Inflammation of the vagina (vaginitis) can be caused by both infectious and neinfektsionnomi factors. This form of non-infectious vaginitis (allergy caused by exposure to chemical, physical, mechanical factors) frequently turn into infectious, as in inflammation of the lining of the vagina is easily implemented any infection.
Infectious bacterial vaginosis
Infectious bacterial vaginosis may be caused by infectious agents such as gonorrhea, chlamydia, mycoplasma, ureaplasma, staphylococcus, streptococcus, E. coli, Proteus, Pseudomonas aeruginosa, and others.
Some types of bacterial vaginosis are both sexually transmitted diseases (eg, gonorrheal, hlamidiyy vaginitis), while others are developing at lower immunity and implementation on this background, the vaginal mucosa opportunistic infections, constantly lives on the surface of the vagina - staphylococci, E. coli, Proteus , mycoplasma, ureaplasma, and more. In respect of such infectious agents as mycoplasma and ureaplasma still smacking debate about whether they are representatives of conditionally pathogenic or not.
Symptoms of bacterial vaginosis caused it depends on the pathogen. So acute gonorrheal vaginitis can occur acutely, even with the violation of the general condition of the woman, as well as with severe muco-purulent discharge, with burning, itching and frequent painful urination (last symptom tells of the defeat of the urethra - the urethra).
At the same time, gonorrhea
Gonorrhea - self-ruled
women can proceed from the beginning completely asymptomatic or with minimal symptoms, which contributes to the rapid synchronization of process and the spread of infection to the internal genitals. The same for a characteristic of chlamydial, mycoplasma and ureaplasma vaginitis. It is asymptomatic cause numerous complications of these infections - infertility, miscarriage
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Complications in the postpartum period, intrauterine infection of the fetus.
Very often developed mixed bacterial infection. Therefore, it is important to identify all the pathogens and their sensitivity to antibiotics and prescribe appropriate treatment. If the cause of the infection was conditionally pathogenic microflora, be sure to check the condition of immunity and conducted its correction.
Infection Trichomonas vaginitis
Trichomonas vaginitis is caused by protozoa - Trichomonas vaginalis, which belong to a class of flagellates. Trichomoniasis is the most common sexual infection and is often combined with other infections. Trichomonas vaginalis peculiarity is that they live on the surface of the vagina and feed on various cells, including bacterial cells.
Some bacteria retain their viability in trichomonads - a gonorrhea, chlamydia, mycoplasma and ureaplasma. This creates great difficulties in the treatment of both infections, particularly if they are asymptomatic or with minimal symptoms, which is typical for women.
Infection Trichomonas vaginitis
Trichomonas vaginitis - a common form of the disease
can flow and sharply. In this case, after 5 - 15 days (a week on average) a woman suddenly appears strongest itching and burning in the vulva. At the same time there are abundant frothy foul-smelling grayish discharge. When mixed infection they can wear and mucopurulent character, but with the inclusion of gas bubbles.
Untreated disease may progress to subacute, and after two months, and in the chronic form, flowing seamlessly and causing numerous complications. Treatment of acute uncomplicated trichomoniasis enough to undergo antiprotozoal therapy (Trichopolum, tinidazole, and so on).
But purely trichomonas infection is rare, so it is important preliminary examination of the patient, as well as its examination (as in the detection of bacterial infection, and if a bacterial infection has not been identified) following antiprotozoal treatment.
Treatment of mixed trichomonas, bacterial infections difficult, requiring a woman of patience and careful execution of the prescribing physician.
Infectious fungal and viral vaginitis
These types of infections usually develop on the background of reduced immunity, therefore, require careful examination of the patient. Fungal vaginitis caused by fungi of the genus Candida, and manifest themselves in the form of burning, itching, cheesy raids and milky white discharge from the vagina.
Viral vaginitis caused by herpes simplex virus type 2
Herpes type 2 - the causative agent of genital herpes
and human papillomavirus (HPV). A symptom of herpes vaginitis is the appearance on the walls of the vagina characteristic of bubbles with clear content, which then burst with the formation of erosions. For vaginitis caused by HPV is characterized by the appearance of the vagina tissue growths (genital warts).
For treatment of fungal and viral vaginitis is used antifungal and antiviral drugs.
Any vaginitis require prior examination and laboratory control after treatment.