VULVITIS DUE TO SPECIFIC INFECTION
Pyogenic Infection:- (Non-Gonococcal)
Vulval cellulitis: The causative organism is predominantly Staphylococcus aureus. The vulva is swollen, red, and tender. There may be profuse exudation. The inflammation is limited, in majority, upto the labiocrural fold. The patient complains of intense pain, itching and problem in micturition. There may be excoriation of the skin due to scratching and laceration.
Furunculosis: The infection affects the hair follicles of the mons and labia majora → folliculitis →furunculitis. The offending organism is Staphylococcus aureus. If it is recurrent, glycosuria should be excluded. Treatment is effective local cleanliness.
INFECTION OF SEBACEOUS AND APOCRINE GLANDS:
Infection of an apocrine or sebaceous gland looks and presents the features of a boil. If it recurs, excision is to be done in the quiescent state.
Impetigo: Impetigo is a pustular infection caused by Staphylococcus aureus or Streptococcus. It may be localized to vulva or spread to other parts of the body, face, or hands. Blebs should be incised or the crusts be removed aseptically. Systemic and local antibiotics are to be prescribed.
Erysipelas: This rare spreading cellulitis is caused by invasion of the superficial lymphatics by b-haemolytic Streptococcus. There may be systemic constitutional symptoms. It responds well to systemic broad spectrum antibiotics.
Intertrigo: Intertrigo is due to irritation and infection of retained secretions in the skinfolds usually in an obese patient. It may also result from friction of the undergarments or sanitary towels.
HOMOEOPATHIC MANAGEMENT OF VULVITIS:-
Pulsatilla:- Pulsatilla is helpful for vaginitis when vaginal discharges are thick like cream. They are white and get worse while lying down. There may be a burning felt in the vagina alongwith a backache.
Kreosotum:- For itching in vagina in the cases of Vaginitis. The itching is quite intense and violent. There may be soreness and burning in vagina after scratching. Standing and walking worsens the discharge.
Alumina:- For burning in the vagina due to Vaginitis. The discharges are worst during daytime and may be transparent or light yellow. They are also highly acrid, corrosive, excoriating.
Merc Sol:- To treat Vaginitis with greenish vaginal discharges. A night aggravation of the discharges may be present. The discharges may be blood stained, corrosive and itchy leading to scratching.
Hydrastis:- Considered in cases of Vaginitis with a yellow discharge from the vagina. The discharges are profuse, thick, tenacious and highly viscid. The discharges may be stringy and ropy in some cases. Occasionally they may be offensive. Itching in the vagina appears from discharges.