What are the oral medicines for vaginitis in the elderly

For older women, their physical fitness gradually declines, and the environment in the vagina is prone to bacterial imbalance. At this time, due to poor immunity, senile vaginitis may occur. When this happens, it is necessary to seek timely treatment to avoid causing greater harm to the health of the elderly. It can be treated with local topical medications, systemic treatment, or oral medications.

Treatment of senile vaginitis

1. Local treatment (1) Vaginal douches with 1% lactic acid or 0.5% acetic acid to increase vaginal acid. After douches, apply local medications such as metronidazole or norfloxacin, one tablet per day, deep into the vagina. One course of treatment is 7 to 10 days. (2) Use Premarin vaginal ointment and apply it to the vagina and vulva, 1 or 2 times a day, or 0.125-0.25 mg of diethylstilbestrol, insert it into the vagina once every night, for 7 days as a course of treatment, or 0.03 mg of nialstradiol plus 0.1 g of metronidazole plus 125 mg of chlorotoxin mixed into a powder, for each dose, after flushing the vagina with warm water, apply the drug to all walls of the vagina, once a day, for 7 days as a course of treatment.

2. Systemic treatment (1) In addition to local vaginal medication, take 0.625 mg/d of Premarin tablets orally for 22 consecutive days. On the 13th day after taking Premarin, take 6 mg/d of Angong Progesterone Tablets for 10 consecutive days. Stop using the medicine for 1 week and check again, then you can start taking the medicine again. Because estrogen replacement therapy increases the amount of estrogen in the body, the self-cleaning effect is enhanced, which significantly improves the health of the vagina, fundamentally eliminates the cause of senile vaginitis, shortens the healing time, and reduces the recurrence rate. (2) Chinese medicines that nourish yin and tonify yang (such as Anemarrhena asphodeloides, Phellodendron chinense, Rehmannia glutinosa, Cornus officinalis, Dioscorea batatas, Alisma orientalis, Cortex moutan, and Poria cocos) can regulate the body's yin and yang balance after menopause, enhance one's own resistance, and reduce recurrence. 3. Daily medication: 100 grams of toon leaves. Decoction in water and wash the vulva twice a day. 30 grams of Dictamni Cortex, 30 grams of Millettia reticulata, 30 grams of Polygonum multiflorum, 30 grams of Rehmannia glutinosa, 9 grams of Ephedra sinica, 6 grams of Safflower, and 15 grams of Epimedium. Decoction twice, remove the residue and combine the medicinal liquid. Take a sitting bath twice a day for 30 minutes each time. 30 grams of wild chrysanthemum, 30 grams of honeysuckle, 30 grams of epimedium, 15 grams of angelica, 30 grams of lithospermum, 15 grams of phellodendron, 15 grams of cnidium monnieri, 15 grams of red peony root, 15 grams of moutan bark, 30 grams of loofah leaves, and 3 grams of borneol. Decoction twice, combine the liquids, and use them to fumigate and wash the vulva twice a day. This prescription has the effects of clearing away heat, detoxifying, relieving itching, nourishing the kidneys, nourishing blood and cooling blood.

4. Dietary therapy: 60 grams of clams, 120 grams of leeks, and an appropriate amount of rice wine. Place the wok on high heat, pour in raw oil and heat it, pour in the washed clams and stir-fry for a while, then add two bowls of water and boil, then pour in the washed and chopped leeks and rice wine, and cook for 1 to 2 boils. Take 1 dose per day, all in one dose. 5 to 7 days is a course of treatment. This recipe can nourish the kidneys and stop leucorrhea. 60 grams each of lotus seeds and coix seeds, and 120 grams of clam meat. Peel and core the lotus seeds, wash the coix seeds, cut the clam meat into thin slices, put them into a casserole, add 750 ml of water, and simmer for 1 hour. Take it for 7 to 10 days to see the effect. The effect of this prescription is to clear away heat, dry dampness and stop leukorrhea. 10 grams of Cornus officinalis, appropriate amounts of yam and coix seed. Cook the above three ingredients into porridge together and take it 1 to 2 times a day for 2 weeks. This prescription has the effects of nourishing the kidney, strengthening the spleen and drying dampness.

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