A certain amount of vaginal discharge - a perfectly normal phenomenon, especially for women of childbearing age. Glands in the cervix produce a clear mucus, which under the influence of the air changes color to white or yellowish. Number of selections in different stages of the menstrual cycle may be different - it is also perfectly normal and depends on the level of the hormone estrogen Estrogen - the key to bone health   in women. But vaginal discharge, suddenly changed color, odor or density, may be a symptom of certain health problems - such as infection.

Reasons for change in vaginal discharge

In these situations, the amount of vaginal discharge may increase:

• Emotional stress
• Ovulation (release of the mature egg from the ovary in the middle of the menstrual cycle)
• Gestation
• Sexual arousal

Abnormal vaginal discharge may be a symptom of the following diseases:

• Atrophic vaginitis (characteristic of menopausal women with low levels of the hormone estrogen)
• Bacterial vaginosis: Due to the active growth of bacteria, constantly present in the vagina, allocation acquire a grayish color and unpleasant "fishy" smell, worsening after intercourse. Typically, bacterial vaginosis is not sexually transmitted.
• Cancer of the cervix or vagina (in very rare cases, causes an increase in the number of selections)
• Chlamydia
• Desquamative vaginitis and lichen planus Ringworm - not only infectious disease   (called lichen planus)
• Gonorrhea
• Other infections and sexually transmitted diseases through
• Trichomoniasis
• Thrush

How to prevent and treat abnormal vaginal discharge

• Keep the genital area and dryness
• Do not abuse the shower: directed jet of water can aggravate vaginal discharge, washing away beneficial bacteria that protect the environment from vaginal infections. This in turn can lead to infections of the uterus and fallopian tubes.
• Use healing ointments or suppositories for yeast sold in pharmacies without a prescription, just in case you are unsure of the diagnosis.
• Eat yogurt with live cultures or take drugs with acidophilic lactic acid bacteria, taking antibiotics to prevent fungal infection.
• Use condoms to avoid infecting diseases, sexually transmitted diseases.
• Give up the funds for personal hygiene with flavors.
• Less wear tight, tight clothing - such as tight jeans or shorts, which may exacerbate the irritation.
• Wear underwear made from natural cotton and silk from synthetic underwear or give up - not only those materials do not absorb moisture, but do not miss the air, creating an ideal environment for bacteria.
• Use pads instead of tampons.

If the change is caused by the discharge sexually transmitted disease through treatment is necessary to pass both partners - even if one of them do not have symptoms. Refusal of treatment can lead to re-infection and, in turn, to pelvic inflammatory disease or infertility.

Abnormal vaginal discharge when need medical attention?

Immediately contact your gynecologist if:

• Change of vaginal discharge is accompanied by fever or pain in the groin or lower abdomen.
• Your partner is found chlamydia, gonorrhea Gonorrhea - self-ruled   or other disease transmitted through sexual contact.
• You have an increased appetite or thirst, unexplained weight loss, increased frequency of urination - it can be a symptom of diabetes.

Additionally, consultation with a gynecologist is needed in the following cases:

• If vaginal discharge observed at the girl who has not attained puberty Puberty child - stages of a complex path .
• If abnormal discharge may be associated with taking medication.
• If there is a risk of contracting a sexually transmitted disease through.
• If the symptoms are exacerbated or remain unchanged for more than one week, despite careful hygiene.
• If urination is accompanied by a burning sensation or pain - it can be a symptom of a urinary tract infection.

Significance of pathological changes in the appendages associated with inflammatory processes, determined by their negative consequences in terms of reproductive health. Inflammation of the appendages requires an integrated approach to the choice of treatment strategy with the mandatory appointment of a course of rehabilitation or restorative treatment.

Inflammation of the appendages (salfingit) - an inflammation of the fallopian tubes (the long thin channels that connect the uterus and ovaries). Salfingit refers to pelvic inflammatory disease.

Normally, women have two fallopian tubes. According to him the egg transferred into the uterus during ovulation Ovulation - How to determine as accurately as possible? ; In addition, they penetrate the sperm from the uterus to fertilize an egg. This occurs by means of thin cilia that cover the inside of the fallopian tubes. These cilia push the first egg and the sperm towards each other, and if fertilization occurs, the embryo helping to go down into the uterus. The inner shell of the fallopian tubes is very sensitive to any infection. Different fluid, pus or bacteria can easily cause swelling, inflammation or even serious damage to the fallopian tubes.

Distinguishing features lesions

Inflammatory processes that affect the reproductive system of women may have isolated for or combined with simultaneous multiple lesions of the pelvic organs. In modern conditions, acute inflammation of the appendages is rare. Most often, the disease becomes chronic, or erased, which leads to further complications.

