Gynecology

Symptoms, causes and treatment of candidal vaginitis

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It is possible to treat colpitis at home using traditional recipes as follows:

  • hold regular douching decoctions and infusions of medicinal herbs,
  • take sit traysby adding medicinal extracts to them
  • inject into the vagina medicated tamponsmade by yourself
  • take medicinal infusions inside.

Since the colpitis is different, the treatment should be carried out every time. individually, depending on the type of inflammation, as well as an adjuvant, together with medications prescribed by the doctor.

There are many in nature of plantswith healing anti-inflammatory and antibacterial properties. So, with vaginitis can be used. funds based on:

  • chamomile
  • calendula
  • coltsfoot,
  • boron uterus,
  • plantain,
  • celandine
  • thyme,
  • Hypericum and many other herbs.

Treatment of trichomonas colpitis

The causative agent of Trichomonas vaginitis is a bacterium Trichomonasexually transmitted. This type of vaginitis can be considered the most common gynecological pathology, which is most often diagnosed in women leading active sex life.

The disease is often accompanied by unpleasant by symptoms, such as: abundant leucorrhoea with foul odor, very severe itching and burning sensation, pain and aching sensations in the lower abdomen.

Relieve the condition of women will help following folk remedies:

  • Natural treatment honey bee. During the week, it is necessary to take daily 150 g of natural honey inside, at the same time you should introduce a tampon in the vagina, which is abundantly oiled with slightly heated honey,
  • Medicinal tampons with onion juice. Fresh onion juice should be mixed with glycerin in equal parts and saturate them with a cotton or tampon. Before clearing the vagina with the help of douching, the tampon should be inserted as deeply as possible and left for several hours, and after its removal should be washed with warm running water. The course of treatment should last about 20 days,
  • Douching calendula decoction. Calendula has a powerful antiseptic property, so its decoction can be very effective for trichomonas colpitis. To prepare a decoction for douching, calendula flowers must be filled with boiling water in a ratio of 1: 3 and insisted
  • Infusion for admission inside of the iris marsh. One tablespoon of rhizomes of the marsh marsh is poured with vodka in the exact ratio of 1 to 10 and insist. Take the drug should be five times a day for a tablespoon.

Since trichomonas colpitis often causes serious complications, its treatment must be carried out timely. An experienced doctor will help you choose the optimal combination of methods of official and traditional medicine.

Treatment of candidal vaginitis

Another common gynecological disease is candidal (yeast) colpitis, which does not pose a serious threat to the health of a woman, but significantly impairs the quality of life. There are many effective folk remedies that can help get rid of the unpleasant symptoms of this type of vaginitis. So, with the permission of the doctor to use such recipes:

  • Vaginal baths with infusion from the collection of herbs yarrow, chamomile, sage leaves, calendula, juniper berries, eucalyptus, birch and poplar buds, taken in equal proportions. Two spoons of collection pour a liter of boiling water and insist in a closed thermos all night. The same infusion can be drunk 150 g each time half an hour before meals,
  • White clover tea,
  • Sit baths with soda and iodine. In a liter of water dissolve one tablespoon of soda and a teaspoon of iodine, pour this solution into the basin and sit in it for twenty minutes. Three to four daily procedures are usually enough.
  • Medical tampon with nonfat kefir. Gauze swab must be soaked in kefir and left in the vagina overnight. In the morning you need to remove the tampon and douching chamomile decoction. The treatment should continue for five days,
  • WITHprints with tea tree oil. Three drops of oil mixed with a teaspoon of calendula oil and an equivalent amount of olive oil. For the procedure, you can use a syringe without a needle.

Treatment of nonspecific colpitis

Usually, treatment of nonspecific vaginitis at home gives quite quick effect.

So, to eliminate the symptoms and inflammation can be applied following recipes:

  • Prepare collection of plants: mistletoe leaves, chamomile, acacia, calendula, blackberry, yarrow, nettle, raspberry, oregano and oak bark. In order to make a healing broth, pour about two tablespoons of this collection with a liter of boiling water and leave in the water bath for half an hour. Drink filtered food daily before meals for half a glass,
  • Decoction from the collection of oak bark, yarrow, sage and rosemary can be used in tampons. To do this, spoon a raw material should be poured into 250 ml of water and boil. After the decoction is well insisted, it is necessary to soak a tampon in it and insert it deeply into the vagina. This procedure is recommended to be repeated twice a day for two weeks.
  • It is believed that it is possible to increase the effectiveness of drug therapy if you drink one glass daily. whey and eat egg yolk.

Treatment of atrophic vaginitis

Atrophic vaginitis is also non-specific, but it occurs in women. after menopausewhen the body drops estrogen.

To prevent the development of inflammation or reduce it, you can use the following means of traditional medicine:

  • A decoction of clary sage and juniper berries. One tablespoon needs to be filled with a glass of boiling water and boiled for ten minutes. It is best to do it in a water bath. The resulting decoction should be taken orally 2-3 times a day. If it is diluted with a liter of water, then you can water it on the stones in the steam room,
  • Douching decoction of rose petals. It is necessary to mix a spoonful of rose petals, chamomile flowers, jellyfish root, nettle and St. John's wort. Next, all this mixture you need to pour a half liter of boiling water and insist on a water bath for about half an hour. It is best to douche the resulting decoction right after the bath, but you can simply after daily hygiene procedures,
  • Douching with peony tincture. To prepare the tincture, five tablespoons of dry peony need to fill with half a liter of vodka and insist for a month. For douching five tablespoons of tincture should be diluted in a liter of pure water,
  • Tampons with aloe juice. Fresh leaves of the plant scroll through a meat grinder and squeeze the juice, which is then moistened with a gauze or cotton swab and left in the vagina throughout the night.

Folk remedies for chronic colpitis

If the colpitis occurs over a long period, it inevitably turns into chronic form, which can be cured much more difficult.

However, properly selected drug therapy in combination with proven folk methods will bear fruit. So, for the treatment of chronic vaginitis exist The following folk recipes:

  • Douching decoction of eucalyptus leaves. Two hundred grams of water should be taken fifteen grams of leaves and boil for five to seven minutes. For daily douches, dilute one tablespoon of infusion in a glass of water,
  • Tampons with honey. One part of natural honey is diluted in two parts of water, impregnated with a gauze pad and injected into the vagina that is free from mucus for a day. The course of such treatment should continue for two weeks,
  • Douching infusion of yellow capsule. One spoonful of raw material is poured boiling water, and then insisted on a water bath for a quarter of an hour. The cooled infusion is diluted with pure water 1: 5 and is used for douching. Be careful when performing the procedure, since this plant is poisonous,
  • WITHprintsia infusion of calendula and hypericum. It is necessary to take these herbs in a ratio of 2: 1 and dilute boiling water in two glasses. Boil for fifteen minutes, and then perform the douching procedure in the same way as in the previous recipe.

Of course, this is not a complete list of folk remedies that can defeat such a disease as colpitis. In addition to herbal therapy, every woman should take care of the question of a healthy lifestyle, which always includes many important aspects.

Differences candida and vaginosis

As the survey shows, many women are often confused in terms of “vaginal candidiasis” and “candidal vaginitis” and do not always understand the difference between vaginitis and vaginosis. The cause of these two pathologies is one - fungal, and the symptoms are very similar in many ways. Therefore, an explanation of this will not be superfluous.

Candidiasis is a fungal infection caused by the yeast fungus Candida, which is conditionally pathogenic inhabitant of human mucous membranes. The fungus Candida albicans in certain quantities is present in the composition of the normal vaginal microflora.

Rapid reproduction of white candida begins with a sharp change in the acidity of the vagina and is the cause of thrush (candida), which is familiar to almost every third woman.

Typical symptoms are typical for thrush, the main of which are:

  1. Itching and burning in the genitals.
  2. Hyperemia of mucous membranes.
  3. Abundant cheesy discharge with a sour odor.

Vaginitis is nothing more than inflammation of the mucous membranes of the vagina and vulva caused by various infectious agents. These may be viruses, fungi, bacteria or protozoa that cause damage to the vaginal mucosa.

Rapid reproduction and the chronic presence of a disease agent, in this case Candida fungus, leads to candidal vaginitis. Its symptoms are in many ways similar to those of thrush, but there is still some difference between them, which determines the differences in treatment.

Thrush, as a rule, develops against the background of a general decrease in immunity and changes in the pH-environment of the vagina and brings certain discomfort and inconvenience to a woman. The initial stages of the disease do not pose a definite threat to the patient’s health. The timely recovery of the vagina microflora and the raising of the body’s defensive forces make it possible to stop the process in time and not give the white candidate a chance to become the mistress of the situation.

Vaginitis develops under the action of various infectious agents.

The chronic presence of the fungus, vaginal dysbiosis (vaginosis) and the presence of unfavorable moments can provoke the spread of the pathogenic agent and lead to aggravation of the pathology. Launched thrush is the beginning of the development of candidal vaginitis.

Vaginosis (vaginal dysbacteriosis) is a violation of the vaginal microflora, leading to the predominance of anaerobic pathogenic bacteria.

From thrush to colpitis

Long untreated thrush and the presence of a number of provoking factors contribute to further inflammation of the mucous membranes of the vagina and the development of candidal vaginitis. The symptoms of a fungal infection of the vagina, and sometimes of the vulva, become more pronounced, and the discharge abundant.

Mostly women aged 15 to 45 suffer from this disease. During reproductive extinction, the causes of vaginitis may result from treatment with hormonal drugs.

It is customary to separate the three stages of development of thrush: coleitis, vaginitis and pyelocystitis. Each of the stages is characterized by a different degree of spread of the infection and has its own symptoms. Treatment of the disease at different stages has its own characteristics, therefore, is appointed only by a doctor.

Candida colpitis is noted in cases where the yeast fungus is localized only on the mucous membrane of the vagina and the outer membranes of the genitals. The causes of its occurrence are often associated with a decrease in immunity and intestinal candidiasis.

In candidal vaginitis, candida penetrates deep into the mucous membranes of the vagina, the constant presence of fungus causes damage to the integument and persistent inflammation. The most typical symptoms are:

  • Hyperemia, swelling and tenderness.
  • The presence of a thick coating on the covers of the vagina.
  • Periodic abdominal pain.
  • "Sour" cheesy discharge.
  • Itching and burning, aggravated by urination.

Candida vaginitis appears during prolonged disregard for thrush.

Candida pyelocystitis is characterized by deep inflammation and penetration of the pathogen into the mucous membranes of neighboring organs (urethra, bladder).

Against the background of the further spread of the fungal infection in the vagina, an inflammatory process progresses that spreads further and deeper, which aggravates the symptoms of the disease.

Among the common causes of candidal vaginitis should be noted:

  1. Vaginosis and genital infections.
  2. Wrong reception of antibiotics.
  3. Hormonal changes in the body of a woman.
  4. Consequences after surgery.
  5. Reducing the body's defenses.
  6. STDs (sexually transmitted diseases).

The disease has an acute and chronic course. The acute form of candidal inflammation has bright, pronounced symptoms and can last two to three weeks. Chronic vaginitis is sluggish, has smooth symptoms and frequent relapses.

Exacerbations can last up to two months, then the disease subsides for a while in order to return again. Chronic fungal infection of the female genital organs is dangerous for the development of severe complications, one of which is infertility.

