Symptoms of candidal vulvitis and methods of treating the disease

Inflammatory processes in the female genital organs usually occur as a result of the active activity of many microorganisms. In this article we will talk in more detail about the disease caused by fungi from the genus Candida. This pathology is called candidal vulvitis.

Description of the disease

Candidiasis vulvitis is a type of fungal infection that primarily affects the external genitalia. These include the labia, vestibule of the vagina, clitoris and hymen.

The disease develops as a result of the active activity of fungi from the genus Candida. Normally, they are present in the body of every woman in small quantities and do not cause serious discomfort.

The growth of their numbers is continuously restrained by the beneficial microflora of the vagina. However, under the influence of certain factors, this fragile balance can be disrupted, and fungi begin to multiply at lightning speed.

The symptoms of this disease do not always appear the same. Some ladies note intense itching and burning in the genital area, which intensifies with urination. When primary signs of pathology appear, it is important not to delay a visit to the doctor. Modern medicine has the necessary means to combat vulvitis.

Main causes of the disease

The following factors usually contribute to the development of candidal vulvitis:

• The use of certain groups of medications, including antibiotics. These medications kill not only pathogenic organisms, but also beneficial bacteria.
• Weakening of the body's protective functions. If immunity decreases, the body cannot fully fight infections. Stress, chronic diseases, hypothermia - all these factors directly affect the functioning of the defense forces.
• Diabetes.
• Taking oral contraceptives. Hormonal drugs change the acidity of the environment in the vagina, thereby creating favorable conditions for the proliferation of fungi from the genus Candida.
• Failure to comply with hygiene rules.
• Wearing tight underwear and clothing. Candidiasis vulvitis is very often recorded in those women who prefer underwear made of synthetic fabrics or the wrong size.
• Infections of the vagina and uterus.
• Injury to the genital mucosa during intimacy.

What signs indicate vulvitis?

First of all, with candidal vulvitis, women note the occurrence of severe itching and unbearable burning in the area of ​​the external genitalia. Then there is painful discomfort when urinating. The skin acquires a characteristic reddish tint, swelling and excessive swelling of the clitoris appears.

In some cases, the disease is accompanied by vaginal discharge, fever and enlarged lymph nodes in the groin area.

If a woman does not receive timely and high-quality treatment, the disease becomes chronic. The symptoms subside, but during exacerbations severe itching and burning are also disturbing.

Lack of timely treatment can lead to disastrous consequences. In girls, spontaneous fusion of the labia sometimes occurs, and in adult women, traces remain even after the ulcers have healed. All this can cause discomfort during intimacy.

Classification of the disease

Depending on the clinical manifestations, candidal vulvitis is divided into the following types:

• Simple carrier. There are no obvious symptoms. During a diagnostic examination, pathogens of the disease are determined in smears.
• Acute form. The duration of the pathology is up to two months. This form is usually diagnosed in children. It manifests itself as a rash on the mucous membranes of the genital organs, white cheesy discharge, itching and burning. When the urinary tract is involved in the pathological process, dysuric disorders often occur.
• Chronic form. Relapse of the disease is recorded at least four times a year.

Pregnancy with candidiasis vulvitis

While carrying a baby in the womb, this disease is considered a consequence of a decrease in the body's protective functions. Moreover, during pregnancy, chronic illnesses often worsen and various infectious processes flare up with renewed vigor.

Vulvitis is no exception. The trouble with this pathology in pregnant women is that many of the drugs used in treatment have a negative effect on the fetus.

That is why therapy should be prescribed by a qualified specialist, taking into account the general condition of the woman and the baby inside her womb.

Diagnostic measures

The diagnosis of candidal vulvitis is confirmed based on the patient’s complaints, medical history and the results of a gynecological examination. Microbiological research is the most informative. Microscopy is performed on both native and Gram-stained vaginal smears.

How to cope with the disease?

Treatment of candidal vulvitis involves the use of antifungal drugs (Fluconazole, Nystatin, Ketoconazole). For mild forms, women are prescribed ointments and vaginal suppositories (Pimafucin), and for severe forms, tablets and capsules. Sometimes patients are additionally recommended immunotherapy and physiotherapy.

All women, without exception, should abstain from intimacy during treatment. As an aid, doctors recommend baths and washes with herbal infusions (chamomile, calendula). After water procedures, the genitals should not be wiped, but carefully blotted with gauze napkins.

After completing the therapeutic course, drugs are prescribed to restore the vaginal microflora in the form of vaginal suppositories.

Prevention

Candidal vulvitis (photos of manifestations of such a diagnosis can be viewed in specialized reference books) is an insidious disease. Having arisen once, it can appear again. To avoid this problem, you must adhere to the following preventive measures:

1. Wear underwear exclusively from natural fabrics.
2. Observe basic rules of personal hygiene (wash daily, change pads at least five times a day during menstruation).
3. Do not take antibiotics without a doctor's advice.
4. Eat properly and balanced.
5. Play sports, do not forget about the work and rest schedule. A healthy lifestyle is the key to strong immunity.

