How is vulva vestibulitis treated?

summary

Vulvar vestibulitis, also known as vulvar vestibular syndrome, is a chronic persistent clinical syndrome. Vulvar pain during sexual intercourse is more common in women with active sexual life. Most patients have a history of several months or even years, and have a history of repeated bacterial infection or condyloma acuminatum. Today let me share with you how to treat vulvar vestibulitis?.

How is vulva vestibulitis treated?

First: topical application of 1% hydrocortisone ointment and topical application of 2% - 5% lidocaine solution to relieve sexual discomfort. For the patients who have no response to the above treatment or have severe lesions, high-efficiency corticosteroids such as 0.025% fluticasone or 0.1% triamcinolone acetonide ointment can be used for external use. Other treatments such as warm water sitz bath, liquid paraffin lubrication vestibule before intercourse. In recent years, local or intramuscular injection of interferon has been reported α The effective rate was 50%. Antihistamines are effective in some patients. Tricyclic antidepressants can be used because they have central analgesic effect and are also effective for secondary depression. The curative effect of antibiotics is uncertain, such as oral imidazole antifungal drugs, metronidazole are ineffective.

Second, vestibuloplasty and vestibulectomy (modified perineum plasty) are the two surgical methods. The latter has better curative effect, and the effective rate is 60% - 90%. Vestibuloplasty involves longitudinal incision of the vaginal wall, especially the posterior wall mucosa, and then horizontal suture of the vaginal wall mucosa and vulvar skin to enlarge the vaginal orifice. Vestibular resection is to remove the mucosa of vestibular pain, and then sneak to separate part of vaginal mucosa to cover. Partial vestibular resection and total vestibular resection can be selected according to the patient's condition.

Third: 15 grams of honeysuckle, dandelion, chrysanthemum indicum, glutinosa and Begonia seed, 12 grams of red peony and Cortex Moutan, 10 grams of frankincense and myrrh, and 6 grams of raw licorice.

matters needing attention

(1) Auricularia auricula, brown sugar each appropriate amount. Bake Auricularia auricula, grind and serve with sugar water. 2 g twice daily. Suitable for red and white belt（ 2) Wax gourd 90 grams, 90 grams of rock sugar. Mash the wax gourd seeds, add rock sugar and stew in boiling water, once in the morning and once in the evening. Suitable for leucorrhea（ 3) Fresh purslane 200 grams, raw eggs 2. Mash the Portulaca oleracea juice, remove the yellow of raw eggs, mix the protein and Portulaca oleracea juice, take it with boiling water, once a day. Suitable for leucorrhea（ 4) Cuttlefish 100g, lean pork 200g, yam 10g, lotus seed 4G. Chop cuttlefish and pork, stew with yam and lotus seed. Eat meat and drink soup. Suitable for leucorrhea（ 5) 250 grams of white lentils. Stir fry the white lentils yellow, grind the powder, 2 times a day, 6 grams each time, take rice soup. Suitable for leucorrhea.