Antifungal therapy

Treatment of candidal vaginitis begins with the diagnosis, as well as the cause of its occurrence. The success of therapeutic interventions largely depends on the accuracy of determining the pathogen in smears and the level of its resistance to antifungal drugs.

The tactics of antifungal therapy is largely determined by laboratory tests, bacterial culture of the vaginal flora, and the patient's state of health.

In the treatment of candidal inflammation used drugs of internal and external use. Internal antifungal agents include:

  • Fluconazole capsules 150 mg each and its analogues.
  • Itraconazole capsules of 100 mg and its analogues.
  • Pimafucin (natamycin) tablets of 100 mg.

Fluconazole is a good antifungal agent.

Depending on the nature of the course of the disease, various treatment regimens may be prescribed by a doctor. In acute candidal lesion of the vagina, 150 mg of fluconazole is recommended once. In some cases, it is necessary to repeat the drug in a week.

In the chronic form of the disease, therapy with fluconazole 150 mg should be at least two weeks. The drug is taken once, once every three days. It is this frequency allows you to create a constant concentration of antifungal agents in the blood and provide an effective therapeutic effect.

The combination of oral antifungal drugs with vaginal administration of antimycotics potentiates the therapeutic effect and helps to get rid of the infection as soon as possible.

Among the vaginal means of candidal inflammation should be noted:

  • Pimafutsin 100 mg number 3 candles.
  • Kanesten 500 mg № 1 vag. Pills.
  • Nystatin 500 000 IED number 10 candles.
  • Ketoconazole 400 mg number 10 candles.

In addition, vaginal suppositories, which contain Sertaconazole, Miconazole and Terconazole, have an excellent antifungal effect. These medicines can be freely purchased at the pharmacy. But it is important to know: before purchasing and applying them, you should visit the doctor and carefully read the instructions.

If the cause of candidal vaginitis is vaginosis or intestinal candidiasis, as well as immunodeficiency states, then additional treatment is prescribed. It consists in raising the immunity and the normalization of the microflora of the pelvic organs and is an equally important event.

In the chronic form of candidal inflammation, probiotics (Vagisan, Latsidofil) and plant-derived immunomodulators, for example, echinacea, eleutherococcus and dogrose, are prescribed in parallel.

In conclusion, one can say: vaginal candidiasis is a potential fungal vaginitis, which is fraught with serious complications, so treatment of a fungal infection in the genital area and identifying the cause of its occurrence is an important condition for maintaining women's health.

What is candidal colpitis?

Candida vaginitis is an inflammation of the mucous membrane of the vagina, triggered by a fungus of the genus Candida. According to ICD-10 the disease has code B37 from the interval B35-B49 (Mycosis). Mycoses in turn refer to the interval A00-B99 (some infectious and parasitic diseases).

The microflora of the vagina of each woman is represented by about 40 species of microorganisms. They interact with each other, form an individual biocenosis. The interaction of populations of microbes creates a unique portrait of the microflora and its own level of acidity.

Большую долю (95-97%) занимают молочнокислые лактобактерии. The rest of the microflora is represented by opportunistic bacteria:

  • Streptococci
  • Staphylococcus,
  • Anaerobic bacteria,
  • Mycoplasma
  • E. coli,
  • Yeast-like mushrooms.

Lactobacilli produce lactic acid, which inhibits the growth of populations of fungi and bacteria, thanks to a pH level of 3.8 to 4.5 units. As soon as their numerical advantage decreases, the pathogenic component tries to force out lactoflora.

In a healthy woman, this process is regulated automatically, fungal vaginitis and other reproductive system pathologies result from a decrease in immunity.

Causes of active fungal reproduction

The only cause of thrush is rapid vegetation and an increase in the colonies of yeast-like fungi. They are so increased in volume that provoke an inflammatory process on the vaginal mucosa. There are physiological, mechanical, endocrine, iatrogenic and immune causes of the disease.

Factors causing candidal vaginitis:

Pregnancy and lactation in the first months after childbirth.

Hormonal changes in combination with a violation of immunity provoke in 40-60% of women the growth of fungal colonies.

The decrease in the level of estrogen in the menopausal period changes the number of lactobacilli, causes atrophic processes in the vagina.

Features of the flow of the menstrual cycle.

Reducing the amount of estrogen in the second half of the cycle provokes the growth of fungal flora.

Children, adolescence.

In children and young girls there is not enough strong local immunity, thin mucous membrane of the vagina.

Mechanical damage to the mucosa.

During abortions, diagnostic manipulations, introduction of barrier contraceptives. With weak immunity, any damage to the mucous membranes is an open channel for penetration into the deeper layers of pathogenic flora.

Changing the hormonal balance in the body of a woman - diabetes, thyroid disease.

Acceptance of antibiotics, immunomodulators, hormonal drugs, cytostatics.

Decrease in natural immunity.

Due to the use of antibacterial agents (soap, vaginal spray, intimate gel).

Non-compliance with personal hygiene.

Untimely change of tampons and gaskets.

The use of scented toilet paper, deodorized pads.

Infection of newborn girls as a result of passage through the birth canal of the mother with a history of fungal colpitis, or during fetal development. Disease prone children with reduced immunity, impaired due to birth trauma, fetal hypoxia, asphyxiation during childbirth.

Excess sweets in the diet.

Since a moist environment has a beneficial effect on the growth of fungal flora, the appearance of signs of the disease is observed after swimming in an open pond, swimming in a pool, wearing a wet swimsuit.

Characteristic symptoms

The most striking manifestation of pathology is severe itching in the vagina. It increases during menstruation, after contact with water, it becomes more intense in the evening and at night. In addition, a sick woman has white discharge, similar to cottage cheese flakes or sour milk.

Acute candidal colpitis - what symptoms does the doctor observe during the examination:

  • Severe hyperemia of the vaginal mucosa,
  • Gray-white films on its surface,
  • Abundant "cheesy" whites,
  • Characteristic sour smell.

Manifestations of chronic recurrent vaginitis are not so pronounced. Between exacerbations, the woman does not notice the negative manifestations, they are observed during the relapse of the disease.

How is chronic candidal colpitis manifested:

  • Vaginal itching
  • White or clear mucous whites,
  • Moderate hyperemia of the vaginal mucosa or lack thereof,
  • Atrophy of the mucous epithelium,
  • Insignificant amount of discharge
  • When analyzing a smear, spores or fungal mycelium are detected.

In pregnancy, the symptoms of this disease are most often manifested in the acute form. The presence of pathology in a pregnant woman with a weakened immune system can cause premature labor, inflammation of the membranes of the ovum.

How is fungal colpitis treated?

Therapy of fungal inflammation of the vagina is carried out by a gynecologist after examination and microscopic examination of smears. If candidal vaginitis is not treated, the inflammation spreads to the cervix, bladder and urethra.

A woman develops cervicitis, cystitis, urethritis. When this pathology is combined with sexually transmitted infections, the reproductive function is disturbed, and infertility occurs.

The disease is most effectively cured if it is detected at the stage of a newly emerged acute form. In this case, you can do only local preparations. These are vaginal suppositories and tablets containing the following antifungal drugs:

  • Pimafucin,
  • Miconazole (Klion-D, Gineson),
  • Ketoconazole (Nizoral),
  • Natamycin
  • Clortrinazole (Kanesten, Antifungol).

If during the course to avoid intimate contact, to comply with hygienic rules, the effectiveness of therapy reaches 90%. You can replace the local drugs for mild disease taking 1 capsule Fluconazole. In more complex cases, use of systemic medication.

Acute Candida Colpitis - Drug treatment:

In the chronic course of the disease, it is necessary to correct the vaginal microflora by taking eubiotics, to take general strengthening means to increase immunity. Physiotherapeutic methods are widely used to correct relapses: electrophoresis, laser and magnetic therapy, darsonvalization.

Only a doctor based on laboratory research data will be able to make the right choice of medicine, prescribe a timeline and antifungal therapy regimen.

Will folk remedies help?

In the treatment of pregnant women used recipes of traditional medicine. They are not able to completely eliminate the disease, but are able to remove its manifestations and facilitate the course of pregnancy. All procedures are not allowed in early pregnancy.

Broth oak bark for douching.

Pour 1 tbsp. l dry bark 400 ml boiling water, boil for 10-15 minutes, insist, use as intended.

Broth calendula or chamomile for douching.

Boil 2 tbsp. l chamomile or calendula flowers in 1 liter of water for 15 minutes, infuse for one hour, divided into 2-3 servings for douching during the day.

Soda solution for syringing.

For 1 liter of warm water take 1 tsp. soda, use as directed.

Sit a quarter of an hour in the pelvis, which is a solution of 1 tsp. iodine and the same amount of drinking soda in 1 liter of water. The same solution can be reused by adding the same amount of soda and iodine. The course of the baths - 5-6 procedures.

Kefir swabs or douching.

A gauze tampon is sewn to a string, dipped in kefir, placed in the vagina for 2-3 hours, or doused with fresh sour milk drink.

Prescriptions for traditional medicine, in addition to pregnant and lactating women, can be used by patients who have contraindications to the use of essential drugs.

Little about prevention

To prevent the appearance and development of fungal infections of the vaginal mucosa, the following rules should be observed:

  • Take antibiotics under the supervision of a physician and complete antibiotic therapy with probiotics,
  • Timely treat STIs and diseases of the reproductive system, restore hormonal balance,
  • Observe intimate hygiene,
  • Wear cotton underwear,
  • Every 3-4 hours to change tampons and sanitary pads,
  • To dry off after bathing, do not wear a wet swimsuit,
  • Avoid taking funds that change the vaginal microflora.
Pregnant women should be carefully examined, the fungal flora should be eliminated as soon as possible.

Features of the disease

Before proceeding to treatment, it is necessary to understand what it is, how a disease arises, what provokes it.

Kolpita (vaginitis) is prone to female sex at any age - from birth to old age. However, it is most common among adult women of reproductive age. Pathology is characterized by inflammation of the vaginal mucosa. Often flows together with vulvitis (inflammation of the external genital organs).

There are two types: specific and non-specific.

Nonspecific colpitis develops against the background of growth of conditionally pathogenic microorganisms. The microflora of the vagina of a healthy woman is inhabited by 98% lactobacilli (Doderlein sticks). They create a protective film on the vaginal mucosa, which prevents the penetration of various infections. In addition, glycogen, which is formed from dead cells of the epithelium, beneficial bacteria are converted into lactic acid. This maintains a stable pH level of acidity (not higher than 4.5), at which pathogenic microorganisms are not able to develop.

The remaining 2% of the microflora is populated with various opportunistic bacteria, the number of which within these limits does not pose a health hazard, but as soon as favorable conditions are created, a rapid growth of colonies occurs, the acidity rises, and local immunity decreases.

With the normal functioning of the body's defense system, this imbalance is eliminated on its own, otherwise the inflammatory process develops, a disease occurs.

Depending on the pathogen, there are three types:

  • bacterial (streptococcus, staphylococcus, enterococcus, proteus and others),
  • viral (herpes virus, papilloma),
  • Candida (yeast-like fungi of the genus Candida, popularly called thrush).

There are two types of nonspecific vaginitis - primary (diagnosed in girls and elderly women due to age characteristics) and secondary (in reproductive age, when pathological processes occurring in the urogenital area, spread to the vagina).

Specific colpitis develops as a result of the introduction into the body of sexually transmitted infections (STIs). The causative agents are chlamydia, trichomonad, myco-ureaplasma, pale treponema, gonococcus, and various combinations thereof.

