Vulvovaginitis: treatment in women and girls

In the article, we consider the symptoms of treatment of vulvovaginitis.

It belongs to gynecological diseases, it is characterized by inflammatory processes in the mucosa of the vulva and vagina. This pathology occurs as a result of non-compliance with hygiene rules. Because of this, infection of the genital organ with pathogenic flora occurs. It is not difficult to identify vulvovaginitis, it is just enough to recognize its symptoms in time and begin treatment. Next, we find out what this disease is, and also find out how the treatment of vulvovaginitis in girls and adult women is carried out.

The main causes of the disease

The following causes lead to the inflammatory process in the vaginal mucosa, and in addition, on the surface of the genital organs:

• Failure to comply with generally accepted hygiene rules.
• Long-term use of antibacterial drugs, especially corticosteroids and cytostatics.
• Too frequent washing with soap-based products.
• Frequent douching of the vaginal walls.
• Inconvenient and tight clothes.
• Getting injured as a result of introducing any objects into the vaginal area.
• The presence of chronic diseases, for example, diabetes along with obesity, helminth infections, diseases of the genitourinary system and so on. All of them lead to a decrease in local immunity.
• The appearance of diaper rash as a result of getting insufficient air to the genitals.
• Incorrect use of tampons.
• The appearance of violations in the bloodstream of the vaginal walls and genitals in women who are over fifty years old.
• The occurrence of allergic manifestations on drugs, and in addition, on contraceptives, on lubrication and condoms.
• Decreased immune function.
• The development of hypovitaminosis and vitamin deficiency.
• The result of hypothermia.

A direct factor in the development of this disease is infection with the following microorganisms:

• Infection with various bacteria, for example, streptococci, staphylococci, hemophilic and E. coli or enterococci. Also, vulvovaginitis can develop in women due to infection by bacteria, which are transmitted through sexual contact. These include, first of all, gonococci with chlamydia.
• Infection very often occurs due to viruses that cause genital herpes.
• This disease can also occur due to human papillomavirus infection.
• The cause can also be Candida fungi.
• Infection with protozoa: trichomonads and amoeba.
• Helminth infection: pinworms and roundworms.

Before talking about the treatment of vulvovaginitis, we will understand what symptoms accompany this pathology.

Symptoms of the disease

Against the background of the occurrence of pathology, the patient will most likely have the following complaints:

• The appearance of burning and itching in the genital area.
• Observation of abnormal vaginal discharge. Such secretions can be yellow, green, brown or curdled.

This disease is often accompanied by various secretions. In the event that the disease was caused by bacteria, the vaginal secretion will be very thick, heterogeneous and purulent. Against the background of vulvovaginitis caused by trichomonads, the discharge will have a purulent and foamy character with an extremely unpleasant and offensive smell. Fungal infections are characterized by secretions of a curdled consistency. Treatment for candidiasis vulvovaginitis will also be presented.

During the examination, the doctor usually pays attention to the following symptoms:

• The presence of swelling and redness of the mucosa. Such a change can affect the labia, the vestibule area, and in addition, the vaginal walls.
• The occurrence of erosion. This symptom is characteristic of the herpetic and diphtheria type of vulvovaginitis.
• The presence of bubbles filled inside with a clear liquid. This symptom is especially characteristic of herpes.
• The presence of synechia between the labia minora. Often this symptom is manifested among young girls. The cause is the presence of chronic vulvovaginitis. Its treatment must be carried out necessarily.
  

Acute vulvovaginitis can manifest itself with common symptoms, especially for girls who are in preschool age. Against this background, the child can become moody, extremely tearful and will tire very quickly. In the event that the patient already has a sexual life, she will experience symptoms in the form of decreased sexual desire, and in addition, there will be painful sensations during sexual intercourse.

How vulvovaginitis manifests itself in girls

Vulvovaginitis is a disease of bacterial origin. Its causative agent, as previously noted, can be all kinds of pathogenic microorganisms. In some situations, vulvovaginitis is a manifestation of allergic reactions in the child's body. Against the background of this disease, girls usually have symptoms in the form of pain in the genital area, and in addition, itching and burning sensation are possible.

As in adult women, the appearance of mucous and purulent secretions is not ruled out in girls against the background of this ailment. They may be scarce or abundant, but most often they have a strange and unpleasant odor mixed with blood.

In the event of the above symptoms in girls, parents are required to seek medical help. In the absence of proper treatment, this disease can become chronic. Subsequently, the disease can lead to the occurrence of synechiae (this term refers to the fusion of the labia), which will interfere with urination. Due to this factor, sexual life may be difficult in the future.

