The existence of whiter in women is a normal physiological phenomenon. Depending on the cyclical changes associated with the functioning of the reproductive system, their abundance and character changes. Pathology is a discharge with an admixture of pus with an unpleasant odor. They confirm the presence of inflammation. In addition to being disturbed by discomfort and pain, this condition can lead to complications during pregnancy or infertility. Self-treatment can only complicate the situation.
- Characteristics of purulent discharge
- Causes of purulent discharge
- Inflammatory diseases
- Inflammation of the mucous membrane of the vagina (vaginitis, colpitis)
- Inflammation of the cervix (cervicitis)
- Inflammation of the endometrium (endometritis)
- Inflammation of the appendages of the fallopian tubes (salpingitis) and ovaries (oophoritis)
- Specific infections leading to inflammatory processes
- Methods of examination for purulent discharge
- Treatment of inflammatory processes and genital infections
Characteristics of purulent discharge
Pathological secretions are usually abundant. Their characteristic features are:
- unpleasant smell
- greenish yellow color
- more liquid consistency than ordinary whiter.
This may cause nagging pain in the lower abdomen and in the back, pain during urination, itching and redness of the vagina. Possible increase in body temperature.
Such secretions consist of mucus produced by the glands located in the epithelium of the genital organs, as well as leukocytes, white blood cells, whose content increases dramatically in any inflammatory focus.
Causes of purulent discharge
Because of the structural features of the organs of the female reproductive system, the infection easily penetrates the uterus and appendages (fallopian tubes and ovaries). Purulent discharge in women is a sign of inflammatory processes: vaginitis, cervicitis, oophoritis, and others. All of them in neglected form are a health hazard. Scarring of tissues occurs, which can cause obstruction of the fallopian tubes, infertility, ectopic pregnancy, complications during childbirth.
Inflammation of the mucous membrane of the vagina (vaginitis, colpitis)
These diseases develop for the following reasons:
- bacterial infection (streptococci, staphylococci, trichomonads, chlamydia, gonococci),
- hormonal disorders associated with endocrine diseases,
- failure to comply with hygiene rules
- damage to the mucous membrane of the vagina,
- use of certain drugs (antibiotics, hormonal drugs),
- weakening of immunity.
Addition: Normal vaginal microflora serves as a natural defense against infection. The reason for its violation may be frequent douching.
Often, simultaneously with colpitis, inflammation of the vulva, the external region of the genital organs (vulvovaginitis) occurs.
Inflammation of the cervix (cervicitis)
It is caused by a non-specific infection (staphylococcus, streptococcus, E. coli), fungal infection, parasites (amoeba), and a specific infection (chlamydia, trichomonas, gonococcus, mycoplasma).
Pathogens of nonspecific infection penetrate the neck through the blood, lymph or from the intestine. Specific sexually transmitted.
Inflammation can also occur due to damage to the mucous membrane of the cervix during labor, abortion, curettage of the uterus, and installation of the intrauterine device. With this disease, women experience aching pain in the lower abdomen, pain when urinating and during intercourse, and turbid purulent discharge.
Inflammation of the endometrium (endometritis)
Infection from the vagina and cervix penetrates the uterine cavity and causes inflammation of the inner lining. In addition, the cause of the disease can be birth trauma, abortion or surgery on the uterus.
When this occurs, symptoms such as purulent discharge with blood clots, high fever, pain in the sacrum, lower abdomen. Inflammation affects only the superficial epithelial layer, so sometimes after its complete rejection during menstruation, the symptoms disappear without treatment.
Inflammation of the appendages of the fallopian tubes (salpingitis) and ovaries (oophoritis)
Most often, they occur together as a result of ascending infection, and as a result of the introduction of pathogens during artificial termination of pregnancy, childbirth, uterus cleansing.
In addition to purulent discharge, the cause of which in women are these diseases, there are also chills, high fever, pain on one or both sides of the lower abdomen (depending on whether the inflammatory process is unilateral or bilateral). Abundant purulent mucus has a strong odor.
Specific infections leading to inflammatory processes
If staphylococci and other types of non-specific infections can be infected by using bath accessories or bed linen of a sick person, then a specific one is transmitted only through sexual contact. Such infectious diseases can take a long time in a latent form, they require treatment of both sexual partners.
Chlamydia - destruction of epithelial cells by chlamydia (a type of parasitic bacteria). Yellow discharge, appearing at the same time, causes a burning sensation in the vagina. There is general weakness, pain in the lower abdomen. Infection is especially dangerous for a pregnant woman, because during delivery chlamydia can get into the child's body.
Gonorrhea. Also accompanied by copious pus of yellow-brown color with a pungent odor. Inflammation captures the urinary organs, uterus, cervix, appendages. To eliminate gonococci, antibiotics are required.
Video: Symptoms and treatment of gonorrhea in the program “Live is great”
Trichomoniasis. The causative agent is the vaginal bacterium Trichomonas. Purulent yellow-green intense discharge has a foamy texture, unpleasant smell. Due to the defeat of the mucous membranes, itching and burning occur. Urination becomes painful. The disease can become chronic. The intensity of discharge depends on the degree of spread of infection, damage to organs.
It is not easy to recover from trichomoniasis, since only special drugs act on Trichomonas. These microorganisms are protected by a shell that does not contain proteins, therefore antibiotics are ineffective. To destroy the shell, kill the bacteria capable of metronidazole, ternidazole and other drugs in this group.
A warning: Self-medication and uncontrolled intake of such drugs can lead to a worsening of the condition, since they provoke the reproduction of bacteria, the transition of the disease to a latent atypical form.
Mycoplasmosis. The causative agent is mycoplasma. This infection is mainly infected by sexual partners, but you can also get sick if you use a non-sterile gynecological instrument. There are cases of domestic infection (through bed linen or when using common personal hygiene items). During pregnancy, infection causes a violation of the development of the fetus, can lead to premature birth, child death. During labor, the infection in the birth canal is transmitted to the child.
Often a woman may not know that she is infected with mycoplasmosis for several years. Her infection is discovered by chance if she visits a doctor for infertility or miscarriages. At the same time, it infects the sexual partner.
Abundant purulent discharge occurs in women in the chronic stage of the disease. In addition, there are constant pulling pains in the appendages, burning and itching during emptying of the bladder. To protect against sexually transmitted infections, condoms should be used.
A warning: Wearing tight synthetic underwear creates favorable conditions for the reproduction of bacteria that cause inflammatory diseases.
Methods of examination for purulent discharge
In order to establish the cause of pathological whites, a smear study is first carried out to establish the nature of the vaginal microflora, the detection of bacteria, viruses and fungi that caused the inflammatory process.
Bacteriological seeding allows you to set the type of bacteria, their sensitivity to various antibiotics.
A blood test, smear (ELISA, PCR) for latent infections makes it possible to develop the most effective treatment regimen.
Colposcopy, X-ray, ultrasound of the pelvic organs are carried out to detect the area of inflammation.
Treatment of inflammatory processes and genital infections
In the treatment of inflammatory diseases of the female urogenital system are used:
- Antibiotics. The course of treatment is usually 10-14 days.
- Antifungal drugs.
- Means to eliminate vaginal dysbiosis, occurring in the background of antibiotics.
- Preparations to restore the vaginal microflora (lactobacilli).
- Immunomodulators to enhance the body's ability to fight infection.
- Multivitamin complexes.
- Antimicrobial agents are used in the form of tablets, ointments and suppositories.
Treatment of specific infectious diseases in the presence of purulent discharge in women is usually carried out strictly according to the scheme, taking into account the mechanism of the effect of drugs on bacteria.
