Sometimes during preventive gynecological examination of the vagina revealed proliferation of unknown etiology. Many doctors, for simplicity, and as a preliminary diagnosis of these tumors called polyps of the vagina. Only after further examination it becomes clear the nature of the detected structures. Polyps of the vagina is nothing else like vaginal warts. But to be distinguished from vaginal warts incomplete vaginal septum (congenital anomaly), and from the cervical polyp Cervical polyp: to remove .

What are warts?

Warts - a multiple (rarely single) education on a short leg, usually having the form of a cauliflower. Warts caused by human papillomavirus (HPV), which is propagated in the surface and the epithelial layer, ie the skin and mucous membranes. This explains localization anogenital warts, including the vagina. HPV is transmitted sexually, by contact and from mother to child during childbirth. Human papilloma virus is highly contagious (easy to catch) and can cause malignancy affected organs. Particularly dangerous sixteenth and eighteenth HPV types, called onkotipy that cause precancer and cancer of the vulva, vagina and cervix.

Factors that increase the risk of HPV infection

Predisposing factors of infection by human papilloma virus include:

• promiscuous;
• opportunistic infections, sexually transmitted infections (chlamydia, cytomegalovirus infection, trichomoniasis, HIV);
• smoking;
• a weakened immune system;
• hormonal imbalance;
• vitamin deficiencies (particularly vitamins A, C and folic acid).

Clinical manifestations of warts vagina

The most common vaginal warts are asymptomatic and are discovered only during a routine inspection. Often combined with vaginal warts condylomatosis Warts - common genital infection   vulva, and are located closer to the entrance to the vagina. Intensive growth of warts observed in pregnant women, due to hormonal changes in the body. During pregnancy, warts are localized in the vaginal vault with the transition to the cervix. Externally education look like clusters and resemble cauliflower, their knobby surface, pink or bright red. Warts are different soreness, itching and easily injured. Their sizes often are huge, up to three - four centimeters. As a result, damage to polyps of the vagina after intercourse appear sukrovichnye selection. In a period of rapid growth of warts patients say the itching and burning in the vagina and education themselves may ulcerate and become infected. This marked vaginal discharge Vaginal discharge   with an unpleasant odor.

Diagnosis of vaginal warts

Diagnosis of polyps of the vagina caused by warts, is not difficult. According to the objective of the study (visual examination of the vaginal walls) confirm the clinical condylomatosis. Additionally, using colposcopy (examination of the formation of a special unit under magnification). After the treatment of genital warts three-percent solution of acetic acid, they acquire a grayish-white color. Also, use the cytological and histological methods.

Treatment of vaginal warts

Fully recover from the human papilloma virus is not possible. The main goal of treatment - the removal of pathological structures. Removing warts performed under local anesthesia by different methods: laser coagulation, electrocoagulation, cryodestruction or chemicals. Chemicals used for removing warts have a cytotoxic effect, therefore contraindicated in pregnancy. By cytostatics include podophyllin, kondilin (podofillinotoksin) ferezol.

Treatment of warts in pregnant women should be carried out in the early stages and preparations containing organic acids (solkoderm).

The second stage of the treatment of a viral infection is to increase general immunity. For this purpose, appointed a multivitamin and immunomodulators (likopid, tsikloferon TSikloferon - restores the body's defenses , Imunofan).

Anna Sozinova

Genera - is an ordeal for the female body, and, depending on how they flowed passes restoration of reproductive function, particularly in the menstrual cycle. Obstructed labor subsequently lead to the disruption of the menstrual cycle in the postpartum period. Typically, postpartum women have little free time, so it is often the appearance of menstrual disorders for them unnoticed. And yet, every woman in the postpartum period should be attentive not only to the child's health, but also to their own.

Restoration of the menstrual cycle after birth

The duration of recovery of the body after birth (reproductive, endocrine, cardiovascular and other systems) takes about six to eight weeks. During this period of time the size of the uterus return to the original, outer mouth is closed and becomes slit-like shape, and the wound surface of the mucous membrane of the uterus (placental location) completely healed. Restoration of the menstrual cycle after birth among all women occurs in different ways and depends on many factors (breastfeeding, childbirth complications, adherence, etc.). If the woman is not breastfeeding, the first menstruation she starts one and a half or two months after birth.

Hyperprolactinemia

Hyperprolactinemia is one of the possible causes of menstrual disorders after childbirth. This pathology is caused by increased prolactin - the hormone responsible for milk production. The normal prolactin levels increased during pregnancy and lactation. Prolactin inhibits ovulation Ovulation - How to determine as accurately as possible? And accordingly prevents the restoration of the menstrual cycle (lactation amenorrhea). Prolactin levels gradually decreased after the cessation of lactation. If prolactin is high after the end of breastfeeding, talk about hyperprolactinemia. Therefore, even when no menstruation cessation of lactation. In some cases, hyperprolactinemia are rare and meager monthly Scarce or monthly hypomenstrual syndrome - a call to action , And the menstrual cycle is irregular.

The cause of hyperprolactinemia can be a benign tumor of the pituitary gland - prolactinoma that synthesizes prolactin. There is also the emergence of hyperprolactinemia can cause thyroid disease - hypothyroidism.

In addition to violations of the menstrual cycle when the woman complained of hyperprolactinemia but the headache and the formation of milk, although it was not breastfed. Hyperprolactinaemia now successfully be corrected. Typically prescribed drugs that inhibit the production of breast milk, such as bromocriptine (Parlodel), Lisenil, abergin. In identifying hypothyroidism recommended intake of L-thyroxine Thyroxine - the main thyroid hormone . For drugs that reduce prolactin include Metergolin and Cabergoline.

Postpartum hypopituitarism (Sheehan's syndrome)

Sheehan's syndrome develops as a result of necrosis pituitary cells ("dying" of cells). The main causes of this condition are massive bleeding during childbirth and the postpartum period, severe bacterial status in the postpartum period (peritonitis, sepsis) and severe gestosis in the second half of pregnancy, occurring with marked proteinuria (protein in the urine), high blood pressure and massive swelling . Sheehan's syndrome is a rare pathology, but the frequency of its occurrence is increased to 40% for bleeding. The main manifestation of the syndrome Sheehan is amenorrhea or oligomenorrhea Oligomenorrhea - too short menstruation   (rare spotting). How much will be expressed menstrual disorders, depending on the size of the pituitary lesion. In addition, there are symptoms, headache, fatigue, weakness, low blood pressure, rapid weight loss, dry skin. Sheehan syndrome treatment based on hormone replacement therapy. Prescribe drugs that replace the hormones synthesized by the pituitary gland (glucocorticoid medications, thyroid medications).

Anna Sozinova