Causes of development

The factors influencing the development of the inflammatory process are vast. Among them, the patient's age plays a significant role.

In girls up to 10 years old, colpitis develops against the background of an incompletely formed vaginal microflora, a thin and easily vulnerable mucous membrane, which misses various infections.

Reproductive age implies pregnancy, in which the immunity decreases, the hormonal background changes dramatically, the unstable emotional state is fixed. In addition, this period is different from other special sexual activity. With unprotected sexual intercourse, an STI can be infected that provokes the occurrence of specific vaginitis.

Older women suffer from atrophic colpitis, which is an essential process in age-related restructuring of the body. The amount of natural whiter decreases, which leads to dry mucous membranes. Ovarian function decreases, hormonal changes.

Also the causes of the development of pathology are:

  • endocrine system diseases
  • injury to the vaginal mucosa,
  • long-term use of certain groups of drugs
  • abnormalities of the genital organs,
  • reduced immunity
  • unhealthy diet
  • avitaminosis,
  • allergic reactions to components of detergents, fabrics, products.

Improper personal hygiene triggers the growth of opportunistic bacteria at any age. It is necessary to wash once a day (you can have 2-3 during menstruation), do not abuse detergents. More frequent procedures will lead to the washing out of the useful flora. Proper washing is done from the top down (in the direction from the vagina to the anus).

The clinical picture depends on the duration of the pathology, which pathogen is caused. Any colpitis is accompanied by atypical vaginal discharge (possibly with an admixture of pus, blood), discomfort in the perineum, pain after intercourse, and sometimes pain and urination occur. The body temperature may rise, manifest general weakness and malaise, and lower abdominal pain.

The clinic is pronounced only during the acute course. If this moment is missed, the disease is not treated completely, then vaginitis becomes chronic, which poses a serious health hazard.

Treatment of folk remedies

Therapy for colpitis in women is carried out in ambulatory conditions, only in the case of pathologies complicated by STIs, with atypical symptomatology, stationary conditions are indicated.

The diagnosis is made by the doctor on the basis of a gynecological examination and the results of the examinations performed. Disease therapy involves an integrated approach. It is important to carry out the full range of activities - diet, personal hygiene, the use of local antiseptics. When specific vaginitis prescribed antibacterial drugs.

Treatment of colpitis with folk remedies helps to get rid of the symptoms, speed up the healing process, but is not able to eliminate the pathogen.

Important! Self-medication by folk remedies is strictly contraindicated due to the fact that the withdrawal of clinical manifestations does not indicate a solution to the problem. Provocateur disease remains in the body. Such treatment creates favorable conditions for the overflow of pathology into the chronic form.

Your doctor may advise on traditional medicine recipes that can only be used along with drug therapy. It will help you choose an effective tool individually.

The most commonly used decoctions of herbs for oral administration, sedentary baths and scrubbing. Syringing with colpitis is not highly recommended, since the residual beneficial flora is washed away, the local immunity is further reduced, which can provoke the adherence of pathogenic microflora.

Herbalists suggest using plants (sometimes poisonous) that have anti-inflammatory, anti-bacterial, antiseptic, firming, regenerating properties.

Top most effective recipes of traditional medicine for the treatment of colpitis:

  • Pine trays. At 10 liters of water, you must take 100 g of pine branches (sticks, needles, cones). Put on medium heat, after boiling, reduce the flame to a minimum, boil to half an hour. Insist a few hours, filter. At bedtime, take a sit bath for 20 minutes.
  • Healing tea. 5 g of clover and centaury brew like a normal tea (300 ml). To drink in the morning and in the evening on 100 ml.
  • Universal herbal tincture. Marigold calendula (40 g) pour 250 ml of boiling water, to insist until cool. Drink 30 ml three times a day after meals. Strengthen the effect can be local application - to wash with tincture 1 time per night.
  • Chamomile. The safest popular recipe. Pour 50 g of chamomile flowers with boiling water, boil in a water bath for 20 minutes. Take a bath for 20 minutes several times a day.
  • Collection of herbs. With boiling water (800 ml) pour the collection (5 g of medicinal plants - chamomile, yarrow, eucalyptus, juniper, sage, calendula, buds of birch and poplar). Insist in a thermos for at least 8 hours. Take a sessile bath for 15 minutes 2 times a day. You can also drink 100 ml three times a day 30 minutes before meals.
  • Honey tampons. Liberally soak a cotton-gauze swab in lime or thyme honey, enter into the vagina at night.
  • Oak bark. 20 g of bark pour boiling water (250 ml), put on low heat, boil for 15 minutes, pour into a thermos and leave overnight. The resulting infusion to wash before bedtime.
  • Dog-rose fruit. Boiling water (500 ml) pour 80 g of dried rosehips, insist in a thermos overnight. Rinse the drug every day at night. You can drink 200 ml throughout the day.
  • Bird cherry With boiling water (300 ml) pour 20 g of dried fruits of bird cherry, simmer for half an hour, let it brew until it cools. Strain, drink 100 ml before meals twice a day.
  • A bit yellow (poisonous). Pour 20 g of the plant with boiling water, cook in a water bath for 20 minutes. Cool, drink 20 ml during a meal.

Celandine is also a poisonous plant, successfully used in the treatment of colpitis. To prepare the broth, you need 5 g of celandine, pour a glass of boiling water over it, leave for 15 minutes, strain and wash overnight. You can soak a gauze swab in the same infusion and put it in the vagina for 3 hours. And also, with great care, take inside of 15 ml in the morning and evening.

In addition, there is a huge variety of folk recipes for the treatment of certain types of vaginitis. So, when thrush is useful tea from the flowers of red clover. It is necessary to pour 10 g of inflorescences with half a liter of boiling water, cover with a lid, and let it infuse for 10 minutes. Strain, if desired, add honey, lemon. Drink as usual tea.

Kefir swab in complex with chamomile leaching. Liberally moisten a gauze swab with a low-fat kefir, put into the vagina overnight. In the morning, remove the swab, under the influence of chamomile.

With trichomonas colpitis honey is effective. It is recommended to eat 100 ml of natural honey every day, and to add the candied product into the vagina at night. To do this, take a full teaspoon of honey, form in the form of a vaginal suppository. For a more convenient introduction, you can slightly moisten in vegetable oil.

Hygienic procedures with calendula decoction. Залить 500 мл кипятка 50 г цветков календулы.Allow it to cool. To wash before bedtime.

Healing drink. Pour 1 liter of boiling water on 1 teaspoon nettle, St. John's wort, buckthorn bark, coltsfoot, thyme, calamus root. Insist in a thermos all night. Drink the drug collection of 100 ml three times a day, regardless of the meal.

To improve efficiency, as well as to prevent the occurrence of colpitis, herbalists recommend eating boiled egg yolk every day and drinking a glass of whey.

Oil treatment

The most effective oils in the fight against colpit: essential - tea tree, eucalyptus, peppermint, fir, vegetable - olive, cedar, sea buckthorn.

Bath 12 liters of water take 12 drops of essential oil. Fat milk may be used as a reagent. Take this bath should be no more than 20 minutes before bedtime.

Oil tampons. Dilute the essential oil with a vegetable in a ratio of 1k1 (for example, eucalyptus and olive). Liberally moistened with a gauze pad, inserted into the vagina for two hours.

With excessive dryness of the vaginal mucosa used sea buckthorn oil. Lubricate his mucous in the morning and evening.

When skin is injured, an oily solution of chlorophyllipt is used for the quickest tissue regeneration. Method of application is the same as sea buckthorn oil, you can still make lotions for 15 minutes (plenty of moisten cotton-gauze pad and attach to the genitals).

Note. In order to make a cotton-gauze tampon, it is necessary to take a piece of sterile bandage, wrap a cotton roll around it, fix it with a thread. The edge of the thread to leave elongated to simplify the procedure of extraction from the vagina.

The list of popular recipes used to treat colpitis is endless. It is important to understand that for one patient is a panacea, for another - poison. It is difficult to call any of the means the most effective - all individually. But among the many recipes of herbalists, every woman will find the most appropriate folk remedy.

Do not forget about the general rules for the treatment of colpitis:

  • complete sexual peace
  • rejection of bad habits,
  • specific, fungal vaginitis requires the simultaneous treatment of all partners,
  • strict personal hygiene.

In addition, during the period of treatment and with the preventive purpose in order to avoid relapse, a woman should lead a healthy lifestyle, engage in moderate physical exertion, strengthen the immune system, have a full rest, eat a balanced diet, avoid stressful situations.

Personal hygiene, intimate ethics (constant sexual partner), daily change of underwear (only from natural fabrics), use of condoms during casual contact will help prevent the disease.

Possible complications

The prognosis for patients in most cases is positive - it is not difficult to cure colpitis if it is done on time and correctly. Otherwise, some serious complications are possible.

Lack of adequate therapy can provoke a transition from an acute form of pathology to a chronic one. As such, the disease responds poorly to drug therapy, frequent relapses are possible. In addition, contributes to the development of inflammatory processes of the genitourinary system:

  • endometritis (endometrium of the uterus),
  • cystitis (bladder),
  • urethritis (urethra),
  • salpingitis (fallopian tubes),
  • oophoritis (ovaries),
  • adnexitis (appendages).

Absolutely all diseases of the urogenital area can cause reproductive health problems - ectopic pregnancy, inability to bear a baby, infertility.

During pregnancy, vaginitis carries a serious threat to the child, until his death.

Inflammation of the vulva and vagina in girls leads to the formation of synechiae. This process is accompanied by adhesion of the genital lips.

Colpitis is often diagnosed in the female half of the population. Despite the widespread prevalence, the danger of pathology should not be underestimated. Prevent the occurrence of complications can timely therapy, in the scheme of which folk remedies take pride of place.

Acute and chronic colpitis

Vaginitis, like any inflammation, can be acute and chronic.

Acute vaginitis is characterized by a rapid onset of symptoms, possibly a general impairment of well-being. At this stage, with timely treatment can achieve complete recovery.

Unfortunately, acute vaginitis is often complicated by the development of a chronic inflammatory process. Chronic vaginitis is characterized by a flaccid and obliterated course, women become accustomed to its symptoms. But this is the danger, because inflammation is slowly but surely spreading to the overlying genitals, and even the bladder with the kidneys at gunpoint. That is, it is not the chronic colpitis itself that is dangerous, but its complications.

In addition, chronic inflammatory focus is the entrance gate for other pathogenic (pathogenic) microbes and viruses. And it has been proven that it is chronic colpitis that significantly increases the risk of developing cancer of the urogenital system.

Non-specific vaginitis

Nonspecific vaginitis is an inflammation of the mucous membrane of the vagina, which is caused by infections that are conditionally pathogenic microorganisms, that is, these microbes are in the vaginal microflora, but do not normally cause inflammation. The development of these infections contributes to a decrease in immunity not only vaginal, but also common.

Conditionally pathogenic microorganisms of the vaginal mucosa:

  • bacteria Gardnerella (Gardnerella vaginalis),
  • staphylococcus,
  • streptococci
  • enterococci,
  • E. coli (Escherichia coli),
  • mushrooms of the genus Candida,
  • Proteus and some others.

