1. Common inflammatory diseases of the vulva in women
Women’s external genitalia (i.e. vulva) are very fragile. The main common vulvovaginitis in women are as follows.
(1) Non-specific vulvovaginitis: Physical and chemical factors in life stimulate, do not pay attention to hygiene, weakness, can make women’s vulva by bacterial infestation, causing vulvovaginitis, such as cervical, vaginal inflammation; or wearing non-breathable nylon underwear to make too much vaginal secretions, stimulating the vulva; urine impregnated vulva; use of unclean sanitary napkins, hand towels caused by vulvar infection, etc.. All these factors create conditions for the growth and reproduction of bacteria in the vulva. However, because this vulvodynia is not caused by specific pathogens, but mostly a mixture of staphylococci, streptococci, E. coli and other infections, it is called non-specific vulvodynia.
(2) Mycotic vulvovaginitis: vulvovaginitis caused by a type of yeast infection. It often coexists with mycotic vaginitis.
(3) Infantile vulvovaginitis: 15 days after birth, various kinds of miscellaneous bacteria grow in the vagina of newborns. In addition, because of the immaturity of the external genital organs of infants and children, the ability to resist bacterial infection is poor, coupled with their vulva is easily soaked in urine, fecal pollution, and children love to sit anywhere, these are the causes of susceptibility to infection, which can cause vulvodynia in infants and children.
(4) Vestibular adenitis: Mostly seen in women of childbearing age. This is because the vestibular gland is infected by bacteria such as staphylococcus, streptococcus, and E. coli, causing acute inflammation.
(5) vestibular gland cysts: due to chronic inflammation for a long time, so that the vestibular gland duct obstruction, glandular fluid accumulation, cystic expansion of the gland; or due to acute vestibular adenitis subsided, the pus is absorbed. Vestibular gland cysts and vestibular gland abscesses can be transformed into each other.
(6) Sexually transmitted diseases: During the development of vulvar warts, soft chancre, genital herpes, gonorrhea and other sexually transmitted diseases, the vulva will mostly show inflammatory manifestations.
2, cervical erosion
Cervical erosion is the most common local feature in the process of chronic uterine inflammation. As a result of impregnation by inflammatory secretions, the cervical squamous epithelium is shed and replaced by the columnar epithelium covering the cervical canal, which is manifested as cervical erosion. Clinically, cervical erosion is classified into I, II and III degrees according to the size of the cervical erosion area. The main symptoms are.
(1) Increased leucorrhea: Increased leucorrhea is the main symptom of the disease, usually with milky white or yellowish purulent discharge, sometimes bloody or interspersed with blood.
(2) Vulvar itching and pain: Vulvar vaginal itching and pain can be caused by vulvovaginitis or vaginitis secondary to increased leukorrhea stimulation.
(3) Lower abdominal and lumbosacral pain: Inflammation can spread along the uterosacral ligament and main ligament and lead to pelvic connective tissue inflammation, causing pain in the lower abdomen or lumbosacral area with a feeling of falling.
(4) Urinary frequency or difficulty in urination: When inflammation spreads to the bladder triangle or around the bladder, urinary frequency or difficulty in urination may occur.
(5) Infertility: The sticky leucorrhea is not conducive to sperm penetration, so severe cervicitis can cause infertility.
Diagnosis of cervical erosion: It is not difficult to diagnose according to clinical manifestations, but it should be noted that cervical erosion and cervical intraepithelial neoplasia or early cervical cancer are difficult to distinguish from each other in appearance, and cervical scraping should be done routinely; colposcopy and biopsy should be done when necessary to clarify the diagnosis.
Treatment of cervical erosion: There are generally three types of cervical erosion, with mild, moderate and severe erosion. If a woman of childbearing age has mild cervical erosion and does not have any symptoms, she can go without treatment. If you are a woman of childbearing age and have mild cervical lesions without any symptoms, you can go without treatment. Generally, one treatment may be good, but more often two.
Drug treatment is suitable for patients with small erosion surface, shallow inflammatory infiltration or limited by conditions, local erosion with 25% silver nitrate, chromic acid, etc. It is advisable to irrigate the vagina before using drugs, then dry it with dry cotton balls and protect the normal vaginal mucosa with cotton balls. The medication is mainly suitable for mild to moderate cervical erosion in non-pregnant patients, but the course of medication is generally longer and more costly.
Many herbal powders are also effective, but their use is prohibited during menstruation and pregnancy.
No sexual intercourse or bathing after medication
No medication should be used for a long time: especially the environment of the vagina, long-term medication can easily lead to mycosis vaginalis, which is a dysbiosis of the flora. So with severe cervical erosion should not be long-term medication, and to severe cervical erosion, long-term medication will not be good, so it will be better to do physical therapy after the immediate inflammation is eliminated.