Despite the fact that endometriosis is not yet revealed all its secrets, the disease is now successfully treated. Unfortunately, we can not say that endometriosis can be cured completely and offer complete assurance that its recurrence in the future. But to achieve long-term remission and prevent serious complications such as infertility is quite real.

Treatments for endometriosis

Today, for the treatment of endometriosis is mainly used individually tailored combination therapy consisting of surgical (removal of endometriosis endoscopic method that significantly reduces the risk of adhesion formation) and conservative.

Policy Pay Conservative treatment using various drugs that suppress estrogen, which are the main cause of endometriosis. A disadvantage of the hormonal treatment is that it is effective only during the course of treatment. As soon as these drugs stop taking, relapse is possible. Moreover, artificial menopause, caused by the intake of such drugs can lead to a number of side effects typical of menopause for flares, heart attacks, irritability Irritability - you try to control my temper   and so on.

For conservative treatment of endometriosis are used synthetic analogs of female sex hormone progesterone (progestin or progestin), combined oral contraceptives, drugs that suppress the production of pituitary hormones and analogues of hypothalamic hormones that suppress the secretion of pituitary gonadotropins and ovarian function.

Gestagens

An example of a progestogen, which is indicated for endometriosis, is djufaston. This drug inhibits the proliferation of the mucous membrane of the uterus (the endometrium) and takes the stage endometrial glands. Thus, partially or completely reduced menstrual cycle that leads to suppression of proliferation areas of endometriosis.

Duphaston is effective only in the initial stages of the disease when pockets endometirioza just appeared. It is often prescribed in cases when a woman wants to have a child, because ovulation does not violate djufaston Ovulation - How to determine as accurately as possible?   and the woman at the same time has the ability to become pregnant. If pregnancy occurs, it is very good effect on a woman's body: endometriosis does not apply, and in some cases portions endometirioza regress.

Duphaston is usually administered in the form of individually tailored treatments from the fifth to the 25th day of the menstrual cycle The days of the menstrual cycle: Four phases   for six months or more.

Combined oral contraceptives

Combined oral contraceptives (COCs) containing estrogen and progesterone Progesterone - norm and pathology . They are used for endometriosis under the special scheme. When taking COCs as a contraceptive for 21 days followed by one week apart, when endometriosis is recommended to drink them within 63 days (three packages in a row), and then done a week break and repeat the circuit.

Such treatment leads to suppression of ovarian hormonal activity, lack of menses and reduce manifestations of endometriosis.

Drugs that inhibit the production of pituitary gonadotropins

In most cases, for this purpose, danazol, which suppresses pituitary gonadotropic hormone - luteinizing and follicle, thereby terminate proliferation of endometrial tissue. Ovulation is thus also suppressed, but temporarily, only during the course of treatment. While taking danazol reduced menstrual and intermenstrual bleeding and pain, and the areas of endometriosis may decrease in volume.

In danazol have a lot of side effects, as this drug is a derivative of the male sex hormone testosterone. Under the effect of danazol in women can occur several changes of male type: increased hirsutism, acne, weight gain, and so on.

The drugs - analogues of hypothalamic hormones that suppress the secretion of pituitary gonadotropins and ovarian function in the treatment of endometriosis

These drugs are also called GnRH agonists (gonadotropin hormone Riesling). An example of this group of drugs may be Diferelin. Its action is based on the fact that a prolonged stimulation of the hypothalamic pituitary hormones leads to a decrease of its function and to suppression of ovarian function. This in turn causes a cessation of menstrual function and inhibition of proliferation of sites of endometriosis.

And as the number of drugs that inhibit the secretion of estrogen tough, it is a side effect of osteoporosis - thinning of bone tissue and a tendency to fracture (estrogen prevents osteoporosis). Therefore, GnRH agonists are trying not to appoint a long time.

Conservative treatment of endometriosis is selected individually for each woman.

