vaginal dryness - is a subjective feeling of lack of proper wetting of the vaginal mucosa.Sensation of dryness in the vagina can be triggered by a variety of reasons.Sometimes they are completely harmless and are not a serious pathology, but in some cases, a sense of increased vaginal dryness indicates the need for medical intervention.
At the root of dryness of the vaginal mucosa may be neginekologicheskie reasons, such as thyroid disease (hypothyroidism) or allergic diseases.
discomfort in the vaginal area, coupled with the feeling of dryness of mucous, familiar to most women, regardless of the age.Regardless of the causes of vaginal dryness often causes vaginal pain, especially during intimacy.
vaginal epithelium of women of reproductive age - stratified squamous.The uppermost layer of the mucous cells is constantly updated by the withering away and shedding the "old" and replacing them with newly created, "young", the cell structure.This self-cleaning process allows t
vaginal mucosa is constantly moistened.Healthy woman in the vagina normally always a small amount of liquid secretions.Own the vagina has no glands, so the formation of vaginal secretion is involved vaginal transudate capillaries, which mixed the secret of cervical and uterine glands, exfoliated epithelial cells and bacterial flora.
number of vaginal secretions depends on the composition of the microbial flora and the products of its life.A healthy vagina contains lactobacilli to 98% and very minor quantities of other microorganisms belonging to the category opportunistic.The name they got from the ability to become pathogenic under certain conditions - namely, with significant growth and fluctuations in the level of acidity.
attending the minor titer in the vaginal environment, all women, opportunistic microbes are not able to cause disease, and undesired proliferation of lactobacilli controlled.Dominating the vagina lactoflora converts glycogen exfoliated cells from the surface of the epithelial layer, followed by the formation of lactic acid.A constant amount of lactic acid provides a certain level of acidity (pH), where undesirable microorganisms are able to proliferate not.
If the number of lactic acid bacteria decreases, changes and acidity, and opportunistic bacteria begin to multiply, causing local inflammation.There are copious.When
hormonal dysfunction, when the amount of estrogen is changed, and may also change the volume of vaginal fluid contents.This decrease is due to the amount of estrogen vaginal dryness in older women when the mucous thinner and atrophy according to physiological reasons (natural atrophy).
vaginal dryness during pregnancy is associated with changes in the hormonal (gipoestrogeniya) background and quantitative changes in the composition of the local flora (lactobacilli decrease).
Changing the amount of vaginal discharge there is a woman or a lot of selections expires, or their lack of (dry).
Vaginal dryness may be accompanied by a burning sensation, itching and pain.Dry mucous becomes susceptible to microtrauma little bleeding on contact.
Diagnosing the cause of vaginal dryness begins with a visual inspection.It is also necessary to determine the microbial and cellular composition of the vaginal contents.
therapy vaginal dryness means addressing its causes.
reasons for vaginal dryness
vaginal mucosa, especially in the vestibule (the vulva), has a high sensitivity to external irritants.Therefore, among the most frequent causes of harmless dryness of mucous can be called the effect of aggressive chemical compounds contained in the sanitary facilities, or incorrect use.
Despite the abundance of feminine hygiene products, not everyone is suitable for the care of the intimate area.Typically, the package hygienic means always indicated composition, pH, as well as recommendations for use.It should be understood that even the "good" body gel for skin care and for a gentle vaginal mucosa is not suitable.
Severe vaginal dryness may also occur when you use soap.Hard, aggressive alkali soap in the composition not only injure the mucosa, they also change the pH values and provoke inflammation.
If hygienic agent is selected according to the recommendations, and the feeling of dryness in the vagina still appeared, necessary to pay attention to how it is used.Sometimes excessive hygienic zeal provokes unwanted effects.Aggressive vaginal douching and frequent cleaning the area of the vulva lead to mechanical "washout" from the surface epithelium of the required number of lactoflora, which is why there is a strong and vaginal dryness.
should also be aware of allergic reactions to any (even the most "correct") means for intimate hygiene.Sometimes the negative reaction of the vaginal mucosa appears after sanitary pads for everyday use, especially if they contain chemical fragrances, chlorine-containing compounds.
vaginal epithelium - the "target" for the sex steroids, especially sensitive vaginal mucosa respond to quantitative changes in the content of estrogen.Gipoestrogeniya leads to a reduction in glycogen content in the cells, so the number of lactobacilli decreased and pH increased.Often, these changes trigger an infectious inflammation (vaginitis), which is characterized by dryness and pain in the vagina.
