Vaginitis - Treatment

What kinds of treatment, including medication, have you received for vaginitis?

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What is the treatment for vaginitis?

The treatment for vaginitis depends upon the exact cause.

Bacterial infections are commonly treated with injections of antibiotics or oral antibiotics. The cephalosporin drugs, such as ceftriaxone or cefixime (Suprax), are typically used to treat gonorrhea. Treatment for gonorrhea should always include medication that will treat Chlamydia (for example, azithromycin [Zithromax, Zmax] or doxycycline [Vibramycin, Oracea, Adoxa, Atridox and others]) as well as gonorrhea, because gonorrhea and Chlamydia frequently exist together in the same person. Guidelines for treatment of STDs are constantly being adjusted based on the resistance of the infections to antibiotics.

Bacterial vaginosis is usually treated by metronidazole (Flagyl) taken either by mouth or applied as a vaginal gel or by vaginal clindamycin cream (Cleocin).

The treatment for trichomoniasis vaginitis is usually a single oral dose of metronidazole or tinidazole.

Yeast vaginitis is usually treated with topical anti-fungal medications including butoconazole (Femstat 3), clotrimazole (Lotrimin), miconazole (Monistat), and terconazole (Terazol 3). Other antifungal drugs are available as vaginal tablets such as clotrimazole (Lotrimin, Mycelex), miconazole, (Monistat; Micatin), terconazole (Terazol), and nystatin (Mycostatin). Oral medications for yeast vaginitis and vulvitis include fluconazole (Diflucan), but oral antifungal drugs are associated with some unpleasant side effects like headache and nausea.

While there is no cure for atrophic vaginitis that arises in postmenopausal women, systemic or topical estrogen preparations can provide relief. For women who do not choose to take hormone therapy, a number of vaginal lubricant products are available.

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