Vulvit is a disease in which the inflammatory process extends to the female’s external genitalia: large and small labia, vestibule and clitoral vestibule. Sometimes vulvitis occurs as an independent disease, but most often the inflammatory process covers the mucous membrane and inside the vagina. In such cases, we are talking about vulvovaginitis. Inflammation can develop as a result of exposure to chemicals, mechanical damage, and also due to infection.
Vulvit can appear regardless of the patient’s age. There are primary vulvitis (non-infectious), which are most often affected by girls and women of advanced age. In the first case, the inflammatory process can begin because of the features of the anatomical and physiological nature, in the second – due to age-related changes in the mucosa of the genital organs. For women of childbearing age, mainly secondary vulvitis (infectious), which occurs against the background of inflammation of the internal genital organs.
The reasons for the development of vulvitis.
The causes of primary vulvitis, in addition to physiological factors, can be non-compliance with personal hygiene, the presence of endocrine diseases, uncontrolled antibiotics, cystitis, helminthic invasion, diaper rash in obesity, vitamin imbalance, and exposure to chemicals, heat and mechanical factors.
The starting point for the development of secondary vulvitis is most often such diseases as trichomoniasis, gonorrhea, mycoplasmosis, chlamydia, herpes, intestinal infection and other diseases of the genitourinary sphere.
Symptoms of vulvitis.
The most characteristic symptoms of vulvitis are: a feeling of discomfort in the external genital area, severe burning, itching and soreness. Unpleasant symptoms of vulvitis worried during walking, during intercourse and urination. Externally, the inflammatory process is manifested by the reddening and swelling of the genital organs: the clitoris, the vestibule of the vagina, the large and small lips. Very often during the period of illness, there are discharges of different consistency, color and odor.
In advanced cases, vulvitis symptoms appear on the mucous membranes – ulcers and erosions are formed. With the healing in these places, scars forming the surface of the genital organs are formed, which subsequently leads to complications in the sexual life. In some cases, vulvitis in children is accompanied by an adhesive process, in which fusion of the labia minora or synechia occurs. This complication with vulvitis can lead to infertility and disorders in intimate life.
Treatment of vulvitis.
Self-medication with vulvitis, in spite of the apparent ease of the disease, is not recommended. It is not always clear whether this is an independent disease or an attendant disease. Quite often, in parallel, additional treatment of vulvitis by specialists such as an endocrinologist, an allergist or dermatologist is required. In addition, untreated vulvitis from the acute stage can go into a chronic form, which is fraught with periodic repetitions of the disease, negatively affecting the immune system in general and the quality of intimate life in particular.
Therefore, with the first signs of inflammation in the field of external genitalia, consultation with a gynecologist is necessary. Based on laboratory and clinical studies, as well as visual examination, a diagnosis is made and appropriate therapy is prescribed.
With the primary vulvitis treatment is the use of trays with decoctions of medicinal herbs, which have disinfectant and anti-inflammatory properties. It is allowed to apply powders, ointments or creams of similar action. When a secondary vulvitis is found, therapeutic therapy is aimed at eliminating the specific causative agent that caused the disease. Antibiotics, antimicrobial and antifungal medicines in the form of various dosage forms are used here. In addition to removing local symptoms in the same way as with the primary vulvitis, baths with broths of herbs are recommended. During the treatment of vulvitis, sex life is completely excluded.
Features of treatment of vulvitis in children.
Most often the cause of vulvitis in children are helminths, therefore, in addition to the main treatment, antihelminthic drugs are prescribed. For the treatment of vulvitis, children are also used drugs that have a desensitizing effect, for example, calcium preparations and antiallergic agents. If the cause of vulvitis is reduced immunity, then the appointment of immunostimulants and vitamins. In the acute form of vulvitis, the child is shown bed rest.
For patients of all ages, it is recommended that the diet be followed, where flour products, spicy, smoked and salty foods are excluded. It is necessary to use sour-milk products, greens, fruits and vegetables.
Prevention of vulvitis.
The most important thing in the prevention of vulvitis is the observance of the rules of personal hygiene. It is undesirable to use soap and detergents that have antibacterial action for washing, since not only harmful microorganisms are destroyed, but also a useful microflora. As a result, the mucosa becomes incapable of resisting the penetration of pathogens into the body.
When prophylaxis of vulvitis, it is necessary to constantly strengthen immunity, carry out de-worming, timely eliminate foci of infection in the body and treat chronic diseases of a physical nature (diabetes, obesity and others.