Vaginitis treatment

Vaginitis: Tailor treatment to the pathogen

The treatment of colpitis depends on the pathogen that caused the inflammation. Depending on the type of germ, treatment is either systemic or local.

• Bacterial vaginitis: Antibiotics, for example with active ingredients such as metronidazole or clindamycin.
• Fungal infection: antifungal agents (antimycotics) with active substances such as nystatin, amphotericin B, clotrimazole or miconazole.
• Trichomonads: Antibiotics, for example with the active ingredient metronidazole (vaginal suppositories).

Vaginitis: treatment with antiseptics

So-called antiseptics are also available for local therapy. They are effective against bacteria, viruses, fungi and protozoa. Depending on the preparation and germ infestation, there are various active ingredients in the form of vaginal suppositories, creams, tablets or injections.

Vaginitis: Treatment for estrogen deficiency

If an oestrogen deficiency is the cause of vaginitis in younger girls and older women, this can be treated with oestrogen-containing creams, ovules and suppositories. The University Hospital Zurich also offers laser therapy as a newer treatment option for vulvo-vaginal problems caused by hormone deficiency. This is particularly important for women who are not allowed to or do not want to use hormones. In the vulva consultation, your symptoms are recorded and discussed in a detailed consultation.

Tips and aftercare

Tips during treatment

If you have sexually transmitted infections, refrain from sexual intercourse during treatment. Do not use tampons or vaginal douches during treatment. Depending on the pathogen, it may be advisable for the partner to also undergo treatment.

How can I restore the natural vaginal environment?

Suppositories, tablets and capsules with lactic acid bacteria (lactobacteria) are available to restore the natural pH value in the vagina. These are inserted directly into the vagina. Whether lactic acid bacteria actually help with vaginitis has not yet been investigated, nor have alternative home remedies (for example a tampon soaked in yoghurt). After specific treatment of a vaginal infection with antibiotics, for example, the use of preparations containing lactic acid bacteria (probiotics) can reduce the risk of the infection recurring.