Genital candidiasis (urogenital candidiasis) - a fungal disease that affects the vaginal portion of the cervix, vaginal mucosa and often extending to the vulva.In most cases, the cause of genital candidiasis yeast-like fungi Candida albicans, belonging to conditionally - pathogenic flora (due to the fact that often the permanent inhabitants of the mucous membranes of the vagina, intestines and mouth).The main route of transmission of genital candidiasis are considered direct sex
Genital candidiasis causes of
of the disease contribute to various factors that reduce the body's resistance to infection.Quite often candidiasis develops against the background of metabolic disorders, vitamin metabolism, hormonal imbalance, as well as extragenital (chronic pathology of the gastrointestinal tract, systemic connective tissue diseases, tuberculosis ) and chronic genital (chronic. Salpingo and so forth.) Diseases.Also, the factors contributing to the development of genital ca
- corticosteroids, immunosuppressive drugs, broad spectrum antibiotics, oral contraceptives
- The last three months of pregnancy (due to changes in hormonal levels)
- Intrauterine contraception
- HIV -Infection and diabetes
Women in this disease affects the vulva and vagina, and men - the foreskin and the glans penis
Genital candidiasis symptoms
In women the disease is manifested by itching and burning inarea of external genitals, pain during intercourse, white cheesy discharge from the vagina and pain when urinating.
Men genital candidiasis is manifested by itching and burning in the area of the foreskin and the glans penis, white coating on the glans penis, prepuce, and redness of the glans penis, pain during urination and sexual intercourse.
urogenital candidiasis is divided into three clinical forms: kandidonositelstvo, acute and recurrent urogenital candidiasis (chronic) urogenital candidiasis.
acute form of urogenital candidiasis manifested the characteristic pronounced inflammatory reaction: swelling, redness, rashes in the form of vesicles on the mucous membranes and skin.Duration course of the acute form of genital candidiasis does not exceed two months.
For chronic forms of urogenital candidosis characteristic longer within (over two months), the mucous membranes and skin observed predominance of secondary elements in the form lichenification, infiltration and tissue atrophy.
also occur first - erased forms of genital candidiasis, in which the symptoms expressed quite insignificant (discharge and itching are very weak, almost disturbing).In such cases virtually no one does not go to the doctor and the disease is discovered accidentally.
Diagnosis of urogenital candidiasis presents no particular difficulties and is based on data from visual inspection and complaints of the patient.To set a more accurate diagnosis, the detection of Candida carried out by smear microscopy, and plated on nutrient media pathological discharge
Genital candidiasis treatment
For the treatment of this disease are applied antifungal drugs, divided into the following groups:
- imidazole (isoconazole, miconazole, clotrimazole, bifonazole, econazole, tioconazole, oxiconazole, ketoconazole)
- Polyenes (levorin, Nystatin, natamitsilin)
- allylamine (terbinafine)
- triazole (itraconazole, fluconazole)
- Preparations various chemical groups (ciclopirox, griseofulvin, hlornitrofenol, flucytosine, etc.)
In addition, for the treatment of genital candidiasis use a combination of drugs (Clione D Polizhinaks, Neo - Penotran, Candid B Terzhinan, Makmiror - complex).
Ten days after treatment is necessary to conduct routine bacteriological and / or microscopic examination.
When genital candidiasis, a survey of the sexual partner should be carried out on a mandatory basis (treatment is given according to the results of the survey).In the absence of clinical symptoms, providing treatment is optional.