How to cure Trichomonas colpitis. Trichomoniasis, trichomonas colpitis in women: causes, symptoms, treatment

Trichomonas colpitis in women occurs when unprotected sexual contacts. However, there are known cases domestic infection through shared towels and bed linen. Since the causative agent of the disease has the ability to activate the growth of chlamydia, mycoplasma, and staphylococcus, when diagnosed in women, mixed-type infections are detected.

Signs and symptoms

The first signs of Trichomonas colpitis appear clearly, which greatly simplifies diagnosis. A few days after infection, you can notice the first signs:

1. Swelling and redness of the genitals;
2. The appearance of foul-smelling foamy discharge;
3. In the presence of mixed infections, the discharge may have a greenish tint.

Signs of damage are observed urinary system. The main symptoms include sharp burning pain during bowel movements. Bladder. Examination of the genitals usually reveals a large number pinpoint hemorrhages. They are the ones who cause blood-streaked discharge.

Trichomonas colpitis in women without timely treatment can cause dangerous consequences. Among them is a failure menstrual cycle, the appearance of pointed papillomas on the genitals. TO unpleasant consequences refers to the formation of ulcers on inside thighs despite observing hygiene rules. This is due to the fact that with vaginitis, the volume of production of vaginal lubrication increases and its acidity changes.

After infection of the vaginal tissue, the uterus is next affected, then the ovaries and the fallopian tubes. There is an acute inflammatory process, accompanied by:

Nagging pain in the back;
Pain in the lower abdomen;
Feeling unwell.

These signs make it possible to detect the disease in the acute phase, which lasts 10-14 days. After that it's bright pronounced signs disappear and without proper treatment, trichomonas colpitis becomes chronic. In some cases it goes into chronic stage, bypassing the acute one. In the chronic form of vaginitis, discharge becomes scarce and almost completely stops. To the very dangerous consequences Undetected trichomonas colpitis includes cervicitis and endometritis. Chronic inflammatory diseases in women lead to problems with conception. The main diseases causing secondary infertility among women:

1. Trichomonas colpitis;
2. Ureaplasmosis;
3. Chlamydia;
4. Candidiasis;
5. Syphilis.

It is important to know! Advanced trichomonas colpitis in women leads to the complete destruction of healthy vaginal flora and further development inflammation. Pathological process provokes the formation of adhesions in the fallopian tubes, which complicates the advancement of eggs and makes fertilization impossible.

Infection of a woman during the first to third trimester can cause miscarriage, premature birth, or the birth of a child with multiple birth defects.

Causes of infection

The main cause of infection with Trichomonas colpitis is intimate contact with a carrier of the infection without using barrier agents protection. Transmission of Trichomonas from person to person occurs and by everyday means, most often people who do not follow the rules of personal hygiene become infected. To become infected, it is enough to wear the same bathrobe, which was used by a carrier of Trichomonas colpitis.

Vaginitis is considered especially dangerous during pregnancy. During the entire intrauterine period, the fetus remains at high risk of infection. If Trichomonas has not penetrated the placenta, the baby is likely to become infected during childbirth.

It is important to know! IN normal conditions The lifespan of trichomonas is limited to three hours, since they need a certain temperature and humidity to continue their life activity and reproduction.

Among the reasons that increase the risk of infection are:

Disruption of the endocrine system;
Treatment with hormonal drugs;
Weakening of the body's defenses;
Hypothermia;
Frequent stress.

Women who frequently change sexual partners and ignore the use of condoms are especially at risk of infection.

Methods for diagnosing trichomonas colpitis in women

The first step to identifying the disease is an examination in the gynecologist's chair. A visual examination reveals signs of inflammation of the mucous membranes, as well as the presence of serous plaque that covers its walls.

To develop an effective therapeutic regimen, the doctor gives a referral for laboratory tests. These include blood biochemistry, smears and scrapings of the mucous membrane. The type of pathogen is determined using a PCR blood test and microbiological culture. If necessary, the doctor can refer the patient to specialized specialists - a urologist and a dermatologist.

Treatment

The treatment method for vaginitis is aimed at stopping the inflammatory process and destroying the pathogen. A woman can be treated in outpatient setting. Hospitalization is necessary only for complications due to trichomonas colpitis, for example, peritonitis or tubo-ovarian abscesses.

