Colpitis - symptoms and treatment in women, the best methods of therapy for all types of diseases. Signs and symptoms of colpitis. Tips for treating colpitis

Colpitis in women is a common disease characterized by inflammation of the vaginal mucosa. In another way, the disease is called vaginitis or vaginosis. The problem is mostly common among women of childbearing age.

There are different types of colpitis, everything will depend on the root cause of its occurrence in a woman, as well as on the nature of the pathogen. This disease is often accompanied by various infections, including STIs.

Causes of colpitis

So let's look at what colpitis is, and what are the main causes of this disease in women.

The disease is most often caused by staphylococci, streptococci, E. coli and pathogens from other groups. May develop due to a violation of the vaginal microflora. The predominance of conditionally pathogenic bacteria and fungi causes a violation of the PH balance of the vagina and, as a result, the appearance of unpleasant symptoms of colpitis.

Very rarely, the disease occurs as a single isolated process, more often it is combined with such diseases - endocervicitis,.

To the factors increasing the risk of developing nonspecific vaginitis, relate:

  • acute and chronic diseases of the internal organs, leading to a decrease in the body's immune responses;
  • infections with sexual transmission;
  • mechanical damage to the mucous membrane of the vagina
  • obesity, ovarian hypofunction;
  • long-term use of drugs, antibiotics;
  • non-compliance with the rules of personal hygiene.

Stress, climate change or a sudden change in food, severe illness undermine a woman's immunity, and gives rise to infection. If colpitis is not treated in time, then the inflammatory process can also go to the cervical canal, uterus, appendages. The most dangerous are colpitis, which cause trichomonas and chlamydia, they must be treated immediately, preventing the transition to a chronic form.

There are acute, subacute, chronic forms of the disease. In the latter case, it proceeds chronically, with a constant alternation of improvement and new exacerbations.

Symptoms of colpitis

Colpitis and its characteristic symptoms in women are manifested primarily in the form of vaginal discharge, which in some cases is liquid, and in others - of a purulent type. This symptomatology is inherent in a non-specific type.

Specific colpitis is caused by genital infections. In this case, there are symptoms such as swelling of the vagina, its velvety to the touch, as well as the release of blood when touched. Also for all types of colpitis is characterized by almost permanent and external genital organs.

In acute forms, the mucosa is covered with a purulent coating. Bleeding can be caused even by a simple touch. On the vaginal mucosa, you can notice its superficial defects in the form of spots or small elevations. There is a deterioration in general well-being, as well as itching and redness of the external genitalia. The disease can manifest itself in the form of vulvovaginitis, often combined with urethritis, pseudo-erosion of the cervix.

With the transition of the process to the chronic stage, these manifestations become much less pronounced, there are practically no complaints from the patient, and the diagnosis of the disease is much more difficult. Characteristic signs appear during the period of exacerbation.

In pregnant women, inflammation of the vaginal mucosa is usually caused by ureaplasma. A pregnant woman with this disease can infect the fetus if the infection rises up the vaginal tube.

Colpitis treatment

After we have considered what this disease is, it is time to talk about how to treat colpitis in women. It should immediately be mentioned that the treatment will depend on the type of colpitis, it happens - atrophic, trichomonas and candidiasis.

In this regard, you first need to make sure and conduct a diagnosis, contacting a gynecologist is the only right decision, because the symptoms of colpitis are quite difficult to independently differentiate among themselves at home.

Treatment of colpitis in women is designed not only to eliminate the very cause of the disease, but also to take into account the accompanying complications, include restorative therapy, which will be designed to restore the natural microflora in the vagina.

The ongoing treatment consists of two directions: general therapy of the whole body of a woman and local measures directly in the vaginal area. As a rule, therapy is combined and is selected depending on the type of disease, the age of the woman, concomitant ailments, etc.

For the period of treatment it is necessary refrain from any sexual contact. You should not self-medicate, relying only on folk methods. You should always be aware of the complications that an untreated or undertreated process can cause.

  1. Local procedures include washing the vagina with antiseptic solutions and infusions of various herbs. They should continue until the results of a bacteriological examination of a smear taken from the vagina are obtained, but not less than 3-4 days.
  2. When the mucous membrane is affected by pathogenic fungi, various antifungal drugs are used. In this case, a specific drug from a specific chemical group should be selected only by an experienced doctor.
  3. With a pronounced course of colpitis, local antibiotics are used, taking into account the sensitivity of the pathogen. Do not forget that many of the drugs for the treatment of this disease have contraindications during pregnancy and lactation, therefore, they are prescribed only by a doctor.
  4. In addition, vaginal tablets, suppositories, ointments, gels - terzhinan, makmiror can be used. Douching with antiseptic solutions of chlorhexidine, miramistin or chamomile is possible.

