Treatment of vaginitis by obstetrician-gynecologist Irina Ivanovna Kulbach in the city of Dnipro

Patients often present with complaints of itching and burning in the genital area, unusual discharge, discomfort during intimate intercourse, or periodic recurrence of symptoms.

The physician conducts a clinical evaluation, thoroughly reviews the complaints and medical history, and, if necessary, orders additional examinations to accurately understand the situation.

The patient receives a clear and accessible action plan: what to do now to alleviate their condition, which tests to undergo, and how to monitor the progress of the recovery process.

Special attention is given to differential diagnosis of the causes and ongoing management of patients, which helps to timely adjust treatment and prevent exacerbations.

When to See a Doctor

If you notice unpleasant changes in your intimate area that cause discomfort or concern, it is important not to delay a visit to an obstetrician-gynecologist. In cases of vaginitis, consulting a doctor helps identify the cause of symptoms and choose the appropriate treatment approach.

You should make an appointment with an obstetrician-gynecologist if you experience any of the following with vaginitis:

• Persistent itching and burning in the genital area
• Unusual vaginal discharge with an unpleasant odor
• Discomfort or pain during sexual intercourse
• Redness and swelling of the vaginal mucosa
• Periodic recurrence of unpleasant symptoms after treatment
• Worsening symptoms that interfere with sleep or daily activities
• No improvement after self-care measures or previously prescribed treatment
• Symptoms appear for the first time and cause concern
• Flare-up of symptoms related to stress or exposure to cold
• Worsening symptoms associated with starting a new medication or changing contraception
• Appearance of symptoms during pregnancy or after childbirth
• Need to clarify the cause of recurring unpleasant sensations

Seeing a specialist is important to comprehensively assess the situation and avoid possible complications. The doctor will help select appropriate examinations and explain the next steps. If symptoms recur or persist, consulting a specialist will allow for adjustment of the treatment strategy without unnecessary trial and error.

Emergencies or When You Need to See a Doctor Immediately

• Sudden severe pain in the pelvic or groin area
• Rapidly increasing redness and swelling of the intimate area
• Combination of high fever with significant worsening of overall condition
• Occurrence of bleeding that does not stop or gets worse
• Sudden intensification of itching and burning, accompanied by rashes or blisters

If you experience these symptoms, do not wait for a scheduled appointment — seek emergency medical attention. Our clinic offers a home visit service for timely assessment of your condition.

Causes and Risk Factors of Vaginitis

This section discusses the possible causes of vaginitis and the main factors that may increase the risk of its development. This will help understand what should be discussed with a doctor and what aspects to check for a more accurate assessment of the condition.

Main Causes / Mechanisms (briefly)

• Disruption of the vaginal microflora balance, often associated with changes in pH
• Inflammatory processes caused by infections (bacterial, fungal, or viral)
• Mechanical irritation or injuries to the vaginal mucosa
• Allergic reactions to cosmetic products, douching, or contraceptives
• Weakened immune defense, which promotes the growth of opportunistic microorganisms

Risk Factors

• Improper hygiene or frequent use of harsh products in the intimate area
• Changing sexual partners or irregular use of protection
• Stress and body cooling, which affect immunity
• Chronic diseases and metabolic disorders
• Use of antibiotics or hormonal medications that alter microflora
• Pregnancy and postpartum period, when hormonal changes occur
• Concomitant gynecological diseases and inflammations
• Smoking and harmful habits that weaken the body’s defenses

Reversible Causes to Rule Out

• Side effects from topical or systemic medications
• Allergic reactions to personal hygiene products or cosmetics
• Non-compliance with intimate hygiene rules causing irritation
• Incorrect use of contraceptive methods

Vaginitis may develop for various reasons, and it is important to timely identify possible risk factors. This requires evaluation by a doctor and examinations to select an appropriate monitoring and treatment plan.

Diagnosis

The diagnosis of vaginitis aims at accurately identifying the causes of concern and planning the next steps. The approach is designed to ensure that the patient feels confident and understands the stages ahead.