Important tip! Both sexual partners must be treated at the same time, otherwise the therapy will not be successful. A partner who does not undergo treatment is a carrier of infection who will infect his partner again and again. Because the protective antibodies on this type pathogens are not produced, the likelihood of recurrent disease is always present.

During treatment you should avoid using alcoholic drinks and intimate contacts. Detection of trichomonas vaginitis requires compulsory treatment, even with feeling good. You should not self-medicate, take drugs of dubious origin, or use traditional medicine. All prescriptions must be made by a doctor.

The most effective way Treatment is drug therapy with antibiotics. To increase the effectiveness of therapy, it is used A complex approach for the treatment of vaginitis. Besides antibacterial agents use vaginal suppositories, antiprotozoal and anti-inflammatory drugs in the form of creams and gels.

To destroy the causative agent of the disease in the treatment of trichomonas colpitis, suppositories with an antiseptic are used topically. The most popular drug is Metronidazole. He shows good result not only in the presence of Trichomonas, but also in the detection of chlamydia and staphylococcus. The duration of treatment and dosage are calculated individually. In case of intolerance active substance or components of the drug, the specialist will recommend other means. Products with proven effectiveness: Ornidazole, Nitazol, Naxogin.

Recovery healthy microflora vaginas are used the following means: Hexicon, Terzhinan, Trichomonacid. Suppositories are administered intravaginally once a day. The duration of treatment is 2-3 weeks. Trichomonacid solution is used to treat the urethra and perianal area. If you strictly follow the doctor's instructions, the probability of a complete recovery is 100%.

Important to remember! After the course of therapy, you will need to take tests again. A woman is considered completely healthy if there are no trichomonas in the vaginal smear and negative results PCR 90 days after completion of treatment.

To restore normal vaginal flora after prolonged use of antibiotics, eubiotics are prescribed. Taking them strengthens local immunity, promotes the growth of beneficial bacteria, and normalizes acidity. It is recommended to take immunostimulants in a course for chronic trichomonas colpitis.

Important video: A frank interview with a gynecologist about the dangers of colpitis for women

How to protect yourself from infection

Take care of own health Every woman should be able to do this. To avoid infection, long and expensive treatment It is enough to follow a few simple rules:

1. When contacting unfamiliar partners, you must use condoms. The best measure to prevent genital infections is to avoid casual intimate relationships.
2. If unprotected sexual intercourse does occur, it is necessary to thoroughly treat the mucous membranes of the genitals with Chlorhexidine or Miramistin.
3. Should not be used by common means hygiene, since the domestic method of infection should not be ruled out.
4. Should be avoided if possible. stressful situations and overwork.
5. In the autumn-spring period, you need to take additional vitamin and mineral complexes.
6. To strengthen immune system, you need to reconsider your diet and include fresh vegetables, fruits, and foods rich in vitamins and microelements in your menu.

very strong and sometimes unbearable itching in the area of the external genitalia;
as a confirmation of the previous symptom, crusts may form on the labia majora from scratching;
irritation and swelling of the mucous membranes;
difficult and painful urination;
copious foamy vaginal discharge with bad smell;
feeling nagging pain lower abdomen;
disruption of the menstrual cycle and changes in the nature of menstruation;
pain during sexual intercourse.

Subacute course the disease manifests itself with the same symptoms, but less pronounced. If Trichomonas colpitis occurs in a subacute form for more than two months, it passes into the chronic stage. Wherein unpleasant symptoms may be practically absent, but manifest themselves intensively during periods of exacerbations, which usually occur against the background of decreased immunity.

Trichomonas vaginitis is very common characterized by the development of inflammatory processes in the cervix, as well as the occurrence of pointed condylomas.

If the disease is not treated, then one of the most severe complications may become a violation reproductive function - infertility.

Very often, Trichomonas colpitis is diagnosed in women when, due to changes hormonal levels is happening decreased immunity. In this case, ignoring the disease can lead to miscarriage or premature birth. In addition, there is risk of fetal infection.

Diagnostics

The diagnosis of “Trichomonas colpitis” is made on the basis of the collected medical history, a mirror examination of the vagina and the results laboratory research material in which they were found Trichomonas.
For laboratory analysis Women have vaginal swabs taken, urethra, as well as the rectum.

To study the material use the following methods:

microscopic examination of the native drug;
microscopic examination of a preparation stained in a certain way;
cultural research methods;
immunological study ( linked immunosorbent assay - ELISA);
polymerase tapeworm reaction ( PCR);
immunofluorescence reaction ( REEF).

