Colpitis is called inflammation of the vaginal mucosa. In medical practice, such a disease is called vaginitis. This is a fairly common painful condition that occurs mainly in women of reproductive age. According to statistics, each representative of the weaker sex suffers from various forms of colpitis, without even knowing about it.
In gynecology, the term "colpitis" refers to damage to the vaginal mucosa. However, experts say that such inflammation can be observed on the external genitalia.
Possible reasons
The cause of the development of a disease such as colpitis is infection. At the same time, a healthy vaginal mucosa is able to cope with infectious aggression on its own. But as soon as the woman’s immune system fails, the beneficial microflora becomes pathogenic.
Symptoms
Signs of colpitis are largely determined by its shape and origin, but they are not very diverse.
- Irritation, redness and swelling in the external genital area.
- Unpleasant odor from the vagina (not harsh, but sour).
- Pain that is localized in the pelvis. It should be noted that such a symptom of colpitis can intensify in the process of intimacy or during the act of defecation.
- A burning sensation and itching, increasing during a long walk, as well as in the afternoon or during a night's rest.
- Regular urination, and sometimes urinary incontinence.
- Insomnia, neurosis, increased irritability, which are caused by a whole complex of symptoms of the disease, constantly worrying a woman.
- Subfebrile values of body temperature.
What to treat?
Vaginal suppositories from colpitis are used more often than other forms of medicines.
Suppositories are actively used in medical practice, especially in urology, gynecology and proctology. This form of the drug has many advantages over, for example, injections or tablets. These include the following:
- The vaginal mucosa has a well-developed network of blood vessels. In this regard, the rate of entry of drugs into the bloodstream is similar to intramuscular injection.
- The organoleptic properties of suppositories do not matter, since they do not need to be tasted.
- When installing candles from colpitis, you can not worry at all about any complications with the introduction, since this is a completely painless medical procedure.
- Using suppositories, you can achieve the highest possible concentration of the drug in the vagina. This will increase the effectiveness of therapy, and also help to avoid the emergence of drug resistance.
- Dissolving in the vagina and acting on the mucous membrane, suppositories from colpitis do not create a load on such an organ as the liver.
- Unlike other dosage forms, suppositories are much less likely to cause various side effects, since they practically do not transform in the human body. Thus, the therapeutic effect is achieved without causing harm to the patient and without loading his internal organs.
Despite all the advantages, it is not always enough to use only one candle from colpitis. For example, chronic forms of inflammation and many specific diseases require the use of antimicrobial and antibacterial drugs in the form of tablets or injections.
Which colpitis suppositories are better?
Most often, with inflammation of the vaginal mucosa, doctors prescribe complex suppositories to their patients, which include several active substances. These include antimicrobial, antifungal and antibacterial components, as well as hormones. Such a complex of substances contained in suppositories from colpitis can quickly relieve the main symptoms of the aforementioned disease, including itching, pain, burning, etc.
The average duration of therapy with such drugs is 7-14 days. It should be noted that in most cases it is enough for the patient to use only one candle at night, which is more than convenient.
We will talk about which candles from colpitis are the best.
The drug "Terzhinan"
This medication belongs to the group of combined antifungal, antimicrobial and antiseptic agents that are actively used in gynecological practice.
The pharmacological properties of the mentioned suppositories from colpitis in women are due to the activity of the main components that make up their composition. During treatment with Terzhinan, pronounced anti-inflammatory, trichomonacid, antifungal and antibacterial effects are observed.
According to the instructions for use, such a drug must be administered deep into the vagina (one suppository, once a day) for ten days.
Before administering the medication, it is recommended to lower it first in water for 30 seconds or hold it in the palm of your hand for about 2 minutes.
If the suppository is administered during the day, then after its installation, the patient should lie down for at least 10 minutes.
The medicine "Polygynax"
Some experts say that these are the best suppositories for colpitis in women. One Polygynax suppository includes three active components at once: nystatin, neomycin sulfate and polymyxin B sulfate. Also, such a substance includes such additional substances as hydrogenated soybean oil, tephose 63 and dimethicone 1000.