There kind of peak incidence, which is observed in women in the age group 15 to 24 years. It largely depends on the sexual activity, sexual behavior culture. That is the nature of sexual relations affect the structure of the possible causative agents of inflammation. Inflammation of the appendages in women can be caused by the following kinds of microorganisms:

• pathogens, sexually transmitted (STD group). This group includes pathogens mycoplasma, chlamydia, gonorrhea, trichomoniasis. Microbiological examination reveals gonorrhea (N. gonorrhoeae) is almost 50% of cases of inflammatory diseases
• Gram positive aerobic bacteria (bacterial flora of the genus Staphylococcus, Streptococcus, Enterococcus)
• Gram-negative aerobic bacteria of the genus Proteus, Klebsiella
• anaerobic microorganisms

The infection can enter the body in different ways. The most common is the ascending pathway when the pathogen enters the upper genital system through the cervical or cervical canal. There is also a way of lymphatic and hematogenous spread.

The first signs of inflammation of the appendages can be Just noticeable, so this feature is one of the reasons for late uptake patients to a specialist. Most clearly when the disease is advanced or bilateral lesions. Inflammation of the symptoms can be roughly grouped into various groups. This clinical manifestations related to local inflammation and intoxication syndrome. Severity of symptoms depends on the extent of the process and the overall reactivity of the female body, which is largely determined by the state of immune defense.

One of the first complaints may be nonspecific general symptoms as weakness, malaise, anorexia, malaise, sleep disturbances Dreams: how to understand our dreams . Temperature reaction appears in complicated disease, a variant of which is a bilateral inflammation of the appendages. The main clinical manifestations of inflammation caused by pathological changes in the field of appendages. Develops pain syndrome, which is characterized by its degree. There tenderness in the iliac region on the side of the affected organ or in the lower divisions. Pain with inflammation of the appendages may radiate to the perineum or lumbosacral spine. It is important to clarify the diagnosis, since women may mistake this pain for seizure localization osteochondrosis and self-medicate. Increased pain can be observed during bimanual examination of the patient when the inspection on the affected side leads to increased expression of pain.

The inflammatory process may show a dysfunction of the rectum or bladder. The symptoms of this dysfunction is a disorder of the chair (or frequent bowel movements) and dysuria (cramps, burning sensation, discomfort during urination). Such dysfunctions indicate progression of disease severity. Anatomic proximity of the bladder and rectum with appendages allows you to understand the process of the spread of inflammation to adjacent organs. Evaluation of the functional status of these bodies should be mandatory as one of the criteria for the diagnosis of the disease.

Women have changed the nature of discharge. Most often it is mucopurulent or mucous whites Beli: abnormal discharge Abundant in number, that create discomfort expressed by a woman. Select with inflammation of the appendages can be considered in most cases, an additional diagnostic criterion, since their nature can not be considered specific. Based on the results of microbiological study concludes secretions of pathogens. Laboratory confirmation of the presence of cervical infection should be included in the complex of diagnostic measures in inflammatory processes.

Symptoms

• Thick vaginal discharge with a strong unpleasant odor
• Pain in the lower abdomen. Usually the pain dull and weak, but sometimes it can be severe and very severe
• Nausea, vomiting, or diarrhea
• Abnormal menstrual bleeding
• Urethritis - swelling or inflammation of the urethra, which causes painful urination
• Increased body temperature
• Chills
• Pain in muscles and joints
• Back pain

Causes

The causative agent salfingita is a bacterial infection that is out of the vagina, cervix or uterus spreads to the fallopian tubes. This may occur as a result of abortion, some medical procedures and diseases, sexually transmitted diseases. The risk for salfingitu are women who have started to be sexually active in their teens, and / or have had many sexual partners.

The only thing that can be done to prevent salfingita - use condoms during sexual intercourse, but it does not help in all cases.

Diagnostics

The first step is to study diagnostic salfingita symptoms and medical history. Then conducted gynecological examination Gynecological examination: an important component of women's health And then, if necessary, for the doctor takes a blood test or Pap smear.

Complications salfingita:

• Infertility (if the fallopian tubes are blocked)
• The formation of scar tissue in the fallopian tubes
• Increased risk of ectopic pregnancy
• Chronic pain in the lower abdomen
• Recurrent pelvic infections
• Forced removal of the uterus

Salfingit not contagious and poses no danger to other people.

Treatment

To prevent the development of dangerous complications, you need to start treatment as early as possible. Most often, women, the sick salfingitom prescribe antibiotics, painkillers and, in some cases, bed rest.

Most often, the patient treated at home, but in some cases, hospitalization is required - for example, when a salfingita are quite serious symptoms and the patient's condition requires constant medical supervision. In rare cases, surgery is performed, during which removed the scar tissue that has formed in the fallopian tube, or fallopian tube itself.

Side effects of treatment

Antibiotics may cause stomach upset, headaches, or allergic reaction. If these symptoms are causing severe discomfort, you need to consult a doctor. Perhaps you need other medications. In any case, after the course of antibiotics the patient's condition improves.