In addition, it is necessary to conduct an examination conditions of the uterus, appendages, bladder, since the infection can spread along an ascending route.

Treatment

As a rule, trichomonas vaginitis goes away quite for a long time and is accompanied by certain difficulties. Therapy should be based on following principles:

simultaneous examination and treatment of the patient’s sexual partner;
treatment of all concomitant diseases and functional disorders;
therapeutic effect on all foci where they live Trichomonas(vagina, cervix, urethra);
Desirable abstinence from sexual intercourse for the entire duration of treatment.

From medicines most often prescribed for the treatment of trichomonas vaginitis Metronidazole, which you need to take one tablet twice a day. The same drug is also available in the form vaginal tablets, which must be administered two pieces once a day.

After infectious pathogens are completely destroyed, the woman need to be examined again, in order to identify the bacterial flora released after the extermination of Trichomonas. If this need is ignored, vaginitis will continue to recur.

Treatment with traditional methods

In order not to aggravate the situation, any folk recipes can only be used after consultation with the attending gynecologist.

They can relieve unpleasant symptoms and speed up recovery, but for the treatment of trichomonas vaginitis they are used only in combination with the methods of official medicine.

Yes, when infectious inflammation vagina, traditional healers recommend taking and douching, vaginal baths and also use tampons based on decoctions and infusions of medicinal plants.

You can prepare them yourself using the following recipes:

Infuse two tablespoons of calendula for an hour in a glass of boiling water. Use the strained infusion for daily vaginal douching;
also for douching, use immortelle infusion, 20 grams of which must be infused for an hour in half a liter of boiling water, then cooled and strained;
infusion of yellow capsule for oral administration: pour one tablespoon of raw material with a glass of boiling water and leave in a water bath for a quarter of an hour and strain. Since the yellow capsule is poisonous plant, the drug should be taken very carefully, two spoons during meals;
a decoction prepared according to the previous recipe and diluted with water in a ratio of 1:5 can also be used for douching, carrying out the procedure daily or every other day.

Prevention

Preventive measures aimed at preventing trichomonas vaginitis are practically they do not differ from the prevention of any other disease, sexually transmitted.

To minimize the risk of infection with Trichomonas, necessary:

lead an orderly sex life, avoiding casual sexual relationships;
don't join sexual relations with persons at risk (drug addicts, representatives of non-traditional sexual orientation, etc.);
always use barrier contraception;
carefully observe the rules of personal intimate hygiene;
if sexual intercourse occurs with a stranger, no later than 2 hours after it, it is necessary to insert 3-4 ml of miramistin solution into the vagina for a few minutes, and also treat it with it inner surface thighs, pubic skin and external genitalia.

Bacterial colpitis occurs quite often in women reproductive age. Trichomonas vaginitis is slightly inferior to it.

What is Trichomonas colpitis in women?

Inflammation caused by protozoan flagellated organisms called Trichomonas. The vaginal mucosa is the most favorable condition For their active reproduction, they are not localized on other mucous membranes of the human body.

Trichomonas attach to the mucous membrane, nest there, multiply, and then penetrate deeper into the epithelium. This penetration causes a response from the body in the form of a specific inflammatory process. The route of transmission of the pathology is predominantly sexual; household contact is rare.

Trichomonas practically does not reproduce “alone”; it attracts many pathogenic microorganisms. Therefore, with Trichomonas colpitis, the diagnostic results reveal not only Trichomonas, but mixed infections with yeast-like fungi or various microbes.

Trichomonas colpitis - what is it, signs

When a woman begins to have vaginitis caused by Trichomonas, too many specific symptoms pathology. Features of the manifestation of this type of vaginal inflammation

Hyperemia of the genital zone, which does not always manifest itself in other types of colpitis; here the perineum, as well as the external genitalia, are drawn into the inflammatory process.
Copious discharge of a yellowish tint. They are foamy and have an unpleasant odor.

These symptoms distinguish the pathology from other types. Vaginitis can progress to chronic form, which is also accompanied by specific symptoms.

Trichomonas colpitis in men as such is not diagnosed, since the word “colpitis” itself means inflammation of the vaginal walls, which men do not have. But venereal disease Your partner may also become infected. He will either be a carrier of the infection, or he himself will feel the symptoms of the disease:

Itching, burning when urinating;
Pain in the pubic area;
Difficulty in draining urine;
Discharge of pus;
In the morning, it is difficult for a man to release the first portion of urine.

