Factors predisposing to its occurrence of vulvovaginitis.
dysbiosis of the intestine and urinary system (excessive use of antibiotics.
prolonged use of hormones.
violation of aeration of the genital tract (it is undesirable to sleep in shorts, often use diapers.
the use of vaginal tampons (create a nourishing blood environment for the reproduction of microorganisms, reduce the access of oxygen.
non-compliance with hygiene.
Surfacing of the genitals (leaching of useful microflora by frequent washing with soap, douching.
abnormal ovarian function.
Manifestations of vulvovaginitis.
Women with vulvovaginitis usually complain of copious discharge from the genital tract for a long time (sometimes several years), often with an unpleasant odor, intensifying after sexual intercourse and / or during menstruation.
They are also concerned about itching, discomfort in the genital area and (or) the vagina, and urination disorders.
The duration and severity of manifestations of vulvovaginitis are extremely diverse.
Diagnosis is carried out by a gynecologist. Seed is separated from the genital tract.
Immunofluorescent and immunoenzymatic studies are carried out during the examination for the presence of a specific infection (chlamydia, mycoplasma,
To clarify the condition of the mucosa use additional instrumental methods.
Highly specific are the MFA method (fluorescent antibody method), DNA diagnostics.
Treatment of vulvovaginitis.
Treatment of vulvovaginitis begins with antimicrobial therapy.
Antibiotics are prescribed in combination with immunocorrectors (viferon), hepatoprotectors, liver scavengers (Essentiale, karsil), polyvitamins, antifungal agents (nizoral, mycosyst). For the prevention of dysbiosis it is recommended to use linex, hilak forte, acidophilic sour-milk products and biologically active additives (acidophilus, floradophilus, laminolact.
In parallel with the use of antibiotics, a mandatory sanation of the vagina in the conditions of the gynecological chair with a solution of 3 per cent hydrogen peroxide and local application of antibiotics (preferably in the form of ointments or aqueous solutions) is carried out. Less commonly used powders using crushed tableted forms), antifungal agents (clotrimazole, gyno-pevaril, nystatin or levorin ointment.
Duration of treatment is 10 days.
After the course of antimicrobial therapy, the normal vaginal microflora is restored by administering a solution of lactobacterin (10 doses) or biovestin-lacto.
After 2 3 weeks after the end of treatment for control of cure, a control microbiological examination of the smear and sowing of the vaginal discharge are prescribed.
Treatment of Candida vulvovaginitis.
Candidiasis vulvovaginitis has a fairly clearly traced connection with the use of antibiotics, problems of the gastrointestinal tract and phases of the menstrual cycle (often exacerbations occur in the premenstrual period.
Antifungal agents are prescribed for the allocation of fungi. In addition, it is possible to use hepatoprotectors, vitamins, immunocorrectors (viferon.
If the exacerbation of candidiasis vulvovaginitis coincides with menstruation, vaginal treatments can be replaced by the administration of turgidin suppositories and external application of clotrimazole or candida within 6-10 days, followed by the administration of lactobacterin.
With vulvovaginitis, therapy with laser and (or) photophoresis of drugs (taking into account the nature of the isolated microflora) in combination with immunocorrective and restorative treatment, as well as with restoration of normal microflora of the gastrointestinal tract and vagina, has a good effect.