Diagnostic Approach

• Taking a detailed medical history considering complaints and past medical conditions
• Visual examination and assessment of the vaginal mucosa
• Ordering basic laboratory tests if necessary
• Conducting additional investigations as indicated to clarify the cause
• Analyzing results and developing a monitoring or treatment plan
• Discussing all stages and answering questions with the patient

Typical Investigations as Indicated

Diagnosis of vaginitis may include:

• Microscopic examination of a smear to assess microflora and determine inflammation
• Culture with antibiotic sensitivity testing if infection is suspected
• Tests for sexually transmitted infections
• Investigations for fungal flora if candidiasis is suspected
• Hormonal tests as indicated to evaluate their impact on microflora

What to Bring to Your Appointment

• Results of previous gynecological examinations and tests
• A list of medications and vitamins you are currently taking
• Information about your last menstrual periods and pregnancy plans
• A symptom diary, if you keep one (unpleasant sensations, discharge, changes)
• Questions you would like to discuss with the doctor

Diagnosis of vaginitis requires a comprehensive evaluation and may involve additional tests, which the physician will select individually.

Treatment

The treatment of vaginitis is aimed at reducing unpleasant symptoms and restoring normal condition. The therapy plan is individually tailored, taking into account the unique characteristics of each patient and the results of examinations.

Goals of Therapy

• Reduce the severity of symptoms and discomfort
• Correct the causes of inflammation and disruption of the microflora
• Restore the function and comfort of the intimate area
• Prevent complications and recurrent exacerbations

Main Treatment Approaches

• Therapy is individualized and may combine medications, non-drug methods, and interventions as indicated
• Use of agents to restore normal microflora and reduce inflammation is possible
• Correction of factors contributing to the development of vaginitis, including hygiene recommendations, is important
• Additional procedures to improve the condition may be prescribed if necessary

What the Doctor Does

• Selects and adjusts treatment considering individual characteristics and the patient's response
• Assesses comorbidities that may influence the course of vaginitis
• Monitors for the appearance of possible side effects of therapy
• Explains to the patient the criteria for effectiveness and monitoring timelines
• Coordinates actions with other specialists if needed

What to Expect: Plan and Monitoring

• Effectiveness of therapy is assessed approximately within timeframes depending on the nature and severity of the condition
• The treatment plan is adjusted if there is no improvement or side effects occur
• Follow-up visits are important for monitoring and preventing exacerbations
• Monitoring helps timely adaptation of the approach and maintaining quality of life

Detailed information about treatment options can be obtained during a consultation with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention is important for reducing the risk of developing vaginitis and maintaining intimate health. A prevention plan is tailored individually, taking into account the body's characteristics and risk factors.

Key Primary Prevention Measures

• Follow personal hygiene rules using mild products as needed
• Avoid excessive or aggressive use of cosmetics and douching
• Monitor and promptly treat chronic illnesses
• Use barrier contraceptives when changing sexual partners
• Maintain overall immunity through a healthy lifestyle

Screening and Secondary Prevention / Regular Monitoring

• Regular check-ups with a gynecologist as recommended and indicated
• Screening for sexually transmitted infections as necessary
• Monitoring the state of the microflora if predisposing factors are present
• Discussing treatment adjustments with a doctor in cases of chronic and comorbid conditions

Practical Advice

• Avoid factors that cause irritation and allergic reactions in the intimate area
• Consult your doctor for personalized hygiene and care recommendations
• Pay attention to changes in symptoms and see a specialist if needed
• Maintain a healthy lifestyle and balanced diet
• Take medications only as prescribed and under medical supervision

Preventive measures help reduce the risk of vaginitis, but any questions are best discussed individually with a healthcare professional.

Important to Know

The treatment of vaginitis requires careful assessment and understanding of the causes of symptom onset. Timely consultation with a doctor helps choose the right approach and avoid possible complications. Sometimes, achieving lasting results requires monitoring and adjusting the therapy plan over time. The course of the condition can be influenced by various factors such as stress, activity levels, sleep quality, and concurrent illnesses. Self-treatment without consulting a specialist carries the risk of masking the clinical picture, missing important signs, and delaying diagnosis.

• It is important to identify the cause of symptoms, not just reduce discomfort
• Early assessment of the condition reduces the risk of progression and complications
• Ongoing monitoring helps promptly adjust treatment
• Overall well-being and concomitant diseases affect the course of vaginitis
• Self-treatment can conceal symptoms and complicate subsequent diagnosis
• In our clinic, monitoring and treatment are conducted under the supervision of a single specialist
• Support and explanations from the doctor help patients better tolerate therapy and follow recommendations

For a complete understanding of the problem and possible treatment options, we recommend reviewing the general information about gynecological conditions on the dedicated page of our website.

