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Explanation of analyzes

Vulvitis in women: symptoms and treatment, causes of vulvitis

The external genitals in women (vulva) are subject to constant exposure to traumatic agents. For this reason, they can become inflamed, delivering many unpleasant sensations to both adult women and girls.

Vulwit: what is it?

Vulvitis is an inflammation of the external genitalia in a woman. These include the large and small labia, the vestibule of the vagina, the clitoris and the terminal part of the urethra.

  • Important! The inflammatory process rarely occurs in isolation and is more common in the form of vulvovaginitis, affecting the initial parts of the vagina.

Vulvit for ICD-10 is designated as N 77.1.

The disease is more common in childhood due to imperfections in the immunity and anatomical features of the sexual organs of a woman: many folds in the vagina and thin vulnerable mucous membranes.

Content

The causes of vulvitis

Vulvite in women

A contributing factor in the development of the disease is the presence of a permanently humid environment in the female genital area, as well as the peculiarities of the structure of this area. The cause of vulvitis can be various diseases and conditions, which affects the symptoms and treatment of vulvitis in women (see photo). The main reasons are:

  • Bacteria. As a nonspecific (strepto and staphylococcus, pneumococcus, etc.), and specific (syphilis, tuberculosis, etc.) microflora can cause inflammation of the vulva.
  • Viruses (herpes, cytomegalovirus, etc.).
  • Fungi (candida, actinomycetes). Fungal vulvitis develops in patients with reduced immunity or against prolonged antibiotic therapy, both general and local (candles, creams with antibacterial component).
  • Allergy. Reactive swelling and inflammation can be a manifestation of the general allergic reaction of the body. More often contact allergic dermatitis develops on various means and cosmetics for intimate hygiene.
  • Helminths (worms). Itching and scratching, which provoke helminths can cause inflammation of the entire inguinal region.
  • Chemical impact. Douching and contact of the vulva with chemically aggressive solutions and gases leads to the development of an inflammatory process.
  • Mechanical irritation of the vulva, for example, when riding.
  • The influence of cold and low temperatures can cause the development of reactive vulvitis.
  • As a manifestation of obscheomatic pathology, for example, diabetes mellitus or malignant neoplasm.

What factors contribute to the development of pathology:

  1. Wearing tight, narrow, synthetic underwear.
  2. Excess weight, which causes increased sweating and diaper rash.
  3. Neglect of the rules of intimate hygiene.
  4. Long stay in conditions of high humidity (wet swimsuit, etc.).

The disease can develop independently or against the background of other inflammatory processes in this area (cystitis, pyelonephritis, urethritis, etc.).

The deficiency of estrogens in the body contributes to the development of vulvitis, which is observed in women during menopause and girls before puberty. In addition, vulvitis often develops during pregnancy against the background of hormonal activity.

Types and forms of vulvitis

According to the clinical course, there are:

  • Acute vulvitis. Appears suddenly and is characterized by a rapid current and recovery or transition to a chronic form;
  • Chronic. It flows with periods of exacerbations and remissions. Outside the exacerbation of symptoms are weak and almost do not bother the woman.

For reasons of origin, there are:

  • Primary. Develop under the influence of traumatic factors (humidity, temperature, allergen, etc.);
  • Secondary vulvites. The cause is another disease (diabetes, leukemia, endometriosis, etc.).

Symptoms of vulvitis in women, diagnosis

Symptoms of vulvitis in women

The symptoms and treatment of vulvitis in women depend on the causative agent of the disease. In most cases, the patient is disturbed:

  1. Burning and discomfort in the area of ​​the external genitalia.
  2. Discharge from the vagina. The nature and color of the discharge depends on the causative agent (curds in candida vulvitis, purulent in bacterial, etc.).
  3. Swelling and redness of the vulva are especially pronounced in the allergic form of the disease.
  4. Pain when urinating and intercourse;
  5. Pain in the perineal region, which is worse when walking.
  6. Bubbles on the vulva with herpetic vulvitis, raids in diphtheria, ulcer with syphilis , etc.
  7. In acute form, general symptoms can be associated with: fever, intoxication, headaches, etc.

A variety of symptoms of the pathology can lead to difficulties in self-diagnosis, so it is better to immediately consult a doctor and find out the cause of the problem.

For diagnosis, the doctor carefully examines the history and nature of complaints, and then conducts a gynecological examination, paying attention to the appearance of the vulva and other typical signs of the disease.

