Vaginitis means inflammation of the vaginal wall. There are no glands in the vagina. The epithelial lining responds to the stimulus of hormones.

Types of Vaginitis

Vaginitis Non-Infective


  • Trauma
  • Burns
  • Allergy
  • Idiopathic

Symptoms and signs

  • Redness
  • Swelling
  • Discharge
  • Dysuria


  • Elimination of the causative factor
  • Medicines
  • Rest

Vaginitis Non-Specific


  • Chemicals
  • Contraceptives
  • Douches
  • Drugs
  • Foreign bodies
  • Pessaries
  • Tampons
  • Trauma
  • Vaginal and cervical surgeries

Symptoms and signs

  • Red, swollen, tender vagina
  • Irritation
  • Burning
  • Dysuria
  • Frequency


Smear and culture


  • Medicines
  • Improvement of general health
  • Inserting water dispersible buffered vaginal jelly
  • Locally applied cream

Vaginitis Secondary

The primary cause is not the vagina, but somewhere else in the body.


Foreign body

  • Vaginal pessary
  • Contraceptives
  • Tampons

Chronic infection of the cervix

Endo cervicitis

Childbirth injuries

Complete perineal tear


  • Vesicovaginal
  • Uretero-vaginal
  • Recto-vaginal

Malignancies of the genital tract


      Treating the primary pathology cures the related disease.


  • Drink plenty of water
  • Correct dietary habits. Fried and spicy foods are to be avoided, as are pickles and other savouries.
  • Get good sleep
  • Exercise. A brisk early morning walk is helpful
  • Take Fibre-based diet
  • The bowel can be emptied with the help of suppositories or warm water enema.
  • Maintain proper hygiene
  • Wear clean lingerie
  • Suspend sexual relations until gets cured
  • Avoid mental stress                    


The common age group is the first five years of life, but any prepubertal girl can be affected. 


Infecting organisms are:

  • Candida
  • E.coli
  • Gonococcus
  • Pneumococcus
  • Staphylococcus
  • Streptococcus
  • Threadworms
  • Trichomonas vaginalis

Transmission by

  • Clothes
  • Hands
  • Mother
  • Toilet
  • Utensils

A foreign body inserted into the vagina 

 Symptoms and signs

  • Profuse, purulent vaginal discharge
  • Reddened, oedematous vulva
  • Soreness
  • Irritation
  • Dysuria
  • The child constantly handling/scratching the external genitalia
  • P/R may reveal a foreign body


  • Culture and sensitivity test  of discharge
  • EUA(examination under anaesthesia)


  • Medicines
  • Removal of foreign body
  • Isolation from other children

Senile Vaginitis

Occurs in women a few years after menopause.


  •  Lack of oestrogen.

As a result of oestrogen deficiency, the vaginal epithelium becomes thin and atrophic. The glycogen content and acidity of the vagina are lowered. Hence the local resistance to infection is reduced.

  • Injury from a neglected pessary
  • Diabetes

Symptoms and signs

  • Purulent, offensive, slightly blood-tinged vaginal discharge
  • Soreness
  • Inflamed, tender vagina with excoriated skin
  • Frequency
  • Dysuria
  • Low-grade chronic urethritis
  • Patchy, granular vaginitis(these red spots may bleed on touching)
  • Infection may move upwards(senile endometrium, pyometra)


  • Speculum examination
  • Vaginal cytology
  • Diagnostic curettage
  • Biopsy of cervix


Oestrogen therapy

  • Oral
  • Pessary
  • Vaginal cream

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