Self-Care Before the Appointment: What You Can and Cannot Do

Before seeing a doctor for symptoms of vaginitis, it is important to take only safe steps so as not to complicate the diagnosis or harm yourself. If your condition worsens, immediately contact Dr. Irina Ivanovna Kulbach.

What You Can Do Before the Appointment

• Note when and how the symptoms started, and what worsens or alleviates the condition
• Bring a list of all medications and products you are currently using to the appointment
• Keep a symptom diary: describe sensations, times of appearance, and changes
• Follow gentle hygiene practices, avoiding harsh products and douching
• Reduce physical activity and ensure rest to lessen discomfort
• Drink plenty of fluids to maintain hydration balance
• For mild discomfort, you may use generally safe pain relief methods as indicated
• Monitor your overall well-being and body temperature

What You Should Avoid Before the Appointment

• Do not self-prescribe medications or combine new drugs without medical advice
• Do not start douching or using any products without your doctor’s recommendation
• Do not stop taking prescribed medications without consulting your healthcare provider
• Avoid using folk remedies or unverified treatment methods
• Do not ignore recurring or worsening symptoms
• Do not forget the need for a medical evaluation; avoid self-diagnosis
• Do not apply irritating substances or chemicals to the mucous membranes
• Do not delay seeking medical help if new or intensified symptoms appear

If emergency signs occur, seek immediate medical attention from Dr. Irina Ivanovna Kulbach.

How I Can Help as a Doctor with Vaginitis

When you come to me regarding vaginitis, you will receive a comprehensive approach to addressing the issue. During the consultation, it is important not only to relieve symptoms but also to understand the underlying causes, assess the condition, and develop an effective action plan. All of this is done with consideration of your individual situation and any accompanying factors. At the vaginitis consultation, I can assist you with the following:

• Analyzing symptoms and medical history to identify possible causes
• Assessing the severity of the condition and identifying risk factors for the appropriate treatment approach
• Conducting an initial diagnosis and, if necessary, referring you for additional examinations
• Reviewing current prescriptions and medication tolerability to adjust therapy accordingly
• Taking into account concomitant diseases and medications that may affect treatment
• Developing a step-by-step plan for examination, treatment, and follow-up care
• Providing recommendations on lifestyle and daily routine based on your condition and indications
• Discussing progress criteria and determining when a follow-up consultation is needed
• Monitoring treatment effectiveness and adjusting the plan if necessary

This approach helps establish a collaborative relationship and ensures control over the healing process. The consultation is an opportunity to receive detailed explanations and support throughout all stages of vaginitis treatment.

What questions can you ask the doctor regarding vaginitis

During a consultation about vaginitis, you can discuss the following issues with Irina Ivanovna Kulbach:

• Unpleasant sensations and itching in the intimate area
• Unusual discharge and odor
• Pain or discomfort during sexual intercourse
• Recurring symptoms or flare-ups after treatment
• Lack of effect from previously prescribed therapy
• Associated inflammatory processes or other gynecological problems
• Need for a second opinion on diagnosis and treatment
• Questions about monitoring and managing the condition

In case of sudden severe pain, bleeding, or high fever — urgent medical attention is required; do not wait for a scheduled appointment.

Frequently asked questions

• What is happening to me and what could it be?
• Why did it start specifically now?
• How can I tell if it’s related to vaginitis and not another condition?
• What examinations are necessary in my particular case?
• Which tests and investigations are mandatory, and which ones can be skipped?
• How should I prepare for the examinations and consultation?
• What treatment options are available and how do they differ?
• Can this be cured completely, or can it become a chronic issue?
• What should I do if the prescribed treatment does not help?
• Is it possible to manage without medications or procedures?
• How long does the treatment usually last and how often should follow-ups be done?
• What signs indicate improvement or worsening?
• What should I do in case of sudden deterioration or symptom flare-up?

Consulting a doctor allows for careful evaluation of your situation, the development of an individualized plan, and ensuring control over the course of vaginitis. In case of emergency symptoms, it is important to seek help promptly.