Source: https://www.syl.ru/article/202705/new_kandidoznyiy-vulvit-prichinyi-simptomyi-lechenie

Symptoms and treatment of candidal vulvitis in adults

Candidal vulvitis worries most of the female population around the world. Having unpleasant symptoms can lead to serious complications. The microflora of a healthy body contains not only beneficial bacteria, but also opportunistic bacteria. The second group includes yeast-like fungi of the genus Candida, which inhabit the oral cavity, esophagus, and genitals.

Candidal vulvitis (urogenital candidiasis) is called inflammation of the vulva (labia, clitoris, vestibule of the vagina, hymen). The disease is provoked by the growth of fungal colonies.

In medicine, a distinction is made between primary and secondary vulvitis.

Primary is more often diagnosed in girls and older women due to age characteristics.

In a child’s body, the vaginal microflora is not fully formed, the acidity (pH) of the vaginal secretion is increased, there is practically no local immunity, which creates an “open gate” for any infections.

Postmenopausal women suffer from vulvitis due to the fact that estrogen levels decrease significantly and the mucous membranes become thinner.

The secondary type develops against the background of infectious diseases - inflammatory processes of the kidneys, urinary tract, uterus and other organs. It is often a companion to vaginitis (thrush) - inflammation of the vagina. This combination is called vulvovaginal candidiasis. Adult women are more often affected.

Causes

Candidal vulvitis develops only if there are favorable conditions for the growth of colonies of yeast-like fungi.

The main factors contributing to the development of pathology:

• decrease in the body's defenses;
• violation of personal hygiene rules;
• dysfunction of the endocrine, genitourinary system, gastrointestinal tract;
• allergic reactions;
• high blood sugar;
• presence of sexually transmitted infections (STIs);
• exacerbation of chronic pathologies.

A number of factors lead to a decrease in immunity - antibiotic therapy, radiation and chemotherapy for cancer patients, pregnancy, acquired immunodeficiency syndrome (AIDS).

Injured mucous membranes of the genitals can allow pathogenic microorganisms to enter the body. Microtraumas are formed as a result of scratching with severe itching, masturbation, wearing tight underwear, and certain characteristics of intimacy.

Little girls can injure soft tissues while playing with various objects. To avoid this, children should wear panties at all times.

Only weak immunity can lead to the development of the disease in a woman.

If the pathology is diagnosed in a pregnant woman in the last weeks, then a vertical route of transmission is possible (from mother to child at the time of passage through the birth canal).

Symptoms

The clinical picture of the disease directly depends on the form and stage of progression

FormDurationSymptoms

Candida carrier	A few days - a few years	No symptoms
Acute	2-6 weeks	Pronounced
Subacute	2-3 months	Moderately expressed
Chronic	Lasts for years	Blurred or completely asymptomatic

In cases of candidiasis, an asymptomatic course is recorded, but smear microscopy shows the presence of fungi in excess quantities. A transition to an acute form may occur due to the emergence of favorable conditions.

Acute vulvitis is identical in symptoms to chronic vulvitis during the period of exacerbation:

• unbearable itching in the perineum;
• cyanosis, dryness of the genitals;
• rash, white coating on the vulva with an unpleasant odor;
• pain when urinating, during intimacy.

Due to severe itching, patients scratch the mucous membrane, which provokes the formation of ulcers and erosions. All symptoms intensify at rest, during sleep, and during prolonged water procedures. Constant discomfort disrupts the emotional state - insomnia, excessive irritability, and nervousness appear.

The spread of the pathology is indicated by the appearance of vaginal discharge, the presence of general symptoms - increased body temperature, weakness, and enlarged lymph nodes in the groin.

Causes and treatment of vulvitis in children

The acute course is replaced by a subacute course, characterized by less pronounced symptoms. Enables complete recovery with timely treatment.

It is, in some way, a continuation of the acute form, but with subsided clinical signs.

The lack of adequate treatment of the disease for two months after the onset of the acute form provokes a transition to the chronic phase, characterized by exacerbations and stages of remission.

Interesting! 20% of the population and 30% of pregnant women worldwide are Candida carriers.

Chronic vulvitis in remission is accompanied by hyperemia, tissue infiltration, thickening and increased dryness. A slight coating on the genitals and moderate itching are recorded.

Exacerbations occur during a period of decreased immunity and are recorded more often than 4 times a year.

Diagnostics

Symptoms of urogenital candidiasis are similar to many other gynecological pathologies. If you notice the first signs, you should consult a doctor. The diagnosis and treatment of candidal vulvitis in girls is carried out by a pediatric gynecologist.

Diagnosis begins with a medical history (chronic diseases, symptoms, complaints) and a gynecological examination.

To confirm the primary diagnosis, the doctor will prescribe a number of laboratory tests:

• microscopic analysis of a smear (detects the presence of a pathogen);
• bacterial culture (determines the group affiliation of fungi and their sensitivity to antibiotics);
• PCR method (capable of detecting most STIs).

In the acute stage, it is advisable to conduct general blood and urine tests. The level of leukocytes, erythrocyte sedimentation rate, and the presence of protein indicate the degree of progression of inflammation. If necessary, blood is taken for sugar and a detailed biochemical blood test is performed.