In most cases, the diagnosis of vulvitis is based on a visual examination. If the expert has doubts, then additional studies are carried out:

  • bacteriological culture and cytology;
  • analysis of feces for helminths;
  • colposcopy;
  • biopsy;
  • Ultrasound diagnosis;
  • analyzes for sexual infections;
  • examination of specialized specialists (dermatologist for the exclusion of lichen, pediculosis and other pathologies, venereologist, therapist).

Treatment of vulvitis

Treatment of vulvitis

Treatment of vulvitis in women is performed against the background of sexual abstinence for the entire period of therapy. Therapy is divided into general and local, the general medicamentous treatment includes preparations:

  • Antibiotics in the bacterial process.
  • Antiviral for viral, antimycotic for fungal infection.
  • Anti-inflammatory drugs.
  • Anesthetics.
  • Vitamins and immunostimulants.

Local therapy is:

  • Treatment of vulvitis with ointments with anti-inflammatory, antibacterial and analgesic effects (Cinaphlan, Levomekol, etc.).
  • Baths and treatment of the vulva with a solution of antiseptics (Miramistin, Furatsilin) ​​and medicinal herbs (chamomile, string).
  • Physiotherapy (UFO, electrophoresis).
  • Vaginal suppositories, tablets with antibacterial effect.

If the vulvitis cause sexual infections, then the treatment is carried out together with the partner. Thermal and chemical vulvitis is treated according to the therapy of burns.

Preventive measures consist in observance of intimate hygiene and elimination of factors that can cause the development of this pathology. To prevent the transition of the disease to the chronic stage, it is necessary to treat acute inflammatory processes in a timely manner.

Complications of vulvitis

The consequence of vulvitis can be various unpleasant complications:

  • the formation of extensive ulcers and erosions on the labia, the clitoris or on the eve of the vagina;
  • transition of the disease to a chronic form;
  • spread of infection and overlying structures (cystitis, cervicitis, etc.);
  • the formation of adhesions (synechiae) in the region of the labia;
  • in rare cases, a long infectious process can cause the development of inflammation in the uterus and ovaries and lead to infertility.

Vulvit is a common problem in women. The disease develops because of the peculiarities of the structure of the female reproductive system and under the influence of various factors. Treatment largely depends on the cause of the disease and the presence of complications.

Interesting
Lera
2017-04-22 14:04:25
Will the vulvitis itself if it is primary and if every day to smear Bipponen?
MedConsultant
2017-04-23 11:03:00
Hello! Recall that primary vulvitis is a condition in which there is no microbial, viral or fungal infection in the vagina and on the mucous vestibule, that is, inflammation that occurs due to internal causes. Of course, there is some chance that primary vulvitis can only pass after the regular use of "Bepanten", but it is not large. Recall that the primary vulvitis occurs when, for example, the girl has not yet settled the vagina with a normal flora, creating an acidic environment. Then this drug will do little, since special bacterial agents are needed. Similarly, in the post-menopausal state - then the cause of vulvitis is hormonal imbalance, since the function of the ovaries is reduced. First of all, you need to reduce the symptoms associated with their deficiency. In the event that the cause of the primary vulvitis is extragenital pathology (that is, diseases that do not belong to the female genital area), for example, diabetes mellitus or systemic lupus erythematosus, then, of course, do not wait from the cure cream - just a careful correction and treatment of a major illness can lead to this. Therefore, it is not enough to talk about the primary vulvitis in general - you need to know the reason, and "Bepanten", as a vitamin preparation containing pantothenic acid, will help restore the broken mucosa trophic.
Moussya
2017-06-06 07:28:22
Vulvit is troubled by the 4th month. It is discomfort when walking and redness of the small genital lips. It takes place during the time of the menses. Treatment in 2 gynecologists --- flukostat, pimafucin, triderm, komfoderm M. The same treatment for herpes infection (acyclovir ointment + valvir tablets). Analyzes: OAK-norm, ESR-13, sugar, cholesterol-norm, smears on pathogens - Is not found. Than to treat?
Anastasia
2017-06-13 05:53:24
Hello. You need to be examined for the presence of vaginal dysbiosis, that is, to determine violations from the normal microflora of the vagina. And also let your sexual partner be examined. Sometimes, in order to achieve a positive result, both should be treated. Be healthy!
Olga
2018-02-13 09:19:49
3 days ago it began to itch in the area of ​​the clitoris, now there is some sort of a small July assembly, and when it hurts, and itch even more, especially after urinating, what can it be?

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