Galina Romanenko

Thrush may be a disaster, as often found in the mucous membranes for a long time. Particularly affected are people with reduced immunity. Some people are contraindicated to take antifungal drugs - they are often quite toxic. In such cases, the aid can come ointment or cream.

What is yeast and how it manifests itself

Candidiasis or thrush (candidiasis) mucous membranes - an infectious disease that often develops on the mucous membranes of the genitals in adults and in the oral cavity in children. It called the disease the yeast Candida people with reduced protective properties of the organism, that is immunocompromised. Often thrush occurs in pregnant women, as they have reduced immunity under the influence of hormones.

A sign of thrush is the appearance of edema Prevention and treatment of edema - it is important to understand the root cause , Redness, whitish cheesy kind of raids and violations of superficial mucosa (erosions) in the genital area. All this is accompanied by severe burning and itching. Rooting can be both men and women, but often in a married couple gets sick one person, the other is a carrier of a fungal infection Fungal infection: to prevent and defeat . Confirms the diagnosis of thrush by means of laboratory tests.

Treatment for thrush

Since yeast in adults - a sign immunosuppression treatment always includes not only antifungals but restorative treatment. In some cases, persistent thrush course prescribed consultation immunologist, the study of immunity (immunogram) and restore his broken links. When recurrent thrush become important medicines that can be used locally in the lesion.

Clotrimazole cream - from yeast

Clotrimazole - one of the most effective antifungal agents that can be used, including, and thrush. For the treatment of thrush clotrimazole used in the form of vaginal tablets or vaginal cream.

Clotrimazole is a locally acting anti-fungal drug. Its mechanism of action is that it violates the synthesis of one of the substances in the cell membrane of fungi of the genus Candida, resulting in fungal cells, or perish (fungicidal action - at a high dosage of clotrimazole) or suspended their livelihoods (fungostaticheskoe action - at low doses drug). Furthermore, clotrimazole effective trichomoniasis (high dose) of some bacterial infections (e.g., staphylococcal).

The indications for the use of the vaginal tablets and cream is a yeast infection of the genitals. Clotrimazole is used together with other anti-fungal drugs, who are appointed by mouth or on your own - the best way to be treated, it is necessary to consult a physician as treatment of thrush Treating Thrush: how to get rid of bad fungus   - It is not a simple matter, it can permanently settle in the genitals, causing periodic exacerbations. It makes no sense to use clotrimazole in chronic recurrent thrush - in this case can occur only temporary improvement, but the problem remains.

The local application of clotrimazole in a cream for treating yeast genital blood absorbed in about 3% of the applied dose. Thus the cream penetrates deeply into the mucosa, eliminating it from fungi.

How to apply cream clotrimazole

In the treatment of yeast infections in women Thrush in women - the relevance of the problem   clotrimazole cream is injected deep into the vagina with a special applicator. In one full applicator contains 5 g of 1% clotrimazole cream. The procedure is carried out once a day for one - two weeks. Treatment stopped before menstruation and resumed after the bleeding has completely finished.

In the treatment of yeast infection in men clotrimazole cream applied to the glans of the penis, pushing back the foreskin.

Contraindications to the use of clotrimazole cream and its side effects

The use of clotrimazole topically even in high doses, usually does not cause any life-threatening conditions, but sometimes there are allergic reactions (pain and swelling of the mucous membranes), or irritation in the genital area. Harmful use of clotrimazole inside. For example, if the accident were taken into vaginal tablets may cause nausea, vomiting, abdominal pain, a complete lack of appetite. Sometimes impaired liver function, and there are disorders of the central nervous system, drowsiness and hallucinations (the person sees, hears or feels something that really is not). In this case, you need to see a doctor.

Contraindications for use of clotrimazole are the idiosyncrasy of the drug and the first 12 weeks of pregnancy. Clotrimazole used during pregnancy only on prescription.

Clotrimazole - quality antifungal medication, but it should be applied by a physician.

Galina Romanenko