Instrumental methods can also be used:

• colposcopy (shows the real condition of the vulvar epithelium);
• Ultrasound examination of the pelvic organs to differentiate candidal vulvitis from vaginitis.

Children are often prescribed a stool test for the presence of helminth eggs or a scraping for enterobiasis.

Therapy

After carrying out diagnostic measures, based on the test results, the doctor will tell you in detail how to treat candidal vulvitis.

The method of therapy is determined according to the severity of the pathology, the presence of other infections, chronic diseases, general health and age of the patient.

Vulvitis in women is treated on an outpatient basis under the supervision of a doctor (only advanced forms complicated by other diseases are treated as inpatients). For girls, bed rest is indicated. Mild forms of the disease can be treated with local drugs, while the chronic form requires the use of general agents.

For local exposure, vaginal suppositories, tablets, creams, ointments with antifungal properties are prescribed - Miconazole, Nystatin, Candide. Anti-inflammatory ointments (Levomycetin), suppositories (Hexicon). The genitals are irrigated with local antiseptics - Chlorhexidine, Furacilin.

For girls, the treatment regimen often includes washing with infusions of medicinal plants - chamomile, St. John's wort, thyme, calendula, string, sage. Rapid tissue regeneration is promoted by oak bark, birch buds, rosehip and sea buckthorn oils, Bepanten, Panthenol, Solcoseryl ointments. In parallel, antihistamines (Zodak, Claritin) and calcium (Complivit calcium D3) are prescribed.

Systemic treatment is carried out by prescribing oral antifungal drugs (Fluconazole, Imidazole, Itraconazole). A severe inflammatory process that is triggered by an allergic reaction may require the use of corticosteroids (Ovestin, Hydrocortisone, Pimafucort).

Important! Symptomatic treatment of chronic vulvitis leads to increased relapses. Therefore, only a systemic one will be successful.

If helminths are detected, they are destroyed and Pirantel and Vormil are prescribed. If the PCR method reveals the presence of an STI, then antibiotic therapy is prescribed depending on the type of pathogen.

Antifungal and antibacterial agents have a detrimental effect on microflora. To restore it, suppositories with lacto- and bifidobacteria (Vagilak), pre- and probiotics (Hilak Forte, Normaze) are used.

Causes, signs and treatment of atrophic vaginitis

During pregnancy, treatment of candidal vulvitis takes place under the strict supervision of a gynecologist. Before the 12th obstetric week, the antiseptic Betadine is used, after which Miramistin is used. Safe antifungal suppositories and tablets Pimafucin. From the second trimester you can use Terzhinan, Polygynax.

In case of disturbance of the emotional state, sedatives are recommended (Tenoten for children, Novopassit, Glycine).

Complex therapy includes following a diet. It is important to exclude fatty, salty, canned, smoked, and sweet foods from the diet. To minimize swelling, it is recommended to reduce the amount of fluid you drink. At the stage of microflora restoration, fermented milk products - kefir, yogurt, matsoni - will be useful.

The candidal form of vulvitis involves treating both partners at the same time. Men treat the disease locally - Clotrimazole ointment, systemically - Fucis tablets, or combined. During the course, complete sexual rest is indicated.

With timely treatment, within 10-14 days it is possible to completely get rid of the symptoms and eliminate the cause.

The criterion for cure is the absence of the pathogen (except for the permissible value) in a smear taken two weeks after the course has been completed.

Complications

Considering the prevalence of the pathology, some women believe that it is not necessary to treat candidiasis vulvitis, and many are treated on their own. At first glance, a banal vulvitis can easily develop into a chronic form.

The consequences of advanced vulvar candidiasis can lead to diseases of the entire genitourinary system - cystitis, urethritis, pyelocystitis, vaginitis, cervical erosion, vulvovaginitis, oophoritis, salpingitis, endometritis. Incorrect or untimely treatment of these pathologies provokes dysfunction of the reproductive system - inability to conceive a child, ectopic pregnancy, infertility.

In the chronic form of vulvitis in girls, an abnormal change occurs in the structure of the external genitalia. The affected epithelium provokes fusion of the labia (adhesive vulvitis or synechiae).

In women, scars remain at the sites of previous ulcers, which can deform the genitals. And the blueness of the skin can persist forever (imbibition). All this provokes problems in intimate life.

During pregnancy, the danger of candidal vulvitis cannot be underestimated. The disease can provoke various organ defects, disrupt the proper development of the fetus, and, most importantly, serve as a provocateur for spontaneous abortion.

Prevention

In order to minimize the possibility of fungal growth, you must follow some simple preventive rules:

• daily genital hygiene (if it is a newborn girl, then after each act of defecation);
• do not use aggressive scented detergents for washing (women are better off choosing products with lactic acid, girls - a special product with a neutral pH);
• wear underwear only made from natural fabrics, not brightly colored;
• do not self-medicate;
• have a permanent sexual partner;
• treat all diseases on time;
• genitals should always be dry (after swimming at the beach or in the pool, you must wear dry underwear).

