Swelling of the genital organs in women
How do doctors call this disease?
What is this disease?
Since the vulva (external genitalia) andthe vagina is located side by side, the inflammation of one organ usually leads to inflammation of the other. Vulvovaginitis is affected by women of all age groups, most women have experienced this disease in their lives. The treatment is good.
The most common causes of this disease:
? infection with Trichomonas, unicellular organisms, which are usually transmitted during sexual intercourse;
? infection with fungi; more often observed intime of menstruation; pregnant women are more likely than others to be infected, as well as taking oral contraceptives with diabetes and undergoing broad-spectrum antibiotic treatment;
? bacterial infection (eg, gonorrhea);
? a viral infection (genital warts or the herpes virus of genital localization), is usually transmitted during sexual intercourse;
? atrophy of the vaginal mucosa in the menopause period, caused by a decrease in the estrogen content, contributing to bacterial invasion.
In addition, often the causes of inflammation of the external genitalia are:
? parasitic infection caused by pubic lice;
? injuries (skin lesions can lead to secondary infection);
? non-observance of personal hygiene rules;
? chemical irritants, allergic reactions to douching formulations, detergents, hygienic sprays, linens and toilet paper;
? atrophy of the vulva in menopause due to a decrease in the content of estrogen;
? the foreign body remaining in the body (for example, a tampon).
In case of trichomonasThe vagina is liquid, foaming, with a greenish tinge and fetid smell. This infection causes severe irritation and itching, burning with urination and increased frequency of urination. Vulvovaginitis caused by fungi of the genus Candida. characterized by thick, white, curdled discharge; the mucous membranes are swollen, reddened, covered with a white coating; often accompanied by severe itching. Gonorrhea can be asymptomatic, and can manifest with abundant purulent discharge and difficulty urinating.
Acute inflammation of the vulva causes reactions of differentseverity: swelling, redness, burning and itching. Severe pain during urination and painful sexual intercourse may require immediate treatment. The herpes virus in the active phase leads to the formation of painful sores and vesicles. Chronic inflammation of the vulva usually occurs without severe symptoms, a strong puffiness is possible, which can spread to the entire perineum.
For the diagnosis it is necessary to identify the microorganism that caused the inflammation. The vaginal discharge is examined under a microscope.
To clarify the diagnosis, a fulla blood test, a urine test, a cytological examination, a biopsy from an unhealed sore in order to exclude a malignant disease, and sowing of excreta from sores.
The usual therapeutic treatment is as follows:
? women with trichomonas vaginal infection and its sexual partners are given a flagil orally;
? for the treatment of fungal infection, 2% micatin and 1% mycelex are used;
? with gonorrhea, a woman and her sexual partners must undergo systematic antibiotic treatment;
? a bacterial infection is treated with a flagil.
In acute inflammation of the external genitaliarelief from pruritus is brought by cold compresses and cool sessile baths; with very strong inflammation warm compresses can help. Do not use soap, which dries, you need to wear free linen, letting air in, local use of corticosteroids reduces inflammation. Chronic vulvitis can sometimes be treated with hydrocortisone and antipruritic drugs, and careful follow-up of personal hygiene rules (especially for older women and incontinent) is helpful. If the inflammation is caused by atrophic phenomena in the vagina and vulva, ointments containing estrogen can be used for treatment. Genital herpes is not treated; however zovirax orally or topically can shorten the duration of the active phase and reduce symptoms.
How can a woman suffering from vulvovaginitis help her?
? Take medication throughout the period indicated by your doctor, even if the symptoms have disappeared.
? After you use the suppositoryor vaginal ointment, stay in the supine position for at least 30 minutes to ensure good absorption, and better perform the treatment at night. Use gaskets to avoid staining your laundry.
? Observe the rules of personal hygiene. If you have been ill several times with inflammatory diseases of the vagina and external genitalia, wear underwear made of cotton. Avoid putting on tight panties and pantyhose that provoke the multiplication of microorganisms (see HOW TO AVOID THE IRRITATION OF THE VAGINAL AND EXTERNAL SEXUAL ORGANS).
How to avoid irritation of the vagina and vulva
If you are prone to irritation of the vagina and vulva, follow the tips below.
? Take a shower every day, if the discharge or smell seems excessive, add soap and soap. Thoroughly wash off the soap.
? Try not to take a bath, especially foam or with oils.
? Change your underwear daily.
? Avoid using female deodorizing sprays, douches, creams, fragrances to refresh the perineum.
? Do not use colored fragrant toilet paper.
? Wear panties made of cotton. Avoid nylon pantyhose without a cotton insert and tight panties made of synthetic materials that do not allow air to pass through.
? Wipe off when you visit the toilet only in front of the back to avoid infection from the rectum.
? Take antibiotics with great care, because they can provoke a fungal infection.
? If the use of oral contraceptives leads to a repetition of the fungal infection, try to find another method of contraception.