From folk anti-inflammatory drugs are used aloe juice with honey (for tampons), a decoction of oak bark (2 tbsp. L. per 0.5 l of boiling water) for douching, juice of viburnum or barberry (for drinking).
These diseases are not specific pathogen. Disruption of the endocrine sphere or hypothermia will bring any "gift" from the list below. They are divided into different groups according to the location of inflammation and flow characteristics.
- Vaginitis, colpit. The vaginal epithelium is affected. Poor intimate hygiene, unprotected sex, taking strong antibiotics without consulting a doctor are important risk factors. In some cases, microorganisms that are always inside a person become the causative agents of the disease.
- Cervicitis. The center of the disease inside the cervix. The reason is unprotected sex. Highlight white and odorless. Fungi, parasites, various sticks also cause inflammation. To start the process of microorganism through the lymph or blood enters the uterine region.
- Endometritis. The focus of inflammation is in the uterus itself. The body reacts with temperature and lumbar pain. The secretions of the mucous membranes, and when the process is running, include blood clots.
- Salpingitis, oophoritis. Damaged ovaries and fallopian tubes. Organs are located nearby and easily infect each other. Symptoms of inflammation: fever, pus with blood, lower abdominal pain. Causes in genital infections, gross medical interventions (abortion, uterus cleaning, childbirth and the like).
The disease has affected the upper layers - there is a chance for independent recovery. During menstruation, this layer is separated and excreted from the body. A woman is cured without medical assistance. If at the beginning of the cycle you have purulent discharge, the middle or lower layers of the integumentary tissue are damaged.
In medicine, these diseases are called sexual. They are transmitted from the partner upon contact without protection. Pathogenic microflora has many varieties, each of which is sharpened to stimulate a particular disease.
- Chlamydia. The disease proceeds covertly and almost odorless. In chronic form, the mucous membranes of all organs are affected. Chlamydia is easily detected with the help of tests from a venereologist.
- Gonorrhea. There are yellow discharge with an unpleasant pungent odor. Urination passes with pain and burning. The lesion extends to remote areas of the genitourinary system.
- Trichomoniasis. Foamy vaginal discharge is colored greenish. With severe mucosal lesions, itching and a strong sweet smell appear.
- Mycoplasmosis. Inflammation is dangerous because a pregnant woman risks losing her baby. The bacterium adversely affects the fetus for all periods. It is easy to pick up the infection not only from an accidental sexual partner, but also when it comes into contact with the linen of a sick person or ill-treated medical instruments.
- Candidiasis. A popular name is thrush. Highlight white, thick, in appearance resemble cottage cheese. There is a sour smell from the vagina and a burning sensation. The causes of the disease are different: from narrow underwear to chronic pain.
Activation of bacteria depends on human immunity. A strong body will get rid of the infection at an early stage. Ill - take with pills and even vitamins.
Methods for the treatment of purulent discharge
The main way is drugs. They destroy the causative agent of the disease. From the stage of the pathogenic process depends on the power of drugs and the regimen. At home, ancillary treatment is provided, which stops relapses.
Inpatient care is provided when running processes, when inflammation affects adjacent organs or gives complications. In 90% of cases, you need to go to a doctor in time to take pills at home.
Medical treatment of purulent discharge in women:
- First-line drugs - antibiotics or antifungal agents. Most often used cephalosporins, azithromycin or analogues. Pathogenic microbes (they cause trichomoniasis) are destroyed with the help of Ternizadol and the like.
- Immunity stimulation helps the body to participate in the fight against the disease and to develop at least partial immunity. Auxiliary drugs can be purchased at a pharmacy or prepared at home according to popular recipes.
- After the course of treatment, we restore the intestines, because drugs that can destroy bacteria are aggressive to the human microflora. Inside they drink probiotics Laktovit and Hilak.
The patient is under constant surveillance. Intimate relationships, alcohol and smoking at the time of treatment under the strictest ban. In difficult cases, therapy is carried out with a combination of drugs.
Home remedies are used in the initial stage or as ancillary in drug therapy. The classic recipe - herbal decoctions for douching. They are used twice a day. Before applying all filtered.
The most effective means for home washing:
- Three tablespoons of Hypericum fall asleep in two liters of boiling water, bring to a boil and cool.
- Crushed plum roots pour 250 ml of boiling water. Keep on low heat for 50-55 minutes, and then leave for a couple of hours to infuse.
- Dry leaves of eucalyptus (2 tablespoons) pour hot water (0.5 liters). Then boil for 15 minutes on high heat and put in a dark place for an hour.
Vitamin broths strengthen the immune system and destroy the pathogenic microflora. Regular douching will remove discharge and vaginal inflammation.
The second stage of home treatment is the revision of the daily menu. Foods do not directly affect the occurrence of pus, but can speed up or slow down the reproduction of the pathogenic microflora.
Canned food and fatty foods are prohibited: seeds, cakes, nuts, fish in oil, turkey meat. Lean on juices from spinach, celery, cucumber, pepper and carrots. Fresh berries contain substances that normalize the acid-base balance. Strawberries, blueberries, barberries and cranberries should be firmly settled on your table.
Hygiene in the intimate area is carried out with the help of special tools. The pharmacy sells gels only for female procedures. They contain few alkaline elements, so they do not drain the delicate skin of the vagina.
Video: which selection should alert women?
Menstrual flow in women differ in appearance. Failure to comply with the standard is a cause for concern. How the discharge should look at different periods of the cycle and when it is time to see a doctor, the gynecologist will tell in this video.
Characteristics of purulent whiter
In most cases, whites with impurities of pus are abundant. They have the following special features:
- Unpleasant smell.
- Yellow or greenish color.
- They are more liquid than regular leucorrhoea.
In some cases, the appearance of purulent discharge is accompanied by pains of a pulling character in the lower abdomen. Pain in this case can give in the lower back.
When urinating, the patient may feel significant pain. It may also develop an itchy vagina. The labia minora and labia may be hyperemic. Some patients have a fever.
Discharge from the genital organs with an admixture of pus consists of mucus, which is produced by the glands in the mucous membranes of the reproductive system, white blood cells, leukocytes and inflammatory exudate. The latter is present in any area of inflammation.
Anomalies of organ development
In some women, the internal genital organs have an abnormal structure. Sometimes there is such a pathology, as an incomplete doubling of the vagina. When it is next to the main body there is a parallel, underdeveloped appendage. They often communicate with each other. In essence, the appendage is a pocket in which secretory fluid can accumulate. Из-за отсутствия нормальных условий для оттока жидкости сначала возникают застойные явления, а затем развивается воспаление.
If time does not deal with the treatment of pathology, then a fistula may be formed, through which the products of tissue breakdown will be excreted into the vagina.
Medicines cure this pathology can not be. A woman can only help surgery. The surgeon simply removes the appendage, while childbearing functions will not be impaired.
Cancer of the vagina and uterus
Oncological diseases are one of the reasons for the appearance of discharge from the uterus. Pathological secretory activity appears, as a rule, in the secondary infection of a neoplasm.
The peculiarity of secretions in oncological diseases is the abundance of blood clots. Exudate has a heavy smell of rot.
Cancer of the uterus and vagina is most often detected in women over the age of 60 years. When examining the affected organs, the doctor sees areas of necrosis, in the center of which are oozing ulcers.
The treatment of this pathology is mainly surgical. After removal of the neoplasms and adjacent tissues, the patient undergoes radiation and chemical therapy courses.
If you start treatment in the early stages of oncology, then the probability of complete recovery is very high. When referring to doctors at a late stage of the disease, the forecasts will be disappointing.
Before prescribing treatment, doctors should find out the reason for the appearance of pathological whiter. To do this, the following studies:
- Ultrasound examination of the uterus using a vaginal probe.
