Vaginitis is an inflammation of the vagina that causes discharge, itching, irritation, or burning. It can be caused by infections, irritants, or hormonal changes.

1. Bacterial Vaginosis (BV) – Most common cause, linked to an imbalance in vaginal bacteria.
2. Yeast Infections (Vulvovaginal Candidiasis) – Overgrowth of yeast, usually Candida albicans.
3. Trichomoniasis – A sexually transmitted infection caused by a parasite.

Good Hygiene Practices:

• Avoid scented soaps, wipes, and douches.
• Wear breathable cotton underwear and loose clothing.
• Change out of sweaty clothes quickly.
• Gently pat dry instead of rubbing after washing.

Healthy Habits:

• Stay hydrated and eat probiotic-rich foods.
• Avoid unnecessary antibiotics that can disrupt vaginal flora.
• Use protection during sex to lower the risk of infections.

Know What’s Normal:

• Normal vaginal discharge is white, thin, and odorless.
• A strong fishy smell, green/yellow color, or itching may signal an infection.

Bacterial Vaginosis (BV)

✔️ Symptoms: Thin, white-gray discharge with a fishy odor. ✔️ Diagnosis: Vaginal pH test, microscope test, or lab test. ✔️ Treatment:

• Metronidazole (Flagyl) 500mg twice daily for 7 days
• Clindamycin cream (vaginally) for 7 days
• No need to treat sexual partners.

Yeast Infections (Vaginal Candidiasis)

✔️ Symptoms: Itching, burning, thick white “cottage cheese” discharge. ✔️ Diagnosis: Microscopy or vaginal culture. ✔️ Treatment:

• OTC creams like Miconazole (Monistat) or Clotrimazole
• Fluconazole (Diflucan) 150mg oral tablet (one-time dose)

Trichomoniasis (Trich)

✔️ Symptoms: Frothy, yellow-green discharge with a strong odor. ✔️ Diagnosis: Lab test or wet prep test. ✔️ Treatment:

• Metronidazole 500mg twice daily for 7 days
• Treat your sexual partner to prevent reinfection.
• Avoid sex until treatment is completed.

• If symptoms persist despite home treatment.

• If you have a strong odor, unusual discharge, or pelvic pain.

• If you have recurring infections (more than 3 in a year).

• BV in pregnancy may increase risks like preterm labor, so treatment is recommended if symptomatic.
• Yeast infections are common in pregnancy; use topical treatments, not oral medications.
• Trichomoniasis in pregnancy should be treated to reduce complications.