Mothers of girls should pay special attention to the topic of proper hygiene procedures and constantly monitor the condition of the skin of the external genitalia.

Important! You only need to wash from top to bottom - in the direction from the vulva to the anus.

Do not forget that the disease can be asymptomatic, so you need to visit a gynecologist every six months.

Candidal vulvitis is not a simple nuisance, but a disease that can provoke the emergence of other problems affecting the entire genitourinary system. Untreated pathologies lead to disruption of the reproductive function of the body, psycho-emotional balance, and create complexes in the intimate sphere. That is why pathology is subject to mandatory treatment.

Source: https://venerbol.ru/vaginit/kandidoznyj-vulvit-lechenie-simptomy-preparaty.html

Candidiasis vulvitis: what is it and how to treat chronic vulvitis

An inflammatory process affecting exclusively the external genitalia in women, caused by yeast-like fungi Candida, is called candidal vulvitis.

The pathology occurs in children, women of the reproductive organ, and also with the onset of menopause. Among all infectious pathologies of the vagina, this disease is in second place in terms of incidence.

In most cases, the etiology is due to a decrease in the immune system and hormonal imbalance in the body.

General description of the disease

What is vulvovaginal candidiasis? The vulva is a large area that covers the vestibule of the vagina, the surface of the clitoris, the perineum, and the labia. Candidiasis vulvitis is an inflammation that occurs on the mucous membrane of the external genitalia.

Most often, the pathology is diagnosed in young girls, somewhat less often in women during menopause. The disease is caused by the growth of fungi that belong to the Candida family. There are more than 180 types of parasites, and only a few of them pose a threat to women's health.

For information, the most common causative agent of candidiasis vulvitis is C. albicans.

The disease ranks second in the number of women visiting a gynecologist. The disease is not life-threatening. However, if a woman is in an interesting position, there is a risk of miscarriage in the first trimester of pregnancy. The likelihood of abnormal intrauterine development also increases by 2.5 times.

Relapse occurs in only 7% of patients. Most often it is caused by a late visit to the doctor or an incorrect treatment regimen.

In medical practice, factors leading to the development of pathology are identified:

• Long-term use of antibiotics. The drugs negatively affect not only pathogenic, but also beneficial bacteria, as a result of which the full microflora is disrupted;
• Deterioration of the immune system. When the immune status is weakened, opportunistic fungi actively multiply. Secondary infection by bacteria and viruses cannot be ruled out;
• Diabetes. Against the background of a constantly high concentration of glucose in the blood, the acidity of the vulvar mucosa decreases, which is a favorable factor for the growth of pathogens;
• Failure to comply with hygiene rules. Candidiasis vulvitis often develops in the fair sex, who douche zealously, as a result of which the normal balance of microflora is disrupted;
• Wearing underwear made of synthetic materials, using daily sanitary pads;
• Infectious processes in the vulva or uterus can lead to the development of vulvovaginitis;
• Untimely or improper treatment of thrush.

A fungal infection can occur in response to the use of gels with chemicals, vaginal suppositories or creams. Candida microorganisms provoke a histamine reaction, which leads to hyperemia, swelling and inflammation.

Forms of candidal vulvitis

In medical practice, vulvovaginal candidiasis is divided into forms, each of which requires specific treatment. Due to development, pathology can be secondary or primary.

For example, teenage girls and older women are susceptible to primary vulvitis. In girls, the vaginal microflora is not fully formed, which leads to a weakening of the protection of the external and internal genital organs. As a result, the path to infection is open.

The reason for the development during menopause is a change in the vulvar mucosa; it becomes thinner and more fragile, which in turn reduces the barrier functions of the body. In adult representatives of the fair sex, hormonal levels are normal, so they are susceptible to a secondary form of pathology, the etiology of which is based on problems with the kidneys or tonsils.

Vulvovaginal candidiasis has three forms:

1. Carriage. Duration - from several days to a couple of years. There are no alarming symptoms. The problem is detected solely through microscopic examination of a smear.
2. Acute form. Duration from 2 to 8 weeks inclusive. Characterized by pronounced clinical manifestations. There is burning and itching of the vulva, vaginal discharge. Symptoms tend to vary depending on water procedures, sexual intercourse, at night, before the onset of menstruation.
3. Chronic candidiasis vulvitis. Duration – from two months or more. Symptoms are erased, sometimes an asymptomatic course is observed. The pathology recurs 5 times a year, sometimes more.

The insidiousness of the disease lies in the fact that it extremely easily transforms from acute to chronic form, and accordingly, it becomes recurrent.

It is worth knowing: the consequences of neglected fungal vulvitis can be disastrous - deformation of the external genital organs, scar formation. Infertility cannot be ruled out.

Candidiasis vulvitis: symptoms and signs

Initially, with pathology, a whitish vaginal discharge with a specific and unpleasant odor is observed. There is constant itching and burning of the external genitalia. The acute course of the disease is most pronounced.

