Vulvovaginitis is inflammation of both the vulva and vagina, which can cause swelling of the genital region, redness and itching, and may be caused by microorganisms or be a consequence of the use of some products that contain irritating substances, such as ointments, creams. and soaps.
Although vulvovaginitis can occur in all women and at any age, it is more common in women who have already started sexual activity, since intimate contact facilitates contact with microorganisms and, in some cases, an imbalance in the vaginal flora.
It is important that the gynecologist is consulted as soon as the first signs and symptoms of vulvovaginitis appear, as this makes it possible to confirm the diagnosis and initiate the most appropriate treatment, which normally involves the use of antimicrobials.

Vulvovaginitis symptoms
The main symptoms of vulvovaginitis are:
- Irritation and redness of the genital region;
- Constant itching;
- Swelling of the intimate region;
- Strong-smelling discharge;
- Slight bleeding in panties;
- Discomfort or burning when urinating.
In the presence of signs and symptoms indicative of vulvovaginitis, it is important that the gynecologist is consulted so that the diagnosis can be made and the most appropriate treatment can be initiated.
How the diagnosis is made
The diagnosis of vulvovaginitis is made by the gynecologist, initially, by evaluating the signs and symptoms presented by the person, as well as by observing the genital region through a gynecological examination.
In addition, the doctor may recommend a vaginal secretion analysis to check whether the vulvovaginitis is caused by an infectious agent, as well as a type 1 urine test and urine culture.
Make an appointment with your nearest gynecologist to investigate whether it is vulvovaginitis:
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Main causes
Vulvovaginitis can occur as a consequence of several situations, the main ones being:
- Excess fungisuch as candidiasis;
- Infection by viruses or bacteria;
- Lack of hygiene or wearing underwear that is too tight;
- Parasite infectionlike the Trichomonas vaginalis;
- Hormonal changeswhich can cause an imbalance in the vaginal flora and promote inflammation.
Furthermore, some women may also develop vulvovaginitis due to hypersensitivity to some chemicals such as parabens or sodium sulfate that are present in soaps, laundry detergents or creams. In these cases, symptoms appear shortly after using the product and improve when the area is washed with warm water and a suitable intimate soap.
Treatment for vulvovaginitis
Treatment varies according to the cause of vulvovaginitis and must be carried out under the guidance of a gynecologist, and it is recommended that in the case of bacterial infection, antibiotics should be used, while in the case of excess fungi, antifungals should be used, for example. See more details on the treatment of vulvovaginitis.
It is also possible to supplement treatment at home to alleviate symptoms and speed up treatment recommended by your doctor. A good tip is to take sitz baths with 3 tablespoons of apple cider vinegar or coarse salt, as they help to eliminate the microorganisms present and soothe irritation.
Preference should also be given to wearing cotton underwear, skirts and dresses that help ventilate the genital region, reducing the risk of worsening the infection.
Bibliography
- LINHARES, Iara M.; AMARAL, Rose Luce G.; ROBIAL, Renata; JUNIOR, José E. Vaginites e vaginoses. FEMALE. Vol 47. 4 ed; 235-240, 2019
- CARVALHO, Newton S.; JUNIOR, José E.; TRAVASSOS, Ana Gabriela. Brazilian Protocol for Sexually Transmitted Infections 2020: infections that cause vaginal discharge. Epidemiol. Serv. Saude. Vol 30. 1 ed; 2021
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