Colpitis - inflammation of the mucous membrane of the vagina and vaginal portion of the uterus, in which there is swelling of the mucous membrane, there are copious (with an unpleasant odor, pus or white).
Typically, this condition in women can result from a wide variety of infections, which include candidiasis (Candida colpitis), trichomoniasis (Trichomonas colpitis), chlamydia, gonorrhea, genital herpes, and various other infections. Often colpitis called streptococcus, gonococcus, mycoplasma, E. coli and other infections, penetrating from the outside of the vagina, or in conjunction with blood directly from the source of the inflammation inside the body.
Treatment of vaginitis should be adequate and timely, otherwise the disease may spread to the uterus itself, appendages, cervical canal, which can lead to serious complications such as cervical erosion, endometriosis and infertility.
What contributes to the disease colpitis?
Mostly microbes penetrate into the vagina during sexual intercourse. However, women's health, this process is not terrible, because the vagina is prone to self-cleaning, which leads to the destruction of the bacteria.
Contributing factors for the occurrence of vaginitis are:
- Weak activity of the ovaries;
- different abnormalities of the reproductive system (prolapse of the vaginal walls, offset genital hiatus wide slit and sexual al.);
- various diseases of internal organs and systems;
- failure to comply with sexual health (frequent change of partners);
- failure to observe the rules of personal hygiene;
- a change in the lining of the vagina as a result of irrational use of contraceptives, too frequent or incorrect irrigation, thinning of the mucosa in postmenopausal;
- Various injuries vagina (chemical, thermal or mechanical).
All these factors weaken the body's defense against various infections, that contributes to the smooth tissue penetration and proliferation of microbes, while in a healthy body, they are advantageously die during the self-cleaning of the vagina.
Types of vaginitis
The most common types of vaginitis are:
- Atrophic colpitis when the infectious process occurs in the vagina due to a decrease in estrogen levels in women, ie, in old age. Mostly atrophic colpitis common in women after menopause, when estrogen levels by reducing the vagina becomes vulnerable to infections.
- Candida colpitis - inflammation of the mucous membrane of the vagina that occurs as a result of the defeat of yeast fungi of the genus Candida. Normally, candida colpitis combined with mucosal lesions of the vulva. Found this type of disease in women of reproductive age. Especially at risk are pregnant women.
- Trichomonas colpitis - one of the most common types of the disease, sexually transmitted diseases. Along with the defeat of the vagina is often possible to observe the inflammation of the cervix and the urethra (trichomoniasis). Mostly colpitis Trichomonas has a chronic course with periodic exacerbations.
Symptoms of chronic and acute vaginitis
By the nature of the flow colpitis it is chronic and acute.
Symptoms of acute vaginitis occur suddenly. In the vagina there is a burning sensation, pain, itching, copious purulent or muco-purulent character with a touch of ichor, heaviness in the abdomen. Sometimes there are symptoms of vaginitis, as burning and pain when urinating. On examination, the patient's vaginal mucosa is swollen and red appearance, and at the slightest impact on it starts to bleed. The inflammatory process may spread to the vulva and cervix.
Individual flow acute vaginitis depends on such factors as condition of immunity, and age of the woman, as well as pathogen infection. For Trichomonas vaginitis is characterized by strong selection: frothy, purulent, yellowish-green, with a sharp unpleasant odor. When Candida coleitis allocation, usually white, cheesy consistency.
If the treatment of acute vaginitis is not conducted in a timely manner, it usually becomes chronic. Chronic colpitis dangerous because the infection can hide, and inflammation will be sluggish with periodic exacerbations. Symptoms of vaginitis in this case is not pronounced.
For chronic vaginitis tend to slow the spread of infection to other organs: the fallopian tubes, uterus and ovaries.
Diagnosis of vaginitis
Correct and timely diagnosis is the key to successful treatment of vaginitis. Generally, diagnosis is based on a survey of patient examination, her specialist gynecology and laboratory tests.
In acute Trichomonas coleitis during the examination of the patient in an armchair doctor at once may notice redness and swelling of the vaginal mucosa, and the back of the vaginal vault to see muco-purulent discharge.
When Candida coleitis doctor may discover on reddened vaginal mucosa white film, and when you try to remove the mucous begins to bleed.
For proper diagnosis in women taking tests from the cervical canal, the urethra and vagina. It helps to clarify the type of pathogen.
Treatment of vaginitis
In the treatment of vaginitis, doctors use an integrated approach, consisting of:
- antibiotic treatment for exposure to an infectious agent (used those antibiotics, which found the highest sensitivity);
- restorative treatment, especially in immunocompromised;
- cleaning the external genitalia medicinal solutions, vaginal douching antimicrobial agents;
- special diet that excludes fatty, spicy and salty foods, as well as any alcoholic beverages.
During treatment, the woman is required to prescribe laboratory tests at regular intervals.
The main method of treatment of atrophic vaginitis is a hormone replacement therapy, which is carried out in two ways:
- local - prescribed vaginal suppositories and tablets;
- system - administered hormone injections or tablets for oral administration.
The main drugs in atrophic coleitis are Klimonorm, Ovestin, Ginodian Depot and others.
For the prevention of disease a woman must remove the conditions that contribute to the penetration of pathogens inside and watch out for:
- strengthening the immune system;
- Early treatment of gynecological diseases;
- sexual health and hygiene of the genital organs.
Avoid perfumed feminine hygiene sprays and gels for baths, various contraceptive gels, as part of which there are spermicides because they violate the natural microflora of the vagina.
Preference should be given to convenient laundry made of natural fabrics.