How the Consultation Proceeds

A consultation for vaginitis includes reviewing complaints, assessing the condition, and creating a plan for further actions. The scope of necessary examinations is determined individually, based on indications. During the appointment, a definitive diagnosis is not made; instead, a preliminary evaluation is formed to choose the appropriate approach.

1. Clarifying complaints and visit goals: the doctor asks what is bothering you, when the symptoms appeared, and what worsens or alleviates the condition.
2. Collecting medical history and risk factors related to vaginitis, including disease history and lifestyle.
3. Reviewing previous examinations and treatments, assessing prescribed therapy; it is recommended to bring test results and a list of medications taken.
4. Conducting an examination and, if necessary, basic tests to assess the condition of the mucous membrane and identify inflammation.
5. Forming a preliminary conclusion: the doctor highlights possible causes and important points to exclude.
6. If needed, ordering additional examinations based on indications, such as smear microscopy, infection tests, etc.
7. Developing a treatment or management plan aimed at reducing symptoms and restoring health.
8. Discussing timelines for follow-up and next steps, including recommendations for repeat visits and monitoring progress.

If this is your first visit, special attention is given to clarifying symptoms and possible causes of their occurrence. If previous treatment has been ineffective, analyzing the cause and adjusting the plan will help improve the outcome.

This approach ensures an accurate assessment of the condition and helps develop the most suitable and safe plan of action.

Preparation for the Appointment

Preparing for your appointment with the obstetrician-gynecologist will help speed up the preliminary diagnosis and the development of a plan. Following simple recommendations makes the consultation more productive.

• Bring a list of all current medications (names and dosages, if known)
• Bring results of previous examinations, tests, and imaging studies, especially swabs and gynecological exams
• Write down your main complaints: when symptoms started, what worsens or relieves your condition
• Do not stop taking prescribed medications without consulting your doctor
• Come without applying cosmetics or creams to the genital area on the day of the appointment
• When scheduling, discuss whether fasting preparation is needed; if yes, do not eat or drink for 8–12 hours before the consultation unless otherwise advised
• If possible, bring a symptom diary or notes about the progression of your condition
• If you have any questions or doubts about preparation, clarify them when making the appointment or call the clinic

Careful preparation will make the consultation faster and more effective, helping the doctor gather all important information to assess your condition and choose the best approach.

About the Doctor

Irina Ivanovna Kulbach is a highly qualified obstetrician-gynecologist with over 40 years of experience. She works with patients who require treatment for vaginitis, especially those presenting with initial symptoms, recurrent episodes, and lack of response to previous therapies.

The doctor focuses on differential diagnosis of the causes and monitoring the condition over time. Irina Ivanovna Kulbach helps to adjust treatment considering comorbidities and side effects.

During the consultation, you will receive a clear explanation of the situation and a plan for the next steps.

Why Patients Choose Dr. Irina Ivanovna Kulbach

When treating vaginitis, it is important not only to receive an accurate diagnosis but also consistent follow-up care. Dr. Irina Ivanovna Kulbach tailors the therapy plan according to individual patient characteristics and monitors the condition’s progress at every stage. Her practice emphasizes the analysis of complex cases, adjustment of prescriptions, and consideration of comorbidities. She also carefully reviews previous examinations and works with existing results, helping to save time and avoid unnecessary procedures. Explanations are provided in clear, patient-friendly language to ensure decisions are transparent and well-understood. This integrated approach reduces the risk of complications and flare-ups, which is especially important for long-term management.

• Clear action plan with well-defined stages of treatment and condition monitoring
• Examinations conducted only when indicated, avoiding unnecessary tests and procedures
• Consideration of comorbid diagnoses and drug interactions to ensure therapy safety
• Monitoring treatment effectiveness with the ability to promptly adjust if results are lacking
• Review and interpretation of previously performed examinations for accuracy and time efficiency
• Clear explanations of therapy goals and potential risks without complex medical terms
• Focus on preventing exacerbations, which is crucial for patients’ stable condition
• Experience managing complex and chronic cases with a comprehensive problem-solving approach

This approach helps patients feel confident and informed at every stage of their treatment. Dr. Kulbach goes beyond just prescribing medications, guiding patients dynamically while taking into account all health nuances and medical history.

