it is an inflammation of the vulva (external genitals in females). During this process is the infection of large and small labia, clitoris, hymen, and (or) the vagina and its glands. Vulvitis often develops for several reasons local or General nature. The disease is often caused by the violation of the tissues of the mucous membrane of the vulva and of the skin, as well as the reduction of local immunity. This inflammation often provoke opportunistic microorganisms, such as yeasts, E. coli, streptococci and staphylococci. Less common pathogens are Trichomonas, chlamydia, gonococci viruses. Very rarely, but it happens vulvitis in women because of the causative agents of tuberculosis and diphtheria.
The main reason of an inflammation of the vulva changes of the microflora of the genital organs of women, changing the ratio and amount of microorganisms. One of the most common causes is bacterial vaginosis, when pathogens become a variety of microorganisms that can cause inflammation by reducing the immune system. Vulvitis, provoked by the agents of gonorrhea, herpes, Candida (Candida vulvitis), usually occurs due to unprotected sexual intercourse with carriers of these diseases.
Another cause of vulvitis is getting poor hygiene, especially during menstruation.
Other causes of vulvitis
- mechanical trauma of the tissues of the vagina and vulva that can occur due to rough sexual intercourse, wearing tight clothing, prolonged use of pads and tampons
- irritation from chemicals, urine (incontinence), vaginal discharge
- brushing the labia with the worms, vegetariane, excessive sweating (particularly in summer)
- the presence of fistulas
- radiation therapy, chemotherapy, excessive or prolonged use of antibiotics.
Experts distinguish various forms of vulvitis
The primary is a consequence of the reduced immunity, poor personal hygiene. This form is also called the chemical and mechanical tissue damage. Secondary vulvitis occurs after inflammation of the genitals due to endocervicitis or vaginitis.
The nature of the disease share
Acute vulvitis is characterized by bright expression of symptoms and adequate treatment quickly. The chronic form has the sluggish symptoms that are not held for a long time.
There are also allergic vulvitis, which can be triggered by allergies to chemicals or medications taken by a mother.
Basic symptoms of vulvitis are burning, pain, itching in the genitals. Often the selection as white and transparent, and yellowish or greenish in color, with an unpleasant odor. Patients experience pain during intercourse (called dyspareunia). Rarely the disease is accompanied by fever and overall weakness. In acute vulvitis formed a strong swelling labia become red and inflamed, sometimes there are erosions and ulcers. Rarely increasing the inguinal lymph nodes. Acute vulvitis in a child can cause insomnia and General nervousness. When not treated, girls may fusion in the area of the labia (adhesions).
During a reception at the gynecologist analyses the history of previously transferred gynecological diseases, the discussion of the peculiarities of sexual life, the consideration of pregnancy outcomes and surgical interventions. The doctor examines sexual organs, during which revealed swelling and redness, the presence of erosive damage to the mucosa of the vulva and cervical canal, discharge with an unpleasant odor. Palpation may reveal enlarged lymph nodes in the groin area.
In conducting smear microscopy detected an increased level of leucocytes and the presence of bacteria that caused the disease. Also conducted PCR diagnostics analysis, which can detect bacteria and viruses, which served as the agents of the vulva. For a complete picture of the disease is carried out a urine test which shows the presence or absence of cystitis (problems, which can cause vulvitis, and to be a consequence of it).
First and foremost, in the treatment of vulvitis, you must abstain from sex in order not to disturb the inflammation. Is both local and General treatment. The doctor prescribes baths and treatment genital drugs anti-inflammatory action. Also use vaginal suppositories and tablets with antibacterial effect. In the treatment of gonorrhea, which has become a cause vulvitis, antibiotics joint actions. If the cause of the disease began sexually transmitted infections, it is necessary to treat the sexual partner.
To support the immune system and the whole body prescribe a course of vitamin therapy and drugs that enhance the protective properties of the system. In acute forms of the disease can be prescribed physical treatments such as electrophoresis and ultraviolet irradiation.
In case of untimely treatment or incorrect treatment of vulvitis may be complications of ulcers on the external and internal reproductive organs, infection of the overlying bodies, the appearance of vulvovaginitis, cervicitis, endometritis, and infertility.
For prevention of the vulva is necessary
- to visit the gynecologist for a routine inspection at least twice a year
- promptly seek the help of an expert to the slightest symptoms and complaints
- to the end to treat infectious diseases of the genital organs
- to observe personal hygiene
- checked on the bot
- to avoid hypothermia.
Vulvitis in children is diagnosed often in poor hygiene, hypothermia, or bathing naked in open water with a large crowd of people. In 40 % of cases in girls vulvitis can be caused by so-called pinworms, parasites that are found in the anus. When transferring the eggs of pinworms in the vagina there is inflammation. That is why the bot is in first place among the causes of vulvitis in girls. Another cause of infection children may become infection acquired from mother during childbirth or through casual. The newborn vulva is often due to the anatomical structure of the external genitalia. In young children the protective function of the vagina is still underdeveloped and mucosa of the vulva quite vulnerable. Besides the labia of a child is much more open than women, which promotes easy penetration of the pathogen.
At the slightest sign of the disease should immediately consult a gynecologist. In order to prevent such problems, experts advise
- to observe hygiene, but to avoid the use of microbicides (soap)
- to maintain the optimal time of wearing the diaper, the child in time to change it
- to strengthen the immune system of the child the three basic elements of water, sun and air.