During the treatment of the disease, a sparing, mainly sour-milk and vegetable diet is prescribed, spicy, salty, smoked dishes are excluded from the diet. In the final stage, drugs are prescribed that help restore the natural microflora of the vagina and mucosa.

This ailment in women responds well to treatment if diagnosed in a timely manner. Therefore, it is important to immediately, when the first signs of the disease appear, go for an examination to a gynecologist.

Prevention

The main prevention of colpitis in women is to follow the basic rules of hygiene. This is the most important and effective stage of prevention. A change in the nature of the discharge and the menstrual cycle should be the reason for an immediate appeal to the gynecologist.

You should pay special attention to the hygiene of your sexual relations. Before sexual intercourse, be sure to take a refreshing shower, it is also important to use condoms. In order to prevent an unpleasant disease, it is necessary to strengthen the body's immunity as a whole. A healthy body effectively copes with infections on its own.

As a rule, with proper treatment, the disease does not pose a serious threat to the patient's health. Therefore, remember the main point - a timely visit to the doctor when the first symptoms of the disease appear is the key to a successful cure for colpitis, without the risk of complications.

From vaginal infections, the vagina is protected by the acidic environment of the mucous membrane. However, under the influence of various factors, the sensitive environment responsible for protecting the female genital organs can get out of balance, allowing pathogenic microorganisms to multiply. One of the consequences of such a process is colpitis.

Colpitis disease

This disease is more common in women of childbearing age, but can occur in older women or even young girls. Colpitis - what is it? The disease belongs to the category of infectious and inflammatory, while the vaginal mucosa is affected by pathogenic microorganisms (Hemophilus influenzae, streptococcus, staphylococcus, Escherichia coli, fungi of the genus Candida, etc.).

The disease of colpitis in the international classification (ICD) has the code N70-N77, its second name is vaginitis. A disease develops in the vagina as a result of infection of the internal environment of the genital organs, violations of metabolic or endocrine functions, injuries. The main signs of colpitis are profuse discharge of a cloudy color, pain in the lower peritoneum and in the vagina, itching. The inflammatory process can proceed in an acute or chronic form.

spicy

Inflammation of the genital organs with such a disease occurs suddenly. Signs that characterize acute colpitis are:

  • burning sensation in the vagina and labia;
  • pain of internal localization;
  • admixture of ichor in secretions;
  • feeling of heaviness in the lower abdomen.

When examining the vagina, the mucous membrane of the genital organs of a woman has a swollen, reddened appearance, with the slightest impact on it (careless introduction of gynecological mirrors) begins to bleed. The consequence of the inflammatory process may be the further spread of infection to the external genitalia and cervix. The course and symptoms of colpitis depend on the age, the state of the woman's immunity, the type of pathogen that caused the disease, and other individual factors.

Chronic

What is chronic colpitis? When a woman ignores the symptoms during the acute course of the disease, the infection goes into a latent state, as a result of which the form of the pathology is transformed into a chronic one. At the same time, the disease practically does not show itself, with the exception of periods of exacerbation. Chronic colpitis is characterized by a gradual spread of infection to other organs of the female reproductive system - fallopian tubes, ovaries, uterus.

In pregnant women

Inflammation of the vaginal mucosa in women in position leads to serious inconvenience, while the pathological process can worsen and pose a danger to the fetus. Colpitis during pregnancy threatens to infect the baby or amniotic fluid, as a result of which various complications can develop. In pregnant women, vaginitis can be bacterial or infectious, both of which are associated with a malfunction of the immune system or hormonal imbalance.

Colpitis - causes

The acidic vaginal flora serves as a reliable barrier that protects the genitals from the penetration of pathogenic microbes that cause colpitis. Doderlein sticks (the basis of a healthy flora) maintain a normal vaginal environment only if the ovaries work normally, which produce hormones responsible for updating the cells of the genital mucosa.

What are the causes of colpitis in women? Any disease, especially endocrine, disrupts the body's natural physiological processes, including the balance of hormones. As a result, the vaginal microflora undergoes a change: its protective properties deteriorate, fungal and other pathogenic organisms begin to multiply uncontrollably, and the woman develops symptoms of vaginitis. As a rule, the causative agents of the disease are gardnerella, Trichomonas, Escherichia coli, staphylococci, streptococci.

atrophic

The disease is typical for the postmenopausal period, in addition, it can develop in women with artificially induced menopause. Due to a decrease in the level of estrogen, a symptom complex occurs, which is manifested by itching, dryness, discomfort in the vaginal area, pain during intercourse, bloody discharge after sexual intercourse. Atrophic colpitis (aka senile), as a rule, develops due to estrogen deficiency, which leads to a decrease in the secretion of the vaginal glands and thinning of the mucous membrane of the organ.