Suppositories from colpitis in women "Polygynax" are a local combined medication that exhibits antifungal and antibacterial effectiveness.
The central action of the main components of this drug from the antibiotic group (Neomycin and Polymyxin B) is aimed at suppressing the activity of bacterial gram-positive and gram-negative microorganisms. It should be noted that streptococci and anaerobic bacteria are not sensitive to such drugs.
As for the third antibacterial ingredient (nystatin), it has a fungicidal effect against fungal strains of the genus Candida.
According to most doctors, these are perhaps the best suppositories for colpitis. The active components of Polygynax have beneficial effects on trophic processes that occur in the vaginal mucosa. In addition, the mentioned drug has a rather extensive spectrum of action (from thrush to other fungal infections).
The instructions for the use of the drug say that such suppositories should be used only topically, that is, intravaginally. The best way to introduce suppositories is the patient's position - lying on his back. The use of one candle is indicated per day, preferably in the evening.
The course of treatment for colpitis with such a drug usually takes 12 days.
Medication "Macmirror Complex"
Which colpitis suppositories are better? Experts say that drugs that contain several active ingredients are most effective in fighting this disease.
The drug "Macmirror Complex" goes on sale in the form of vaginal suppositories. The main components of this drug are: nystatin and nifuratel. Due to this composition, the agent in question has a pronounced antibacterial, antifungal and antiparasitic effect on the pelvic organs.
Such an active substance as nifuratel is a derivative of nitrofuran. It exhibits good therapeutic activity against bacteria, fungi and Trichomonas. As for nystatin, it refers to the antibiotic agents of the polyene group. Such a substance acts directly on the cells of the pathogen, disrupting their permeability and provoking death.
The combination of 2 active components of the candles "Macmirror Complex" helps to achieve a pronounced therapeutic effect against pathogens of female genital infections.
Such effective suppositories from colpitis are used intravaginally, 1 suppository at bedtime. The duration of treatment is 8 days, but if necessary, the duration of therapy can be increased / decreased, but only as directed by a specialist.
The drug "Ginokaps"
Such a combined intravaginal agent contains two active components:
- Metronidazole - is an antimicrobial and antiprotozoal substance, a derivative of nitro-5-imidazole. Optional anaerobes and aerobic microorganisms are resistant to it, but in the presence of mixed flora it acts synergistically with antibiotic drugs that are effective against aerobes.
- Miconazole - this component is able to exert an antifungal effect against yeast and dermatophytes. With intravaginal administration, the substance in question inhibits the biological synthesis of ergosterol in fungi, and also changes the composition of lipid components in their membrane, which contributes to the death of fungal cells.
Ginocaps suppositories are used intravaginally in the evening. Treatment is carried out in combination with taking Metronidazole tablets (oral). The daily dose of the drug in question is 1 suppository per day. The course of therapy is 10 days.
Means "Mikozhinaks"
Studying the list of suppositories from colpitis, it should be understood that each of the drugs presented has its own pharmacological characteristics, side effects and contraindications. Therefore, they should be used only as directed by a doctor.
Mikozhinaks suppositories contain such active substances as metronidazole, chloramphenicol, nystatin and dexamethasone acetate.
The drug in question belongs to the group of imidazoles and exhibits antiprotozoal and antimicrobial properties against a huge spectrum of anaerobic bacteria.
The dexamethasone that is part of the drug is a corticosteroid (synthetic) and has anti-inflammatory and immunosuppressive effects. Also, this component eliminates itching, affects energy metabolism, and reduces the intensity of inflammation.
Chloramphenicol is an antimicrobial drug that is especially active against gram-positive and gram-negative microorganisms. It disrupts protein synthesis in microbial cells, exerting a bacteriostatic effect.
As for nystatin, this component is an antifungal antibiotic. After it penetrates the cells of microorganisms, it binds to ergosterols, causing further death of bacteria.
