Vaginitis (inflammation of the vagina) can have very different origins. The most common vaginitis in women of childbearing age are caused by Trichomonas and fungi genus Candida. In children and older women nonspecific vaginitis is usually caused by a bacterial infection and spread to the vulva. All these features must be considered when assigning treatment.

Basic principles of treatment of vaginitis

In the treatment of vaginitis it is important not only to identify the causative agent and its sensitivity to various drugs. Sometimes even more important is the identification of concomitant diseases that can support the inflammatory process and provoke its worsening.

For example, women of childbearing age is required to investigate the hormonal and it breaches the corresponding correction is carried out. This is very important because it is the female sex hormones maintain vital functions of normal microflora of the vagina, which inhibits the growth of opportunistic and does not allow for the development of infectious and inflammatory processes.

Also, be sure the survey is conducted throughout the female reproductive system. In women of reproductive age vaginitis are often the result of infection from the upper organs - the uterus and its appendages.

A must in the treatment of women is a temporary waiver from sexual activity, examination and treatment of the sexual partner.

Older women hormonal decline may be the cause of chronic vaginitis long proceeding in this case also requires hormonal correction.

In children, in some cases, develop vulvovaginitis in contact from remote pockets of infection through the bloodstream or lymphatic system. If these pockets of infection will be identified and undergo treatment, the inflammatory process is constantly recur.

Treatment of vaginitis can be general and local.

General treatment of vaginitis

General treatment is required to be appointed in the treatment of vaginitis, genital infections caused by pathogens - gonococcus, Chlamydia, Mycoplasma, Ureaplasma, Trichomonas vaginalis, fungi of the genus Candida, herpes simplex virus type 2, and others.

In the treatment of bacterial infections accounted sensitivity pathogens to antibiotics. For example, in the treatment of vaginitis gonococcal used antibiotics penicillin (e.g. amoxiclav) tatratsiklina (e.g., doxycycline), cephalosporins (ceftriaxone) and so on. When nonspecific bacterial vaginitis antibiotics are selected according to the results of laboratory research.

Chlamydial, mycoplasma and ureaplasma vaginitis treated with antibiotics tetracycline (doksitsillin), macrolides (sumamed, vilprafen Vilprafen - modern highly effective and non-toxic antibiotic Clarithromycin), fluoroquinolone (ofloxacin, ciprofloxacin).

Trichomonas vaginitis respond well to treatment Trichopolum, fungal (caused by fungi genus Candida) - the use of modern antifungal agents (eg, fluconazole), viruses - the use of antiviral drugs (such as acyclovir).

Prescribers for restorative treatment - vitamin-mineral complexes, biostimulators (aloe, torfot, vitreous body), if necessary - hormone therapy, physiotherapy.

Local treatment of vaginitis

To this end, women are prescribed douching and sit warm baths with light solution of potassium permanganate, the infusion of chamomile. If a woman has dense abundant muco-purulent discharge (for example, gonorrhea) are assigned to vaginal douching 2% solution of soda (a teaspoon of baking soda in a glass of boiled water), and in half an hour - douching with a light solution of potassium permanganate.

When pus can also be carried douching is carried out with zinc sulfate or copper sulfate, and after separation cease - irrigation with astringent (eg infusion of oak bark). Twice a week appointed as vaginal baths with 2% solution of silver nitrate, 3% solution protargola (procedure is carried out in a gynecologist's office).

Locally appointed as vaginal suppositories Vaginal suppositories - for contraception and treatment of inflammation , Gels, creams with antibacterial, antifungal, anti-inflammatory effects - Betadine Betadine - use correctly , Pimafutsin Pimafucin - help in difficult times , Terzhinan.

It is important to conduct post-treatment laboratory testing, as well as personal hygiene during and after treatment.

Treatment of vaginitis should be performed in a gynecologist's office. All attempts to cope with this problem for women fraught with the development of chronic infectious-inflammatory processes and severe complications.