Trichomonas

The infection multiplies rapidly and produces a substance with a similar structure to body tissues. Such a protective mechanism of Trichomonas bacteria complicates the diagnosis of the disease. Infection with vaginitis can occur after any type of sexual contact, including oral and anal, so it is impossible to provide absolute protection against infection. In very rare cases, if the rules of personal hygiene are not followed, women become infected with Trichomonas through underwear.

candida

Thrush is caused exclusively by fungi of the genus Candida, which are present in the body of every person. Yeast colpitis begins to develop when the balance of bacteria that inhibit the development of candida is disturbed. As a rule, this happens after a long treatment of a disease, after a course of antibiotic therapy. Vaginitis develops when the immune system weakens and cannot cope with the growing number of fungi in the body.

In addition, candidal colpitis appears due to a glut of the diet with carbohydrates, when taking hormonal drugs and after douching with solutions that violate the acid-base balance of the vagina. Thrush often occurs in people with diabetes or HIV, which is associated with suppressed immunity (the body does not have enough strength to fight the mycotic flora). Candidal vaginitis is often diagnosed during the last trimester of pregnancy, which is associated with a major hormonal change.

non-specific

What is non-specific vaginitis? The main stimulating factor of the disease is a violation of the microflora of the genital organs. When the number of pathogenic bacteria prevails, nonspecific colpitis begins. The disease can contribute to:

  • infectious diseases that suppress a woman's immunity;
  • mechanical, chemical or thermal injury to the vaginal mucosa;
  • prolapse of the vaginal walls, other anatomical changes in the vulva;
  • ignoring the rules of hygiene by a woman;
  • taking antibiotics;
  • pathologies of the endocrine system such as obesity, diabetes, insufficient ovarian function;
  • atrophic processes, vascular changes in the vaginal mucosa during menopause;
  • allergic reactions provoked by hygiene products, contraceptives;
  • disruptions at the hormonal level.

senile

With a decrease in the amount of estrogen produced by the ovaries, age-related colpitis in women can develop. Another possible cause of the disease is the thinning of the vaginal epithelium. As a rule, vaginitis is diagnosed in elderly patients, but in rare cases it also occurs in young women. Inflammation of the vagina sometimes manifests itself in artificial menopause.

Lack of estrogen is almost always accompanied by proliferation of vaginal tissues, inhibition of the secretion of local glands, degeneration of the mucous membrane of the genital organs. This leads to the activation of the pathogenic microflora of the vagina, as well as the simplification of the penetration of harmful bacteria from the outside. As a result, the mucous membrane of the organ becomes inflamed and senile colpitis begins to develop.

Symptoms of colpitis

The symptoms of vaginitis depend on the severity, type of pathogen, and severity of the pathology. For the acute form of the disease, the following symptoms are characteristic:

  • burning, itching, irritation on the external genitalia;
  • pain localized at the bottom of the peritoneum;
  • discharge during colpitis has an unpleasant odor and an admixture of blood (in addition, they can be purulent);
  • when urinating, a woman may feel pain;
  • there is redness, swelling of the mucous membrane of the genital organs (both internal and external).

In the chronic form of vaginitis, the pain is insignificant or completely absent, the woman feels normal, but her libido decreases. The course of colpitis is sluggish, however, exacerbations occur periodically, in which patients may feel itching / burning / soreness in the genital area. Sometimes a chronic disease is accompanied by urethritis, cervicitis, or pseudo-erosion of the uterine cervix.

Diagnostics

Before making a diagnosis of colpitis, the doctor collects an anamnesis and conducts a comprehensive examination of the patient, consisting of:

  • examination of the cervix, vaginal walls with the help of gynecological mirrors;
  • examination of the urethra, clitoris, labia, thighs for redness, swelling, cracks, ulcers;
  • palpation of the uterus, appendages to identify complications of vaginitis.

In addition to the above measures, colpitis in gynecology is diagnosed with the help of mandatory laboratory tests. These include:

  • microscopic examination of discharge from the cervical, urethra, posterior wall of the vagina;
  • PCR analysis for the detection of genital infections;
  • culture of vaginal discharge to determine the type of pathogen and the sensitivity of pathogenic bacteria to antibiotics.