Considered suppository from colpitis during pregnancy can not be used. The same goes for breastfeeding. Suppositories are administered intravaginally, once a day (one suppository), before bedtime.
At the onset of menstruation, Mikozhinaks should be used in the same dose.
The period of treatment with such a drug may take 10-12 days. During this period, it is advisable to avoid sexual intercourse.
Medications Neo-Penotran and Klion-D
The active substances of these drugs are miconazole and metronidazole. Most often, such drugs are prescribed for non-specific colpitis.
Neo-Penotran and Klion-D are combination preparations intended for intravaginal administration and with antifungal, antibacterial and antiprotozoal effects.
Miconazole nitrate is an antifungal derivative of imidazole. It exhibits pronounced activity against most fungi of the genus Candida and some gram-positive bacteria.
As for metronidazole, it is an antiprotozoal agent.
It should also be noted that Neo-Penotran Forte includes such an additional component as lidocaine, which has a local anesthetic effect.
Meratin-Combi
The active component of this drug is ornidazole (an analogue of metronidazole). Also, the main substances in the composition of suppositories include: nystatin, prednisone and neomycin.
Such suppositories are very often used for the treatment of trichomonas colpitis, non-specific inflammation of the vaginal mucosa and thrush.
Treatment of atrophic colpitis
In most cases, suppositories from colpitis, the names of which were listed above, are used to treat all types of disease, except atrophic. To cure the latter, the estrogen component must be part of the suppository. These most effective and popular remedies include:
- "Ovestin" - contains estriol. Full analogues of this drug: "Estrovagin", "Estriol".
- “Gynoflor E” - in addition to estriol, such a medication contains lactobacilli, which allows to achieve the maximum therapeutic effect.
Inexpensive Suppositories
All complex candles from colpitis, reviews of which are very mixed, have a high price. To significantly reduce the cost of treatment, some patients use drugs with one active substance. The most popular and effective include the following:
- "Hexicon" - candles from colpitis based on chlorhexidine. They have a wide spectrum of action, including with respect to specific and conditionally pathogenic flora.
- Betadine candles based on iodine. Such a drug exhibits antiseptic and antimicrobial properties. It is absolutely safe and can be used even in the treatment of trichomonas colpitis.
- The drug "Trichopolum" based on metronidazole. It is actively prescribed for vaginitis, vaginosis and gardnerellosis.
- Antifungal suppositories "Nystatin". The same active substance of this drug is part of many complex drugs.
- Vaginal tablets “Clotrimazole” have high antifungal activity.
- Sea buckthorn suppositories represent a pretty good alternative to suppositories with hormones intended for the treatment of atrophic colpitis.
Preparations for the restoration of biocenosis
After the main treatment for colpitis, it is recommended to take the course necessary to restore the vaginal microflora. For this, experts recommend using the following tools:
- Candles "Bifidumbacterin" contains bacteria of the same name, which are adsorbed on particles of coal.
- Candles with lactobacilli "Lactozhinal".
- Candles based on ascorbic acid "Vaginorm C".
Suppositories to stimulate immunity
During the treatment of certain types of colpitis, patients are often prescribed medications that enhance their own immunity. These drugs include:
- Candles "Kipferon", which includes several types of interferons.
- Suppositories "Genferon" contain only alpha interferon.
Reviews on the effectiveness of vaginal suppositories
According to experts, vaginal suppositories for colpitis help to cope with the disease as efficiently and quickly as possible. This is due to the fact that suppositories have a number of advantages over other dosage forms. As for patients, most of them agree with the opinion of doctors. They believe that vaginal suppositories can quite quickly eliminate all the symptoms of the disease. Although there are cases when such drugs do not contribute to an improvement in the condition, and sometimes patients even begin to complain about its deterioration. Experts explain this by the presence of side effects in the drugs. Therefore, the use of such funds should only be after a full examination and consultation with a doctor.