- X-ray of the abdominal organs. If necessary, apply a contrast agent.
- General analysis of blood and urine.
- Blood chemistry. If oncology is suspected, tumor markers are detected.
- If the doctor suspects specific infections, then an infectious agent is determined by PCR and ELISA methods.
- Visual examination of the cervix.
Be sure to take smears to identify hidden infections. Without the results of this study, it is impossible to develop an effective treatment regimen for purulent discharges in women.
Treatment activities consist of several stages. If the patient turned in the early stages of the development of pathology, the treatment can be made at home under the supervision of the attending physician. In all other cases, women are hospitalized.
Phased therapy allows you to guarantee a complete cure of inflammatory processes, as well as to avoid relapses in the future.
The first stage begins with antibacterial therapy. Taking into account the results of tests and the type of pathogen, the following antibiotics are prescribed to patients: Azithromycin, Erythromycin, Amoxicillin.
For severe infections, cephalosporin medications are prescribed: Cefazolin, Cefepime, Cefix and Cefaclor.
During the fight against anaerobic infections, doctors resort to the use of Metronidazole and Ornidazole.
The second stage is characterized by the use of drugs that increase immunity. The latter is necessary to restore the body after infection and the negative impact of antibacterial drugs.
In immunomodulatory therapy, not only synthetic drugs are used, but also various herbal preparations with Rhodiola rosea, lemongrass, echinacea and ginseng tincture.
At the final stage of treatment, doctors seek to restore the normal microflora of the genital tract. For this purpose, patients are prescribed probiotics: Bifiform, Hilak, Bifidumbacterin. And also allowed the use of drugs of local action in the form of ointments, suppositories and douching.
Purulent discharge - one of the main problems of gynecology. They can not be ignored, because they indicate a serious illness that requires immediate treatment.
This is a protozoal infection with sexual transmission. Statistics show that every tenth sexually active inhabitant of the planet suffers from it.
Trichomonas vaginalis is a unicellular microorganism with flagella, due to which its movement occurs. After infection, the symptoms of the disease appear early, after 3-5 days.
Trichomoniasis in women is characterized by the following features:
- 1 Copious, purulent, often foaming gray-yellow or green discharge with an unpleasant, pungent odor.
- 2 Irritation, redness of the vaginal walls, its vestibule, labia, urethral openings.
- 3 Itching and burning.
- 4 Frequent painful urination.
- 5 Dyspareunia (soreness during sex).
- 6 Pulling pains in the lower or lateral parts of the abdomen.
In the postpartum period, postmenstrual days, the first week after an abortion, the chances of Trichomonas infection are increased.
Drugs of choice for treatment: Metronidazole, Tinidazole (in the form of tablets, a course of 5-7 days), in addition, vaginal tablets Metronidazole can be prescribed once a night for 6 days.
2. Bacterial Vaginosis
Gardnerella vaginalis (Gardnerella) is a representative of the normal microflora of the vagina, so under optimal conditions (microflora balance) does not cause disease.
When the number of lactobacilli begins to decrease (pregnancy, vitamin deficiency, dysbacteriosis, severe somatic pathologies, violation of intimate hygiene rules, uncontrolled use of antibiotics, menopause, frequent douching), gardnerella actively reproduces and leads to inflammation of the mucous membrane of the vagina in women and girls.
In addition to Gardnerell, other microorganisms are also important, their number in women is assessed using the Femoflor test system.
The main symptom of bacterial vaginosis can be considered the appearance of whiter yellowish, white-gray, white-green, greenish color with the smell of rotten fish, herring. They are often abundant, liquid, but can be viscous, thick. In addition, there may be itching and burning in the vagina, discomfort.
The following drugs are used for treatment:
- 1 Metronidazole tablets or 0.75% vaginal gel. Course duration - at least 7 days.
- 2 Clindamycin, vaginal cream 2% - at least 7 days.
- 3 Topical treatment of bacterial vaginosis: combined suppositories (Hexicon, Terzhinan, Neo-Penotran), douching Chlorhexidine or Miramistin.
It refers to sexually transmitted diseases, although a household method of transmission is not excluded (through clothes, linen, personal hygiene items, a wet towel, a sauna), as well as from mother to child during childbirth.
The causative agent of the disease is gonococci, which have a high tropism for the urinary tract epithelium (there have been cases of lesions of the rectal mucosa, conjunctiva and pharynx).
Infection occurs on the 3-6th day after infection and is expressed in the acute purulent inflammation of the urinary organs of a woman (urethritis, vaginitis, cervicitis, salpingitis, proctitis, bartholinitis). Clinical picture:
- 1 Burning, itching, tingling in the urethra.
- 2 Frequent painful urination.
- 3 Abundant or scanty vaginal discharge of a yellow, bright green color with a characteristic odor.
- 4 Irritation and maceration of the skin in the perineum, labia, puffiness and redness.
- 5 Increased and painful regional lymph nodes (inguinal region).
Possible ascending infection with the development of gonococcal cystitis, kidney damage (pyelonephritis), uterus (endometritis or parametritis), appendages (purulent salpingo-oophoritis).
Gonorrhea can occur acutely, asymptomatic (with single complaints, a small amount of whiter) or asymptomatic (quite a frequent option). In the latter case, the woman is a carrier of infection and is a great danger to others.
Asymptomatic gonorrhea can lead to irreversible changes in the internal genital organs (adhesions in the fallopian tubes), which can cause infertility.
To treat uncomplicated gonorrhea of the lower urinary tract is recommended by intramuscular administration of 500 mg Ceftriaxone or Cefixime tablets at a dose of 400 mg once. Spectinomycin is an alternative drug. The course of therapy may be extended up to 14 days if the infection spreads to the overlying urogenital system.
In addition, douching with antiseptics, vaginal suppositories (Hexicon, Betadine) can be prescribed for a course of 7-10 days.
Chlamydia (protozoa intracellular microorganisms) can cause inflammation in many organs and tissues of the human body.
The defeat of the female genital tract is often hidden (30% of cases) or with poor symptoms, which leads to a late visit to the doctor and the appearance of complications.
Chlamydia is transmitted sexually from an infected person, as well as from mother to child during childbirth. The incubation period of chlamydia is about a month (usually two weeks), then symptoms of the disease occur:
- 1 Cervicitis (light, cloudy, light green, odorless, light green, vaginal discomfort, irritation, cervix swollen, hyperemic).
- 2 Colpitis (burning, itching, discharge, pain during intercourse).
- 3 Adnexitis, endometritis (abdominal pain, intermenstrual bleeding, dyspareunia). Inflammation of the uterus, tubes and ovaries as a complication of untreated chlamydia leads to serious consequences, such as infertility.
Drugs of choice for the treatment of chlamydial colpitis and cervicitis are Doxycycline 100 mg orally 2 times a day (course - one week) or Azithromycin 1 gram orally once. In addition, vaginal suppositories (Poliginax, Neo-Penotran, Hexicon) are prescribed for a course of 7-14 days.
5. Nonspecific purulent salpingo-oophoritis
This is an acute or chronic purulent inflammation of the fallopian tubes and ovaries (on one side or both). More often provoked by non-specific coccal flora: staphylococcus, E. coli (E. coli), enterococcus, and others.
Ways of infection in the tubes and ovaries:
- 1 Hematogenous or lymphogenous path (with current of lymph, blood through the vessels).
- 2 Descending path (through the peritoneum from the large intestine).
- 3 Ascending path (from the vagina) - most often.
For acute adnexitis is characterized by a bright clinical picture, manifested by local and general symptoms:
- 1 Common clinical symptoms: fever, fever, headache, nausea, weakness.