Acute symptoms:

• Redness and swelling of the labia, clitoris;
• The occurrence of ulcers and erosions. They can migrate to the inguinal folds and inner thighs;
• Violent judgment and burning. Usually worsens before menstruation;
• Increased sensitivity of the mucous membrane to water, urine, touch, etc.;
• Discharge with an unpleasant odor, sometimes with a cheesy consistency;
• Pain during intercourse or immediately after sex;
• Psychological disorders, irritability, causeless anxiety and nervousness;
• Increased body temperature and lymph nodes in the groin area (rare).

When a woman does not go to a medical facility in a timely manner, the severity of symptoms subsides over time. Many believe that a cure is coming. However, in reality the picture is the opposite. The disease becomes chronic. With it, the symptoms are moderate, the discharge is more scanty, but itching and burning are still present.

Note: in adult women, the disease does not invade internal organs, but in teenage girls, on the contrary, it can spread internally.

Treatment of candidal vulvitis

The doctor will tell you how to treat vulvovaginal candidiasis after the patient has passed the necessary tests. Based on the results of laboratory tests, a treatment regimen is prescribed and precise prescriptions are made.

It is necessary to treat candidiasis vulvitis comprehensively. Modern gynecological practice suggests combining general and local therapy.

First of all, it is necessary to reduce the intensity of the inflammatory process, remove itching and burning, as well as other disturbing manifestations.

Be sure to first identify the causative agent of the pathology and determine sensitivity to antibacterial drugs. Teenage girls are advised to remain in bed during treatment.

Women can remain active, but during the therapeutic course they should avoid intimate relationships. Since there is a high probability of injury to the inflamed mucosa, there is a risk of the addition of another infectious process.

The following medications are prescribed:

1. Antifungal agents such as Nystatin, Amphotericin, Fluconazole.
2. If candidal vulvitis is mild, then local treatment is recommended. They use ointments Nizoral, Kanizon, vaginal suppositories - Pimafucin.
3. Ascorbic acid, nicotinic acid, B vitamins, immunomodulators, dietary supplements to compensate for the deficiency of useful components.

If during the diagnosis other pathologies were identified - disorders of the gastrointestinal tract, parasitic diseases, etc., then treatment is combined with the correction of concomitant diseases.

Important: it is strictly forbidden to scratch itchy areas - this can cause a secondary infection, which will aggravate the course of candidal vulvitis.

A sitz bath based on medicinal herbs – comfrey, chamomile, string and calendula – helps relieve itching. The manipulation time is 15-20 minutes.

Prevention measures

Often vulvovaginal candidiasis returns again and again. Therefore, if there is a history of pathology, it is recommended to follow preventive measures that will reduce the development of recurrent disease:

• Choose underwear made from natural fabrics that do not irritate the skin;
• Underwear should be true to size and not restrict movement;
• Compliance with hygiene rules, especially during menstruation;
• Replace regular soap with specialized washing gels.

It is necessary to closely monitor your health, promptly treat infectious diseases - sore throat, sexually transmitted infections, caries, cystitis, etc. It is recommended to lead a healthy lifestyle, eat right, and strengthen the immune system.

Candidiasis vulvitis only at first glance does not seem to be a dangerous disease. In fact, it contains consequences that can affect later life. The key to a good prognosis is a timely visit to the doctor.

Source: https://IDermatolog.ru/kandidoz/kandidoznyj-vulvit.html

Candidiasis vulvitis: causes, symptoms and treatment methods

Candidiasis vulvitis is an infection of the mucous membrane of the vulva and vagina by fungi of the genus Candida. Most often, the pathology develops in women during menopause and in newborn girls. According to statistics, candidal vulvitis ranks second among the reasons why women turn to a gynecologist.

Classification of pathology

Candidiasis vulvitis comes in several forms. Depending on the causes that provoked the disease, it is divided into primary and secondary. In the first version, the disease can most often be found in little girls. Women over 50 years of age are susceptible to the secondary form of candidal vulvitis. In addition, depending on the symptoms, pathology is divided into the following types:

1. Latent form (carriage) . The disease occurs without any symptoms. Often the fungus is discovered during a routine gynecological examination.
2. Acute candidal vulvitis develops regardless of the patient’s age. The disease is accompanied by symptoms such as itching, burning sensations and cheesy discharge. Clinical manifestations may become more pronounced at night and after sexual intercourse.
3. Chronic candidiasis vulvitis . This form of pathology develops 2 months after its onset, or as a result of relapse.

Important! The lack of timely treatment will easily lead to the pathology moving into the chronic stage.

This is why it is so important to consult a doctor at the first signs of vulvitis.

Causes of the disease

Fungi of the genus Candida are part of the natural microflora and may not provoke an inflammatory process for a long time.

Often, a kind of impetus for the development of candidal vulvitis is a decrease in the body’s immune forces. In this case, pathogenic microorganisms begin to multiply intensively.

In addition, the following negative factors can provoke the disease :

• long-term wearing of synthetic and wet clothing;
• diabetes;
• ovarian dysfunction;
• hormonal disbalance;
• prolonged or uncontrolled use of antibiotics;
• pelvic organ injuries;
• viral infection;
• herpes;
• helminthiasis;
• gonorrhea;
• streptococci and staphylococci;
• violation of intimate hygiene rules;
• taking hormonal drugs and immunosuppressants;
• allergy;
• sexual infections;
• during a course of chemotherapy;
• injuries during sexual intercourse.

