Candidal vaginitis: symptoms, treatment
More than 85% of all women in their lifetime experience this problem. Candida vaginitis is an inflammatory disease of the mucosa of the vaginal sheath, which provoke yeast-like fungi Candida. In 95% of the causative agent of candidal vaginitis is the fungus Candida albicans. This fungus is part of a healthy vaginal microflora, but if the immunodeficiency can cause local or generalized (spread throughout the body) Candida.
From 30 to 50% of absolutely healthy women are carriers of Candida fungi. They can be found on the skin, mucous membranes, in the intestine. The concentration of fungi Candida in the vagina of healthy women is 10,000 fungi cells per 1 ml of vaginal secretions. This caption does not lead to disorders in the body.
Candidiasis is characterized not only by the availability of data of fungi and their reproduction in large quantities.
Factors, influencing the development of candidal vaginitis
Standard symptoms of candidal vaginitis:
- thick, white vaginal discharge;
- itching and burning inside the vagina, aggravated at night, and a week before the onset of menstruation;
- itching and burning after intimacy, after the adoption of water procedures;
- odor after intercourse.
These symptoms may subside or worsen before menstruation, during pregnancy.
Consequences and complications
Many women do not pay attention to the discharge, itching in the vagina, especially because these symptoms subside periodically. However, this disease can easily develop into a chronic form, if it recurs more than four times a year. The result of untreated Candida vaginitis can be quite serious. The woman may become infertile.
Eczema, depression, headaches, change of the chair – all this can cause untreated Candida vaginitis. Symptoms of superficial inflammation of the external genitalia can easily go inside the body and cause colpitis, endocervicitis, and inflammation of the vaginal walls, uterine cervix inflammation, urethritis, cystitis.
The most severe consequence of untreated candidiasis is disseminated candidiasis. In this disease the infection affects the whole body: lungs, intestines, until the General blood poisoning – sepsis. Carriers of candidal vaginitis are both women and men. Therefore, guarantee of full recovery – a parallel treatment of both partners.
Diagnosis, methods of treatment
Candida vaginitis is diagnosed during gynecological examination. The preliminary diagnosis by an experienced physician can be installed immediately. Necessarily take into account the symptoms, especially vaginal secretions. However, the exact diagnosis can only after microscopy of the smear, the PCR test and cultures on nutrient media.
Establishing an accurate diagnosis, the doctor selects a drug for the treatment and set the dosage. It is impossible to self-medicate and self-prescribe themselves drugs to eliminate the nasty symptoms. The choice of antibiotic for treatment only after the results of the bacterial analysis, which determines the sensitivity of the fungus to a specific antibiotic. One should not terminate prematurely an antibiotic if the symptoms of vaginitis disappeared on the second day of the medication. You need to always finish the course of treatment.
Be sure and simultaneous treatment of both partners. For successful treatment adherence to recommended sexual rest, the cessation of drinking.
It is recommended that in parallel with the treatment of vaginitis to treat chronic diseases, hypovitaminosis. Improving General immunity – based protivokariosnoe therapy. It is well known that the microflora forms a protective properties of the organism. And lactic acid bacteria and bifidobacteria – the main part of the natural immune system. The normal microflora of healthy women consists of 90% Lactobacillus for cleanliness in the vagina.
It is recommended to correct vaginal and intestinal microflora. The use of liquid probiotics orally for 40 days must be combined with intravaginal installations (tampons with probiotics inserted at night for 10-12 days). The use of probiotics and lactic acid products during treatment with antibiotics will help you avoid the negative effects of antibiotic therapy. Failure to follow these rules will inevitably lead to relapse of the disease, symptoms of which may increase.
Features of medical treatment
Treatment of candidal vaginitis is carried out with the use of imidazoles, polyene antifungal funds in the form of creams or suppositories. The treatment course ranges from three to seven days. Effective drug both local and General operation is metronidazole. This drug not only inhibits protozoa, anaerobic flora, but also increases the production of interferon. Is used and such derivatives nitroimidazole as Ornidazole, denitrator, tinidazole.
Successfully used polyene antibiotics such as nystatin, levorin, milgaten, amphotericin b, amphoglucaminum. High-performance butoconazole, ketoconazole, nizoral, and also quinolone derivatives: enteroseptol, nitroksolin.
For the treatment of resistant candidiasis use fluconazole. Sometimes even a one-time taking this medication. In modern medical practice for the treatment of vaginitis are actively using a combination of drugs local actions, such as poliginaks, terginan. With the aim of prevention, it is recommended to repeat the treatment.
Activities for the prevention of candidal vaginitis
Strengthening the overall immunity of the body.Prophylactic administration of preparations based on lacto — and bifidobacteria to maintain the balance of intestinal and vaginal microflora.
Wearing underwear exclusively from cotton fabrics. Mandatory Ironing. The rejection of daily strips and a Thong.
Avoid frequent douching. Use for intimate hygiene is not an ordinary soap, and is specially designed funds. The rejection of the hygienic spray. Preventing the introduction of the penis into the vagina after anal sex.
The peculiarities of nutrition during treatment of candidal vaginitis
Diet is important in the treatment of candidal vaginitis. It is recommended that a complete failure, or a sharp restriction of all sweets, pastry, spicy, alcohol, as these products adversely affect the condition of the microflora not only of the intestines, and the vagina. Recommended daily consumption of milk products, fruits and vegetables.