Inflammatory processes of genitals occupy the first place among all gynecological diseases. But the palm, perhaps holding adnexitis. Adnexitis often becomes chronic with all the ensuing consequences. Chronic adnexitis dangerous not only infertility but also mental disorder Mental Disorders - when life is fun , Resulting in a deteriorating quality of life of women. My favorite of all women saying: "I'll think about it tomorrow" does not promptly see a doctor and undergo the necessary treatment that is of great importance in the development of adnexitis.

What adneksit

Adnexitis or salpingo - an inflammation of the uterus Inflammation of the uterus - is one of the most common gynecological diseases   (tubes and ovaries). Inflammation can occur as a one (right or left) side and on both (two-sided adnexitis). Chronic adnexitis is the result of untreated or undertreated process and is characterized by morphological and structural changes of appendages. In the chronic stage of inflammation of the pelvic formed infiltrates, mucous and muscular membrane of the fallopian tubes lose their physiological function, the lumen narrowing in the pipe appear sclerotic changes. Long term for the process accompanied by the formation of peritubal periovarialnyh and adhesions.

Causes of chronic adnexitis

Factors that contribute to chronic inflammatory process in appendages:

• therapeutic abortion Medical abortion - be wary of the ordinary Complicated by inflammation of the pelvic organs;
• morbidity childbirth (prolonged labor, prolonged dry period, obstetrical manipulation);
• pyo-inflammatory diseases in the postpartum and postoperative period;
• conducting diagnostic curettage of the uterus;
• wearing an intrauterine device;
• hypothermia;
• appendicitis and bowel disease (colitis, cholecystitis).

The clinical picture of chronic adnexitis

There are two forms of acute exacerbations of chronic adnexitis:

• infectious-toxic - exacerbation of symptoms similar to acute adnexitis characterized by exudative processes in the appendages, abnormal secretion increased, the appearance of blood leukocytosis and accelerated erythrocyte sedimentation rate;
• neurovegetative - manifested malaise, decreased ability to work, the emergence of neurotic, vascular and endocrine disorders.

The main complaint of patients with chronic pain are adnexitis. Localized pain in the abdomen, aching or dull character, aggravated by hypothermia and exposure to other predisposing factors (stress, SARS, the flu), as well as before and / or during menstruation. Often there reflected the pain: in the lumbar, sacrum and vagina, in the course of the development of pelvic nerves neuralgia. A distinctive feature of the pain is the disparity between its intensity changes in the tubes and ovaries.

About half of the patients had menstrual dysfunction, which appear painful, irregular, scanty or heavy menstrual periods. There may be bleeding in the middle of the menstrual cycle or before menstruation. These disorders are associated with an inflammatory process involving a change of ovarian function. Also, inflammation of the ovaries is accompanied by hypofunction and anovulation, which is one of the causes of infertility in Chronic adnexitis.

One-third of patients with chronic adnexitis say sexual dysfunction. Patients complain of pain during intercourse, decreased or absent sexual desire. The cause of these disorders are organic changes in the uterus, the formation of adhesions, as well as disorders of the central nervous system. The formation of adhesions in the pelvis, near the ovaries and tubes leading to the development of the tube (obstruction of the fallopian tubes) and peritoneal infertility. Chronic adnexitis often accompanied belyami, cervicitis and colpitis.

Effects

Prolonged and frequent during acute illness nevrotiziruyut a woman, there are conflicts in the family and at work, sleep disturbances Dreams: how to understand our dreams Reduced work capacity.

On palpation appendages during gynecological examinations determined bands tight and painful, kistoznoizmenennye ovaries. Vaginal vault flattened or truncated, the uterus (due to adhesions) limited mobility or stationary. On US determined hydrosalpinx (presence of serous fluid in the pipe) or piosalpinks (presence of pus). During the change of pipes diagnosed hysterosalpingography (crimped, with narrowing of the lumen), or obstruction.

Anna Sozinova

Thrush - a fungal infection that affects the mucous membranes of the genitals. It can start even in the case when the person does not live a sexual life. The cause of the disease may be a decrease in immunity, in this case, constantly living on the genitals of Candida fungi begin to multiply rapidly and penetrate the mucous membrane of the genital organs, causing illness.

Allocation for thrush in women

The first sign of thrush is burning and itching in the genital area. Moreover, if you look closely, from the first day it can be seen on the mucous membranes of the genitals white specks that are loosely attached to the mucosa and is easily removed from it. Every day, the white grains are increasingly capturing new areas of the mucosa and merging with each other. Selections can be liquid, white or gray with a sour odor when joining a bacterial infection the discharge becomes yellowish-green.

Gradually, if the symptoms do not subside thrush, instead of white, easily separated from the mucous membrane of the grains appear dense grayish film welded to the genital mucosa. If you try to separate these films mucosa bleeds. In addition, a woman can be confusing pain when urinating and during sexual intercourse.

Acute inflammatory process with thrush can last for about two months and if left untreated, the disease can become chronic with recurrences several times a year, related, as a rule, with the weakening of the body. Thrush in women is often exacerbated before menstruation - is associated with a change in blood levels of female hormones.

Today thrush in women Thrush in women - the relevance of the problem Like many other genital infections, usually goes unnoticed. Only when examining most women know that the genital mucosa in large quantities detected fungi genus Candida. If there are no symptoms of thrush, the woman simply appointed restorative treatment for the prevention of disease. If you have symptoms of thrush are appointed antifungals.

Thrush is dangerous during pregnancy, when all the women reduced immunity. Intrauterine infection of the fetus at the same time is rare, but the infection of the baby during childbirth is quite real. Therefore, detection of Candida in pregnant women are assigned to treatment with antifungal drugs approved for use during pregnancy.

Selections girls

Thrush can infect and girls, including in infancy. The fungi of the genus Candida in this case is usually transmitted from mother to child. When lowered immunity (for example, after colds), after treatment with antibiotics (kills the natural vaginal flora The microflora of the vagina: purity That promotes the growth of pathogenic microflora, including fungi) such children develop signs of candidiasis of genitals Candidiasis genitals: possible severe complications . If a woman develops a primary lesion of the vagina, the girls - the external genitalia - candidiasis of the vulva. Often at the same time manifestations of thrush appear on the oral mucosa. On affected by fungus mucous membranes appear white cheesy raids, swelling and itching very strong.

Selections men

In men thrush causes inflammation of the glans penis and foreskin (balanoposthitis candidiasis). At the same time at the head of the penis appear redness, swelling, and white cheesy plaque. At the head of the penis may also appear red spots, small erosions and even ulcers. All this is accompanied by severe burning and itching, which intensified during urination and sexual intercourse.

Thrush in men is almost always accompanied by the defeat of the urethra. A sign of such lesions may be white cheesy discharge from the urethra, burning, itching and pain during urination, frequent urination.

In men, as well as in women, exacerbation thrush associated with impaired immunity or treatment with antibiotics. After a while the symptoms of thrush may subside even without treatment, and then appear again - a sign of chronic candidiasis. The symptoms of thrush may be minor and intensified after intercourse.

The appearance of symptoms of yeast infection in men The symptoms of yeast infection in men   usually indicates a decrease in immunity, because unlike women, fungi of the genus Candida poorly acclimatized on the genitals of men.

Thrush is often a general distress signal in the body and requires further examination.

Galina Romanenko