology is carried out with ointments with corticosteroids. During puberty, hormonal changes occur in a girl’s body; against this background, the functioning of the Bartholin glands can be disrupted, vaginal dryness, microflora disturbances are observed, and vulvitis develops.

Hydrocortisone ointment is prescribed for allergic reactions, inflammation of non-bacterial etiology, and mechanical injuries of the vulva. The drug relieves swelling, reduces itching and redness, and suppresses the synthesis of inflammatory mediators. The duration of treatment depends on the form of the disease, on average 6–14 days.

Ovestin healing cream contains the hormone estriol, lactic acid and chlorhexidine. The drug compensates for estrogen deficiency in women during menopause, eliminates dry mucous membranes, normalizes the functioning of the reproductive organs, and relieves symptoms of inflammation.

Treatment of vulvitis in women with ointments with glucocorticosteroids should be prescribed by a doctor after examination and testing for estrogen levels in the blood. Independent use of such drugs can lead to the development of uterine bleeding, menstrual irregularities and other complications.

Antibacterial ointments

Infectious vulvitis is treated after identifying the causative agent of the disease. There are specific and nonspecific forms of the disease. The first type includes trichomonas, gonococcal infections, chlamydia and mycobacterium tuberculosis. A nonspecific form of pathology develops against the background of infection with Escherichia coli, staphylococci, and streptococci.

Antibacterial ointments include:

Synthomycin ointment inhibits the growth of pathogenic microorganisms, relieves pain, and quickly reduces inflammation. Duration of use for vulvitis is 7–10 days.

Triderm cream has anti-inflammatory, fungicidal, antibacterial effects; the active ingredients of the drug are clotrimazole, gentamicin and betamethasone. The duration of treatment is determined by the doctor; the ointment is used in combination with systemic antibiotics. It is contraindicated to treat the genitals of pregnant women in the first trimester, children under 2 years of age and those with individual intolerance.

Levosin ointment has anti-inflammatory, analgesic, and antimicrobial effects. This remedy even treats purulent forms of vulvitis. The gynecologist will explain how to use the ointment correctly.

Erythromycin ointment contains a bacteriostatic antibiotic of the macrolide group - erythromycin. The drug is active against gram-positive and gram-negative bacteria, and also destroys strains resistant to other classes of antibiotics. The course of therapy is from 3 to 14 days, depending on the form of the disease.

Treatment of vulvitis of bacterial etiology is carried out comprehensively, requiring local treatment of the genitals with ointments, oral administration of antibiotics, vitamins, and bifidobacteria.

Healing ointments

Vaginorm C accelerates the healing of the mucous membrane, normalizes microflora and pH levels, increases local immunity, and protects the reproductive organs from the penetration of pathogenic microorganisms and viruses. The drug can be used to prevent relapses of chronic vulvitis.

Actovegin cream is made from cattle blood and is used in gynecology to restore the acid-base balance of the vagina, accelerate the regeneration of damaged tissues, and improve trophism.

Radevit ointment has healing, anti-inflammatory and antipruritic properties. Softens and moisturizes the skin, enhances its protective properties.

Ointments that accelerate the regeneration of mucous membranes are used for 3–4 weeks, until the soft tissues of the external genitalia are completely restored.

Local treatment of vulvitis in women with ointments as monotherapy is effective only in the initial stages. Advanced forms of bacterial or fungal infection are treated by oral antibiotics, antimycotics and external use of vaginal creams. Treatment should be carried out under the supervision of a physician.