As already mentioned, the cause of the development of vulvitis candidiasis is often menopause . During this period, the amount of estrogen and natural secretions in the female body decreases significantly, which leads to thinning of the mucous membranes. As a result, the mucous membrane becomes vulnerable to the penetration of various kinds of pathogenic microorganisms.

Clinical picture

The symptoms of acute candidal vulvitis are practically no different from its chronic form. The main clinical manifestations may be as follows:

• whitish cheesy discharge with a sour odor;
• itching and burning sensation during and after urination;
• pain in the lower abdomen;
• slight swelling and redness of the external genitalia;
• erosive lesions of the inner part of the labia.

Girls may experience irritability, insomnia, and enlarged lymph nodes in the genital area.

Attention! With chronic candidiasis vulvitis, pain, itching and burning may not be temporary, but permanent.

The listed symptoms may also be characteristic of other gynecological pathologies. Only a doctor can differentiate candidal vulvitis . Lack of treatment often leads to the development of colpitis and the spread of infection to other pelvic organs.

Diagnostic measures

First of all, the gynecologist conducts a visual examination and takes an anamnesis. Then the doctor writes out directions to the patient for the following laboratory tests:

• blood and urine tests;
• smear to identify pathogenic microflora;
• test for worm eggs;
• bac sowing

Additionally, instrumental studies may be prescribed. For example, an ultrasound of the pelvic organs helps to exclude diseases such as vulvovaginitis and adnexitis. Colcoscopy helps assess the condition of the walls of the vagina and cervix .

Therapy methods

Treatment of candidal vulvitis is carried out comprehensively. The cause that contributed to the onset of the disease is eliminated and the symptoms are relieved. Then all associated diseases are treated (gonorrhea, herpes, diabetes, allergies, helminthiasis).

In case of acute candidiasis vulvitis, the woman is prescribed bed rest . The treatment regimen is selected individually for each patient. A drug such as Macmiror is often used as antimicrobial therapy. Moreover, this medicine is intended to treat both sexual partners.

External treatment of the genitals is carried out with a weak solution of potassium permanganate, Chlorhexidine or Miramistin. Additionally, a woman can wash herself with herbal decoctions. For this purpose, use chamomile, calendula or sage. Furacilin solution or eucalyptus oil will help reduce itching.

Treatment is usually done with antifungal drugs . The most popular include Pimafucin, Clotrimazole, Nystatin.

Among the combined vaginal suppositories, the drug Terzhinan has proven itself well. It has antimicrobial, antifungal and anti-inflammatory effects.

Actovegin, Solcoseryl, Vaginorm C and Radevit will help speed up tissue regeneration.

Attention! If candidal vulvitis is caused by menopause, the doctor may prescribe hormonal ointments. For example, Ovestin, Hydrocortisone.

In some cases, in case of sleep disturbance, sedative medications are prescribed (tincture of motherwort, peony, valerian, Persen, Fitosed).

Remember, self-medication will not only dull the symptoms, but also relieve the disease. Only a gynecologist can correctly select a therapeutic regimen. As a preventive measure, a woman should follow the rules of intimate hygiene, strengthen her immune system and give preference to underwear made of cotton fabric.

Source: https://zdorovaya-ya.ru/zabolevaniya/vulvit/simptomyi-i-lechenie-kandidoznogo-vulvita.html

Treatment of candidal vulvitis in Moscow, symptoms, causes, methods of treatment - Doctor Nearby Clinic

If you have more than 80% of the listed symptoms, we strongly recommend that you consult a doctor for advice.

Vulvitis is an inflammation of the external genitalia in women. The disease is manifested by burning, itching, pain while walking and urinating. The pathology mainly affects girls and elderly women; the disease is rarely diagnosed during reproductive age.

Vulvitis (ICD-10 classification N76) is inflammation of the vulva (external female genital organs).

It is characterized by the appearance of itching, burning, heavy discharge, hyperemia and swelling of the labia, pain after urination.

The spread of infection to the internal genital organs is dangerous; In girls of early childhood, vulvitis can cause fusion of the labia minora. Vulvitis can occur in acute and chronic forms. To diagnose vulvitis, a consultation with a gynecologist is necessary.

Vulvitis

The inflammatory process of the external genitalia in women (vulvitis) develops due to a number of local and general reasons. With vulvitis, infection occurs in the clitoral area, labia minora and majora, the vestibule of the vagina and its glands, and the hymen.

The causative agents of vulvitis are most often opportunistic microorganisms (Escherichia coli, streptococci, staphylococci, yeasts), less often pathogenic pathogens of STDs (gonococci, trichomonas, chlamydia, viruses, etc.). Sometimes the development of vulvitis is provoked by pathogens of tuberculosis and diphtheria.

Conditions for the development of infection are created as a result of a violation of the integrity of the skin and mucous membrane of the vulva and a decrease in local immunity.