Colpitis treatment

It is possible to treat the disease only after it is established to excite it. At the same time, therapy consists not only in suppressing pathogenic microbes, but also in restoring healthy microflora, strengthening immunity. How to cure colpitis? The first thing that doctors advise women is to observe sexual rest (sexual activity not only exacerbates the symptoms of pathology, but also accelerates the spread of infection throughout the body). In addition, patients with vaginitis are prescribed a special diet, which implies the rejection of salty, spicy, sweet foods and alcoholic beverages.

If, as a result of the tests, a specific causative agent of vaginitis was identified, the patient's sexual partner should also be treated. In a serious condition of the patient, with severe discomfort in the vaginal area and a significant increase in body temperature, the doctor may prescribe a course of antibiotics. A mandatory therapeutic measure for vaginitis is strict adherence to intimate hygiene (procedures are performed several times a day).

medicine

With chronic disease or its severe course, a woman is prescribed oral and intramuscular drugs. If a specific colpitis was diagnosed, the causative agent of which was gonococci, antibacterial treatment is indicated. In this case, antibiotics are administered intramuscularly for colpitis of the cephalosporin group or tetracycline drugs.

Trichomonas vaginitis is treated with nitroimidazoles such as Metronidazole, Tinidazole or Trichopolum. In a severe non-specific disease, broad-spectrum antibiotic therapy is required, for example, Amoxiclav, Azithromycin, etc. Colpitis of a fungal nature is treated with the following tablets:

  • Orungal;
  • Fluconazole;
  • Pimafutsin, ave.

Candles

As a local therapy for vaginitis, suppositories and vaginal tablets are used. How to treat colpitis in women:

  • Polygynax (has an antifungal, antibacterial effect, relieves inflammation);
  • Terzhinan (has an action similar to Polygynax);
  • Dalacin ointment (suppresses pathogenic flora, eliminates the inflammatory process);
  • Klion-D (has an antifungal, antimicrobial effect);
  • Hexicon (has an antibacterial effect, the drug is effective against most pathogens of colpitis, vaginosis and other sexual diseases).

Treatment with folk remedies

Alternative medicine methods can be used as an addition to the medical therapy of colpitis, but they cannot replace a full-fledged treatment. Douching, baths, tampons with decoctions of medicinal herbs and other means are used against vaginitis. Alternative treatment of atrophic colpitis or another type of disease includes the following methods:

  1. Douching with a decoction of chamomile from genital infections. 2 tbsp follows. l. brew herbs in a liter of boiling water, leave for 15 minutes, then drain and wait until the liquid has cooled. Douching is carried out daily at night until the symptoms disappear.
  2. Herbal bath against colpitis. The coltsfoot, St. John's wort, nettle, buckthorn bark, thyme are brewed in equal quantities, the broth is insisted for a couple of hours. After the liquid is filtered, heated to a warm state, poured into a bowl. Women should take a bath every day for 10-15 minutes.
  3. Tampons with infusion of calendula from vaginitis. Brew 2 tbsp. l. dry herbs in a glass of boiling water. An hour later, when the liquid is infused, it is filtered through cheesecloth, folded three times. The resulting infusion is impregnated with a hygienic tampon, after which it is placed in the vagina. It is worth doing the procedure for an infectious disease at night every day for a week.

What is dangerous colpitis

Without proper treatment, the disease causes serious complications. From the mucous membrane of the vagina, the infection gradually rises to the urethra, rectum, cervical canal, appendages. This can lead to infertility, cervical erosion, endometritis. Such complications of colpitau women often occur as a result of sexual intercourse during menstruation (this contributes to the opening of the uterine cervical canal).

Prolonged lack of treatment increases the risk of complications. A guaranteed consequence of ignoring the disease is its transition to a chronic form, when periods of improvement at the slightest weakening of immunity are replaced by exacerbations of the woman's condition. The launched inflammatory process in the vagina leads to the fusion of its walls, the development of serious inflammatory diseases of the appendages / uterus, the inability to have children or an ectopic pregnancy.

Prevention

To prevent the development of an inflammatory process in the vagina, a number of rules should be followed. Prevention of colpitis includes:

  • use of condoms during casual sexual intercourse;
  • refusal of underwear made of synthetic materials;
  • regular observance of intimate hygiene;
  • maintaining a healthy lifestyle by a woman (without bad habits, with regular sports);
  • the use of tampons / pads without fragrances;
  • the use of intimate hygiene products with a neutral acid-base balance;
  • regular strengthening of immunity, taking vitamin complexes during the off-season.

Chronic colpitis is classified as a fairly common female disease, in which foci of inflammatory processes are formed on the mucous membrane of the vagina. The chronic form of the disease is the result of improper treatment of acute colpitis or the unwillingness of a woman to seek help from qualified specialists in a timely manner. Representatives of the female part of the population belonging to different age categories are subject to the development of colpitis.