Causes of non-specific vaginitis:
  • violation of personal hygiene of the external genital organs,
  • promiscuous sex and change of a regular partner,
  • antibacterial drugs
  • vaginal douching antiseptics,
  • trauma to the vaginal mucosa (as a result of chemical or physical influences),
  • effects on the vagina of 9-nonoxynol, which is contained in contraceptive preparations used externally (in condoms, candles, vaginal tablets),
  • hormonal disorders, including as a result of stress, pregnancy, overwork,
  • viruses (human papillomavirus, genital herpes, cytomegalovirus, influenza, HIV infection and others),
  • allergies (food, contact allergies to personal hygiene products (soaps, gels, pads, contraceptives), linen (especially narrow and synthetic)) and other causes.

Candida colpitis or thrush

This is a fungal infection of the vaginal mucosa. Fungi of the genus Candida are found in the vagina in all women, so thrush as well as bacterial vaginitis is a manifestation of vaginal dysbiosis. Thrush can be transmitted either sexually or be the result of reduced immunity or taking antibiotics.
More about thrush

Specific Vaginitis

The development of specific vaginitis contribute to sexually transmitted diseases:

  • trichomoniasis
  • gonorrhea,
  • chlamydia
  • syphilis,
  • ureaplasma
  • mycoplasma
  • tuberculosis.

Specific vaginitis can cause the growth of conditionally pathogenic microflora (gardnerell, candida, staphylococcus). But the treatment should be directed specifically to specific inflammation, and the vaginal flora will recover after the removal of provoking factors. Also, with such colpitis, it is important to treat all sexual partners in order to avoid secondary infection and the mass distribution of these infections.

Specific vaginitis often occur chronically, require specialized treatment, often lead to complications, including infertility.

Atrophic colpitis

Atrophic colpitis is an inflammation of the vagina associated with a lack of female sex hormones, namely estrogens.

Causes of atrophic colpitis:

  • menopause (menopause)
  • removal of the ovaries,
  • taking medications that inhibit the production of estrogen (eg, testosterone).

Atrophic colpitis develops in more than half of women 3-4 years after menopause. It occurs chronically for several years, sometimes up to 10-15 years after menopause. The main manifestation of atrophic colpitis is dryness, discomfort in the vaginal area, burning sensation.

In addition to discomfort, atrophic colpitis predisposes to the growth of opportunistic bacteria, facilitates infection with sexually transmitted diseases and aggravates their course.

Diagnostics

Diagnosis of vaginitis is based on the complaints and symptoms of the patient, the results gynecological examination (book)produced by the doctor himself, and the results of laboratory studies. It should be understood that the actual diagnosis of vaginitis, that is, inflammation of the tissues of the vagina, is made on the basis of the inspection data and the characteristic clinical symptoms described by the woman. And further tests and examinations are prescribed by a doctor in order to determine the type of vaginitis, identify the germ that causes the inflammatory process and, accordingly, select the optimal therapy that would cure the disease. Consider which tests and examinations a doctor may prescribe to diagnose a type of vaginitis and identify the causative agent of inflammation.

What tests can a doctor give for vaginitis?

So, first of all, when a vaginitis doctor prescribes vaginal smear on the microflora (to sign up)as this study allows to obtain objective data indicating the inflammatory process in the vagina, and to approximately determine the causative agent of inflammation. In other words, the smear on the microflora can be called "sighting", as it gives a rough idea of ​​what microbe has become the causative agent of inflammation.

After a smear on the flora, the doctor simultaneously prescribes bacteriological seeding (to sign up) detachable vagina, blood test for syphilis (to sign up) and analysis method PCR (sign up) (or ELISA) dischargeable vagina for genital infections (to sign up) (trichomoniasis, gonorrhea (enroll), chlamydia (enroll), ureaplasmosis (to sign up), mycoplasmosis (to enroll)). Both bacteriological culture, and analysis of syphilis and genital infections should be given in, since they allow the detection of various microbes that can provoke vaginitis. And since vaginitis can be caused by microbial association, that is, not only by one microorganism, but several at the same time, it is necessary to identify them all, so that the doctor can prescribe drugs that have a detrimental effect on all microbes of the sources of inflammation. According to the instructions, bacteriological seeding and tests for genital infections must be taken, because even if a smear on the microflora is found, for example, Trichomonas or gonococci, then this may be erroneous and it is impossible to navigate the result of the smear.

After identifying the causative agent of vaginitis, the doctor may prescribe colposcopy (enroll) for a more detailed assessment of the degree of pathological changes and the state of the tissues of the vagina. It is mandatory when vaginitis colposcopy is carried out to young girls who do not give birth.

In principle, this is where the examination for colpitis ends, since its goals have been achieved. However, to assess the state of the organs of the reproductive system against the background of the inflammatory process in the vagina, the doctor may also prescribe Ultrasound of the pelvic organs (to sign up).

Basic principles of vaginitis treatment

  • Vaginitis must be treated comprehensively with the help of drugs for external use and oral administration,
  • for specific vaginitis, only antibacterial drugs are used that are effective against the respective infections, according to the results of laboratory tests, cannot be cured without taking antibiotics,
  • any treatment of vaginitis must be completed to the end, since incomplete cure leads to the development of a chronic process and the development of resistance (resistance) of infections to antibacterial drugs,
  • It is important to follow all the rules of intimate hygiene, wear natural not narrow underwear,
  • during treatment, it is desirable to exclude sexual acts, especially those not protected by a condom,
  • a course of treatment must be received simultaneously by the woman and her sexual partner, this will prevent the development of repeated cases of vaginitis, including its chronic course,
  • during treatment it is necessary to abstain from alcohol, it will be useful to adhere to proper nutrition, with the exception of fatty, fried, smoked, spicy foods, to limit the use of salt and sugar,
  • The diet should include a large amount of non-acidic vegetables and fruits, dairy products,
  • It is also recommended to avoid hypothermia,
  • In the complex, vitamin preparations are prescribed, if necessary, drugs that increase the body's defenses (immunostimulants, immunomodulators, antivirals, lactobacilli for the intestines, etc.) and drugs that correct hormonal disorders.

Drugs for external use with vaginitis

External use of drugs in the treatment of vaginitis is very effective, due to the influence of drugs directly in the focus of inflammation. Due to this, it is easier to influence the bacteria, restore the normal microflora and condition of the vaginal mucosa. Another important positive effect of local treatment is a significant reduction in the risk of side effects of drugs, especially in comparison with antibacterial drugs for oral administration.

At the moment, in the pharmacy network there are a large number of dosage forms for use in the vagina, they depend on the effectiveness, frequency of use, the duration of the therapeutic effect.

Dosage forms of drugs used inside the vagina, and their features:

1.Vaginal suppositories or suppositories. This is the most commonly used dosage form in gynecology. Vaginal suppositories usually have the shape of a cone with a rounded end; this shape allows the suppository to penetrate deep into the vagina easily. Any suppositories except the main active ingredient contain glycerin, gelatin and some other additives. These additives form the form, contribute to the gradual dissolution of the candle in the warm environment of the vagina and the penetration of the drug into the mucous membrane. The positive effect of suppositories is the rapid action and relief of symptoms of vaginitis. Vaginal suppositories are usually not recommended for use during menstruation, as the drug is washed off with menstrual blood. Candles also flow from the vagina, which reduces the duration of the drug on the vaginal mucosa. The use of candles can cause discomfort in the vagina (itching, burning), these symptoms usually disappear within 10-15 minutes.

2.Vaginal tablets represent a solid dosage form, it is pressed powder of the active substance and additives. A feature of the use of this form of drugs is the need for wetting tablets immediately before administration. Vaginal tablets dissolve more slowly in the vagina.

3.Vaginal capsules - It is a solid form of vaginal preparations, is a gelatin capsule (case), inside which is a concentrated active ingredient. When it enters the moist and warm environment of the vagina, gelatin dissolves and the concentrated drug is released. This form is conveniently introduced, allowing the components of the drug to "linger in the right place", but the effect does not occur as quickly as when using vaginal suppositories, so the capsules are not used for immediate relief of symptoms.

4.Remedies for douching - It is a liquid dosage form, which is more often used for washing and irrigation of the vaginal mucosa. The effect of the administered drugs is short-lived, therefore, as monotherapy (treatment with one drug) is not used. Douching is usually carried out before using other vaginal preparations, but in any case not after.

5.Tampons - gauze bags, impregnated with a medicinal substance and stitched, which are inserted into the vagina. When this is achieved the effect of drug applications. Tampons are effective for chronic forms of vaginitis, which are combined with pathologies of the cervix (erosion, dysplasia, etc.).

6.Cream and gel applicators - a very effective dosage form of drugs, which allows you to longer affect the focus of inflammation. But the only drawback is the complexity of production, as a result - the high cost of drugs. Many vaginal creams and gels give a positive therapeutic effect after one application. Typically, each dose of the drug is in special tubes - applicators, with which the cream is evenly distributed on the vaginal mucosa.

7.Hygiene products for scrubbing (soap, gel, lotion for intimate hygiene) is usually used in the complex treatment of vaginitis, but to a greater extent these funds are used for the prevention of vaginitis and are used daily during hygiene procedures. Many intimate hygiene products contain lactobacilli and lactic acid, which helps to balance the normal vaginal microflora and increase the body's resistance to various infections of the genitourinary system. Также интимные гели могут содержать растительные компоненты, например, ромашку и календулу.

Правила использования вагинальных препаратов

  • Vaginitis treatment should be prescribed by a gynecologist, and not by the woman herself, on the recommendation of the Internet or a pharmacist.
  • Each drug has its own characteristics of administration, indications and contraindications, everything is described in detail in the instructions.
  • Before the introduction of medication into the vagina, it is necessary to undermine (or, if the doctor has appointed, conduct douching) and wash your hands thoroughly so as not to further infect the infection.
  • Vaginal preparations are inserted into the vagina with the help of fingers or a special applicator that can be provided by the manufacturer.
  • Various medicines are inserted into the vagina in the supine position with their legs raised and apart (as on a gynecological chair), while pushing a candle or a tablet into the vagina as deeply as possible. After this procedure, you need to lie down at least 15-20 minutes, and if the drug is recommended 1 time per day, then it is better to introduce it before bedtime.
  • After using many vaginal suppositories, you should not wash yourself with soap or gel for intimate hygiene, severe itching or a decrease in the effectiveness of the injected drug may occur.
  • When using vaginal preparations, it is necessary to use daily pads, so it will be hygienic and comfortable, as many drugs follow after use.

Antiseptics for douching

  • Chlorhexidine 0.05% solution,
  • Tsiteal - dilute the concentrated solution with water 1:10,
  • Hydrogen peroxide - 10-15 ml of 3% aqueous peroxide solution is diluted in 1 liter of warm water,
  • Furacilin - 1 tablet per 100.0 ml of warm water,
  • Vagothyl - 10-15 ml per 1 liter of water,
  • Protargol 1% water solution,
  • Soda solution -1 tsp. Of baking soda per 250.0 ml of water.

Antiseptics in the form of vaginal douching are recommended for all types of vaginitis, including thrush and specific colpitis. However, this type of external treatment use only at the beginning of therapy for 2-4 days, and only for the purpose of the gynecologist. Long-term douching completely destroys the vaginal microflora, impede the restoration of its mucous membrane, and as a result, they delay the healing process. Also It is not recommended to use douching more than 2-3 times a day.