- 2 Locally: mucous or purulent greenish-yellow discharge from the female genital tract, severe abdominal pain radiating to the perineum, rectum, lower back, bloating, cramps, upset stool.
When the infection spreads to the pelvic peritoneum, symptoms of irritation appear (pelvioperitonitis), the condition worsens, the temperature and intoxication increase. In this case, immediate hospitalization of the woman to the hospital and intensive care are required.
In the chronic form of adnexitis, abdominal pain and discharge appear periodically, symptoms are scarce, mild, there may be a violation of the menstrual cycle, prolonged subfebrile, pain during intercourse.
The treatment is carried out with antibacterial drugs of the macrolide group, tetracycline or fluoroquinolones, depending on the type of pathogen. Additionally prescribe antiseptics, anti-inflammatory drugs, multivitamins.
6. Acute endometritis
Acute purulent inflammation of the inner lining of the uterus caused by a specific (gonococcus, chlamydia, trichomonas) or non-specific mixed microflora (enterobacteria, Klebsiella, gardnerella, etc.).
As a rule, purulent inflammation of the endometrium occurs after childbirth (including cesarean section), abortion, diagnostic curettage, hysteroscopy, intrauterine manipulation to remove residues of the ovum, IUD.
The development of infection contributes to the weakening of immunity, hormonal fluctuations, concomitant genital infections.
Symptoms of acute endometritis:
- Discharge of varying intensity depending on the microflora and the severity of inflammation (leucorrhea, dull, grayish, green, mixed with blood).
- Abdominal pain, groin, rectum, perineum.
- Pain when urinating.
- The general condition suffers largely: chills, palpitations, fever, weakness, weakness, and other signs of intoxication.
7.1. Nonspecific vulvovaginitis
Inflammation of the mucous membrane of the vagina in girls occurs due to the penetration of bacterial flora (enterococcus, staphylococcus, E. coli).
Low levels of the hormone estrogen in the blood, the neutral environment of the vagina, and the following factors can contribute to this:
- Lack of intimate hygiene, improper care.
- Rare change of underwear girls.
- Masturbation in children, foreign objects in the vagina.
- Avitaminosis, reduced general and local immunity, frequent infections.
- Uncontrolled use of antibiotics.
- Frequent use of detergents synthetic bathing, washing clothes, care for plumbing.
Vaginitis manifests itself in girls with secretions from the genital tract (abundant yellow, mucous or yellow-green), redness of the vulva, itching, cutting when urinating, general irritability and tearfulness of the child, deterioration of sleep and anxiety.
Treatment of vaginitis prescribed by a gynecologist after receiving the result of smears. Local therapy is often prescribed, but sometimes general treatment is required:
- 1 Local: Polygynax Virgo emulsion, use 1 capsule at bedtime - 6 days, sit-down baths with anti-inflammatory herbs, manganese, furacilin, antiseptic solutions.
- 2 General treatment: multivitamins (A, E, group B), antihistamines (Zyrtec, Fenistil), oral antibiotics, as a rule, are not shown.
When infected with pinworms, girls can brush the area of the anus and perineum, which contributes to the introduction of infection.
At night, pinworms, crawling out of the anus, often move to the vulva area, cause severe itching, burning, the mucous membrane is inflamed, swells and reddens, pathological discharge of different intensity appears.
Treatment of enterobiasis consists in taking antihelmintic drugs: Nemozol, Vermox, Pyrantel (tablets, suspension) once in the appropriate dose (dosage depends on the weight and age of the child).
If a week after the cure of enterobiasis, the symptoms of vaginitis do not disappear, it is worthwhile to contact a gynecologist to clarify the state of the microflora of the genital tract and conduct additional therapy.
8. Diagnostic methods
The appearance of green secretions in women should encourage the following tests:
- General smear on flora and GN from the posterior vaginal fornix, cervical canal and urethra.
- Comprehensive PCR (real-time PCR) to identify the major causative agents of STIs.
- General urine analysis.
- Ultrasound of the pelvic organs.
The terms of therapy are individual (antibacterial, antiseptic agents are used), the treatment takes place at home, only in some cases hospitalization may be required. Folk remedies at home should not be used.
To prevent infection with genital infections, any woman should follow simple rules:
- Use condoms.
- Undergo a regular examination by a gynecologist (at least 1 time / year).
- Do not treat yourself.
- Maintain intimate hygiene.
Distinguishing features of purulent discharges
Pus is not a natural product of secretion of the sex glands, which contains a large number of bacteria and dead leukocytes (neutrophils).
Purulent discharge is quite easy to recognize. Most often it is a mass of yellow-green color, which has a repulsive peculiar smell and is distinguished by abundance.
Purulent discharge photo:
As the inflammatory process progresses, the amount of such a secret increases.
In parallel, as a rule, there are other signs of ill health:
- hyperemia and edema of tissues,
- pain of a pulling or cutting nature in the lower abdomen or region of the sacrum,
- pain during bladder emptying,
- itching of the vulva.
In some cases, it may worsen the general condition, the appearance of symptoms of intoxication.
The specific structure of the female reproductive organs makes them vulnerable to the penetration of pathogenic microorganisms. The main causes of purulent discharge in women are further described diseases.
Purulent discharge in vulvitis
Vulvitis is a pathological process that encompasses the external genital area. The essence of the disease is inflammation of the mucous membrane of the large and small labia.
The cause of this disease is often a violation of the rules of hygiene. Often referred to in young girls. In adult women, vulvitis manifests itself much less frequently. Conditions for the development of the disease can create endocrine disorders, a decrease in local and general immunity, a reaction to the contact of the mucous membrane with synthetic underwear or hygienic means. Characteristic signs of vulvitis are:
- Abundant purulent secretions. Their color depends on the pathogen that provoked inflammation. When breeding E. coli secretions will be yellow with a greenish tinge. Staphylococcus causes a thicker yellowish discharge, fungal infection is accompanied by a white patina,
- Intolerable itching of the lips of the lips, burning, aggravated by contact with urine and with active movement,
- Soreness in the area of the external genital organs, caused by severe redness, swelling and irritation of mucosal tissues,
- Enlarged regional lymph nodes
- Иногда недомогание, вялость.
How to treat? The most common therapy for this disease involves the use of topical agents:
- rinsing (or baths) of the inflamed areas with potassium permanganate, chamomile infusion:
- treatment of the vulva with chlorhexidine, the use of antipruritic drugs.
- in severe cases, use of antibiotic therapy and antifungal drugs,
- in addition, medications can be prescribed to restore the microflora of the vagina and vitamins to raise general immunity.
Suppurative secretion in endometritis
Endometritis is an inflammation of the inner lining of the uterus that develops against the background of infection. The causative agents of the disease can be bacteria, viruses, fungi and even parasites. Of great importance in the development of endometritis are failures in the endocrine, immune, nervous systems. Surgery, abortion, traumatic labor, stressful situations, the use of the IUD, etc. can provoke inflammation.
The development of endometritis of the uterus is accompanied by symptoms such as the discharge of a purulent mass with inclusions of blood clots with a repulsive odor. There may also be an increase in body temperature, chills, pain in the pelvic region and lumbar region, general malaise.
How is it treated? There are cases when the endometritis passes spontaneously immediately after menstruation, because during this physiological process there occurs a natural rejection of the upper layer of the mucous membrane, which is affected by inflammation. But this is not always the case. In some cases even hospitalization is required.
Endometritis therapy includes, first of all, antibiotics, as well as (if necessary) the introduction of salt and protein solutions to eliminate the intoxication of the body. After removal of the underlying cause causing the development of a painful condition, the patient may be prescribed multivitamins, a course of immunomodulators, hormonal drugs.
If timely treatment is not carried out, then after the removal of the acute symptoms, there remains a high probability of the disease becoming chronic.