Causes of colpitis

In the process of sexual intimacy, various microbes freely penetrate into the area of ​​​​the female vagina, but this is not so dangerous, because the body of a healthy woman has a self-cleaning function. The causes of chronic colpitis can be the following:

  1. Weakening of the functioning of the ovaries.
  2. Diseases of a general nature that affect the organs of various systems in the body.
  3. Various anomalies in the reproductive system, a significant proportion of which are assigned to the displacement of organs, the prolapse of the vaginal walls.
  4. Negligent attitude of a woman to the rules of intimate hygiene.
  5. Frequent change of sexual partners.
  6. Violations of the condition of the vaginal mucosa, which can be caused by excessive frequency or incorrect approach to douching, the use of antiseptic agents, an erroneous approach to the use of contraceptive methods, thinning of the mucosa, which is more typical for older women.
  7. Allergic reactions.
  8. Violations of the normal hormonal background.
  9. Uncontrolled intake of medications.
  10. Injuries of the vaginal walls, having a mechanical, thermal or chemical nature.

Under the influence of the above factors, the protective functions of the body are sharply reduced, and immunity is weakened, which contributes to the formation of favorable soil for the development and reproduction of harmful microorganisms.

Colpitis can also develop against the background of diseases such as candidiasis, gonorrhea, chlamydia, bacterial vaginosis, ureaplasmosis, as well as other diseases with an infectious nature.

Microorganisms such as streptococci, mycoplasma and E. coli, which enter the vaginal walls through the bloodstream, are capable of provoking the development of the disease.

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Symptoms of chronic colpitis

Colpitis can have varying degrees of severity and severity. This disease can be triggered by various pathogens. All these factors determine the nature and degree of manifestation of symptoms. So, acute colpitis, preceding the development of a chronic form, can manifest itself in:

  1. The appearance of secretions in a significant amount, with a mucous or mucopurulent consistency, as well as a fetid odor. In some cases, bloody impurities can be detected in the secretions.
  2. Feelings of itching and burning, which are caused by the irritating effect of secretions on the vaginal walls.
  3. The appearance of swelling and redness, which affects not only the mucous membrane, but also the area of ​​​​the external genital organs.
  4. Sensations of pain that are localized in the lower abdomen and in the genital area.
  5. A slight increase in body temperature, which is noted only in rare cases.
  6. The occurrence of pain during urination.

In acute colpitis, the above symptoms are more pronounced than in the case of chronic colpitis, which is characterized by sluggish development and periods of exacerbations.

Symptoms of colpitis cause significant discomfort and negatively affect sexual activity, because during intimacy a woman is worried about severe pain. The appearance of swelling of the walls of the vagina and pain during palpation greatly complicates the process of internal examination, which involves the use of a gynecological speculum.

Symptoms can be supplemented by malaise, general weakness, sleep disturbances and irritability.

The chronic form of colpitis is characterized by damage not only to the vaginal walls, but also to the spread of this process to the area of ​​the uterus and appendages. This is a prerequisite for the development of endometritis, cervical erosion and infertility.

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Diagnosis of chronic colpitis

The diagnosis of the disease is carried out by a gynecologist based on a careful study of the symptoms and examination of the woman's genitals. With colpitis, the mucosa is characterized by friability, swelling, thickening of the walls, a specific plaque, after scraping which bleeding damage occurs.

The chronic form of colpitis is not characterized by severe swelling and abundant discharge, which greatly complicates the diagnosis of the disease.

In such cases, additional research may be needed.

It is better to study changes in the vaginal mucosa through colposcopy.

To determine the pathogen, microscopy of smears taken from the vaginal walls and the cervical region is performed. In the case of the existence of foci of inflammation characteristic of chronic colpitis, a significant amount of leukocytes will be detected in the smear.

In some cases, it is necessary to conduct an ultrasound of the pelvic organs to identify gynecological diseases that accompany colpitis.

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Treatment of the disease

For the treatment of the disease, specialists use the means of general and local methods. There is no single treatment regimen for this disease, since all drugs and procedures must be selected based on the individual characteristics of the body of each patient.

Local methods include sanitizing the genitals and the vaginal area. For this purpose, decoctions with sage, chamomile, solutions of zinc sulfate, etc. are used. A specialist can prescribe the use of tampons soaked in sea buckthorn oil, rose hips, as well as vaginal suppositories and tablets that have an antimicrobial effect.

In the chronic form of colpitis, a course of antibiotic treatment and physiotherapy may be necessary. Treatment of chronic colpitis is often aimed not only at combating the existing symptoms of the disease, but also at improving immunity and hormonal levels. The entire period of treatment is strictly prohibited sexual intercourse. In addition, it is mandatory to examine the second partner and, if necessary, prescribe a course of treatment. This will help to avoid re-infection from a man after undergoing treatment.