Vulvitis and its causes

Causes predisposing to vulvitis may be:

• failure to comply with personal hygiene rules (especially during menstruation);
• mechanical injury to the vulvar mucosa when wearing tight and rough clothing, prolonged use of sanitary pads, during sexual intercourse;
• irritation and maceration of the mucous membrane with discharge from the vagina, cervical canal with existing genital infection, with urinary incontinence, with chemicals;
• excessive use of medications (antibiotics), radiation therapy;
• hormonal and metabolic disorders in the body (ovarian hypofunction, obesity, diabetes mellitus, lack of vitamins and minerals), allergic reactions;
• the presence of pathological passages (fistulas) from the intestines, urinary tract;
• scratching the external genitalia for vegetative neurosis, helminths, and excessive sweating.

A distinction is made between primary vulvitis, when the infection develops as a result of injury or failure to keep the genitals clean, and secondary, if the source of infection is other organs (vagina, uterus, tonsils, bladder, kidneys). Primary vulvitis develops more often in girls and postmenopausal women, which is associated with the characteristics of the genital organs during these age periods.  

In healthy adult women, the mucous epithelium of the vulva (due to the predominance of fermented milk microflora, acidic secretion pH, and hormonal levels) is more resistant to infection. Primary vulvitis is rare in them and occurs in the form of vulvovaginitis.

Primary vulvitis is more common in girls, since their skin and vulvar mucosa are thin, tender, and easily injured. In the microflora of the genital organs, coccal forms predominate, Doderlein bacilli are absent, the secretion environment is alkaline, local immunity is still imperfect.  

Also, the occurrence of vulvitis is facilitated by the presence of pinworms in a child - the mucous membrane of the external genitalia is injured when scratched, facilitating the penetration of infection. Sometimes newborn girls may have vaginal discharge, provoked by maternal estrogen hormones that reach them before birth. Usually these phenomena go away on their own.

During the postmenopausal period, with a decrease in estrogen levels and the cessation of the menstrual cycle, atrophic changes occur in the mucous membrane of the genital organs.

The amount of vaginal discharge decreases, the mucous membrane “dries out,” becomes thinner, easily damaged and infected, which leads to the development of vulvitis.

The development of secondary vulvitis occurs against the background of existing inflammatory diseases of the internal genital organs (colpitis, cervicitis, endocervicitis) of a specific and nonspecific nature.

Signs and consequences of vulvitis

Vulvitis can occur in acute and chronic forms. The acute form of vulvitis is characterized by the following symptoms:

• severe swelling and redness of the labia, clitoris, ulcers and erosions may form, the inguinal folds and inner thighs may be affected;
• itching and burning, pain (increases with urination, movement, touch);

• serous-purulent or sanguineous discharge. When infected with E. coli, leucorrhoea is watery, yellow-green with a foul odor; staphylococcus - thick, yellowish; candida - “curdled” leucorrhoea and plaque;
• sometimes enlarged inguinal lymph nodes, increased temperature.

In girls with acute vulvitis, signs of nervous excitability and sleep disturbance are observed. Vulvitis with untimely and improper treatment can become chronic with frequent relapses.  

The chronic form of vulvitis is characterized by moderate manifestations of swelling, pain and hyperemia in certain areas of the vulvar mucosa, hypertrophy of the sebaceous glands, itching, burning, and scanty discharge. Sometimes with vulvitis, after healing of erosions and ulcers, the genitals can become deformed, making sexual life difficult in the future. Girls may develop adhesions in the labia area - synechiae.

Diagnosis of vulvitis

To diagnose vulvitis, a consultation with a gynecologist is necessary. Diagnostic measures include collecting medical history, patient complaints, gynecological examination data, colposcopy (if necessary) and laboratory test results.

To isolate the causative agent of inflammation, smear bacterioscopy and cultural inoculation are performed to determine sensitivity to antibiotics.

In addition, diseases accompanying vulvitis are identified, which can be a source of infection or lower the immune status of the body.

Treatment of vulvitis

In the treatment of vulvitis, modern gynecology uses complex therapy of local and general effects.

Treatment of vulvitis should include the elimination of not only the inflammatory process of the external genitalia, but also the factors contributing to its occurrence.

With acute vulvitis, the girl needs bed rest. During the period of treatment for vulvitis, women must abstain from sexual activity.

For vulvitis of a specific nature (gonorrheal, trichomonas, chlamydial, tuberculous), special treatment corresponding to the pathogen is necessary. For candidiasis vulvitis, antifungal drugs are the main ones.

In girls, vulvitis is more often caused by opportunistic microflora; therefore, antibiotics are prescribed locally (ointments, creams).

For vulvitis, local treatment of the external genitalia is necessary:

• lotions, cold compresses made from lead water, with furatsilin solution, eucalyptus infusion;
• sitz baths with a warm solution of potassium permanganate, herbal infusions (calendula, chamomile, string, eucalyptus);
• toilet the external genitalia with a solution of boric acid, potassium permanganate, chamomile infusion;
• douching with antiseptic solutions, anti-inflammatory suppositories.