Pathological secret in cervicitis
Cervicitis is, in simple terms, inflammation of the mucous membrane of the cervix. It can cause a variety of reasons. These include genital infections (gonorrhea, trichomoniasis, chlamydia), fungal lesions, hormonal disorders, and mechanical damage to the integrity of the mucous layer. But most often the reason is the reproduction of conditionally pathogenic microorganisms, which occurs against the background of a decrease in the body's defenses.
As a result of the action of provocative factors, a focus of inflammation appears, which is initially accompanied by an increased release of odorless mucous secretions. As the disease develops dull pain in the abdomen, false urge to empty the bladder, pain during sexual contact.
In addition, as a result of damage to the integrity of the mucous membrane of a woman, blood discharge after sex may appear, the appearance of a purulent secret, the color of which may vary depending on the pathogen that provoked the pathology.
- So with gonorrhea, purulent vaginal discharge will be yellow.
- If the cause is trichomoniasis or chlamydia, the structure of the discharge will be similar to foam.
- Mushrooms Candida provoke white cheesy discharge, in which, when the form of the disease is neglected, an admixture of pus may appear.
When cervicitis, the cervix becomes loose, increases in size, acquires a reddish tint. Once an acute cervicitis has arisen, it threatens to develop into a chronic disease. In addition, it often causes cervical erosion.
How to treat? Therapeutic procedures are prescribed by the doctor on the basis of the results of tests, with the help of which it is possible to determine the direct causative agent of the disease. In some cases, you may need to use antibiotics, in others - antifungal drugs, and thirdly - antiviral drugs. To enhance local immunity, it is possible to use immunostimulants, vitamin complexes and drugs that normalize the microflora.
Vaginal secretions of purulent character with vaginitis
Vaginitis (colpitis) is an inflammation of the mucous membrane of the vagina, which is the result of an imbalance of microflora. Often it occurs against the background of a decrease in the body's defenses, as a result of reproduction of the conditioned pathogenic flora. It can provoke a violation of the rules of hygiene, damage to the mucous layer, hormonal changes, infection of a genital infection.
Symptoms of vaginitis are pretty clear. The first characteristic symptom of a gynecological disease is discharge - whites of an abnormal nature. As a rule, the secreted mass is a serous-purulent discharge, the intensity of the color and the structure of which may vary depending on the causative agent of inflammation. In parallel, symptoms observed in any inflammatory process in the gynecological field can be observed, namely: itching and burning in the vulva (especially when in contact with urine), swelling and redness of the tissues, pain in intimate contact, hyperthermic syndrome, an increase in local lymph nodes.
Inflammation of the ovaries and fallopian tubes, inflammation after surgery
Sometimes a hotbed of inflammation occurs in the very depths of the female body - the fallopian tubes or ovaries. Signs of such diseases are somewhat different from the above.
So the serous discharge observed during this ailment most often has a dirty green tint, while no manifestations in the form of itching, burning or soreness when urinating can be observed at all. However, pain in the lower abdomen with such secretions, on the contrary, are intense and sharp.
Another distinctive feature of mucopurulent secretions in inflammation of the ovaries and fallopian tubes - their secretion is greatly enhanced during physical activity. Additionally recorded manifestations of intoxication.
Another cause of purulent discharge is the occurrence of inflammation after surgery on the organs of the reproductive system, for example, after the removal of various neoplasms. The development of internal inflammation is accompanied by intoxication, an increase in body temperature to critical values, sharp pains in the pelvic region, a reaction from the lymph nodes, and an intense release of purulent mass, which smells repulsive.
Most often cause inflammation of this kind of E. coli, streptococci, staphylococcus. Ignoring the above symptoms can lead to dangerous consequences - infertility, blood poisoning, severe intoxication.
How is it treated? Without antibiotics, purulent discharge during inflammation cannot be defeated. At the advanced stage of the disease, accompanied by vivid signs of intoxication (vomiting, high fever, poor health), not only hospitalization, but also surgery may be necessary. Additionally, the patient can be assigned immunostimulants, vitamins, hormonal drugs - it all depends on what caused the inflammation.
Anomalies of the structure (incomplete doubling of the vagina)
One of the reasons that may cause purulent discharge from women is a doubling of the uterus with an incomplete doubling inside the vagina. With this physiological anomaly, the accessory vagina develops in parallel, as an accessory pocket. In this case, the exit from it is closed, which prevents the natural outflow of secretory fluid and causes stagnation and inflammation. As a result, a fistula occurs, which releases pus into the normal vagina, which explains the appearance of abnormal discharge.
How is it treated? Unfortunately, in this case only an operation can help, during which the surgeon removes the paranasal vagina. After removal of an abnormally developed organ, the reproductive functions are fully preserved.
Pus in vaginal cancer
This is another reason for the appearance of vaginal purulent discharge. Such a secretion is caused by a secondary infection of the cancer. At the same time a significant amount of blood inclusions is present in the released mass. There is also necessarily a heavy putrid odor. Most often, this form of cancer is found in older women after the age of 60 years. At the same time, the affected areas look like ulceration of a necrotic nature.
How is it treated? As with any oncological disease, vaginal cancer involves specific treatment, which may include both surgery and chemotherapy and radiation therapy after the removal of lesions.
Inflammation of the urethra
Sometimes the appearance of traces of pus on linen may not be associated with gynecological problems. Their cause can be inflammation of the urethra (discharge from women comes from the urethra). At the same time, symptoms such as pain during urination, increased urge and a feeling of incomplete emptying of the bladder can be observed. Often there is a general malaise, cutting in the stomach, irritation of the area around the urethra.
In women, the cause of such discharge is most often gonorrhea or trichomoniasis. Mechanical damage to the tissues lining the urethra can also provoke inflammation. For example, a Foley catheter used to remove urine for bladder dysfunction often causes a similar complication.
Tactic treatment. In this case, everything again depends on the reasons that provoked inflammation. If we are talking about STDs, then treatment is carried out depending on the type of pathogen. If the inflammatory process occurs as a result of dysfunction of the urinary system, then an integrated approach to treatment is required, including the use of antibiotics, and prompt assistance, and vitamin and immune therapy.
Signs of normal discharge
Odorless and itchy discharges in women are considered the absolute norm. In a healthy person, they have the following characteristics:
- the secret is highlighted in white, or there is a clear, odorless discharge,
- consistency mucous or jelly-like,
- there are no associated symptoms,
- small volume
- there is no sharp smell,
- irritation on the skin is not observed.
Any inflammatory disease affects the reproductive system. In addition, it often becomes chronic - and in this case pus is secreted. Such changes are never the norm and indicate serious health problems.
Related characteristic features of discharge with pus. Kinds
The appearance of purulent discharge in women is characterized by:
- pulling pains in the abdomen,
- tissue hyperemia (severe redness),
- itching in the vagina.
Allocations may be:
- thick, frothy, cheesy,
- color from saturated white to yellow-green, sometimes with blood splashes,
- with a strong smell, pronounced sour or putrid, sometimes (rarely) without smell.
All this indicates the presence of inflammatory processes and requires immediate treatment. Why do purulent discharges appear in women? What causes them and how to treat them? About this later in the article.
Causes of inflammation
The structure of the female reproductive system is such that the infection quickly spreads ascending. It penetrates the uterus, fallopian tubes and appendages. Launching such diseases for women is extremely dangerous. Infection can cause ectopic pregnancy, various complications during childbirth, and even infertility.
What causes purulent discharge in women? The reasons may be different. Consider the most common:
- candidal colpitis, common thrush,
- vulvitis (inflammation of the vulva),
- vulvovaginitis - inflammation of the vulva and vaginal mucosa,
- endometritis - inflammation of the endometrium,
- colpitis, vaginitis - inflammation of the vaginal mucosa,
- oophoritis - inflammation of the ovaries.