Galina Romanenko

Mycoplasma - is a microorganism which often dwells on the surface of the genital organs. Some species of mycoplasmas also live on the mucous membranes of the respiratory tract. There are a number of laboratory studies to identify these microorganisms.

Types of mycoplasmas, which are most often found in the human body

There are many species of mycoplasma, but the incidence of people participate four basic: Mycoplasma pneumonia (mycoplasmosis causes a respiratory), Mycoplasma hominis, Mycoplasma genitalium and ureaplasma This insidious ureaplasma - often too late   urealitikum (mycoplasmosis cause urinary organs).

Each of these has its own characteristics, so they can not always be identified using the same assays. Different species of mycoplasmas and cause various diseases. But most of mycoplasmosis are asymptomatic and are identified with a random survey or in the form of some complications. Another feature of the mycoplasma is that they are often identified with some one or more other agents of genital infections - mycoplasma coexist next to the gonococcus, chlamydia Chlamydia: insidious and widespread disease , Trichomonas, gardnerellami, herpes simplex virus Herpes simplex - in fact, not so simple   and others.

Universal Analysis - RCR

Analysis of PCR or polymerase chain reaction reveals genome of the microorganism, ie taie its individual features that confuse with anything impossible. With this analysis, you can definitely detect the presence of mycoplasma and their appearance.

PCR mycoplasma diagnosis is based on the detection of pathogen genetic material (DNA) in biological material. To detect mycoplasma pneumonia taken sputum of the patient, and for the detection of mycoplasma, mycoplasmosis cause urinary organs - the scrapings from the walls of the vaginal canal of the cervix and the urethra.

PCR can detect the infectious agent in a small amount of biological material is very accurate, makes it possible to detect the infection in the early period of its development, as well as in asymptomatic disease.

PCR diagnosis is carried out in the presence of symptoms of infectious-inflammatory process in the genitourinary or respiratory organs, including the implicit (erased) the painting process, a survey of men and women for infertility during pregnancy, as well as violations of immunity. PCR is used to control and treatment, but in this case it makes sense to spend only a month after a course of antibiotics.

Immunofluorescence analysis - IFA

ELISA detect the presence of antibodies in the blood of the patient to mycoplasmas. This method helps to determine how long the patient has been infected. The method is based on the fact that at the beginning of the disease produced by one type of antibody (IgM - IgM), and after a while a different type of antibody (immunoglobulin G - IgG).

The presence of IgM speaks of acute process, and IgG that body met with the disease and have antibodies against it. If present, and IgM, and IgG, it usually indicates an exacerbation of a chronic process. Mycoplasmosis If this analysis is not critical, as immunity to the disease is very unstable and short-lived. More - less strong immunity can be produced only after his mycoplasma pneumonia Mycoplasma pneumonia - respiratory pathogens . Thus, the harder the illness, the longer will the immune system. Sometimes the duration of immunity after his mycoplasma pneumonia reaches five to ten years.

Sowing discharge the patient on biological environment

Sowing patient secretions (sputum discharge from the genital tract, the urethra) to Mycoplasma is the most accurate investigation. Wherein seeding is performed on special nutrient medium. This allows for not only a qualitative determination of the presence of mycoplasma, but also makes it possible to calculate the content of 1 ml of secretions. This indicator is determining when the question arises whether to treat the person.

Sowing on nutrient medium also allows to determine the sensitivity of mycoplasmas to antibiotics - it is also very important for the treatment of mycoplasma.

But all mycoplasmas can be detected by means of inoculation of nutrient medium. For example, Mycoplasma genitalium using seeding is not detected, as it grows very slowly: to grow its colonies require from one to five months.

General blood and urine tests - what do they say?

In a study of patients with suspected mycoplasmosis necessarily hold general blood and urine tests. The presence of blood in the overall analysis of signs of inflammation (a large number of white blood cells, accelerated ESR) confirms the presence of an infectious-inflammatory process. Urinalysis is necessary in order to prevent inflammation of the kidneys.

Galina Romanenko