The treatment of vulvovaginitis in women is discussed below.

The main types of vulvovaginitis

In medicine, it is customary to divide this disease into several of the following types:

• Bacterial type of vaginitis.
• Fungal form of the disease.
• Viral form.
• Atrophic type of vaginitis.
  

Separately, specific vulvovaginitis is distinguished, which is caused by parasites such as chlamydia, gonococcus, trichomonads and other pathogenic microorganisms.

As for bacterial vulvovaginitis, it occurs as a result of infection of the body by pathogenic bacteria. During the examination, women show signs in the form of swelling and redness of the vulva and vaginal walls. For bacterial infections, moderate itching is characteristic, along with burning and discharge of a cloudy character with an extremely unpleasant odor. Fungal vulvovaginitis usually manifests as a result of the multiplication of candida fungus. The following two options for the course of this pathology are possible:

• The acute form of candidal vulvovaginitis is characterized by pronounced symptoms, which is manifested by swelling and hyperemia of the labia. Hyperemia of the vestibule of the vagina and its walls can also be observed. At the same time, patients have severe itching and burning, and the discharge is characterized by a curdled character.
• The chronic form of pathology is characterized by a rather weak severity of symptoms. The appearance of minor discharge is likely.

Against the background of trichomonas vulvovaginitis, patients show signs such as itching, redness, burning of the genitals, yellowish discharge, which have an extremely unpleasant odor. Pain may also be present during intercourse. The occurrence of pain during urination is also likely if the disease is still accompanied by urethritis.

Vulvovaginitis can occur without any symptoms or, conversely, with an increase during menstrual cycles. Chlamydial vulvovaginitis is classified as a sexually transmitted infection. This type of pathology is characterized by signs in the form of pain in the abdomen and back. In addition, discharge with blood particles may be present. Probably the asymptomatic course of the disease. Often the only sign of chlamydia is infertility.

Against the background of atrophic vulvovaginitis, a decrease in the secretion of vaginal mucus can occur, while on the surface of the labia there will be an active reproduction of bacteria. This type of vulvovaginitis occurs mainly in women who are over fifty years old. This is due to a decrease in estrogen levels during the menopause.

Diagnosis of the disease

About how to cope with vulvovaginitis, and how to cure this unpleasant pathology, only a doctor will tell. The specialist will first interview the patient for symptoms. After that, a gynecological examination of the vagina will be performed on a special chair. At the end of the examination, the doctor will take a smear for subsequent bacteriological examination.

If necessary, the patient will be prescribed provocative tests. To identify the causative agent of this disease, a polymerase reaction is currently actively used along with enzyme-linked immunosorbent assay. In childhood, doctors prescribe patients an examination of the body for the presence of helminths. To do this, you need to pass feces, which is done three times. Enterobiosis scraping is also taken. In the event that there is a need for further research, serological blood tests are prescribed for the presence of helminths.

In order to assess the condition of the vaginal wall in girls, the examination is carried out as carefully as possible in order to preserve the hymen. During the examination of the child, mirrors are not used. An informative diagnostic method is the use of a vaginoscope equipped with a camera and a light bulb.

In the event that a woman observes vulvovaginitis, the doctor additionally assesses the condition of the cervix, as well as some other organs. According to the indications, it is recommended to undergo colposcopy along with an ultrasound examination of the uterus and appendages using abdominal or vaginal sensors.

Next, find out how to treat this disease in women and girls.

The treatment of vulvovaginitis

The treatment process, first of all, consists in eliminating the main cause of the disease, that is, in stopping the inflammatory processes. It is important to alleviate the symptoms that appear. The treatment regimen in each case is selected individually. Treatment can be carried out at home. It usually includes taking antibiotics in the form of suppositories or vaginal tablets. Special healing creams may also be prescribed. As a rule, the following treatment measures are prescribed for women:

• The most convenient means for therapy are suppositories with vaginal tablets. In most cases, antibiotics of wide exposure are used. In addition, antiseptics are used. In order to restore vaginal microflora after a course of antibacterial treatment, the use of special agents - probiotics is recommended.
• The treatment course also includes the use of vaginal baths. In the role of solutions, hydrogen peroxide can be used along with preparations in the form of “Furacilin”, “Chlorhexidine” and “Lysozyme”. In order to avoid burns of the mucosa, experts advise that the dosage be observed exactly.
• As part of anti-inflammatory drugs in the treatment of vulvovaginitis, decoctions based on sage, eucalyptus, calendula or chamomile are used. It is important not to forget that folk methods will not help to completely recover from the problem. This treatment option applies only to additional activities.
• Physiotherapeutic procedures are also prescribed for patients in the form of ultraviolet irradiation of the perineum, electrophoresis and electrotherapy. Physiotherapeutic techniques can reduce the duration of treatment by acting on the deeper layers of the affected tissue.
• Antimicrobial and anti-inflammatory treatment of bacterial vulvovaginitis is supplemented by the use of a vitamin complex and immunostimulating drugs. If necessary, the doctor prescribes drugs to eliminate estrogen deficiency, and, in addition, drugs for worms. Foci of chronic infection are also being sanitized. The most popular drugs for the treatment of vulvovaginitis will help you choose a doctor.