Douching is carried out in a gynecological cabinet or at home, while using a special syringe or Esmarch mug. For this procedure, it is better to take a pose as on a gynecological chair (in a bathroom reclining with raised and spread legs). Solutions are introduced in a heated form slowly. With abundant secretions for washing, the solutions are re-introduced, in a volume of up to 1 liter. After the procedure, it is necessary to lie down for 20 minutes in order for the injected medicine to work.

Vaginal suppositories, capsules, tablets, gels are used no earlier than 20-30 minutes after douching. And after using vaginal dosage forms, douching is not recommended for 2-3 hours.

Herbal preparations for douching in the treatment of vaginitis:

  • chamomile decoction
  • sage decoction,
  • calendula decoction
  • chlorofillipt alcohol solution - 10 ml diluted in 1 liter of water,
  • other anti-inflammatory herbal remedies.

The rules for douching with herbs are the same as when using chemical antiseptics, that is, prolonged and frequent use is not recommended.

Vaginal suppositories (suppositories), tablets, capsules, creams with antibacterial, antiseptic and anti-inflammatory effects

  • Non-specific vaginitis,
  • bacterial vaginosis
  • Trichomonas colpitis,
  • amebiasis,
  • prevention of bacterial infections with vaginitis,
  • cervical dysplasia.
  • Trichomoniasis
  • severe candidal vaginitis (thrush),
  • non-specific vaginitis,
  • prevention of fetal infection during childbirth.
  • Candida vaginitis,
  • other types of vaginitis that are combined with thrush.
  • All types of non-specific vaginitis,
  • prevention of sexually transmitted diseases,
  • preparation for childbirth,
  • thrush,
  • specific vaginitis in combination with appropriate antibiotics.
  • Treatment of nonspecific vaginitis, including bacterial vaginosis in combination with candida vagina,
  • chronic nonspecific vaginitis,
  • preparation for childbirth and operations.
  • Acute and chronic nonspecific vaginitis, including those combined with candidiasis and trichomoniasis,
  • preparation for operations on the cervix.
  • Nonspecific vaginitis, especially chronic
  • cervical erosion.
  • Combined non-specific vaginitis,
  • candidal vaginitis,
  • trichomoniasis.
  • Bacterial vaginosis
  • vaginitis caused by chlamydia, ureaplasma and mycoplasma.
  • All types of vaginitis, including specific ones, in the acute and chronic stages in combination with other anti-inflammatory drugs,
  • drugs containing lactic acid are not recommended for vaginal candidiasis, they are prescribed after a course of antifungal therapy,
  • atrophic vaginitis,
  • prevention of vaginitis in preparation for childbirth, operations, as well as during unprotected sex,
  • in the treatment of viral diseases (human papillomavirus, herpes infection, etc.).

Most often women have vaginitis of mixed etiology (bacterial vaginosis, candidiasis, rarely with trichomoniasis). Therefore, the most relevant in gynecology are combined vaginal suppositories, tablets and capsules, which include an antibiotic or antiseptic, an antifungal component and drugs metronidazole. The most effective are considered modern drugs Poliginaks, Terzhinan and Mikozhinaks. Also come to the aid of drugs containing lactic acid and lactobacilli.

As prevention of various sexually transmitted diseases, antiseptics and drugs with lactic acid bacteria and lactic acid are used, once every 2-3 hours after unprotected sexual contact.

With trichomoniasis, the classic prescription is metronidazole preparations, which are prescribed both intravaginally and orally (by mouth or by injection).

Gonorrhea is usually successfully treated with broad-spectrum antibiotics. Local intravaginal treatment is prescribed to restore microflora (lactic acid) and treat concomitant infections (fungi, trichomonads, gardnerella).

Vaginitis caused by chlamydia, mycoplasma and ureaplasma require complex and long-term treatment:

  • antibiotics by mouth or by injection, with a course of treatment of at least 12 days,
  • drugs that increase immunity (Cycloferon, Viferon, and so on),
  • local treatment with antiseptics, antibiotics and preparations containing lactic acid.

In atrophic vaginitis, vaginal suppositories with hormones are used:
  • Ovestin,
  • Estrokad,
  • Ginodean depot and others.

When attaching bacterial vaginosis and / or thrush on the background of atrophic vaginitis, anti-inflammatory, antibacterial and antiseptic vaginal suppositories and tablets are prescribed, according to laboratory data. Also, atrophic vaginitis effectively use herbal remedies, homeopathic medicines and vaginal preparations containing lactic acid and lactobacilli.

Features of treatment of colpitis during pregnancy and after childbirth

Kolpit during pregnancy is not uncommon, it can accompany a woman from the moment of conception to the birth itself, bringing considerable discomfort and leaving unpleasant impressions for many years. This is primarily due to changes in hormonal levels and the acidity of the vaginal mucosa, and with features of the immune system.

Significantly complicates the situation is that a woman in an interesting position, many vaginal preparations are contraindicated because of the negative impact on the baby. And it is necessary to treat vaginitis for pregnant women, because any infection can have a negative impact on the baby, gestation of pregnancy, preparation of the cervix for childbirth and on the childbirth itself.

Usually, after childbirth, the problem of nonspecific vaginitis disappears by itself, but there are situations when, during lactation, the course of colpitis is aggravated. And the same problem arises - contraindications for the use of many drugs during lactation. No one wants to interrupt breastfeeding due to itching and vaginal discharge.

Before you begin treatment, it is necessary to conduct a laboratory diagnosis of vaginitis and determine the diagnosis. Bacteriological seeding will help not only determine the composition of the microflora, but also antibiotics that will be effective for the treatment of vaginitis.

Specific colpitis requires the ingestion of appropriate antibacterial drugs, for this there is a set of antibiotics allowed during pregnancy and lactation. And although their reception is recommended only in severe cases, specific vaginitis is treated on a mandatory basis for any period of pregnancy, only in the condition of the inpatient department of the gynecological department or maternity hospital.

Non-specific vaginitis in pregnant women is treated to a greater extent with the help of local vaginal means. For this purpose, more often use combined drugs.

Vaginal preparations allowed during pregnancy and lactation:

  • Polygynax
  • Terzhinan,
  • Clotrimazole,
  • Kolpopept,
  • Betadine and Iodoxide,
  • Pimafucin,
  • Livarol,
  • Hexicon
  • Acylact, Gynoflor and other drugs with lactic acid and lactic acid bacteria.

But even these drugs are not recommended in the early stages, they are mostly used since the second half of pregnancy. It is important to remember that any medication, especially vaginal, can only be prescribed by a gynecologist, pregnancy is not the time for experimentation.

What is the treatment of vaginitis (vulvovaginitis) in girls?

In girls who are not sexually active, vaginitis is also not uncommon and an exception. This, of course, applies to non-specific vaginitis, including candida. Children under 10 years old suffer from vaginitis more often than adolescents who do not have sex. In girls, not isolated vaginitis is characteristic, but vulvovaginitis - inflammation of the labia and vagina.

The main causes of vaginitis in girls:

  • Violation of hygiene in the region of the genital lips: untimely change of diapers, improper washing, especially if the girl does it herself, using someone else's towels and so on,
  • atopic dermatitis in the perineal region in girls under 2 years of age,
  • helminthic invasions,
  • intestinal dysbiosis,
  • hormonal disorders of adolescence,
  • reduced immunity against the background of chronic diseases: frequent and long-term infectious diseases, chronic tonsillitis, sinusitis, adenoiditis, dental caries, pyelonephritis, etc.,
  • diabetes,
  • tuberculosis,
  • viral infections: Epstein-Barr virus, cytomegalovirus and other herpetic infections in the acute and chronic course, influenza, HIV infection,
  • diseases that require long-term use of hormones and other cytostatics.

Girls, as well as adult women, should be examined periodically by a gynecologist. It is not necessary to be afraid of this, when inspecting the labia and vagina in a child, infection with any bacteria and damage to the hymen is completely excluded. If necessary, the doctor will take the necessary tests that will help establish the state of the vaginal microflora.

All inflammatory processes in this area should be treated without fail, because inflammation can become chronic and lead to complications, such as fusion of small and large labia, development of cicatricial changes on the mucous membrane of the vagina, damage to the sex glands.

In the treatment of girls also prefer local procedures. Ordinary intravaginal preparations (suppositories and other) are not prescribed to girls because of the risk of mechanical injury to the hymen. But there are special dosage forms of vaginal suppositories and pills for virgins. They are smaller in size and their shape is perfect for girls.

Methods for the external treatment of vaginitis in girls:

  • proper hygienic care of the crotch area,
  • baths with antiseptics and anti-inflammatory solutions (a weak solution of potassium permanganate, chamomile, calendula decoction),
  • applications in the region of the genital lips with anti-inflammatory ointments and gels (Solcoseryl, Fenistil, Actovegin),
  • lubrication of the external genital organs after each hygienic procedure with oils (sea buckthorn oil, vitamins A and E, rosehip oil, peach, etc.),
  • preparations containing lactic acid and lactobacilli (for example, Lactobacterin), these drugs are recommended for 3-4 days from the start of treatment to restore normal microflora, are applied to the entrance area of ​​the vagina,
  • in adolescents with hormonal disorders, use applications Ovestin cream (contains estrogens),
  • Polygynax Virgo emulsion - the drug is in the capsule, which is carefully punctured and the contents are carefully introduced into the vaginal opening area,
  • Candles Hexicon D is an antiseptic drug that is specially designed for use in pediatric practice, the form of suppositories allows you to enter the drug without disturbing the integrity of the hymen, but this drug is prescribed only by a gynecologist if other treatments do not help.

Usually, vulvovaginitis in a girl passes after proper hygienic care and several procedures of baths, lotions and applications. In more severe cases, antibiotics are prescribed for oral administration. It is also very important to sanitize chronic foci of infections and improve immunity. To do this, contact the relevant specialists who prescribe the necessary treatment, immunostimulants (Viferon, Laferobion, Immunoflazid and others) and multivitamin preparations (Vitrum, Multitabs, Revit and others).

Symptoms of the disease

Atrophic colpitis is manifested by the following symptoms:

  • vaginal dryness
  • irritation and itching in the vagina and vulva,
  • abnormal discharge from the genitals
  • tendency to bruising and the formation of epithelial erosion, even with the slightest injury to the vagina (due to the dryness of the mucous and its openness to any effect),
  • pain and burning when walking,
  • problems with urinary tract (strong pressure on the bladder, pain during urination, urinary incontinence, frequent urination),
  • pain during intercourse,
  • bleeding or bloody discharge from the vagina after intercourse

You should know that these symptoms appear more acutely in women with diabetes and in very thin patients (low body weight reduces the level of estrogen in the blood). Scientific studies have also shown that sexually active women rarely suffer from vaginal atrophy, which cannot be said of women who do not have regular sex life. This is because during sexual intercourse blood flow to the pelvic organs increases.

Recommendations for patients with colpitis

  1. If you are suffering from this disease, follow a few simple guidelines in your daily life.
  2. Wear breathable underwear made from natural fabrics.
  3. Do not use aggressive cosmetics with a strong smell for intimate hygiene. It is best to wash with chamomile extract.
  4. Eliminate from the diet, alcohol, spicy foods and sweets - all this worsens the symptoms of colpitis.
  5. Stop smoking.
  6. Practice Kegel exercises - they support intimate muscles in a tone, help to normalize blood circulation in the pelvic organs, as a result of which the walls of the vagina become more elastic.
  7. General exercise helps to maintain the level of female hormones in normal.
  8. Eat fish oil - it helps maintain the elasticity of tissues.