Doctors divide all diseases into two types: specific and non-specific.
Specific - those that are transmitted only sexually. Sexually transmitted diseases (STDs) can cause purulent discharge in women with an unpleasant odor. These illnesses include: gonorrhea, trichomoniasis, chlamydia.
Non-specific - diseases that are transmitted by household. Occur due to non-compliance with personal hygiene, trauma to the genitals. Through the genitals in violation of the rules for processing instruments inserted into the vagina when conducting examinations, procedures and manipulations (abortions and scraping, when installing spirals).
Purulent discharge occurs in vaginal cancer. At the same time secreted secret contains a large number of bloody inclusions, has a strong putrid odor. Vaginal cancer is diagnosed in older women over 60 years of age. This disease is treated with surgery. Also often used radiation and chemical therapy.
Symptoms of ailments
Purulent discharge from women is the main sign of the inflammatory process. In addition to uncharacteristic secretions, there are other symptoms:
- Pain in the ovaries, pulling pain in the lower abdomen, discomfort during urination. The pain can be weak, aching, sometimes sharp, sudden.
- The menstrual cycle is broken. Hemorrhages may start early or much later. The discharge during menstruation changes color, becoming dark, sometimes almost black. The amount of blood released may increase or disappear altogether.
- There is discomfort during intercourse. There is excessive dryness of the vagina, pain immediately during the act, bloody discharge after it.
- Increased body temperature, nausea, accompanied by vomiting.
Purulent discharge in women with the smell appear when:
- vaginal dysbacteriosis, which occurred while taking antibiotics, a general decrease in immunity,
- venereal diseases,
Vaginal discharge without smell in the presence of the inflammatory process is very rare.
Purulent discharge in women without odor may indicate cervicitis. The cause of this disease are:
- genital infections
- hormonal disorders,
- mechanical injury.
As the disease progresses, other symptoms appear. For example, it can be severe or sharp pain in the lower abdomen, unpleasant, discomforting sensations during intercourse, frequent urination.
Any of these signs - it is an occasion to immediately contact a gynecologist. It should be remembered that the sooner the diagnosis is carried out and the treatment is started, the greater the chances of a full recovery.
Diagnostic methods (photo)
Purulent discharge in women occurs for various reasons. How to determine the true? How is the diagnosis? In order to establish what was the cause, the doctor prescribes tests:
- Vaginal smear for the detection of viruses, fungal flora, bacteria.
- Bacterial culture of the vagina, cervical canal - to identify bacteria that cause inflammation.
You may need a blood test from a vein, a smear for laboratory tests using PCR and ELISA. Such research methods make it possible to choose a more effective treatment regimen.
When taking a smear from the vagina a day before the material intake should be excluded sex. It is undesirable to perform douching with any means, use soap and water before analysis. All this may affect the test results and distort the research data.
An ultrasound scan is also prescribed, in some cases such examinations as colposcopy and x-ray of the pelvic organs are required. They are necessary to identify the source of inflammation.
What are the known methods of treatment of purulent discharge in women? In the presence of an inflammatory process, complex drug therapy is necessary. Home medicine in these cases is often powerless. Traditional methods are applicable as a supplement to drug therapy, for the prevention and maintenance of the immune system. It should also be remembered that self-treatment not only does not alleviate the situation, but also leads to undesirable pathologies. Independent use of antibacterial drugs can provoke the multiplication of bacteria. Then the disease will turn into a hidden chronic form.
How is the treatment of purulent discharge in women? Causes must be installed first. The treatment is selected individually. The following applies in such cases:
- antibacterial drugs
- anti-inflammatory therapy
- immunostimulants and immunomodulators (the technique is aimed at enhancing the resistant functions of the body).
What else is used in the treatment?
Probiotics, dietary supplements containing bifidobacteria are used to normalize the vaginal microflora.
At the time of treatment should follow a diet. It is necessary to exclude from the diet foods high in sugar and yeast, carbonated drinks, alcohol, spicy, smoked and spicy foods.
When taking antibiotics, you must also connect adaptogens and vitamin complexes.
Если в ходе заболевания нарушился менструальный цикл, назначается гормональная терапия.
An extreme measure in case of neglected inflammatory process is surgical intervention.
Prevention of inflammatory diseases
In order to prevent inflammatory diseases of the genitourinary system, a woman should:
- Avoid casual sex, use barrier contraception (condom). It is important that the partner used a condom from the very beginning of sexual intercourse, and not before ejaculation.
- Properly conduct intimate hygiene of the genital organs, especially in the days of menstruation, when the female body is especially vulnerable.
- Avoid hypothermia.
- Seek medical advice in the event of infection.
- Lead a healthy lifestyle.
- In the case of hormonal disorders, follow the therapy.
- Take antibacterial drugs only as prescribed by doctors, restore the microflora of the vagina and intestines with the help of probiotics.
- In the postpartum period, pay special attention to the restoration of the integrity of the genital tract.
- Fully eat, have enough time to sleep, exercise regularly.
Causes and general clinical picture
Purulent vaginal discharge may appear as a consequence of the pathological processes of an infectious and inflammatory nature.
- Infections that are committed during unprotected sexual contact: gonococci, chlamydia, trichomonas, ureaplasma, herpes virus and others.
- Bacterial infections: vaginitis and colpitis, cervicitis, voulovovaginta and the list goes on.
- Pathologies of an inflammatory nature: adnexitis, endometritis, parametritis and others.
- Complications after childbirth.
- Oncological neoplasms in the cavity of the genital organ. In particular - cancer of the uterus.
Diseases caused by infectious agents, in 99% of "inherited" during sexual relations with a patient or carrier. Some bacterial-infectious and inflammatory diseases are the result of conditionally pathogenic flora getting through the damaged mucosa of the vagina and uterus. Often such damage a woman can get:
- in diagnostic and therapeutic curettage of the uterus,
- during abortions, especially those with complications,
- during childbirth,
- with gynecological surgery,
- when setting or removing the uterine helix.
In such cases, an exacerbation is observed a few days after the medical manipulation.
Purulent discharge, as a rule, are not just a particular manifestation of any of the above pathologies. They are accompanied by such manifestations:
- colic pains of different intensity, localized in the lower abdomen,
- pulling sensations in the back, extending to the hip joints,
- mild to moderate itching that is felt both in the vagina itself and on the genitals from above,
- external genitals are hyperemic and edematous,
- during urination a strong burning sensation is felt,
- body temperature rises.
Selection mainly mucopurulent, with the smell of "fish stew" from whitish to greenish. Sometimes there are streaks or lumps of blood.
There are also some features of the discharge in various diseases. This is explained by the factors that caused a specific pathology.
The first pus discharge indicates the presence of an infectious pathology of the urogenital system, which are inflammatory. This is one of the most common causes of this phenomenon. Each representative of the fair sex at least once in life, but faced with such things.
In no case should one ignore the appearance of unusual and unpleasant symptoms. The sooner an appeal to the gynecologist, the determination of the cause of purulent discharges and the appointment of adequate therapy occurs, the sooner the illness can be eliminated.
These incomprehensible terms mean a dangerous pathology - inflammatory processes in the vaginal mucosa. Several factors can cause such diseases at once:
- bacterial microflora, both conditionally pathogenic (which is a priori in the body of every healthy person, but at a certain concentration), and pathogenic, transmitted mostly through unprotected sex,
- endocrine disorders that lead to changes in hormonal status or imbalance,
- mechanical damage to the vaginal mucosa,
- the use of certain groups of drugs (hormones, antibiotics),
- insufficient attention to intimate hygiene,
- reduction of body defenses.
