HealthMedicine

Candidiasis vulvovaginitis: treatment, diagnosis, causes

Probably, one of the most unpleasant and common gynecological diseases is candidiasis vulvovaginitis. He is also called "thrush". Almost every woman knows her. It is impossible to die from this disease, but it can significantly worsen the quality of life.

Genital candidiasis causes fungi of the genus Candida. They are normally present in the vagina of each woman. However, when their number increases dramatically, they cause its inflammation.

If vulvovaginal candidiasis is not treated, then the infection can spread to the cervical canal and even the uterus. Over time, there is urethritis and cystitis. The disease becomes chronic, reminiscent of yourself with frequent exacerbations.

Candidiasis vulvovaginitis manifests itself as follows:

  • Cheesy discharge;
  • Irritation, burning, itching of the vulva and vagina;
  • Increased odor, pain and itching after and during sex;
  • Increased irritability, nervousness.

This disease can trigger the following factors:

  • Poor hygiene;
  • Decreased immunity;
  • Diseases of the digestive tract (dysbacteriosis, cholecystitis, colitis);
  • Hypovitaminosis;
  • Problems with metabolism (obesity, diabetes, thyroid disease);
  • Increased amount of estrogens (use of oral contraceptives, pregnancy);
  • Common diseases of the body, including ARI;
  • Reception of antibiotics.

The last point leads to genital candidiasis most often. The fact is that when using antibacterial drugs, not only the pathogens die, but also the microorganisms that make up the normal flora of the intestine and vagina. Their main function is to contain the growth of bacteria and fungi. In these conditions, harmful microorganisms begin to multiply actively.

When the first signs of the disease appear, you need to visit a gynecologist. He will interview the patient, carry out an examination, take a swab in the flora. Usually this is enough to make a diagnosis. Upon examination, the doctor will see redness, swelling of the mucous and skin of the labia, cervix and vagina. In the analysis on the flora leukocytes will be raised, mycelium and spores of the fungus are found.

However, in the chronic course of the disease, this is not enough. In this case, a smear from the vagina is sown. This analysis helps determine the type of Candida fungus that caused inflammation, their number and the drug to which they are sensitive. Especially relevant is this study with a frequently recurring infection.

In addition, genital candidosis is a frequent companion of STDs, so when it appears, it is advisable to undergo a comprehensive examination of them. Generally "thrush" is considered a marker of trouble in the genitourinary system.

Therefore, self-treatment of vulvovaginitis is unacceptable. It should be performed by a qualified gynecologist. It is believed that genital candidiasis does not belong to STDs, so a partner's examination and treatment is necessary only with the often recurring, chronic course of the disease in the patient.

Candidiasis vulvovaginitis, which is treated locally and systemically, is prone to relapse. The doctor prescribes therapy, taking into account his personal experience, the financial possibilities of the patient, the duration of the disease and its clinical manifestations. With local treatment, candles, balls, vaginal pills and ointments are used. One of the most popular drugs for systemic therapy of "thrush" is "Fluconazole".

To prevent this disease, you must:

  • To refuse from close, synthetic linen and trousers;
  • Wash in the morning and evening, and during menstruation after changing the pads (every 4 hours);
  • Eat less sweet;
  • Strengthen immunity;
  • Timely treatment of other diseases;
  • To use sour-milk products (biocrefier is better);
  • During treatment, exclude sex;
  • When taking antibiotics, use antifungal drugs (150 mg fluconazole after each week of therapy);
  • Timely restore the microflora of the vagina and intestines.

According to statistics, in 5% of women genital candidiasis acquires a chronic course and has more than 4 relapses per year. In almost 25% of patients, the disease recurs within 3 months after treatment.

So, candidal vulvovaginitis is a very unpleasant disease, which is prone to relapse. This fact significantly complicates the treatment, which must be done in a timely manner. The later the therapy is started, the more difficult and long it will be.

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