If you use folk remedies, atrophic colpitis disappears completely or becomes less annoying to the patient. In nature, there are many herbs that are similar in composition with estrogen, and therefore help to remove the cause of colpitis (lack of hormones). The effect of other herbs is based on the ability to improve blood circulation in the uterus. Just remember that the treatment should be long.

Aloe tampons

To restore the mucous membrane, get rid of vaginal dryness and remove other unpleasant symptoms, call for help aloe. The juice of this plant improves blood circulation at the local level, lubricates the vagina, removes infections, improves muscle tone. Saturate the aloe gauze with a juice and insert it into the vagina overnight. This should be done every evening for 10 days, then take a five-day break and repeat the course. It is also very useful to use fresh aloe vera juice inside on an empty stomach in the morning (one teaspoon will suffice).

Willow Drugs

Willow is popularly called the female tree, and not for nothing. The leaves and young sprigs of this plant contain a complete set of phytohormones, vitamins and minerals necessary for the health of the weaker sex.

We recommend you take a sedentary bath of willow. To do this, 4 handfuls of crushed plants pour three liters of water and boil on low heat for half an hour. After the decoction has cooled to a comfortable temperature, make a sit-down bath out of it. Take it until the water is cold.

Also drink tea from willow leaves and chamomile flowers (in equal proportions). Pour half a tablespoon of the mixture with a glass of boiling water, cover with a lid and leave for 5 minutes. Honey can be added to the finished tea. Drink it every night for several months. Additionally, use other folk remedies.

Raspberry leaves

Листья малины улучшают кровообращение в тканях, в том числе и в матке. Поэтому, если у вас обнаружен атрофический кольпит, обязательно воспользуйтесь силой этого растения. Half a tablespoon of crushed raspberry leaves brew in a cup of boiling water, wait a few minutes, then drink at your pleasure.

Warning: women who have recently given birth should not drink medicine from raspberry leaves, as this can lead to uterine bleeding.

Effective Herbal Collection

This collection is based on the most effective herbs for women's health. Here is his recipe:

  • Sage - 100g,
  • Rosemary - 100g,
  • Adonis - 100g

Every evening you need to brew two tablespoons of this collection in a thermos (pouring two cups of boiling water). Next morning filter the infusion and drink instead of tea as the emergence of thirst. During the day you need to drink the entire dose of the drug, and in the evening to prepare a new one. The course of treatment is one month. Additionally, you can use other folk remedies.

Tincture of lily flowers

This is a very effective tincture, but when you take it in no case should not exceed the dosage. So, grind 20 g of lily of the valley flowers, put them in a glass jar or bottle, and pour a glass of vodka. Close the vessel well with a lid and place in a secluded dark place for 10 days. Then strain the tincture - it is ready to eat. Drink it in 10 drops in the morning, at lunch and in the evening (one hour before meals). After 2 weeks, treatment should be stopped, and a break for at least a week.

Wine with lovage and bones of sweet cherry

This wine liqueur will not only help you get rid of atrophic colpitis, but also generally cure all women's diseases, normalize hormones and increase sexual desire. Ingredients:

  • 0.5 kg of sweet cherry seed,
  • 20 g lovage,
  • 1 liter of dry white grape wine,
  • 50 ml of alcohol 96% strength,

Production: Wash and dry the bones of the sweet cherry, pour them into a jar, add a lovage, fill it all with 1 liter of dry grape wine and 50 ml of 96% alcohol, close the jar and let stand for 30 days. After this time, strain the tincture and bottle. Use 30 ml three times a day.

Herbal and Apricot Wine

This wine causes a rush of blood to the genitals, increases the level of estrogen, causes sexual desire. Composition:

  • 30 g of cardamom,
  • 20 grams of cinnamon,
  • 20 g nettle seed,
  • 20 g of ginger
  • 50 g dried apricots
  • 1 liter of dry white grape wine,
  • 50 ml of alcohol 96% strength

Preparation: Put herbs and dried apricots into the jar, pour all the ingredients with 1 liter of dry grape wine and 50 ml of 96% alcohol. Close the jar and let it stand for 21 days. Shake the tincture periodically. After this time, strain and bottle the wine. Take 25 ml three times a day after meals.

Wine with colpitis and bladder problems

Because of the celery in its composition, this wine is very rich in vitamins B1, B2, B6, C, K, M, PP, E and minerals. Therefore, the drink has a wide range of applications. Wine from celery can be used for atrophic colpitis, problems with the bladder, menopause, and also as a diuretic. It also has analgesic properties, stimulates the metabolism, helps with rheumatism and arthritis. Ingredients:

  • 0.5 kg celery root,
  • 1 liter of dry white grape wine,
  • 50 ml of alcohol 96% strength

Preparation: clean celery root and grate, pour with 1 liter of dry grape wine and 50 ml of 96% alcohol, let stand for 5 days. After this time, strain the drink and bottle. Take 25 ml of wine 3 times a day.

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The development of atrophic colpitis, treatment of popular recipes

According to medical statistics, almost a third of women in the world suffer from colpitis. At the same time, there are a significant number of types of pathology, the course of the disease can be both acute and chronic. Atrophic vaginitis is quite widespread, it is also called colpitis, also called senile. The disease is an inflammatory process that occurs in the mucous vaginal layer. The cause, the effect of which causes atrophy, is an insufficient level of estrogen along with thinning of the vaginal epithelium. For women in menopause, low levels of estrogen is a completely natural phenomenon. However, these are not the only factors contributing to the development of pathology.

Causes of pathology and its signs

Most often, the symptoms characteristic of atrophic colpitis occur in women several years after menopause occurs. Usually the disease develops as a result of age-related changes and lack of estrogen:

  • the formation of epithelial cells in the vagina stops,
  • thinner mucus layer
  • the vaginal glands produce a smaller amount of secretion
  • pathological changes in the microflora are observed, changes in the acid-base balance are noticeable,
  • reduced the number of lactobacilli,
  • the vaginal walls are easily injured,
  • visible and rather unpleasant dryness is formed in the vagina,
  • there is increased activity of the optional flora,
  • pathogens enter the body from the outside.

Also, the development of this type of disease contributes to the violation of the rules of hygiene, preference given to synthetic underwear, unprotected sexual contact. With the development of an atrophic form of pathology, the symptoms may be implicit or absent altogether. The disease is quite sluggish, the main symptom of the problem is itching or burning. Vaginal dryness may cause some anxiety, making sexual contact quite painful. After intercourse, bleeding, slight bleeding are not excluded. Reproduction of conditionally pathogenic organisms in the vagina as a result of an insufficient amount of lactobacilli leads to inflammation and an increase in the amount of secretions. They become watery, often mixed with blood after examinations, douching. There are five classic symptoms indicating the presence of senile vaginitis:

  • There is pain that occurs while walking, urinating, at rest. Pain may worsen under the influence of hypothermia or infectious processes in the body.
  • In places of defeat redness occurs due to the expansion of blood vessels.
  • In the area of ​​inflammation, swelling is noticeable.
  • Burning occurs due to increased temperature in the lesion.
  • The functionality of the body is impaired.

Principles of treatment of the disease

Usually, when diagnosing atrophic colpitis, treatment involves the prescription of hormone replacement therapy. It can be not only local, but also systemic. Local treatment is carried out by prescribing estrogen preparations - usually these are ointments, vaginal tablets (Estriol or Ovestin). The standard course of treatment is 14 days and is repeated as necessary.

Systemic hormone therapy includes the appointment of Klimodien, Kliogest and other drugs in the form of tablets or patches. Therapy must be continuous, it lasts for five years. When joining a secondary infection, colpitis is treated as an acute form of the disease - they prescribe the use of etiotropic drugs.

It happens that a hormonal remedy cannot be used because of oncology, liver pathologies, bleeding, angina and other diseases. In this case, experts suggest to be treated with the help of douches and baths. Decoctions and infusions of medicinal plants with anti-inflammatory and antiseptic properties are used. It is necessary and the appointment of a diet, an increase in the amount of natural vitamins.

An effective way to treat atrophic vaginitis is to visit the bath.

Positive effects provide a combination of moisture and high temperature. Due to the heat, relaxation of smooth muscles is observed, which contributes to the improvement of blood circulation and secretion - improvement of metabolic processes is noticed, and the glands are stimulated. Dousing with cool water leads to sharp muscle contractions and vasoconstriction, resulting in increased elasticity of the tissues. It is necessary to remember about contraindications - this type of treatment is not suitable for patients with problems of the cardiovascular system, with the presence of varicose veins and thrombophlebitis.

Recipes offered by traditional medicine

Consider the treatment of atrophic kolpita folk remedies using medicinal plants that can be used to prepare trays, tampons, douches and medicinal drinks:

  1. A popular recipe is a decoction of pink rhodiola. It is necessary to take 100 grams of the plant's root system and pour the ingredient with a liter of boiling water, then boil the product on low heat for ten minutes. Next, the broth is cooled, filtered, take sedentary baths. The duration of each procedure is 30 minutes in the morning and before going to bed. It is permissible to replace bathing with syringing. But at the same time, the procedure is carried out in a horizontal position on the back, in order to exclude the creation of pressure and the supply of broth along the posterior vaginal wall.
  2. For the preparation of medicinal baths, juniper berries are used - two glasses of fruit should be poured with three liters of boiling water and kept for 30 minutes over low heat. Then the broth is cooled, preparing at this time a bath, the temperature of the liquid in which is approximately 38 or 39 ° C. The cooled broth is filtered and poured into the bath. The duration of the further procedure is 40 minutes, it is necessary to take baths to obtain a positive effect daily. After the bath, it is recommended to drink mint tea with the addition of honey.
  3. When treating atrophic colpitis in women, it is recommended to use aloe to stimulate biological processes. With the help of the sap, the plants make medicinal tampons, soaking the rolled gauze with liquid. The tampon is injected overnight, you can use not only the juice, but also crushed pulp, wrapping it in gauze before applying. The course of treatment lasts for ten days, after that they take a break for five days, and repeat the course.
  4. Therapy is carried out by sitting baths with a willow decoction - four handfuls of previously crushed plants must be poured with water in the amount of three liters, brought to a boil and cook for 30 minutes. Then the broth is cooled to an acceptable temperature and a bath is prepared, taking it until the solution is completely cooled.

Medicinal drinks for atrophic colpitis

Of the many healing plants you can make not only decoctions for baths, they are taken orally as healing drinks:

  1. Effective treatment of folk remedies suggests applying freshly squeezed aloe juice - it should be drunk in the morning before the meal in the amount of one small spoon.
  2. You can use the following medicinal collection - mix 100 grams of Baikal skullcap with the same amount of nettle, add 150 grams of peppermint and the same number of hips, and add 50 grams of licorice root and sage here. All ingredients are thoroughly mixed, then two large spoons of the mixture are poured with a glass of boiling water and kept in a water bath for another 20 minutes, then the healing liquid is drawn until it cools and filtered. Drink a drink three times a day for 1/3 cup, reception should be carried out 30 minutes before the meal. The treatment is carried out for two months, after which they make a two-week break and repeat the therapy.
  3. Mix the color of chamomile and willow leaves in equal amounts, then pour 200 ml of boiled water over half of a large spoonful of the composition and leave under a lid for five minutes. To the resulting drink add honey to taste. It is necessary to drink means for the night within two months.
  4. The treatment is carried out using raspberry leaves for making herbal tea. Half a large spoonful of crushed plants is poured over 200 ml of boiled water and infused for a few minutes, after which they drink the drink. The remedy has a contraindication - such tea is not recommended for newly born women, as the drink can cause uterine bleeding.
  5. Prepare alcohol tincture on the lily of the valley, not exceeding the dosage, because the plant is quite poisonous. Crush 20 grams of flowers, pour them into a glass container and pour 250 ml of vodka. Tightly closed vessel kept in the dark for 10 days, after which the product is filtered. It should be taken in the morning, afternoon and evening hours 60 minutes before meals in the amount of 10 drops. After 14 days, the treatment is stopped for 7 days, after which the course is repeated.