It is important to know that the vaginal mucosa is a protective barrier to the penetration of bacterial flora and is itself populated with beneficial and conditionally pathogenic flora. Violation of this balance can be triggered by frequent douching, uncontrolled and unjustified. As a result, the infections penetrate the uterus unhindered.
It is characterized by the presence of inflammatory processes in the cervix. The secretory fluids are mucopurulent, turbid, off-white or slightly greenish, almost odorless.
The causes of this pathology can be a nonspecific infection, represented by conditionally pathogenic microflora: staphylococcus, streptococcus, Escherichia coli, Klebsiella. The culprits of the "celebration" are often fungi of the genus Candida, protozoa and parasites. This “agent” enters the cervix by transferring the circulatory and lymphatic systems.
Among specific pathogens isolated infections are transmitted predominantly through sex (chlamydia, mycoplasma, gonococci, trichomonads).
Vaginitis and cervicitis are provoked by the entry of an infectious pathogen directly into the interior of the uterus, and endometritis occurs - the inner lining of the organ becomes inflamed.
With such a pathology, excretions will have a mucopurulent character mixed with lumps of blood. There is a high temperature, strong pain in the lower back and lower abdomen.
Since the inflammatory processes in this disease affect only the upper layer of the endometrium (mucous membrane), sometimes after menstruation the symptoms can disappear by itself, even without treatment.
However, you need to know that the monthly will be plentiful and painful, longer in time. If you do not treat endometritis in the acute period, recurrence may occur.
Inflammation of the ovaries and tubal appendages, as a rule, occur "as a duet." The causes can be both sexually transmitted infections and during medical manipulations (cleaning the uterus, giving birth, terminating a pregnancy, setting up or removing the helix).
Symptoms are quite bright and localized at the site of injury. The disease can be both unilateral and bilateral.
Diseases caused by specific infections
For nonspecific types of purulent infection is usually attributed to conditionally pathogenic microflora, which is present in certain quantities in the body of every healthy person. With the normal functioning of the body, strong immunity and the absence of provoking factors, the number of these bacteria does not exceed the permissible norms and does not cause the development of pathological processes.
You can also become infected with them when using personal hygiene items, towels and linen of a sick person.
The specific microflora is transmitted exclusively through sexual contact with an infected person without barrier contraceptives. And it is necessary to treat STDs in both sexual partners.
A feature of this type of pathology is a hidden flow, especially in women. Symptoms are often similar to those that are present in non-specific diseases, but may appear much later and be less pronounced.
With such purulent secretions in women, the causes and treatment are directly related, since all therapeutic methods will be aimed at eliminating pathogenic flora. And each of the representatives of these infections responds to certain drugs.
The causative agent is microorganism parasites of chlamydia. The incubation period can be from a week to a month or more. The danger of pathology lies in its asymptomatic course or mild symptoms. In this situation, the disease often becomes chronic and causes quite serious complications.
Chlamydia can affect the mucous membrane of both internal and external genital organs, respiratory tract, blood vessels and heart, organs of vision and hearing.
Symptomatology is the appearance of purulent yellowish discharge, causing discomfort in the vagina. There are weak aching pains in the lower abdomen, general weakness and a slight increase in body temperature, mainly in the evening hours. Also observed intermenstrual bleeding.
For treatment, as a rule, broad-spectrum antibiotics, antifungal drugs, and immunomodulators are chosen. The use of local antiseptics is recommended for the treatment of external genital organs and douching.
Venereal disease, the causative agent of which are gonococci. It is characterized by plentiful purulent secretions of yellow-brown color with a very sharp specific odor. Inflammatory processes are observed in the entire urogenital area.
For treatment, strong antibiotics are used. During the entire course of therapy it is strictly forbidden to drink alcohol, to have sex. Interrupted treatment threatens with complications and the development of the resistance of an infectious agent to medical drugs.
The cause of the disease is mycoplasma and it also manifests as purulent secretions. However, in this case, not everything is so simple - the disease is transmitted not only sexually. Possible transmission of infection when using non-sterile gynecological instruments. Also known cases of domestic infection through linen or personal care products.
A distinctive feature of this type of pathology is the almost complete absence of symptoms. A woman may not know about her illness for years and reveal it accidentally during a visit to a doctor for a completely different reason.
Infection during pregnancy is particularly dangerous, as it can lead to pathological development of the fetus, fading of pregnancy or miscarriage at different times. During childbirth, the child is 100% infected with a sick mother.
Symptoms appear already in the chronic stage of the disease. There are abundant purulent discharge, itching and burning during urination, constant pain of a pulling character in the lower abdomen in the region of the appendages.
For treatment use antibiotics, in the case of complicated mycoplasmosis - a combination of several drugs. But in approximately 10% of cases, it is not possible to achieve complete deliverance from the infection.
More known to women as thrush. The disease is caused by a fungus of the genus Candida, living in a certain amount in the intestine, vagina and the oral mucosa. In the presence of the disease there is a sharp increase in the number of these conditionally pathogenic microorganisms.
Characteristic symptoms: discharge of a cheesy consistency with a specific sour-putrid odor, but it can also be confused with purulent. Also present are itching and burning in the vagina, discomfort during urination, slight pain in the lower abdomen.
Candidiasis can become infected during unprotected sexual contact with a sick partner. But there are other causes of the disease:
- reduced immunity
- violation of the microflora of the vagina caused by taking antibiotics, excessive douching with bactericidal agents,
- allergic to intimate hygiene products
- chronic inflammatory processes in the pelvic organs,
- hormonal disorders,
- endocrine pathologies,
- chronic diseases of the gastrointestinal tract, provoking the development of intestinal dysbiosis,
- tight synthetic underwear
- stressful situations causing strong emotional stress.
Antifungal agents are used for the treatment. Vaginal douching is performed twice a day. This is enough in the initial, uncomplicated stages.
In case of protracted course or recurrence of the disease, it is recommended to take a tablet form of drugs along with local procedures.
Candidiasis can become chronic and become the cause of such pathologies as endometritis, urethritis, pyelonephritis, and even infertility.
General protocol for the treatment of diseases that cause purulent discharge in women
Purulent discharge, as a symptom of the inflammatory process caused by various pathogens, is the reason for the immediate appeal for help.
There are cases when it is indicated that an immediate placement in a hospital and an operation with further medical treatment for quite a long time are indicated. But these are rather exceptional cases. They occur in cases of late treatment for help in the early stages of the disease, in the event of complications or the presence of comorbidities.
Usually, with timely treatment in the early stages, treatment is carried out on an outpatient basis, but under the regular supervision of a gynecologist or venereologist.
As a rule, therapy includes several stages, the implementation of which guarantees complete relief from ailments, the absence of the risk of recurrence, the transition of the disease to a chronic or atypical form and the development of complications.
- At the first stage, antibiotics or antifungal drugs are prescribed, depending on the infectious agent that caused the disease. Of the antibacterial agents, Azithromycin, Doxycycline, Erythromycin, and cephalosporin preparations are most often used. Antimicrobial therapy is carried out with the help of Metronidazole, Ornidazole and analogues.
- At the second stage, the use of immunomodulators is recommended, which stimulate the immune system, thus helping the body to recover independently. Not only synthetic medicines are used, but also phytopreparations: echinacea, ginseng tincture, Rhodiola rosea, lemongrass and other herbs and roots.
- The final stage of treatment is the restoration of the normal microflora of the vagina. For this, oral probiotic preparations are used (Bififrm, Laktovit, Hilak, Bfidumbakterin and others). Also apply local funds with similar compositions in the form of candles or solutions for douching.
