The term "non-specific vaginitis" was previously commonly used for vaginal infections where the causative pathogen could not be identified. Currently, this diagnosis has been shifted to refer to conditions occurring in pre-pubertal and postmenopausal cases.

bubble_chart Etiology

Non-specific vaginitis is commonly caused by foreign bodies (such as pessaries, retained cotton balls, or gauze), injuries, corrosive chemicals, allergic reactions, post-radiation therapy, prolonged uterine bleeding, and decreased immune resistance, all of which can create conditions for pathogens to cause secondary infections. Common pathogens are typically pyogenic bacteria such as staphylococci, streptococci, and Escherichia coli.

bubble_chart Clinical Manifestations

During the acute phase, there may be a slight increase in body temperature, leukocytosis, general weakness, a sensation of heaviness and discomfort in the lower abdomen, increased vaginal discharge that is purulent, serous, or bloody, and a burning sensation in the vagina. Examination with a speculum may reveal hyperemia of the vaginal mucosa, sometimes with superficial small ulcers, and the vaginal pH tends to be alkaline.

bubble_chart Diagnosis

Conduct a detailed inquiry to determine the presence of the aforementioned disease causes. Although there is an increase in vaginal discharge, it is neither frothy nor curd-like. A Gram-stained smear of the discharge reveals non-specific pyogenic bacteria under the microscope, with no detection of trichomonads or fungi upon multiple examinations.

bubble_chart Treatment Measures

In case of systemic reactions, bed rest and attention to nutrition are advised. The principle of local treatment is to restore the normal pH of the vagina and use antibiotic creams or powders based on the causative pathogen. The method involves irrigating the vagina with a 15% lactic acid solution, 0.5% vinegar solution, or a 1:5000 potassium permanganate solution, drying it, and then applying an antibiotic cream or powder once daily for 10 days as one treatment course.