Definition of the term and types of disease

Atrophic colpitis is called a change in the vaginal epithelium associated with structural and functional changes, as a result of which the vaginal epithelium becomes thinner, which leads to the appearance of characteristic symptoms (dryness, dyspareunia, itching and recurring inflammation). This condition is associated with a significant decrease in estrogen levels, which may be due both to physiological reasons (physiological menopause) and to an artificial cessation of the production of female sex hormones (artificial menopause or atrophic coleitis of reproductive age).

The name “colpitis” or “vaginitis” is a disease received from the Greek word kolpos or from the Latin vagina, which translates as vagina. The suffix "it" refers to inflammation.

Other synonyms of the disease are atrophic vaginitis, senile or senile colpitis.

Excursion to the physiology and pathogenesis of the disease

The vagina is lined with stratified squamous epithelium, which performs a large number of functions necessary to protect the genital organs from infectious pathogens. The vaginal epithelium is constantly renewed due to its multi-layeredness, the upper cells die off and are exfoliated, taking pathogens and their toxins with them, and new ones "come" to replace them.

In addition, the vaginal epithelium maintains consistency of the environment. In women of childbearing age, the environment in the vagina is always acidic (pH 3.8 - 4.5), and the microflora is 98% represented by lactic acid bacteria (lactobacilli). Lactobacilli prevent the penetration of pathogenic pathogens and the activation of conditionally pathogenic microbes due to the maintenance of a constant acidity of the vagina. Lactic acid bacteria feed on glycogen, which is found in large quantities in desquamated epithelial cells.

With the onset of menopause, the cyclical renewal of the vaginal epithelium stops, which is associated with a decrease in estrogen synthesis and the completion of menstrual function. Epithelial cells are exfoliated in small quantities, which leads to a deficiency of glycogen, and, accordingly, to a decrease in the number of lactobacilli. In connection with these processes, the pH of the vagina is shifted to the alkaline side, which leads to its seeding by conditionally pathogenic microorganisms and the penetration of pathogenic pathogens. All of the above causes a local inflammatory reaction of the mucous membrane, that is, colpitis.

Thinning of the epithelium and reduction of secretion of the vaginal glands leads to brittleness and slight vulnerability of the vaginal mucosa, which further contributes to the activation of conditionally pathogenic flora, and also leads to a narrowing of the vaginal lumen.

The basis of the development of the disease is hypoestrogenism, which can be both physiological (after the last menstruation) and artificial (surgery and other manipulations on the ovaries). In women of childbearing age, hypoestrogenism can develop under the following circumstances:

Hormonal ovarian dysfunction

Long-existing hormonal imbalance causes persistent hypoestrogenism and the development of the disease.

  • Strong psycho-emotional experiences (violate the level of the ratio of hormones).
  • Endocrine pathology

Women suffering from diseases of the thyroid gland, diabetes, pathology of the adrenal glands are prone to atrophic vaginitis.

Other reasons
  • Ovariectomy (removal of the ovaries). The ovaries synthesize estrogens, and in their absence, the production of female sex hormones stops automatically.
  • Radiotherapy of the pelvic organs. Irradiation of the pelvic area affects the female gonad, which contributes to the violation of the production of hormones, including estrogen.
  • HIV carriers or AIDS patients.
  • Weakened immunity (adversely affects the hormone function of the ovaries).

Predisposing factors

Of the predisposing factors for the development of the disease should be noted:

  • incorrect intimate hygiene,
  • frequent, promiscuous and unprotected intercourse,
  • the use of aromatic means for intimate hygiene, fragrances, antibacterial soaps, lubricants,
  • wearing close synthetic underwear (impedes access to air and promotes the development of anaerobic flora),
  • errors in the diet (lack of dairy products, the use of unwashed vegetables and fruits, drinking low-quality water),
  • chronic inflammation of the genitals,
  • common chronic diseases.

Clinical picture

The first signs of atrophic vaginitis occur approximately 5 years after the onset of the last menstrual period. Как правило, заболевание протекает вяло, симптомы слабовыражены.Strengthening of clinical manifestations is associated with the accession of a secondary infection and activation of opportunistic bacteria, which is facilitated by microtrauma of the mucous membrane due to its mild vulnerability (for example, after gynecological examination, coitus or cleaning / douching). The main features include:

Vaginal discharge

With this disease, vaginal discharge is moderate, mucous, or closer to watery. In the case of infection, the leucorrhea acquires qualities characteristic of a certain type of bacteria (cheesy, greenish, frothy) and have an unpleasant odor. Also, atrophic vaginitis is characterized by bloody discharge. As a rule, they are insignificant, in the form of a few drops of blood, and are caused by traumatization of the mucous membrane (sexual contact, medical examination, douching). The emergence of any bleeding (both minor and abundant) in postmenopause causes an immediate appeal to the doctor.

Frequent urination

Senile vaginitis is always accompanied by thinning of the bladder wall and weakening of the tone of the muscles of the pelvic floor. These processes are accompanied by increased urination, although the amount of urine released per day does not change (does not increase). In addition, weakened pelvic muscles contribute to the development of urinary incontinence (when coughing, laughing, sneezing).

Colposcopy

Examination of the cervix and vaginal walls under magnification (colposcope). Pallor and atrophy of the mucous membranes of the vagina and cervix, the smallest injuries (cracks), mild vascular pattern, possibly foci of dysplasia on the walls of the vagina and cervix are detected. Schiller's test (staining with lugol solution) slightly positive or uneven staining (depletion of the epithelial layer, an indirect sign of dysplasia).

Taking a smear from the cervix and from the posterior vaginal fornix for cytology

The mucosa of the cervix consists of several types of cells:

  • keratinizing (those who exfoliate are the topmost layer),
  • intermediate (represented by 2 layers, are under keratinizing and replace them later),
  • parabasal,
  • basal (ripen, become parabasal, then intermediate, and, finally, keratinizing).

Since the epithelial layer is depleted in this disease (not only on the vaginal walls, but also on the cervix of the uterus), parabasal and basal cells will predominate in the cytogram with atrophic colpitis.

Cytological smear classification:

  • 1 type - no atypical cells, cytological picture is normal,
  • 2 view - the structure of epithelial cells is somewhat changed due to the inflammatory process in the vagina and / or in the neck,
  • 3 species - there are cells with altered nuclei, but in a single amount (repeated cytological examination is necessary) and colposcopy,
  • 4 species - individual epithelial cells with clear signs of atypia (malignancy) are identified - colposcopy and histology are necessary,
  • 5 type - a set of atypical (cancer) cells.

In atrophic colpitis, an inflammatory cytogram is usually diagnosed, which requires the appointment of anti-inflammatory treatment.

What and how to treat for atrophic vaginitis can only be determined by a gynecologist. The main and effective method of treatment of atrophic colpitis in women of both postmenopausal and reproductive age is the appointment of hormone replacement therapy or HRT. It is the hormone intake that helps mislead the vaginal mucosa, forcing the epithelium to cycle cyclically (the effect of estrogen), which improves the nutrition of the mucous membrane, reduces its atrophy and prevents the formation of microtraumas.

Conducting HRT is possible in two ways: the introduction of hormones systemically, in the form of tablets, injections or hormonal patches or topically (candles, ointments, creams). Hormone therapy should be carried out for a long time, at least 1.5 - 3 years, although a positive effect is observed already after 3 - 6 months from the start of treatment. But in case of termination of the course of HRT, symptoms of senile vaginitis return again, and often complicated by the addition of a secondary infection.

Local treatment

Candles, which are prescribed for atrophic colpitis:

Suppositories contain the main active ingredient - estriol (estrogen component) and additional - dimethyl sulfoxide. The drug is released without a prescription. Treatment regimen: in the first month of intravaginal administration once a day, then (after a month) twice a week. The drug reduces itching in the vagina, excessive dryness, eliminates dyspareunia. Effectively with urination disorders and urinary incontinence caused by atrophic processes of the vaginal mucosa.

Available in the form of suppositories, vaginal cream and tablets. The main active ingredient is estriol, additional substances: potato starch, acetyl palmitate, lactic acid and others. The drug has the same properties as estriol. The treatment regimen is similar to estriol (first daily intravaginal administration of suppositories for 4 weeks, then, subject to improvement, reduce the dosage to 2 candles per week). Holidays in pharmacies without a prescription.

Available in tablet form for intravaginal administration. The drug contains a lyophilisate of acidophilic lactobacilli at a dosage of 50 mg and estriol in an amount of 0.03 mg. Effectively restore the normal microflora of the vagina (the action of acidophilic lactobacilli), improve trophism of the vaginal epithelium, stimulate the growth of the epithelium (the effect of estriol), due to glycogen, which is part of the drug, support the growth and development of the vaginal lactic acid bacteria. Treatment regimen: the introduction into the vagina of one tablet daily for 6 to 12 days, then one tablet twice a week. Sold without a prescription.

Available in the form of vaginal suppositories and cream. The main active ingredient is estriol. It is inserted into the vagina daily once a day for 2 to 3 weeks, then the dose is reduced to two times a week. Dispensing pharmacies without a prescription.

Available in the form of vaginal cream, suppositories and tablets. The drug includes estriol. Method of application: the introduction of the cream (tablets or suppositories) at a dosage of 0.5-1 mg per day for 20 days, then a week off, if symptoms subside, continue treatment for 7 days per month. Therapy should last at least 6 months.

  • Estrokard (cream and suppositories)
  • Estrovagin (cream, vaginal suppositories)
  • Ovipol Clio (suppositories).

Assigned drugs for systemic treatment:

Available in the form of tablets for oral administration. One pack contains 28 tablets. The drug includes estradiol and dienogest. Drug intake is carried out on one tablet daily, preferably at the same time. At the end of the package immediately begin receiving new. Klimodien is prescribed to women with pronounced menopausal symptoms (hot flushes, disturbed sleep, increased sweating) and signs of senile vaginitis, but not earlier than one year after the onset of menopause. Pharmacies prescription.

One blister contains 28 tablets. The drug can be started on any day, but not earlier than one year after the last menstrual period. The drug contains estradiol propionate and norethisterone acetate. The drug is prescribed as HRT for women over 55 years old, for the prevention of osteoporosis and the treatment of senile vaginitis. Prescription.

Available in the form of tablets of white (11 pieces) and blue (10 pieces) color. The package contains 21 tablets. White tablets contain estradiol, and blue tablets consist of estradiol and medroxyprogesterone. They are taken daily, at the same time for 3 weeks, then a 7-day break is needed, during which menstrual-like bleeding will occur. The drug is prescribed for estrogen deficiency (atrophic vaginitis), menopausal syndrome and for the prevention of postmenopausal osteoporosis. Prescription.

