All vaginitis can be divided into specific and nonspecific. The specific vaginitis are mostly diseases, sexually transmitted diseases (gonorrhea, trichomoniasis, chlamydia, genital herpes) - pathogens of these infections enter the body from the outside. Non-specific vaginitis caused by opportunistic and microorganisms that reside in a woman's body.

Why start a nonspecific vaginitis

Non-specific vaginitis caused primarily pathogenic microflora is constantly dwelling on the walls of the vagina. These are some types of staphylococcus, streptococcus, E. coli, Proteus, Pseudomonas aeruginosa, Haemophilus influenzae, yeast fungi genus Candida, mycoplasma, ureaplasma, and others.

The vagina of healthy women of reproductive (reproductive) age has the ability to cleanse itself. This happens due to the fact that the normal vaginal flora The microflora of the vagina: purity   suppresses livelihoods opportunistic, creating uncomfortable conditions for it. The composition of normal microflora include various microorganisms, but the bulk of its mass is laktobatslly that produce lactic acid - that acidity helps cleanse the vagina.

Vital functions of normal microflora is supported by the female hormones estrogen. Therefore, nonspecific vaginitis developed primarily for women with hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous   or immunocompromised. Immunity disorders may occur when colds, against various common diseases (especially endocrine), intoxication, trauma, excessive physical and emotional stress, heavy stress, and so on.

Most nonspecific vulvovaginitis (inflammation of the vagina and vulva) occur in girls and older women, deprived of hormonal support. In children, the cause of vulvovaginal Vulvovaginitis - a disease of children and the elderly   It may be getting an infection through the blood of its permanent foci (nasopharynx, upper respiratory tract, and so on).

Finally, nonspecific vaginitis may develop non-compliance with the rules of personal and sexual hygiene. In this case, the infectious agents can enter the vagina from the gastrointestinal tract or of the lower urinary tract.

Symptoms

Non-specific vaginitis in the acute stage is manifested by pain and discomfort in the abdomen, copious, sometimes there is mild itching, burning sensation in the Tolowa Language organs. In girls, burning and itching may be more pronounced due to the fact that the genital mucosa have a thin and vulnerable. Often these symptoms are joined signs of lower urinary tract - Frequent painful urination. Vaginal mucosa swollen, reddened, sometimes bleeding - to secretions mixed with blood.

Not always all of these symptoms are severe, often acute stage of the disease goes unnoticed, so some women do not seek medical attention promptly.

Select with nonspecific vaginitis depends on the nature of inflammation: they can have serous (liquid) or mucopurulent, with or without impurities of blood. With a significant inflammatory process may be disturbed condition of the vaginal mucosa, especially in the upland areas of the papillary layer - these areas have the form of small red spots, which sometimes take the form of a small hill.

If the phenomena of vaginitis hold more than two months, it is considered to be the transition of the disease into a chronic stage. This swelling and redness in the vaginal mucosa are reduced, but the small red spots are rising - this is a signal that was carried out in insufficient.

Complication nonspecific vaginitis can spread infection to domestic (more common in women of reproductive age) and external (vulvovaginitis are more common in children) genitals.

Diagnostics

Diagnosis begins with a medical examination and questioning of the sick woman. Then take laboratory tests - a swab from the vagina, cervix and the urethra (identifies the severity of inflammation), crop nutrient discharge to the environment in order to identify the infectious agent and its sensitivity to various drugs.

Help clarify the diagnosis and colposcopy Colposcopy - how to prepare it properly?   - Research with a special optical equipment, which allows to consider in detail all the changes in the vaginal mucosa.

Identified as associated diseases and foci of infection - they are important to promptly treat. Treating nonspecific vaginitis is conducted only after a full examination.

Perianal warts develop in the area located around the anus - the anus. This type of genital warts can be localized as in the perianal region, and combined with similar growths in the vulva.

Causes of perianal genital warts

Perianal warts caused by types 6 and 11 of human papillomavirus (HPV). These same types of HPV cause genital warts in the genital area.

Infection occurs during sexual intercourse. It may be normal heterosexual contact and then genital warts first appear on the genitals, and then move on to the anal area. When homosexual sexual intercourse genital warts in the genital area may not be, in any case, if they appear, later than in the anus.

Once on the surface of epithelial HPV is introduced into the cells of the deep layers of it and there is a long time does not manifest itself. During this time, the inner cell aging and gradually move closer to the surface. When they reach the surface and peel, HPV comes to the surface and can cause disease.

Of great importance in this disease has a status of immunity - HPV exhibit aggressive and cause disease mainly in patients with reduced immunity Immunity - types and characteristics in children in adults . Therefore, be sure to examine these patients for HIV.

Symptoms

Approximately a month after the infection of the skin around the anus appears one or a few small papules. These papules are usually fast for a few hours, fully grow. Sometimes this spread of genital warts and ends. In some cases, they can even occur spontaneously.

Yet for the perianal area is more typical rapid growth and spread of genital warts. They're thick braid anus and injured during the act of defecation, as well as clothing. Sometimes genital warts grow, not only around, but also inside the anus, making it difficult defecation. They are often injured in microcracks introduced bacterial or fungal (often mixed) infection develop inflammation, including pus, are difficult to treat.

Sometimes genital warts fuse together and grow to gigantic proportions (Buschke-Lowenstein tumor). The peculiarity of these warts is that they almost always infected, penetrated by fistulas through which foci of inflammation derived malodorous discharge serous or purulent character. Furthermore, Buschke-Lowenstein tumor more than other genital warts, located in the perianal area, tend to degenerate into malignant tumors.

Diagnosis of genital warts perianal

Diagnosis of the disease often causes no specialist doubt. Nevertheless, it must be distinguished from the wide condylomas Extensive warts - one of the many manifestations of syphilis Which is one of the manifestations of syphilis, and from external hemorrhoids Hemorrhoids - a shameful disease .

Therefore, the patient is completely examined all sexual infections, always inspect for syphilis Syphilis - punishment of Venus   (Wasserman). So how often genital warts occur on the background of reduced immunity, HIV testing is also mandatory. Pieces of tissue warts are taken for histological examination - confirmed diagnosis of warts and abnormal cells are detected characteristic of malignant tumors. If necessary, the PCR diagnostics (investigated tissue scrapings from genital warts) in order to identify the DNA of the infectious agent.

There are also instrumental studies, including endoscopy: using sigmoidoscopy doctor carefully inspects the inner surface of the anal canal - in this area are also common warts.

Treatment

Perianal warts treated comprehensively. Assign antivirals and restorative treatment (if there is a need - immunomodulators). Small, not prone to the growth of warts at the same time can disappear. Large warts are removed in different ways - by using radiowave knife, a laser scalpel, and so on. Very large growths sometimes removed in stages.

Perianal warts - a frequent manifestation of HPV infection. They can deliver to patients a lot of trouble, so they need to be promptly identified and treated with prior complete examination of the patient.

Galina Romanenko