Fungal vaginitis occurs when lowering the body's resistance or reducing the amount of normal vaginal microflora. In healthy women of childbearing age develop a fungal infection of the vagina is naturally suppressed.

How to start a fungal vaginitis

Fungal vaginitis in women of reproductive (childbearing age) usually begins, while reducing local or general immunity. The fact that the fungus genus Candida, which cause this disease are present on the genital mucosa in most women in the pathogenic microflora. But useful (normal) vaginal flora of healthy women, which is supported by the female hormones, suppress vital functions of fungi and they do not cause disease. Even if the sexual partner of a woman suffering from candidiasis of genitals Candidiasis genitals: possible severe complications Transmitted infection they will not cause disease in healthy women.

If reduced immunity, fungi begin to proliferate and penetrate into the mucosa, causing disease. This condition may occur in the treatment of antibacterial drugs general (system) or local effects - they inhibit the growth of normal vaginal flora, resulting in a reduction of local immunity. A similar result will hormonal background of women.

Reduced total immunity may also lead to fungal infection. Immunity may decrease as a result of hypothermia suffered by a common infection, endocrine diseases (eg, diabetes), exacerbation of chronic disease, intoxication, stress How to beat stress? Create an oasis , High physical and neuropsychiatric stress, eating a large amount of easily digestible carbohydrates, and so on.

Signs

The first sign of fungal vaginitis is the appearance of burning and itching in the vulva. Then can appear more or less abundant white cheesy discharge from the vagina Vaginal discharge . Itching is very concerned about the woman, causing insomnia and nervous disorders. Sex not deliver pleasurable sensations, and sometimes are simply impossible because of the pain.

On the mucous membranes of the vagina during vaginitis fungal appear curdled point attacks, which at first can be easily removed. But then the attacks grow, merge with each other and tightly spliced ​​with the mucosa. If you try to separate them mucosa bleeds.

Vaginal discharge (leucorrhoea) also wear cheesy character, but sometimes (especially when mixed infection) may be muco-purulent and bloody character.

In strengthening immunity Strengthening the immune system - help the immune system   fungal vaginitis can go on their own, but more often he comes back, and the disease becomes chronic recurrent nature.

Diagnosis and treatment

A feature of vaginitis is that they often have a mixed infection (fungal, bacterial, fungal, trichomonas, etc.) origin. This additional infection contributes to further reduce immunity and supports a fungal infection. Therefore, fungal vaginitis, even if the external examination the diagnosis is not in doubt, require a full examination.

The woman is taken swab of the vagina and urethra (so you can detect the presence of inflammation). To identify the pathogen and its sensitivity to various drugs is sown on nutrient medium precipitates.

Only after complete examination and detection of infectious agents being treated. To suppress fungal infections Antifungal drugs are appointed by both sexual partners. Today, this purpose is most often prescribed flukonazom (fljukostat, mikosist, Diflucan and other). If fungal vaginitis first arose, it is sufficient usually one tablet or capsule of 150 mg fluconazole to suppress GOST fungi.

In chronic vaginitis fungal fluconazole appointed once a month for four months to a year to suppress the recurrence of the disease.

Held as topical treatment with antifungal drugs in the form of vaginal suppositories, creams, gels, e.g., pimafutsin, Polygynax, terzhinanom and so on.

Simultaneously, recovery of local and general immunity. In some cases, in order to achieve long-term remission of the disease, need help immunologist and use of immunomodulators.

Fungal vaginitis requires long-term care under the supervision of laboratory tests.

Galina Romanenko

Vaginitis and colpitis - two names for the same disease, just the word "vaginitis" has Latin roots, and "colpitis" - the Greek. Today colpitis in clinical practice commonly referred to as inflammation of the vagina in women of childbearing age, and vaginitis and vulvovaginitis Vulvovaginitis - a disease of children and the elderly   (inflammation of the vagina and external genitalia) - girls and older women.

Features of the microflora of the vagina in women of childbearing age, girls and older women

In women of childbearing age of the vagina has the property of self-purification. This happens due to the fact that under the influence of female sex hormones in the vagina develops normal microflora. This is mainly lactobacilli (Dederleyna coli) that produce lactic acid. The acidic environment comfortable for the reproduction of useful microflora and absolutely uncomfortable for reproduction of conditionally pathogenic and pathogenic microorganisms that can cause infectious-inflammatory process.

That's why women of childbearing age with normal hormonal rarely develop nonspecific vaginitis caused by infectious agents such as staphylococcus, streptococcus, E. coli, Proteus, and so on. (non-specific infectious agents). But as women of childbearing age usually are sexually active, they are more common vaginitis caused by pathogens of sexually transmitted infections (gonococci, trichomonas, chlamydia Chlamydia: insidious and widespread disease   and others).

Girls and older women (after menopause) hormone is no defense, so they often develop nonspecific vaginitis. In young children, they may occur against the background of intestinal infections in children of preschool and school age - on the background of chronic foci of infection, for example, against the background of chronic tonsillitis Chronic tonsillitis - inflammation of the tonsils   (infection in this case falls into the vagina through the bloodstream).

How is vaginitis in women aged detorodenogo

Depending on whether the infection has led to the development of the inflammatory process, it will occur acutely or chronically. Acute inflammation is characterized by the appearance of secretions (cables) of various kinds. Sometimes they are joined by a burning sensation, itching, frequent painful urination, pain or discomfort in the abdomen.

Today, women of childbearing age vaginitis often goes unnoticed. This woman feels healthy. Such flow is typical for many sexually transmitted infections. This is very dangerous, as a woman becomes a source of infection to their sexual partners. Danger threatens the woman herself: invisible infectious inflammation often spreads to the internal reproductive organs and is found in the form of complications.

The most common complication of chronic vaginitis is infertility. This inflammatory process is completed the formation of adhesions in the internal sex organs - uterus, fallopian tubes and ovaries, making it impossible for the process of conception and leads to miscarriage Miscarriage - why you lose the most precious thing? .

How is vaginitis in girls and older women

Girls and older women more often inflammatory process extends to the external genitalia - developing vulvovaginitis. It usually occurs more sharply, forcing promptly seek medical attention.

In young girls vulvovaginitis can occur particularly hard, with severe swelling of the vulva, itching and burning. It causes insomnia, violates the child's appetite, which leads to a violation of the general state of mental and physical development.

In the long vaginitis severity of inflammation may subside, the process becomes subacute and chronic. This poses a threat to education adhesions - bonding, and then the fusion of the walls of the vagina and genital organs. It is important to timely detect adhesions and separate them.

Therefore, children's gynecologists pay great attention to hygienic care of young girls, especially if they have problems with the gastrointestinal tract. In girls, preschool and school comes to the fore the identification and treatment of all foci of infection.

In old age, often appearing or chronic vulvovaginitis can lead to circulatory disorders in the walls of the vagina and external genitalia. This will cause further dryness of mucous membranes in the field (without hormonal support constant dryness and so worried about all the women of that age), the development of erosions and ulcers.

No matter what age did not develop vaginitis, he is always a threat to women's health. Treat it by yourself is not necessary - it will facilitate the transition to a chronic form of the disease and the development of complications. Adequate treatment can only assign a gynecologist.

Galina Romanenko