It hormonal causes provoke vaginal dryness during pregnancy or menopause have no gynecological pathology of women.By the end of hormonal function in older women in the vagina cell structural changes occur.In the absence of estrogen stratified epithelium thinned, reduced colonization of the vagina lactoflora increases pH, and develop chronic atrophic vaginitis.Such a scenario is possible in young women who had undergone bilateral oophorectomy.They dryness and pain in the vagina are also associated with the processes of atrophy in the background artificial menopause.
vaginal dryness neginekologicheskogo genesis can be linked to strong emotional experience or extragenital pathology.
Symptoms of vaginal dryness
Typically, the emergence of feelings of vaginal dryness is always associated with provoking situation:
- violation of hygienic norms;
- use of a new sanitary facilities, tampons, pads;
- changes in menstrual function;
- neginekologicheskih aggravation of diseases;
- surgery on the ovaries;
- hormone therapy.
sometimes dryness is associated with itching and / or burning, pain.In the absence of a proper amount of moisturizing vaginal secretions mucous becomes vulnerable and easily injured, so may appear minor sukrovichnye isolation, especially after intimacy, the use of vaginal tampons or pelvic exam.
When a woman is sometimes more conversation indicates sporadic dryness, often it is associated with intimate life.This situation is connected with incorrect work of psycho-emotional sphere.The mucosa of the vulva is responsible for the increased secretion of "lubricant" during sexual arousal.Even if the vagina is the number of physiological secretions for sexual intimacy it enough, so the vulva cancer provide increased amounts of fluid during sexual contact, and after the completion of its amount is gradually decreased and returns to normal.When the "lubricant" little vagina seems dry, and sex is accompanied by unpleasant symptoms.
Thus, if the dryness and pain in the vagina are present only during intimacy and visual inspection and examination do not reveal abnormalities, the cause of an illness related to the psychological sphere.
During a pelvic exam assesses the state of the vaginal mucosa.The characteristic visual pattern is observed in atrophic vaginitis.The display thinned, easily injured pale mucosa with areas of hemorrhage, inflammation accession detected watery yellow-green leucorrhea.
If the cause of vaginal dryness is not obvious, begins her serial diagnostic search.Originally determined by the degree of local dysbiosis.For this conduct:
- Express diagnostics measuring the level of the vaginal pH.Produced using special test strips during the initial gynecological examination.
- amine test.Vaginal exudate is mixed with an alkali solution.A positive reaction is manifested in the form of specific "fish" smell.
- smear.Particularly distinctive microscopic signs of vaginal dysbacteriosis has not, however, its presence may indicate desquamated epithelial cells covered by Gram-negative rods.
Laboratory diagnosis (smear "flora", PCR - diagnosis, bakposev) needed to eliminate infectious inflammation.
diagnosis of atrophic vaginitis in women with physiological or artificial menopause is not difficult, and includes:
- Visual inspection of the mucous membranes (thinned mucosa pale with microtraumas and dot hemorrhages);
- cytology (typical atrophic changes in the cellular composition of the process).
If the dryness of the vaginal mucosa is not the only complaint, and combined with other negative symptoms, the diagnostic search for the cause of vaginal discomfort is complemented by other studies.Thus, women with severe hormone dysfunction is necessary to determine the level of sex steroids in the different phases of the cycle.
Consultation related professionals need neginekologicheskoy women with chronic diseases.If vaginal itching is neginekologicheskoe origin, he wound up after treatment of the underlying disease.
