Discomfort in the vagina
Discomfort in the vagina - it is unpleasant subjective feelings of distress in the vaginal area.The concept of discomfort is very relative, because not all women are equally perceive and interpret changes in their body.Most often involve discomfort itching, tingling, burning, increased dryness of mucous membranes, or, conversely, excessive moisture in the area of the external genitalia.
Feeling short of discomfort in the vagina probably familiar to every adult woman, as it may have old ladies, teenagers and even young children.
have such feelings may be a variety of reasons that do not always indicate a serious illness.So often appears discomfort in the vagina during pregnancy is associated with changes in hormonal levels and the composition of the vaginal microenvironment.Similar reasons provoked vaginal discomfort for patients undergoing menopause.
However, if discomfort is accompanied by abnormal discharge, pain, menstrual dysfunction, its connection with th
As a rule, the largest number of episodes of vaginal discomfort associated with local dysbiotic disorders.
As a rule, the majority of patients experiencing discomfort, it can not identify the exact location.Meanwhile, the discomfort may come not only from the vaginal mucosa.Most often they are provoked numerous nerve endings vestibule (vulva) vaginal irritation that the patient is defined as the discomfort of the vagina.
The cause discomfort in the vagina can be assumed at the stage of primary gynecological examination when visually determined the presence of an infectious inflammation, microtrauma or atrophic changes of the vaginal epithelium.
Laboratory diagnostics confirm or exclude the presence of infections in the elderly and patients with atrophic changes in the vaginal epithelium is necessary to carry out cytological study of its cellular composition.
therapy vaginal discomfort depends on its cause.If necessary, the antibacterial, anti-inflammatory and symptomatic treatment.
cause discomfort in the vagina
often discomfort in the vagina briefly appears on the background neginekologicheskih reasons: stress, hypothermia, changing environmental climate protection, long-term antibiotic therapy or because of extragenital pathology (diabetes, goiter, allergic and immune diseases).
vaginal mucosa is a self-regulating ecosystem, able to cope with most of the negative impacts.The protective function of vaginal epithelium is closely linked with the state of the vaginal microenvironment.A healthy adult woman's vagina predominantly "populated" lactobacilli (98%).Also, it has a small amount of pathogenic microflora, which does not cause damage to the mucosa of the small number.To undesirable microorganisms have not begun to vegetate and provoked the illness, lactobacilli maintain the acidity (pH) of the environment at a constant level (3.8 - 4.5) due to the lactic acid synthesis.Thus, a constant amount of Lactobacilli in the vaginal environment avoids undesirable pathological processes.
There is a direct relationship between the amount of lactic acid bacteria and the level of estrogen, so the composition of the micro-environment in the vagina changes cyclically symmetric fluctuations in estrogen levels.Discomfort in the vagina during pregnancy, as well as on the eve of the next menstruation is due to physiological and gipoestrogeniya not correlated with pathology.
for physiological reasons discomfort in the vagina feel older women.The gradual decrease in estrogen triggers quantitative qualitative change in the microenvironment and atrophic changes in the vaginal mucosa.
Almost always discomfort in the vagina is associated with a local dysbiosis on weak immune defense.Fewer lactoflora provokes shift pH, harmless and pathogenic microflora begins to multiply, causing inflammation of different severity.
Thus, vaginal discomfort provoke any circumstances, lead to a change in the number of lactobacilli or hormonal dysfunction.Most others, these are:
- Incorrect intimate hygiene.Failure to comply with simple hygiene procedures, as well as their performance too hard, is likely to disrupt the proper ratio of lactic acid bacteria and germs.
- Hormonal disorders.
- Genital infections.
- local Allergic reactions, including the means for personal hygiene, latex (contained in a condom).
- Long-term inflammation in the area of the external genitalia.
- Improper antibiotic treatment.
foregoing reasons can provoke discomfort in the vagina and absolutely healthy women.If they are of short duration, they are on their own, they are not correlated with pathology.
signs of discomfort in the vagina
When to see a doctor the patient indicate discomfort in the vagina or on the discomfort of the vagina (vulva).Such feelings are identified as pain, itching, burning, tingling, a feeling of dryness.Sometimes discomfort accompanied by abnormal discharge.
age of the patient may indirectly testify about the causes of vaginal discomfort.In children, a source of discomfort in the vagina may be a foreign body, worm infestation and nonspecific inflammation.
Older patients often suffer from vaginal dryness due to age-related atrophic changes in the conditions of estrogen deficiency.
young patients more likely to experience discomfort in the vagina due to infectious inflammation.The reason is this can serve as a self conditionally pathogenic or got on mucous membranes of the genital tract outside of specific infections.In addition to the discomfort appear abundant mucopurulent or purulent leucorrhea, itching and / or burning.During the inspection revealed signs of inflammation (swelling, redness) and the presence of purulent plaque.
Appearance cables can sometimes indicate the source of vaginal discomfort.If trichomoniasis copious, frothy, greenish, with a characteristic stale odor.
characteristic symptoms of Candida differentiates inflammation.The patient was concerned about the severe pruritus in the area of the vagina, worse in the evening.Select with fungal disease mucous thick, heavy, resemble cottage cheese or soured milk.
Diagnosing the cause of vaginal discomfort, in addition to the inspection includes:
- the study of vaginal content for the presence of infections (smear "flora", bakposev);
- the study of the cellular composition of the vaginal and cervical epithelium (smear "cytology");
- colposcopy (in the case of atrophic process).
During the diagnostic search is also important to establish the degree of acidity and change the composition of the vaginal microflora.
Treatment discomfort in the vagina
Therapeutic Management of vaginal discomfort depends on its cause.
Always remember that the discomfort in the vagina is not always associated with gynecological problems.Sometimes the patient during the interview clearly indicate the provocative moment preceding the appearance of the discomfort: wearing tight synthetic underwear, hypothermia, severe stress, the use of new means of hygiene, worsening extragenital diseases.Also, discomfort in the vagina can occur after intimacy, if the patient has an allergy to latex, or sexual contact was too aggressive.
Discomfort in the vagina neginekologicheskogo origin can be eliminated with the help of local health agents in the form of gels, suppositories or oils.If discomfort in the vagina was a manifestation of allergy, a pre-treatment should talk with a specialist.
Sometimes for a full recovery is sufficient provocation to eliminate or restore the proper performance of the vaginal microflora by a simple exchange of local therapy drugs containing bifidobacteria and lactobacilli, lactic acid.
If the culprit is an infectious inflammation of the discomfort, the treatment is carried out according to laboratory conclusion about its origins.Local antibiotic therapy combined with symptomatic means to eliminate itching, pain and inflammation.When the infection is eliminated, proceed to the second phase - the restoration of the vaginal microenvironment.
Discomfort in the vagina associated with atrophic changes in the mucous, is more common in older women due to physiological hypoestrogenism.So how to make up the necessary supply of estrogen in postmenopausal women can not be used hormone replacement therapy.
Usually, the first signs of discomfort in the vagina of the patient seek to eliminate independently, and often they succeed.However, when the improvement is temporary or recurs should receive adequate assessment and determine the cause of discomfort in the vagina.