Case Reports

Initial Consultation for Suspected Vaginitis

A middle-aged female patient presented with complaints of itching and unusual discharge, which appeared for the first time. It was important to rule out the influence of infections and possible allergic reactions, as well as to assess the overall gynecological status. After collecting the medical history and conducting an examination, basic laboratory tests were ordered. During the evaluation, the probable cause of the microbiota imbalance was identified. Over the course of several weeks, a reduction in symptoms was noted, confirming the correct treatment approach. The patient is under regular observation and receives recommendations for maintenance therapy and prevention of relapses.

Adjustment of Treatment Due to Lack of Effect from Previous Therapy

A young woman with a previously established diagnosis came in due to lack of improvement following prescribed treatment. It was important to review past prescriptions, assess drug tolerance, and rule out comorbidities. During the consultation, the treatment plan was adjusted considering individual characteristics and additional examination results. At a follow-up visit one month later, stabilization of the condition and reduction of unpleasant symptoms were recorded. The physician developed a further management plan with regular monitoring of progress and adjustments as needed.

Chronic Course of Vaginitis with Concomitant Pathologies

A mature-aged patient presented with complaints of periodic vaginitis exacerbations against a background of chronic gynecological diseases. It was important to consider the impact of accompanying issues on the course of the primary condition. A comprehensive review of medical history and examinations was carried out, and an individualized, comprehensive treatment strategy was prescribed. Over several months, significant symptom stabilization and improvement in overall wellbeing were noted. Continued observation with preventive measures and therapy adjustments based on the patient’s condition is planned.

Symptom Exacerbation and Prophylaxis Plan

A middle-aged woman was admitted with symptom exacerbation following stress and climate change. Rapid assessment of the condition was required to exclude complications and determine the optimal treatment and prevention plan. An examination and additional tests were performed, and triggering factors for deterioration were identified. Positive therapeutic progress was observed, with decreased discomfort and reduced frequency of exacerbations. Further recommendations include regular monitoring and measures to decrease the risk of relapse.

Recurrent Symptoms and Search for Additional Causes

A young woman presented with complaints of frequent recurrence of vaginitis symptoms despite treatment. Additional investigations were conducted to exclude rare or hidden factors. After a detailed analysis of medical history and examination findings, the treatment plan was refined and additional monitoring introduced. According to the course of the condition, symptoms became less frequent, indicating a successful approach to managing the problem. The patient remains under regular observation with the possibility of timely therapy adjustments.

How long does a consultation last?

Usually, a consultation takes from 30 to 60 minutes. Please check when booking.

How to prepare for the appointment?

Write down your main complaints, bring a list of medications, and results of previous examinations.

What should I bring to the appointment?

Bring your lab tests, images, discharge summaries, and a list of medications or vitamins you are taking.

Do I need to come fasting?

Usually not, unless otherwise specified at the time of booking or by the doctor.

How many visits are usually required?

It depends on the situation and nature of the problem, typically from one to several visits to monitor treatment.

When can I expect to see initial treatment results?

Improvement varies individually and depends on the chosen therapy plan.

What should I do if my condition worsens before the appointment?

If your condition worsens significantly or if dangerous symptoms appear, seek emergency medical help.

Can treatment be combined with current medications?

Discuss all medications with your doctor; do not stop or add any medications on your own.

Is it possible to have an online consultation?

Yes, online consultations are available with the exchange of necessary information and recommendations.

Can I come with already done examinations?

Yes, bring all test results for a more accurate assessment of your condition.

Do I need to come back for follow-up visits and how often?

Follow-up visits are scheduled individually to monitor progress and adjust treatment.

Can I get a second opinion?

Yes, the doctor is willing to discuss your case and provide additional recommendations.

What should I do if symptoms return after improvement?

Contact your doctor to evaluate the cause and possibly adjust the therapy.

How to choose between different treatment methods?

The approach depends on the cause, severity, and accompanying factors.

Can I make treatment decisions on my own?

It is recommended to trust your doctor’s choice of therapy and not change prescriptions without consultation.

What if I cannot come to my appointment on time?

Inform the clinic to reschedule your appointment and get further instructions.

What symptoms require immediate medical attention?

Sudden severe pain, high fever, or bleeding require urgent medical care.

How to prepare for tests if they are scheduled?

The doctor will provide individual instructions; follow them carefully to ensure accurate results.