Vaginal dryness after childbirth
Pregnancy and subsequent birth is a serious challenge for the female body, because they change the work of many systems and organs.Dryness in the vagina in women who have given birth - not uncommon.Often it is accompanied by itching, burning, unpleasant (and sometimes severe pain) during sexual intimacy.Reasons
vaginal postpartum discomfort associated with the many months antenatal changes in the body and do not imply pathological causes.Generally, these symptoms are self in a few weeks when the body is restored.
Vaginal dryness after birth is associated with excessive overstretching vaginal wall (and hence the mucosa) in natural childbirth.Vaginal wall becomes stretched, flabby, her tone lowered.It is easily injured and inflamed, and the amount of vaginal exudate significantly reduced.Gradually, as the subject of reducing the muscle layer, mucous restores its original state.
vaginal microflora after delivery also needs to be corrected by the body.Physiological decline in estrogen levels during pregnancy leads to a deficiency lactoflora and change the acidity, which sometimes provokes vaginal dryness after childbirth.Under normal childbirth in healthy women, local disbiotic disorders self-destruct due to internal reserves of the body a few weeks later.
gipoestrogeniya persists longer after birth in lactating women, because production of breast milk affects the level of estrogen, so the feeling of dryness in the vagina in combination with other symptoms can last until the termination of lactation.
Estrogen deficiency leads to a slowing of lipid metabolism (weight gain have given birth), reduction of collagen synthesis (loss of elasticity of tissues, especially the anterior abdominal wall), reduce the amount of interstitial fluid (sagging skin and muscles).
If a woman gave birth to the body can not cope with vaginal dryness very long period (longer than two months), it should have recourse to medical assistance.
Discomfort in the vagina after childbirth not necessarily directly related to the preceding pregnancy and childbirth.Vaginal dryness can also cause:
- incorrectly selected hormonal contraceptives.Often women choose birth to contraceptive drugs independently, without taking into account changes in the balance of hormones after giving birth.Meanwhile, contraceptives can exacerbate estrogen deficiency and cause vaginal dysbiosis and dry mucous membranes.
- Allergic reactions to hygiene, food, medical preparations, latex condoms.Pregnancy and childbirth exhaust the immune system so the body after childbirth is becoming more sensitive and provoke allergic reactions mucous.
- Aggressive sexual contact.Thinning of the vaginal mucosa moistened slowly and easily injured.
- Insufficient or too zealous intimate hygiene.
- Vaginal tampons.The mucosa of the vagina after childbirth is not wet enough, and tampons, soaking up the vaginal secretions, increase its dryness.
combination of vaginal dryness with itching, burning and / or pain can manifest the onset of infectious inflammation.
The need for treatment of vaginal dryness have given birth is solved only with a doctor.Sometimes, to eliminate discomfort appointed local therapy.Hormonal candles from vaginal dryness containing estrogens enhance the trophism of the surrounding tissues, anti-inflammatory and regenerative effect.During sexual intimacy may use intimate gels or water-based lubricants.
Treatment of vaginal dryness
To get rid of dryness and discomfort in the vagina, it is necessary to know the cause of their appearance.Often, a woman will set the dry provoking factor.
Sometimes for a full recovery is sufficient to stop using unfit for intimate hygiene gels containing corrosive or caustic soap to organize a proper hygienic regime, abandon the synthetic underwear, avoid stress and eat right.
If you know that vaginal dryness is not associated with severe pathological reasons for its elimination is sufficient to comply with simple rules:
- Hygiene of the external genitalia designed for use with personal hygiene means.It is widely used for this purpose Laktatsid gel with lactic acid prevents local dysbiosis and dry mucous membranes.
- NUTRITION.Drinking enough (at least two liters) of fluid supports the water-salt balance and prevents excessive loss of fluid fabrics.
Vegetable fats found in foods (nuts, olive oil), and seafood beneficial effect on tissue metabolism and hormonal balance.
- Psychological comfort.During stress, the body produces a lot of chemical compounds that compete with estrogens.They can not only provoke vaginal discomfort, but also provoke a hormonal dysfunction.
Women's health needs a good rest and a positive life attitude.
- Sexual harmony.