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 Miscarriage - why you lose the most precious thing? 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.

Galina Romanenko

It is now known that the cure genital herpes is practically impossible. The primary goal of treatment is to reduce the number of exacerbations of the disease and clinical manifestations of time. Unfortunately, not all patients are treated with due attention to the treatment of genital herpes, and, first of all, this is due to the spontaneous disappearance of the clinical manifestations of genital herpes. Treatment of genital herpes in men is virtually identical to the treatment of such diseases in women. Unfortunately, men are not committed to the treatment at all, and make them undergo the necessary treatment can only unbearable itching and burning, resulting in exacerbation of genital herpes.

The main objectives of the treatment of genital herpes

Treatment of genital herpes has two objectives:

• suppression of herpes simplex virus replication in acute to ease symptoms;
• stimulation of the body's defenses.

Treatment of genital herpes drugs

Treatment of genital herpes in men Herpes men - how dangerous it is?   held antivirals, immunomodulators Immunomodulators: a contract with the protective forces of the body , Interferon and its inducers, and local means. Prevention of relapse of the disease may be achieved by time begun treatment (up to 24 hours after infection) the virus to move in a latent state.

• Acyclovir

Basic (primary) antiviral agent is acyclovir (Zovirax, viroleks). The drug penetrates into the affected cell in a greater quantity than in uninfected. Acyclovir is available in the form of several dosage forms: tablets of 0, 2-0, 8 grams of slurry 5 ml vials, dry substance for injection (in a 0, 25%). There are several treatments of HSV infection.

In primary infection with herpes simplex virus Herpes simplex - in fact, not so simple   following regimen: 200 mg acyclovir five times per day for five - ten days or until clinical recovery. The effect of treatment with the higher than before it was launched.

When recurrent genital herpes acyclovir Acyclovir - as it is safe?   assigned 400 mg three to five times a day for five days or 800 mg twice a day for five days. When frequent exacerbations of disease appoint permanent therapy: acyclovir 400 mg twice or 200 mg four to five times a day for many months and even years (one to three).

• Other antivirals

Among other antiviral drugs used: valacyclovir tablets of 1, 0 grams twice a day for five days; alpirazin tablets to 0, 1 gram three to five times a day for 15 - 20 days; flakozid tablets to 0, 1 gram three times per day for five to ten days; ribamidil tablets on 0, 2 grams three times a day for seven to fourteen days; metisazon on 0, 2 grams twice a day for four to six days, and others.

• Ascorbic acid (vitamin C)

Ascorbic acid is appointed to strengthen the body's defenses by one gram twice daily throughout the treatment regimen.

• Antiherpetic immunoglobulin

Antiherpetic immunoglobulin is also assigned to stimulate immunity. The treatment regimen is as follows: 3 ml intramuscular injection once every three to five days (five injections).

• Taktivin

Taktivin administered subcutaneously to 1, 0 mL twice a week, ten injections.

• Interferon inducers

Of this group, the following drugs: on interlock 500000 IU intramuscularly once a day for two weeks; poludon 400 mg in 2 ml of distilled water is injected intramuscularly every day for ten days; leykiferon 2-interferon (reoferon) ridostan, comedones and others.

Also used prodigiozan, pirogenal, kutizon, zymosan and other drugs of endogenous interferon.

Topical treatment

For topical treatment recommended acyclovir cream - 5% panthenol - spray in packs of 140 mg, megosin - ointment 3% gossypol - liniment 3% gevizosh - ointment oxolinic ointment 0, 25-0, 3% ointment ridoksolovaya 0 1.25% ointment tebrofenovaya 0, 5-2%, and so on. Topical treatments are appointed until vesicles and an exacerbation of the disease before the occurrence of ulcers.

Anna Sozinova