Colpitis is an inflammatory process in the vaginal mucosa. It is the most common pathology among women of reproductive age and is caused by various pathogens: chlamydia, mycoplasmas, streptococci and staphylococci, hemophilic bacillus.
Quite often, inflammation of the vagina is due to the influence of yeast-like fungi of the genus Candida. In this case, candidal colpitis develops, which is characterized by a
violation of the vaginal microflora with a decrease in the number of bacteria that synthesize lactic acid.
The fungi that cause colpitis are unicellular organisms. They form pseudomycelia and blastospores.
Infection is observed among all age groups, intrauterine transmission is possible . It is worth noting that inflammation of the vagina in women of reproductive age requires immediate treatment, otherwise the pathological process spreads to the cervical canal, uterus and its appendages. This causes endometritis, cervical erosion, and even infertility.
Candida colpitis: etiology
Among the factors that provoke the development of this disease, the following are distinguished:
• infections transmitted through sexual contact;
• other infectious pathologies;
• mechanical injuries of the vaginal mucosa or malnutrition;
• anatomical changes in the structure of the vagina;
• endocrine disorders;
• long-term antibiotic therapy;
• allergy to condoms, vaginal suppositories and creams;
• non-observance of personal hygiene;
• low level of immune status;
• violation of carbohydrate or protein metabolism;
• lack of vitamins;
• hormonal imbalance;
• elderly age.
I must say that under the influence of these factors not only candidiasis colpitis (thrush) develops, but also vulvitis, endocervicitis.
The clinical picture of colpitis of fungal origin
Among the main clinical manifestations of this pathology, burning, itching, pain in the vagina and massive cheesy discharge are distinguished. During a gynecological examination, it is noticeable that the mucous membrane is swollen and red. In addition, significant white deposits are found, upon removal of which erosive surfaces are formed. To confirm the diagnosis, swabs are taken from the vagina to identify fungi.
Candida colpitis: treatment guidelines
Local therapy is carried out using a solution of nystatin. Vitamins and antihistamines, antifungal agents for enteral administration are also prescribed (for example, levorin 500 thousand units three times a day for 20 days).
With superficial candidiasis, decamine is most often used, which is prescribed in the form of 1% ointment for application to the vaginal mucosa. With thrush, decamine can also be prescribed in the form of caramel, which should be slowly absorbed in the oral cavity. At the same time, general strengthening therapy is carried out.
Treatment of candidiasis during pregnancy has its own characteristics. Women in this period should in no case resort to self-medication, since the use of any medication can provoke a number of serious complications. Therapy should be prescribed by a doctor and include the use of the most effective, but safe antifungal drugs.
Candidiasis colpitis during pregnancy: treatment in the first trimester can be carried out with nystatin, pimafucin, hexicon or terzhinan. From 3-4 months of gestation, it is allowed to use metronidazole, clotrimazole, meratin combi. It should be noted that sedentary baths with a decoction of chamomile and calendula have a positive therapeutic effect.
With timely treatment, complications of candidal colpitis rarely occur.