The drug contains estradiol and norethisterone (monophasic). The package contains 28 tablets. Pauzogest is taken daily, one tablet for 4 weeks. After completing the packaging, immediately begin receiving a new one. Pausogest is prescribed not earlier than one year after the last menstruation. Prescription.

Herbal preparations (phytohormonotherapy)

Available in syrup or elixir. The preparation includes: rosehip, cedar seeds, hawthorn, coriander seeds, chaga, chamomile and other vegetable components. Treatment regimen: 10 - 15 ml of the drug is diluted in 100 ml of water and taken three times a day 15 minutes before meals for 2 - 3 weeks. If necessary, repeat the treatment after 7 to 14 days. Sold without a prescription.

The composition of the drug includes rhizomes of cimicifuga, which has estrogen-like and anti-menopausal action. One blister contains 15 tablets, in a package of 4 or 6 blisters. Take the drug should be 1 tablet twice a day at the same time, the duration of treatment is determined by the doctor. Sold without a prescription.

The drug contains extract of cimicifoura root, is available in tablets, in the form of face and body creams. Reception is carried out daily, on 1 - 2 tablets, not less than a month. The duration of the course is prescribed by the doctor.

  • Klimadinon Uno
  • Climax
  • Feminine
  • Remens (drops)
  • Menopace (multivitamins and minerals)
  • Menopace Plus (herbal ingredients)
  • Bonisan
  • Tribestan
  • Estrovel
  • Inoklim
  • Lefem.

Is it possible to apply the treatment of folk remedies with senile colpitis?

Yes, it is possible, but only as an addition to the main treatment (hormone therapy). Folk remedies are used for severe inflammatory reaction in the vagina, to relieve swelling, eliminate redness and itching and heal microtraumas of the vaginal mucosa. Warm baths with decoctions of chamomile, calendula, sage, juniper fruits, Rhodiola rosea and other medicinal plants are used. You can intravaginally introduce tampons with aloe juice (accelerate the regeneration of the mucous membrane), take an infusion from the herb of the celandine or a mixture of mint, sage, nettle, sweet clover, rosehips. Also allowed tea from raspberry leaf, from willow leaves and chamomile.

I am 35 years old, six months ago, both ovaries were removed (ovarian endometriosis) and hormonal birth control pills were prescribed. About 2 weeks ago, I began to feel burning and itching in the vagina, yellowish discharges with an unpleasant smell appeared. These are signs of atrophic vaginitis?

You should visit the gynecologist as soon as possible and donate smears on the microflora of the vagina. Most likely you do not have atrophic vaginitis, but non-specific, possibly thrush. For the development of this disease requires at least a year after surgery, the more you take a hormonal drug. The doctor after taking smears and identifying the pathogen will prescribe you the appropriate anti-inflammatory treatment. But HRT should continue.

Is it possible to prevent the development of hay fever and how?

Yes, as a prevention of the disease, one should regularly visit a gynecologist, give up bad habits and wearing close synthetic underwear, adhere to proper nutrition, and take multivitamins. You should also exclude the use of flavored means for intimate hygiene, reject unprotected sexual acts, perform physical exercises and Kegel exercises (to strengthen the pelvic floor muscles), replace bathing with a shower under the shower.

Folk remedies

Use the suggested remedies along with hormone therapy to achieve the best effect. If you are an opponent of hormones - then start treatment before the menopause.

  • Rhodiola rosea 100 grams of dried rhodiola pour a liter of water, boil on a quiet fire for 10 minutes. After the broth has cooled, strain it, and use for taking a sedentary bath for half an hour twice a day. Baths can be replaced with vaginal irrigation with a half-liter pear. It is important that the broth flowed into the vagina on the back wall, not to create pressure fluid. The position for the procedure is supine.
  • Collecting herbs for the treatment of atrophic vaginal changes. Mix the following ingredients: sage - 100g, clover - 100g, peppermint - 300g, licorice root - 100g, Baikal skullcap - 200g, rosehips - 300g, nettle - 200g. Prepare a decoction: 20 g of collection for 200 g of water, boil in a water bath for 20 minutes, leave to cool, strain. Take medication courses for two months, making a break for two weeks. Three times a day, drink a third of a glass 30 minutes before meals.
  • Juniper. Prepare a decoction of the fruits of juniper: two glasses of raw materials for three liters of water, boil for half an hour on a quiet fire, leave to cool. In the meantime, prepare a bath, the temperature of which should be around 38-39˚. Strain the broth and add to the bath. Take juniper baths every day for 40 minutes. After that, it is useful to drink a mint infusion with honey.
  • Aloe: this plant is a strong stimulator of biological processes, which helps to restore the mucosa with atrophic changes, as well as after treatment for sexually transmitted infections. The gauze pad should be soaked with fresh aloe juice and injected into the vagina overnight. As an option - you can use chopped aloe pulp, wrapped in gauze. When preparing a tampon, be sure to leave a long "tail" to easily remove it.

The combination of high temperature environment and humidity in the Russian bath, helps to increase the intensity of metabolic processes in the skin and mucous membranes, stimulates the activity of the glands. This is due to the fact that under the action of high temperatures, smooth muscles relax, blood circulation and secretion are improved. Subsequent immersion in cool water contributes to a sharp reduction of smooth muscles, narrowing of blood vessels. The repetition of these procedures contributes to the training of mechanisms that provide adequate tone and elasticity of the tissues.

Causing a rush of blood to the vaginal walls, the bath helps to slow down the genetically determined process of atrophy. High temperatures help fight nonspecific infection, which often becomes a companion of atrophic vaginitis. The use of low temperatures immediately after exposure to high stimulates the production of collagen, which helps to maintain the shape and tone of tissues.

Women who have problems of the cardiovascular system (coronary heart disease, arterial hypertension) cannot attend a bath. Also, you can not go to the bath for those who have varicose veins or thrombophlebitis.

Candles methyluracil

Methyluracil has a stimulating effect on cellular and tissue immunity, triggers the work of many different structures that produce active ingredients. These active ingredients stimulate the process of wound healing and the restoration of normal tissue structure. Methyluracil stimulates the activity of regenerative processes in all organs and tissues, including the bone marrow. That is why it improves the process of maturation of red blood cells and white blood cells, as well as the release of the latter into the bloodstream. Due to this specificity, methyluracil is simultaneously referred to the group of immunomodulatory drugs and leukopoiesis stimulants.

Stimulation by methyluracil of the intensive recovery process at the cellular level leads to the production of large amounts of protein in the body, which athletes use to gain muscle mass. In sports circles, methyluracil is ranked as anabolic substances, which accelerate muscle growth and weight gain.

In addition, methyluracil has a strong anti-inflammatory effect, and has a photoprotective effect when applied to the skin.

Candles (suppositories), according to the instructions, are intended for introduction into the rectum. However, doctors often prescribe Methyluracil in the form of candles in the vagina. But the manufacturers instructions indicate official information, taking into account the fact that the candles were not designed for use in gynecology. Do not be afraid, because no harm Methyluracil in the form of candles inserted into the vagina, does not bring. Consider the correct technique of introducing candles into the vagina and rectum.

Methyluracil is rectally used in dosage:

  • 500 - 1000 mg (1 - 2 candles), 3 - 4 times a day for adults,
  • 250 mg (half candle) per day for children from 3 to 8 years old,
  • on 500 mg (1 candle) per day for children from 8 to 14 years.

The duration of the use of candles depends on the rate of recovery, and ranges from 1 week to 4 months.

Before inserting a candle into the rectum, a bowel movement should be performed. To reduce the possible pain in the process of defecation, it is recommended to cause it with an oil enema. To do this, 15 - 20 ml of vegetable oil (sunflower, olive, etc.) are gathered in a small rubber pear. The tip of the pear is also oiled and injected into the anus. By pressing on the main part of the pear oil is injected into the rectum. After a while there will be urges to defecate, which cannot be ignored. Процесс дефекации на масляной клизме пройдет относительно легко, поскольку фекалии, смазанные маслом, быстро проскользнут через сфинктер прямой кишки, практически не причинив боли.

После этого задний проход необходимо помыть водой и обсушить мягкой, чистой тряпочкой. Принять удобную позицию, намочить палец, которым собираетесь вводить свечу в анус. Take one candle, and wetted with a finger to put water deep into the rectum. Wash hands after the procedure. Then you need to put on clean underwear that is not a bad thing to get dirty, since a small amount of candlesticks, having melted inside the rectum, can flow out. After the introduction of the suppository, it is necessary to lie down for half an hour.

Methyluracil vaginally. Gynecologists have long used candles Methyluracil to accelerate the repair of the vagina and cervix in women. To heal cervical erosion, Methyluracil is administered vaginally twice a day (in the morning and in the evening) for 10-14 days. For the purpose of therapy of colpitis or vulvitis candles, depending on the severity of the condition, administered 1 to 2 times a day for 10 days. The course of vaginal application of Methyluracil suppositories can be from 8 to 30 days, depending on the initial state and speed of recovery.

Before the candle is inserted into the vagina, it is necessary to douche with solutions of baking soda, chlorhexidine, nitrofural, or a series of infusions and chamomile. After syringing, insert a candle deep into the vagina and put on clean underwear that is not a pity to get dirty. This is due to the fact that the candle in the vagina melts and flows out a little. After the introduction of the suppository into the vagina, you need to lie in bed for about half an hour.

Postmenopausal

A woman may experience a feeling of discomfort in the presence of atrophic vaginitis and note several signs in her:

  • burning pain,
  • vaginal dryness
  • itch
  • burning,
  • dyspareunia (pain before, during or after intercourse),
  • frequent urination or false urges,
  • for a long time, rare spotting may occur,
  • in the area of ​​the pubis and labia, there are signs of baldness.

Since the capillaries of the vaginal walls are thin enough, then at the slightest contact with a partner, bleeding may occur. In some cases, the woman noted the omission of the vaginal walls.

For older women it is important to include in their diet as much fermented milk products as possible, which will make up for the lack of beneficial lactobacilli responsible for the vaginal microflora.

The only effective way to prevent the occurrence of atrophic vaginitis is properly selected hormone therapy. Drug therapy should begin in a half to three years after the onset of menopause. In this case, there are higher chances for a woman to avoid such a disease.

For prophylaxis, it is also possible to flush the external genitalia at least twice a day with the addition of potassium permanganate or sage infusion. However, such flushing should be carried out no more than four days, otherwise the woman may slow down the physiological recovery of the vaginal microflora.

In the case of such a diagnosis, the hospitalization of the woman is not required, the treatment is carried out on an outpatient basis.

The doctor may prescribe to take estriol in the form of suppositories or ointments. It must be inserted inside the vagina at night for two weeks.

Drugs that have a systemic effect must be consumed within five years. These include: Tibolone, Angelique, Estradiol, Indivin, Kliogest, Klimodien. atrophic vaginitis 2

At least twice a calendar year, a woman needs to visit a gynecologist for colposcopy, colpocytology and assessment of the pH of the vagina.

In the absence of adequate treatment, small ulcers may appear on the walls of the vagina.

In the case of treatment started on time, the prognosis is usually favorable: the woman’s discomfort disappears, the microcirculation and vaginal wall tone are restored. And hormone replacement therapy allows you to maintain the level of estrogen at the required level.

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