Most often these are antibacterial suppositories:

• Hexicon.
• "Macmirror."
• Neo-Penotran.
• Terzhinan.

Medicines that are used to treat candidal vulvovaginitis:

• "Miconazole."
• Thioconazole.
• "Clotrimazole."
• Pimafucin.
• "Nystatin."
• "Butoconazole."

Patients should refuse sexual intercourse. Resuming intimacy is possible only when treatment is complete.

Treatment of vulvovaginitis in girls

In order to get rid of this disease, the treatment of vulvovaginitis in girls should consist in the mandatory use of drugs based on antibiotics and drugs designed to correct vaginal dysbiosis.

Suppositories along with vaginal tablets for the treatment of vulvovaginitis in children are not prescribed, so creams are more preferred. Well managed to recommend local procedures. These include, first of all, baths with the addition of medicinal plants, and in addition, antiseptic solutions. In addition, ultraviolet irradiation of the perineum is carried out for the treatment of vulvovaginitis in girls. We continue to understand.

What else does treatment for vulvovaginitis in girls suggest?

In the event that the child has a tendency to masturbate and introduce various objects into the vaginal area, then mandatory consultation with specialists such as a psychologist, neurologist and psychiatrist will be required. In some cases, specialists prescribe medications designed to prevent neurotic and behavioral disorders. Doctors teach parents of girls the basic rules of child hygiene and give recommendations regarding the choice of children's underwear and chemical detergents.

In addition to the treatment of vulvovaginitis in children, preventive measures must be followed.

Prophylaxis

You can prevent the development of vulvovaginitis if you follow the following important recommendations. So, these include:

• Daily hygiene of the intimate area.
• Wearing exclusively high-quality underwear, which includes only natural materials.
• A complete refusal to wear tight and tight garments.
• Refusal of antibiotic treatment for no significant reason.
• An exception to the frequent use of gaskets.

Vulvovaginitis is not considered a serious disease, but can cause quite severe discomfort. In the case of timely diagnosis and proper treatment, the pathology passes quickly enough. But self-medication is by no means impossible, since you can only exacerbate your condition. Against the background of the manifestation of the first symptoms of vulvovaginitis, women and girls should appear to the doctor.

Vulvovaginitis is also treated with folk remedies.

Folk methods

Vulvovaginitis can be treated with folk recipes:

• St. John's wort grass, thyme, leaves of coltsfoot, nettle, buckthorn bark, calamus rhizome. A tincture is prepared from a mixture of these herbs, in a ratio of 1: 2: 2: 1: 1: 2. 2 tablespoons of the mixture is poured into a vessel, pour two glasses of boiling water, insist 12 hours. Take 3 times a day.
• Chamomile, mallow flowers, sage, walnut leaves, oak bark, proportion - 5: 2: 3: 5: 2. 2 tbsp pour one liter of boiling water, stand in a water bath for 30 minutes, squeeze. Apply douching and intravaginal swabs. Alternative treatment of vulvovaginitis should be carried out under the supervision of a physician.
• Cultivated flax grass, white mistletoe, perforated St. John's wort, shepherd’s bag, water pepper grass, oak bark, willow bark, dioecious nettle, medicinal comfrey, highlander, calendula, chamomile, in a ratio of 1: 1, 2 tbsp. l 0.5 liter of boiling water is poured, aged in a water bath for 20 minutes, filtered. Used for douching.
• Medicinal sage - 20 g, rosemary - 20 g, oak bark - 45 g, yarrow - 20 g, mix and pour 3 l of boiling water. Apply in the form of douching 2 times a day.
  

We also consider reviews of the treatment of vulvovaginitis.

Reviews

This disease periodically worries a lot of women and girls. Reviews about this are abundant. If you see a doctor in a timely manner and undergo treatment, then you can quickly get rid of the symptoms.

Judging by the reviews, antibacterial suppositories and solutions for topical application help well. , .