This is how the diagnosis is made
The clinical picture of colpitis senilis shows a blotchy redness, as well as dry spots that tear and bleed easily. In addition, the pH value can be determined by a vaginal smear. Normally it is in the strongly acidic range (pH 3.8-4.5), with age the pH rises to the weakly acidic range pH > 5.5.
In this milieu, lactic acid bacteria cannot survive and the natural defense system decreases. The smear can also detect bacteria and fungi. For some bacteria, such as Chlamydia, special smears are necessary.
This is the prognosis
An infection can sometimes require lengthy therapy and must be treated consistently. However, the prognosis is then very good. However, symptoms often flare up again after early discontinuation of medication and the therapy must be intensified.
Restoring the natural vaginal flora is also a long process. Women who once suffered from vaginitis will probably have to deal with it again and again.
