Vulvovaginitis - inflammation of the vagina and external genitalia.
Risk factors
Factors predisposing to its occurrence vulvovaginal:
- dysbiosis intestine and urinary system (excessive use of antibiotics);
- long-term use of hormones;
- violation of the reproductive tract of aeration (undesirable sleep in shorts, often use diapers);
- use of vaginal tampons (Blutwurst create nutrient medium for microorganisms, reduce access of oxygen);
- lack of hygiene;
- "Sverhuhod" for the genitals (washout of beneficial microflora frequent washing away with soap and water, douching);
- violation of ovarian function.
manifestations of vulvovaginal
Women with vulvovaginitis usually complain of profuse discharge from the genital tract for a long time (Sometimes several years), often with a foul odor, worse after sex and (or) at the time monthly.
They are also concerned about the itching, discomfort in the vulva and (or) in the vagina, bladder disorders.
Duration and severity of manifestations vulvovaginitis extremely diverse.
Diagnostics
Diagnosis is a gynecologist. Carry crop separated from the genital tract.
Immunofluorescence and immuno-studies were carried out during the examination for the presence of specific infections (chlamydia, mycoplasma and etc.).
To verify the condition of the mucous enjoy additional instrumental methods.
MFAs considered highly specific method (fluorescent antibody method), the DNA diagnostics.
vulvovaginal treatment
vulvovaginal treatment begins with antimicrobial therapy.
Antibiotics are assigned in conjunction with immunocorrectors (viferon) hepatoprotectors - "zashitnikami liver" (Essentiale, karsil), multivitamins, antifungal agents (Nizoral, mikosist). for prevention dysbiosis recommended lineks, hilak forte acidophilus sour milk products and biologically active additives (acidophilus, floradofilus, laminolakt).
In parallel with the antibiotic carried in an obligatory Vaginal conditions gynecological chair solution of 3-percent hydrogen peroxide, and topical antibiotics (preferably in the form of ointments or aqueous solutions). Less commonly used powder using crushed tablet forms), antifungals (clotrimazole, Gino-Pevara, nistatinovaya levorinovaya or ointment).
Duration of treatment - 10 days.
After the course of antimicrobial therapy is carried out the restoration of normal vaginal flora by administering laktobakterina solution (10 doses), or lacto-Biovestin.
2-3 weeks after completion of treatment to monitor the cure prescribed control microbiological examination - smears and culture of discharge from the vagina.
Treatment of vulvovaginal candidiasis
Vulvovaginal candidiasis are quite clearly traceable to the use of antibiotics, problems gastrointestinal tract, and the phases of the menstrual cycle (usually observed in the premenstrual exacerbation period).
Antifungal agents prescribed for the allocation of mushrooms. In addition, you can use gepatoprotektorov, vitamins, immunomodulators (viferon).
If Candidal vulvovaginitis exacerbation coincides with menstruation, vaginal treatments may be replaced by administration of terzhinan suppositories and external application of clotrimazole or Candida for 6-10 days followed by administration of laktobakterina.
By vulvovaginitis good effect renders therapy using laser, and (or) fotoforez drugs (given the nature of the selected microflora) in combination with immunocorrective and restorative treatment, as well as the restoration of the normal microflora of the gastrointestinal tract and vagina.
