What are the causes of cytolytic vaginosis? What are the symptoms of cytolytic vaginosis? How do doctors diagnose cytolytic vaginosis? What is the treatment for cytolytic vaginosis? How can you prevent cytolytic vaginosis?

What Causes Cytolytic Vaginosis?

Cytolytic vaginosis is thought to happen when there is an overgrowth of a certain type of bacteria called lactobacilli in the vagina. Lactobacilli are normally present in the vagina and can help protect against things like yeast infections, but if their levels become too high, it can lead to the development of cytolytic vaginosis.

The condition is also associated with a change in the vagina’s pH balance. Typically, the vaginal pH range is between 3.8 and 5, but in cases of cytolytic vaginosis, the pH can become more acidic, falling between 3.5 and 4.5. This shift in pH leads to an imbalance in the natural bacteria in the vagina.

Factors that can trigger cytolytic vaginosis include:
– Use of certain products like soaps, menstrual pads, wipes, or lubricants that the body is sensitive to
– Frequent use of antifungal or antibiotic treatments, which can disrupt the vagina’s pH and bacterial balance

What Are the Symptoms of Cytolytic Vaginosis?

The symptoms of cytolytic vaginosis can be similar to those of a yeast infection or bacterial vaginosis, but they are typically worse in the week leading up to a person’s period. Symptoms may include:
– Itching in the vagina or on the vulva
– Burning or soreness on the vulva, which may worsen when urinating
– Pain or burning during sex or a sore feeling after sex
– Increased yellowish or white vaginal discharge that may change in consistency

The symptoms tend to ease during the period itself, as the less acidic menstrual blood helps to balance the vaginal pH.

How Do Doctors Diagnose Cytolytic Vaginosis?

To diagnose cytolytic vaginosis, a doctor will first perform a pelvic exam and take a sample of vaginal discharge to examine under a microscope. They will look for certain cellular changes, a high number of lactobacilli, and a low level of white blood cells. The doctor will also test the vaginal pH to see if it falls in the range typical for cytolytic vaginosis, usually between 3.5 and 4.5.

To confirm the diagnosis, the doctor will rule out other potential causes of the symptoms, such as yeast infections, bacterial vaginosis, or trichomoniasis.

What’s the Treatment for Cytolytic Vaginosis?

The goal of treatment for cytolytic vaginosis is to raise the vaginal pH and restore the normal balance of lactobacilli. The primary treatment approach is the use of baking soda, which can help neutralize the acidity. This can be done through:
– Vaginal suppositories made with baking soda, used twice weekly for 2 weeks
– Baking soda douches, using 1 teaspoon of baking soda dissolved in 20 ounces of warm water, used for 7-14 days
– A baking soda paste applied to the skin of the vulva for relief of itching or burning

Additionally, it’s important to avoid any products or triggers that may be causing the issue, such as certain soaps, pads, or lubricants.

How Can You Prevent Cytolytic Vaginosis?

To help prevent recurring cases of cytolytic vaginosis, it’s recommended to maintain a healthy vaginal pH by:
– Taking baking soda sitz baths (2-4 tablespoons in 2 inches of warm water) once or twice a week
– Avoiding the use of products that may trigger sensitivity
– Refraining from frequent use of antifungal or antibiotic treatments, which can disrupt the vagina’s natural bacterial balance

By addressing the underlying causes and maintaining a healthy vaginal environment, you can reduce the risk of developing cytolytic vaginosis.

Is Cytolytic Vaginosis a Legitimate Diagnosis?

Cytolytic vaginosis is a somewhat controversial diagnosis in the medical community. While some doctors believe it is a real condition related to an imbalance in vaginal pH and bacterial overgrowth, others do not consider it a legitimate diagnosis. The understanding of this condition is still evolving, and more research may be needed to establish its clinical significance and diagnostic criteria.

Can Cytolytic Vaginosis Cause Other Health Issues?

While the uncomfortable symptoms of cytolytic vaginosis can be problematic, the condition is generally not considered to pose serious long-term health risks. However, if left untreated, the imbalance in vaginal bacteria could potentially lead to an increased risk of other vaginal infections or irritation. It’s important to seek medical attention and follow the recommended treatment plan to address the condition and prevent any complications.