After water procedures, the genitals should be dried with a towel and powdered with streptocide powder. For severe itching, sleeping pills are prescribed and the vulva is lubricated with anesthetic ointment at night.  

In some cases, hydrocortisone ointment and physical therapy (UVR) are used. Allergic vulvitis is treated with antihistamines and a diet excluding sweet, spicy and salty foods.

Diseases associated with vulvitis (hormonal and metabolic disorders, chronic infections - tonsillitis, pyelonephritis) are subject to treatment, which also helps to strengthen the immune system. The use of general strengthening drugs is indicated: vitamins, immunostimulants, dietary supplements.

Prevention of vulvitis

Prevention of the development of vulvitis implies: timely treatment of common diseases and elimination of foci of chronic infection; compliance with the rules of personal hygiene (cleanliness of the genitals, wearing loose hygienic underwear); healthy lifestyle and strengthening the immune system (no smoking, alcohol, no casual sex, proper nutrition, exercise).  

Proper hygiene of girls is the key to their future female health. Untreated vulvitis in childhood can provoke serious gynecological problems in the future, the main of which is infertility.

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Reviews

Author, 06/24/2016

Hello! The story is like this. Candidiasis, that is, thrush, has been tormenting me for a long time. Flucostat is effective for two days for a maximum of a week. I contacted doctors. The last doctor prescribed a diet and a long course of treatment.

Apply clotrimazole externally for 21 days, Viferon suppositories, then a one-time application, five Revita tablets taken internally for a month (so that ascorbic acid restores the microflora). And in the end, two weeks after the end of treatment, the finish is complete again.

Everyone stupidly advises using soda the old fashioned way, but I’m afraid of experiments. Who was in such a situation and won this byaku? Please share your experience.

Irina, 08/15/2016

Oh, how familiar this problem is to me, nothing helps. There are probably no medications that I haven’t tried. I took smears and culture tests 100 times. I did everything as prescribed by the doctor. After treatment with antifungal drugs, I took probiotics and put on suppositories.

I also tried folk remedies. I donated blood. The last time it seemed to be normal (albeit a year ago). I have been suffering from this infection for about 15 years. At first there were relapses every six months, then after a month or two, now a week after the end of treatment. I don’t know what to do I'll go to the doctor again.

But I don’t believe it anymore. All this time I did what they told me. How much money I spent, I’m generally silent. And I tried expensive medications and their analogues. They brought them to me from abroad. I constantly go around with this garbage. I don’t believe that it will help something. More like a cry from the heart.

I finished another course of treatment a week ago. Here we go again...

Alena, 35 years old, September 20, 2016

I had thrush for 9 years.

I read medical articles about this, itraconazole helped me, but I took it for about a week at the same time, terzhinan suppositories for 10 days, after that Vaginorm for 6 days along with ecofemin in tablets, and don’t expect to be cured in one month, then 3 months once a week fluconazole, and you don’t stop repeating Vaginorm and Ecofemin after menstruation, and then depending on the situation, as soon as I feel that something is starting again, Terzhinan suppositories and Ecofemin lactobacilli, constant monitoring, but for almost a year there has been no fungus in the tests)!

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Medicines

Fluconazole*

Antifungal agent, inhibiting specifically the synthesis of fungal sterols. Belongs to the class of triazole compounds.

Diflazon

The drug inhibits the activity of fungal enzymes that are dependent on cytochrome P450. The drug is highly specific.

• Difluzol
• Difluzol belongs to the group of antifungal agents for systemic use, triazole derivatives. The active ingredient of the drug is fluconazole  
• Diflucan
• The active substance is a highly selective inhibitor of the synthesis of sterol derivatives inside fungal cells - fluconazole.
• Medoflucon
• A drug with a pronounced, highly specific antifungal effect, inhibits the activity of enzymes of various fungi that are dependent on cytochrome P450.
• Mikomax
• The drug Mikomax, with the active ingredient fluconazole, is a representative of the class of antimycotic atriazole therapeutic agents that have a powerful selective inhibitory effect on the synthesis of ergosterol occurring in the cell membranes of micromycetes (fungi).

Mikosist The substance fluconazole is a representative of the class of triazole derivatives and belongs to the selective inhibitors of sterol synthesis occurring in fungal cells.

Mycoflucan

It has a highly specific effect on fungi, blocking the cytochrome P450 enzyme system. Violation of membrane biosynthesis explains the fungistatic effect.

1. Nofung and Procanozol
2. Systemic lesions caused by Cryptococcus fungi, including meningitis, sepsis, lung and skin infections, both in patients with a normal immune response and in patients with various forms of immunosuppression
3. Flucostat, Fluzol, flucosan and prod.
4. Systemic lesions caused by Cryptococcus fungi, including meningitis, sepsis, lung and skin infections, both in patients with a normal immune response and in patients with various forms of immunosuppression.
5. Tsiskan
6. Systemic lesions caused by Cryptococcus fungi, including meningitis, sepsis, lung and skin infections, both in patients with a normal immune response and in patients with various forms of immunosuppression.

Source: https://www.drclinics.ru/bolezni/kandidoznyy-vulvit/