A woman undergoing treatment for chronic colpitis should monitor her diet and give preference to fermented milk products and plant foods. During the treatment period, it is better to refrain from eating spicy, salty, smoked foods that can irritate the vaginal mucosa. The final stage of treatment is aimed at restoring the natural conditions of the microflora in the vagina.

Treatment of colpitis should be carried out under the supervision of a specialist. In order to determine the effectiveness of the treatment method used, a smear is taken from a woman for research. This procedure is carried out no later than on the 5th day of menstruation.

Colpitis or vaginitis is an inflammatory disease of the vaginal mucosa, which is a very common gynecological disease. As a rule, women of reproductive age get sick with colpitis. The causative agents of colpitis can be viruses, microbes and fungi of the genus Candida.

The main manifestations and symptoms of colpitis are burning and itching in the inguinal region, vaginal discharge with an unpleasant odor, pain during urination and sexual intercourse. The treatment of colpitis is determined by the type of its pathogen and consists in the elimination of pathogenic microorganisms and the restoration of the normal microflora of the vaginal mucosa. The gynecologist is engaged in the treatment of colpitis.

Causes of colpitis

The natural flora of the vaginal mucosa is inhabited by lactobacilli, which protect the vagina from the penetration of pathogenic bacteria that enter there mainly during sexual intercourse. The acidic internal environment of the vaginal mucosa is an obstacle to the penetration of pathogens.

For one reason or another, the number of lactobacilli can decrease, which leads to the multiplication of pathogenic microorganisms that cause inflammation. The main causes of colpitis are hormonal disorders, prolonged use of antibiotics, weakening of the body's immune system, neglect of the basic rules of hygiene, as well as diseases of the genital area: fibroids, adnexitis, endometriosis.

Symptoms of colpitis

Foul-smelling vaginal discharge is the most common symptom of colpitis. With nonspecific colpitis, the discharge is mucous and gray.

An unstable symptom of colpitis is itching and burning in the vulva. In addition, symptoms of colpitis can be discomfort and pain during urination and sexual intercourse.

Acute and chronic colpitis

Acute colpitis proceeds intensively, manifested by severe itching and copious discharge from the vagina. The course of chronic colpitis is accompanied by less pronounced symptoms or is asymptomatic and is characterized by the periodic manifestation of the main symptoms of colpitis.

Which doctors to contact for colpitis

Diagnosis of colpitis

If symptoms of colpitis occur, you should contact a gynecologist to conduct the necessary studies and prescribe adequate treatment. For the diagnosis of colpitis, the following examinations are used:

Colpitis treatment

Treatment of colpitis consists in eliminating the causative agents of colpitis with the help of antibacterial, antiviral or antifungal drugs and restoring the natural microflora of the vaginal mucosa. In addition, such methods of treatment as: physiotherapy, diet and immunity strengthening are used.

In the treatment of nonspecific colpitis, drugs against bacterial and fungal infections with anti-inflammatory effects are used. The most common drugs in this group are "Vokadin" and "Terzhinan".

"Vokadin" is used in the form of vaginal tablets that are inserted deep into the vagina. In acute colpitis, one tablet should be used twice a day for a week. In chronic vaginitis - one tablet once a day, at night, for 2 weeks.

"Terzhinan", which has antifungal, antimicrobial and anti-inflammatory effects, is also available in the form of vaginal tablets, which should be soaked in water for 30 seconds before being inserted into the vagina. In the treatment of colpitis, it is necessary to use one tablet per day, at night, for 10 days.

Treatment of specific colpitis is determined by the type of infection that caused the colpitis. With candidal vaginitis, antifungal drugs are used:

  • "Ketoconazole"
  • "Clindamycin"
  • "Fluconazole";

with gonorrheal colpitis antibiotics:

  • "Tetracycline"
  • "Cefixime",
  • "Ceftriaxone";

with trichomonas vaginitis - "Metronidazole".

Both partners should undergo a course of treatment in order to exclude re-infection.

Since antibiotic therapy suppresses the natural microflora of the vaginal mucosa, after the end of the course of treatment, drugs should be used that help restore the normal level of lactobacilli. Such drugs include Linex and Bifidumbacterin vaginal suppositories, the duration of treatment for which is determined by the doctor.

When treating colpitis, you should follow a diet. It is necessary to exclude salty, spicy and smoked dishes from the diet. You should eat more vegetables, fruits, dairy and sour-milk products. In addition, it is recommended to exclude sexual intercourse and the rules of hygiene of the external genital organs should be observed.