Purulent discharge is a serious problem that should not be overlooked. In any case, the presence of such a formidable symptom speaks of problems with the genitourinary sphere and requires immediate treatment.
With violations of the endocrine, hormonal systems and the progression of the inflammatory process, secretion becomes significantly more abundant. The nature of the discharge while the following:
In the process of development of abnormalities, discharge is accompanied by pain in the back and abdomen, cutting with urination, redness in the intimate area and itching. In some cases, hyperthermia is also noted.
Purulent discharge in its composition contain mucus produced by the glands and leukocytes, the concentration of which becomes significantly greater in the presence of an inflammation site.
Until recently, the purulent smell of discharge in a woman was considered a sign of gonorrhea. Now, doctors say that a change in the nature of secretion may occur in a number of other diseases, the causative agent of which is an infection transmitted through the genital tract (mycoplasmosis, chlamydia).
The reasons for the appearance of pus in women in the white and menstruation are as follows:
With the development of this disease, the inflammatory process is localized in the mucous membranes of the vagina. The reason for its appearance is a violation of microflora. Such changes can be provoked by suppression of immunity, non-observance of hygiene rules, mucosal injuries, hormonal imbalances and genital infections.
The main signs of pathology are purulent discharge. Concomitant symptoms are swelling and redness of the skin in the genital area, burning and itching, pain during intimate intimacy, hyperthermia and swollen lymph nodes. The main clinical manifestation of the inflammatory process is mucus. Characteristic mucopurulent secretion appears at various stages of the cycle.
Cervicitis is a disease that marks the onset of an inflammatory process in the cervix area. It can provoke sexually transmitted infections, fungus, hormonal imbalance and mechanical damage to the body.
In most cases, pathology develops against the background of the multiplication of conditionally pathogenic microorganisms, which occurs due to the suppression of protective functions.
Under the influence of provoking factors, inflammation foci are formed, more intense secretion is noted. As the disease develops, pain in the abdomen and discomfort during sex appear. After intimate intimacy due to damage to the cervix uterine bleeding is observed, but not abundant.
Гнойные выделения, в зависимости от возбудителя, спровоцировавшего развитие цервицита, будут иметь определенные особенности:
- при гонорее они приобретают желтый оттенок,
- при хламидиозе и трихомониазе становятся пенистыми,
- fungal infections - cheesy.
Salpingitis and oophoritis
The inflammatory process can begin in the ovaries or fallopian tubes. In this case, the clinical picture will have certain features. There may be purulent and bloody discharge. Concomitant symptoms, such as painful urination, itching and burning, are most often not observed. There is only severe pain in the lower abdomen.
Purulent discharge from the vagina with salpingitis and oophoritis have one characteristic feature. During exercise, they become much more abundant. In addition, signs of intoxication.
As a result of the development of the pathological process on the cervix, mucosal ulceration is noted. As a result of damage to the cervical canal, whites with blood and admixture of pus are observed. As a rule, such symptoms manifest themselves in the case of infection in the urinary system. The amount of secretion is directly dependent on the extent of the lesion.
Endometriosis is considered to be a fairly common and serious disease in which abnormal growth of the endometrium occurs. At the same time secreted from the vagina secret with an unpleasant smell in women has a brown tinge. Also observed discomfort and pain in the abdomen.
If this pathology is accompanied by endometritis, then the appearance of pus is noted in the whites, they acquire an even sharper, unpleasant odor.
Physiological secretions are not abundant, liquid, transparent or slightly unclear. Usually, their number increases with pregnancy or sexual arousal, also under stress and with climate change, but some very unpleasant odor is not present.
The quality of the smell depends on hygiene, eating, having sex, as well as on the individual characteristics of the organism.
If there is an itch
This indicates a violation of hygiene or reproduction of an infectious pathogen in the tissues, which provokes irritation of the vaginal walls and high impulsivity. From the internal coatings itching moves to the labia, followed by the perineum and anal region, reaching the inner thighs.
Pruritus is a consistent symptom of the occurrence of sexually transmitted diseases and lesions of the urogenital system (syphilis, donovanosis, chlamydia, herpes genitalia, ureaplasmosis, urethritis), atrophy (kraurosis of the vagina and external genital organs - a precancerous condition with dryness and itching, atrophy with clima, dryness, tingling and severe itching during intercourse), neoplasms (fibroma is a tumor of the connective tissue, polyps are a precancerous growth of benign tissues, myoma is a tumor of muscle tissue, a cyst is pathologic полe cavity with walls and contents).
They are accompanied by itching and burning against the background of discomfort. They have an unpleasant smell and a liquid consistency. A common root cause is an inflammatory syndrome that oxidizes the vaginal secretion.
The yellowish or green color is due to the presence of dead leukocytes and mixing them with thick, viscous mucus. All this indicates inflammation and the existence of a specific pathogen.
To begin treatment, you first need to get advice from a doctor who will prescribe an analysis for taking a vaginal smear, where the number of leukocytes (inflammatory cells) and the number of pathogen cells are determined.
Preparations and procedures
Drug treatment includes:
- antiseptics (Rivanol, Chlorhexidine bigluconate, Chlorophyllipt),
- solid dosage forms (intravaginal capsules, a course of 12 pieces, 1 time per day - Polyginax),
- anti-Chlamydia (Cleromycin, Pefloxacin, Azithromycin, Erythromycin),
- antitrihomonadnye (Metronidazole, Tripokhol, Amoxicillin),
- sulfanilamide (Biseptol, Phthalazole, Sulfadimethoxin).
What to do at home
At home, you can make a vaginal bath for 15-20 minutes, using a disposable gynecological mirror and medical solution. This procedure is recommended only in early pregnancy. For medicinal solutions use celandine, calendula, cinquefoil, eucalyptus.
To strengthen the immune system using viburnum or barberry juice.
People recommend to drink fresh juices, use a lot of greens, and the morning should start with a glass of lemon water.
Every day you need to rinse the genitals, for 15-20 minutes, and a walk on the street in warm clothes.
Dessert spoon of nettle juice or blueberry, St. John's wort decoction normalizes the vaginal microflora.
Prevention before and during treatment
The order of preventive (preventive) actions such:
- Observe the urinary system hygiene.
- Do not supercool.
- Twice a year to visit a gynecologist.
- Lead a decent sex life
- Conduct immunization 3-5 times a year.
Throughout the length of treatment, one should carefully monitor one's own hygiene, often change clothes and not have sex (they continue after negative tests for the pathogen).
Without a visit to the hospital, only after consulting with a doctor I knew, I got rid of the pain in two weeks and the discharge stopped. I did 2 times a day vaginal baths and drank Polygynax.
You can quickly be treated if you visit a doctor and at least a few times go to reorganization of the vagina.
Svetlana B., Kiev:
The main thing is to pass tests, go to the pharmacy and then it will be easier to resolve misunderstandings. A well-chosen drug will not give a chance for a relapse. ”
Positive reviews of treatment and the current diversity of its types prevent the chronicity of the disease.
It is very difficult to establish a barrier with the outside world, which will get rid of violations of the reproductive system. Indeed, even conditionally pathogenic microflora, under certain circumstances, can become pathogenic.
The best method of dealing with infections of the internal and external genital organs is the prophylactic method. Given the control of hygiene, timely access to a gynecologist, maintaining immunity and ethics of sexual relations, you can be confident in the integrity and safety of immunity.
Complications and consequences
The onset of inflammatory and infectious processes can cause the development of other diseases and serious complications. Regardless of what exactly caused the appearance of uncharacteristic whiter, because of these pathologies the vaginal microflora is disturbed, the female body becomes more susceptible to various diseases. The consequences of trichomoniasis, endometritis, as well as other inflammations and infections can be very serious.