Vulvitis
Introduction
Introduction to vulvitis Under normal circumstances, vaginal secretions are acidic (the mucus in the cervical canal is alkaline), thus inhibiting the activity, reproduction and ascending of pathogenic bacteria. Inflammation is generally not easy to occur, when the pH of the vaginal secretions changes, or there is a special pathogen invasion. When it is, it can cause an inflammatory reaction. Vulvitis is an inflammation of the vulva caused by pathogen invasion or various adverse stimuli. It can exist independently. It is more complicated with vaginitis, urinary tract disease, anorectal disease or systemic disease, or in the process of certain vulvar diseases. One of the performances. Clinical manifestations of itching, pain, burning and even swelling, rash, erosion, ulcers. Common symptoms are genital skin itching, burning sensation and pain, aggravation after activity, sexual intercourse and urination, acute redness, congestion, scratches, chronic inflammation, itching, cracking of the vulva, lichenification, swelling of the medial labia minora in some patients , congestion, erosion and into a piece of eczema. basic knowledge The proportion of illness: 0.02% Susceptible people: women Mode of infection: non-infectious Complications: vestibular gland inflammation Vulvar ulcer Sexually transmitted diseases
Cause
Cause of vulvitis
Common causes of vulvar inflammation:
1, vaginal discharge stimulation (including increased vaginal discharge to the vulva stimulation, menstruation or menstrual pad underwear and other stimulation)
2, other stimulating factors (a. urine of diabetics, b. urinary tract patients have long been affected by urine, c. patients with intestinal cancer are sometimes stimulated by feces, d. intestinal worms);
3, mixed infection (common pathogens are staphylococcus, streptococcus and Escherichia coli) and so on.
Prevention
Vulvitis prevention
Prevent recurrent episodes of vulvitis:
1, remove the incentives: the recurrence should check the reasons, whether there is diabetes, the use of antibiotics, estrogen or steroid hormones, wearing tight chemical fiber underwear, local drug stimulation, etc., should try to control or eliminate these incentives.
2, the initial author of the treatment should be thorough: according to the doctor's request to use the drug correctly and need to consolidate treatment, treatment is not complete is one of the causes of recurrence and refractory vaginitis, the standard of treatment recovery is three cycles of menstrual review after vaginal discharge negative.
3, spouse Tongzhi: Vulvovaginitis is often a sexually transmitted disease, the foreskin wrinkles of the husband of the sick woman, pathogens in the urethra, prostate, parasitic, such as the simple treatment of the man will become the original infection and cause recurrence. If you use a condom at the same time, you can reduce mutual infection between sexual partners.
4, pay attention to personal hygiene: keep the vulva clean, dry, change underwear, vulva appliances for special use, used underwear, towels, pots are applied to boiling water, go to public places such as public toilets, swimming pools, bathrooms should pay attention to prevent cross-infection .
5, enhance the body's resistance: strengthen nutrition, exercise the body, improve the body's immunity, reduce the incidence of pathogenic bacteria.
6, eat less spicy and seafood food, seafood is also very likely to cause vaginal infections.
Complication
Vulvar complication Complications vestibular gland inflammation vulvar ulcerative disease
1, vestibular gland inflammation: vestibular glandular inflammation is more common in women of childbearing age, is the vestibular gland caused by staphylococcus aureus and other bacterial infections caused by acute inflammation. Often caused by infection with other inflammations.
2, acute vulvar ulcer: often caused by vulvitis, is also a manifestation of vulvitis disease process.
3, sexually transmitted diseases: sexually transmitted diseases in the vulva, condyloma, genital warts, genital herpes, gonorrhea and other sexually transmitted diseases, the vulva will appear inflammation.
Symptom
Vulvar inflammation symptoms Common symptoms Vulvar itching vulva burning irritating sensation when urinating vulva burning... Vulvar swelling vulvar ulcer vulvar damage eczema vulva
1, symptoms:
Common symptoms are genital skin itching, burning sensation and pain, aggravation after activity, sexual intercourse and urination, acute redness, congestion, scratches, chronic inflammation, itching, cracking of the vulva, lichenification, swelling of the medial labia minora in some patients , congestion, erosion and into a piece of eczema.
2, classification: women common vulvitis mainly have the following:
(1) Non-specific vulvitis: stimulating physical and chemical factors in life, not paying attention to hygiene, physical weakness, can cause women's genital area to be invaded by bacteria, causing vulvitis, such as cervix, vaginal inflammation; or wearing airtight nylon underwear to make the vagina Excessive secretions, irritating the vulva; urine impregnated vulva; use of dirty sanitary napkins, hand paper caused by vulvar infection, etc., these factors will create conditions for the growth and reproduction of bacteria in the vulva, but because this vulvitis is not caused by specific pathogens Caused by, but mostly Staphylococcus, Streptococcus, Escherichia coli and other mixed infections, it is called non-specific vulvitis.
(2) fungal vulvitis: vulvitis caused by a yeast-like infection, often coexisting with fungal vaginitis.
(3) Infants and young children vulvitis: 15 days after birth, there are various kinds of bacteria in the vagina. In addition, due to the immature development of the external reproductive organs of infants and young children, the ability to resist bacterial infection is poor, and the vulva is easily absorbed by urine. Soaking, fecal contamination, children love to sit around, these are easy to cause infection, can cause vulvitis in infants and young children.
(4) vestibular gland inflammation: more common in women of childbearing age, because the vestibular gland is caused by staphylococcal, streptococcus, Escherichia coli and other bacterial infections, causing acute inflammation, vestibular gland cysts: mostly due to chronic inflammation, The vestibular large gland duct is obstructed, the gland fluid accumulates, and the cystic dilatation of the gland is caused; or the pus is absorbed after the acute vestibular gland inflammation subsides, and the vestibular gland cyst and the vestibular gland abscess can transform each other.
(5) acute vulvar ulcer: caused by vulvitis of various reasons, generally a manifestation of vulvitis lesions.
(6) Sexually transmitted diseases: In the pathogenesis of vulvar condyloma acuminata, soft chancre, genital herpes, gonorrhea, etc., there will be inflammation in the vulva.
Examine
Vulvitis examination
Gynecological routine examination.
Laboratory examination of vaginal secretions.
Diagnosis
Diagnosis and treatment of vulvitis
According to the symptoms and signs easily with trichomonas vaginitis, fungal vaginitis.