Folk remedies for the treatment of colpitis

It should be noted that the treatment of colpitis with folk remedies should be combined with drug treatment prescribed by a doctor. As a folk remedy for the treatment of colpitis, douching with decoctions of herbs with a wound healing and anti-inflammatory effect is used.

Prevention of colpitis

The following steps to prevent colpitis will help you stay healthy regardless of age.

Questions and answers on the topic "Colpitis"

Question:Hello! They prescribed a treatment for colpitis, but after a few days I have my period. Is it possible to start treatment and then stop during menstruation? Or is it better to start treatment after and not take any breaks?

Answer: Need to take a break.

Question:Hello. Today I was diagnosed with colpitis. How serious is this disease and what are the consequences? And of course, tell me how to treat it. Thank you.

Answer: Hello! Colpitis (vaginitis) is an inflammation of the vaginal mucosa. If the disease is not treated, then the inflammatory process can go to the cervical canal, uterus, appendages, etc., which in turn leads to endometritis, cervical erosion and infertility. Treatment of colpitis is usually complex. It includes the use of antibiotics, both local in the form of suppositories, and systemic, anti-inflammatory baths, tonic drugs. Before prescribing antibacterial drugs, it is necessary to pass checks on the flora and sensitivity to antibiotics. The treatment regimen is prescribed only by the gynecologist treating you on the basis of laboratory tests and examination.

Question:Hello! I have a pregnancy of 18-19 weeks, a week ago I passed the tests and I was diagnosed with colpitis. When a month ago I took tests, I had nothing. Tell us how colpitis spreads, how to treat it, and whether colpitis is harmful to a child.

Answer: Colpitis is an inflammatory process in the vagina. Depending on which pathogen was identified in you, treatment is prescribed. The reason for the development of colpitis also depends on the pathogen: either it is a kind of vaginal dysbacteriosis, or it is a specific reason. Treatment is prescribed only by an obstetrician-gynecologist who observes your pregnancy. This is a guarantee of properly selected treatment that will not harm your child, but, on the contrary, will help to avoid any complications (threat of abortion, further spread of infection, etc.).

Question:They found an infection in me - coccal colpitis. What it is? Is she scarier than a thrush? How was it passed from a partner? Vagitsin suppositories were prescribed, but I bought Vagitsin cream ?! Which is better: cream or suppositories? The cream is designed for 3 days, and the candles were said to be done for 10 days.

Answer: Hello, colpitis caused by coccal flora is not particularly dangerous, you just need to undergo timely treatment. You can use both candles and cream - there is not much difference in the therapeutic effect of these forms of the drug.

Question:In the treatment of colpitis, the doctor prescribed Atcilact suppositories (10 days) to restore the microflora. 5 days later I start my period. Can (and should) I use Atcilact during menstruation? Or take a break and continue after? Thank you!

Answer: It is not necessary to use Acylact during menstruation. At the time of menstruation, take a break in treatment.

Question:I have chronic colpitis, please tell me how it can be cured, I have a terrible discharge with a smell, I can’t walk like that anymore, my gynecologist only eliminates this disease for a while and it comes back again and again. A week later, I have terrible pain in my lower abdomen.

You should undergo a more in-depth examination, including examination for hidden sexual infections. It is possible that the presence of one of these infections supports and provokes the manifestations of chronic vaginitis.

Question:I have been in menopause for 10 years (51 years). Absolutely no symptoms, passed the physical examination. Colpitis. Leukocytes - the whole field of view. They prescribed colposeptin. I can't find any reviews for this product anywhere. Can I take it?

Answer: Hello. Kolposeptin is a drug that contains substances that have the effect of female sex hormones, which favorably affect the condition of the vaginal mucosa in women during menopause, as well as substances that contribute to the death of pathogenic bacteria.

Question:Hello. A friend told me that if colpitis is not treated, it will definitely turn into gonorrhea. Is it so?

Answer: Hello. No, this is incorrect. Gonorrhea is one of the reasons for the development of colpitis, however, colpitis can be due to other reasons.

Question:Whether there can be a vaginitis at regular inspection at the gynecologist. Symptoms have been observed for about a year, but a smear test and ultrasound do not show its presence. Recently, the symptoms in the form of discharge and smell have intensified. What tests should be taken to determine vaginitis?

Answer: Hello. For the diagnosis of colpitis, as a rule, a study of a smear from the vagina for microflora is used.

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  • Preparations for the treatment of candidal colpitis (thrush): suppositories, tablets, capsules, ointments - regimens of application and dosage, the opinion of a dermatovenereologist - video
  • Features of the treatment of colpitis during pregnancy and after childbirth


  • The microflora of a woman's vagina is unique, one of its functions is to protect the reproductive system from infections that come from the external environment and during sexual contact. But also the vaginal mucosa is very vulnerable and subject to various inflammatory processes, including the danger of inflammation of the uterus, tubes and ovaries, which can lead to infertility and many other unpleasant consequences.

    Itching, burning in the vaginal area, discharge of an unusual color and smell, pain during sexual intercourse - this is vaginitis or colpitis. This disease is very common and familiar to almost every woman. It develops not only with unprotected and promiscuous sex life. Vaginitis can develop with hypothermia, stress, overwork, hormonal changes, taking antibiotics, wearing uncomfortable underwear, and even allergies. And not only adults who are sexually active women are prone to the development of vaginitis, this disease is often found in babies under 10 years old, and even in infancy and newborn age.

    Manifestations of vaginitis bring significant discomfort, and any inflammation of the vagina can lead to serious complications, so it is not just necessary to treat vaginitis, but it is necessary and at the same time timely, comprehensively and correctly. To do this, you need to contact a gynecologist.

    Conditionally pathogenic microorganisms of the vaginal mucosa:

    • gardnerella bacteria (Gardnerella vaginalis);
    • staphylococci;
    • enterococci;
    • coli (Escherichia coli);
    • fungi of the genus Candida;
    • proteus and some others.
    Causes of nonspecific vaginitis:
    • violation of personal hygiene of the external genital organs;
    • promiscuity and change of permanent partner;
    • taking antibacterial agents;
    • vaginal douching with antiseptics;
    • injuries of the vaginal mucosa (as a result of chemical or physical influences);
    • exposure to the vagina of 9-nonoxynol, which is contained in contraceptive preparations used externally (in condoms, suppositories, vaginal tablets);
    • hormonal disorders, including those resulting from stress, pregnancy, overwork;
    • viruses (human papillomavirus, genital herpes, cytomegalovirus, influenza, HIV infection, and others);
    • allergies (food, contact allergy to personal hygiene products (soap, gels, pads, contraceptives), linen (especially narrow and synthetic)) and other reasons.

    Bacterial vaginitis (vaginosis)

    Bacterial vaginosis is a dysbacteriosis of the vagina, which is associated with a decrease in the number of "useful" lactobacilli and the growth of conditionally pathogenic bacteria (mostly gardnerella bacteria).

    Candida colpitis or thrush

    This is a fungal infection of the vaginal mucosa. Mushrooms of the genus Candida are found in the vagina of all women, so thrush, like bacterial vaginitis, is a manifestation of vaginal dysbacteriosis. Thrush can be transmitted both sexually and be the result of a decrease in immunity or antibiotics.

    Specific vaginitis

    The development of specific vaginitis is promoted by sexually transmitted diseases:
    • trichomoniasis;
    • gonorrhea;
    • chlamydia;
    • syphilis;
    • ureaplasma;
    • mycoplasma;

    What are Trichomonas?
    Trichomonas are the simplest organisms that are representatives of the flagellate class. As for the ways of transmission of this disease, it is only one - it is sexual contact. The carriers of trichomonas colpitis are representatives of the stronger sex. It is they who transmit this disease to women. To date, this disease is considered to be one of the sexually transmitted diseases. In very rare cases, this disease is transmitted non-sexually.

    It should also be noted that this disease is most often accompanied by some other disease. It could be cervicitis, proctitis, urethritis or any other ailment. Trichomonas that cause this disease can be located both in the fallopian tubes and in the uterus or abdominal cavity. The signs of this disease can be considered: discharge, burning, itching, feeling of heaviness in the abdomen. Modern medicine distinguishes two types of trichomonas colpitis - acute and chronic. In the chronic form of this disease, a woman may also be disturbed by pain when urinating. This is one of those diseases that can make itself felt even during pregnancy, which is very dangerous, since it can also infect the fetus. That is why pregnant women should be especially attentive to their health - observe a healthy lifestyle and do not forget about the existing immunomodulatory dietary supplements (biologically active additives).

    For a disease caused by yeast microbes - candida, redness of the vaginal mucosa is characteristic, on the surface of which whitish spots appear, which are fungal filaments and cellular decomposition.

    With a disease caused by Trichomonas, there are abundant foamy whites, hyperemia of the vaginal mucosa.

    In acute gonorrheal colpitis, the mucous membrane of the vagina is edematous and hyperemic, there is an abundant discharge of purulent whites. The patient complains of burning and pressure on the bottom. This form of the disease develops, as a rule, in a secondary way when infected with purulent discharge from the entrance to the vagina or from the canal

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