The disease requires treatment of both partners to avoid secondary infection. To eliminate infection from the body, they are used antibacterial drugs. During therapy it is better to use barrier methods of contraception

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Recommendations for the treatment of both partners for doctors are prescribed in the main document, which defines everything existing diseases. Trichomonas colpitis according to the international classification of diseases (10) is defined as a separate independent disease, and not a symptom complex.

ICD code for trichomonas colpitis

Trichomonas colpitis code according to ICD-10 is A59.0. This code also refers to prostatitis caused by the spread of Trichomonas.

Trichomonas colpitis ICD-10

The main reason why Trichomonas vaginitis occurs is sexual intercourse with a person who is a carrier or who himself suffers from this pathology. Women are also susceptible to pathology if:

implementation of long-term hormone therapy;
pathologies of the endocrine system;
stress and psycho-emotional tension;
too much physical activity;
diseases, decreased immunity;
promiscuity, a few are enough to become infected with this disease.

ICD code trichomonas colpitis

If symptoms of the disease appear, you should consult a doctor for diagnosis and treatment. The International Classification of Diseases has recommendations for treatment (A59.0). This pathology is treated according to the recommendations of doctors local medications, having antibacterial, immunostimulating, antifungal, antimicrobial effect. Why such a range of substances? Trichimonas is often found with other infections. Therefore, complex treatment is prescribed.

Trichomonas colpitis (according to ICD-10): treatment

Vagisept is a complex medicine, as it contains several active ingredients. Consists of metronidazole and fluconazole. These substances effectively act on yeast-like fungi, microbes and helminthic infestations. They are also used for this disease.
Vagiferon is a medicine with the same active ingredients, but interferon alpha is also added to them. Therefore, it already acts as immunomodulatory, anti-inflammatory, antiviral and all of the above characteristics.
Ginalgin – has antibacterial, antifungal, trichomonacid, anti-inflammatory effects.
Atrican 250 - the medicine acts as a trichomonacid and antiprotozoal. The active substance is tnonitrosole.

These drugs are used only after examination by a doctor and diagnosis of the patient’s condition. For treatment, the drug is used that affects Trichomonas and the accompanying infection. The course of treatment and dosage is prescribed by the gynecologist. Self-medication is dangerous for the patient due to complications.

Causes

What causes the appearance of trichomonas colpitis in a woman, designated in ICD-10 as a separate disease?

Trichomonas colpitis: causes of occurrence

The causative agent of the disease is Trichomonas vaginalis. This single cell organism, which penetrates the vagina primarily through sexual contact, contact has also been recorded several times. They actively move, can create pseudo-similarities, and penetrate cell membranes.

Causes of trichomonas colpitis

In patients, the disease occurs due to:

Sexual transmission. It has been established that men are carriers of the disease, while in women infection leads to severe symptoms.
Avitaminosis. Absence essential vitamins leads to loss of cell defenses. This allows Trichomonas to spread.
Hormonal disorders. Female hormones provide vaginal cells with the necessary glycogen, which feeds lactobacilli. These beneficial bacteria become to protect the mucous membrane from various infections. When there is not enough nutrition, Trichomonas actively spreads, masquerading as tissue of the female organs.

The spread of infection causes symptoms characteristic of the disease.

Symptoms

Based on the symptoms of the disease, it can be understood that the woman has Trichomonas vaginitis.

Trichomonas colpitis in women: symptoms

When an infection appears in the body, it appears following signs:

Swelling and hyperemia of the perineum and external genitalia.
On the very first day, the amount of discharge increases noticeably.
Foaming or watery leucorrhoea, which stand out constantly.
The discharge has a strong, unpleasant odor that resembles the smell of fish.
Numerous hemorrhages are found on the walls of the vagina, they are small.
Itching and constant burning, which is typical for all types of colpitis.
Resi and painful sensations during urination, during sexual intercourse.

Trichomonas colpitis is felt not only in the vagina in women, the symptoms also manifest themselves as pain in the lower abdomen and back.

Trichomonas colpitis in men: what symptoms will it cause after contact?

This pathology affects men less. They can also become infected with a disease from a woman; they can be carriers of the causative agent of the disease. But you can still understand that Trichomonas is actively multiplying in the body. In representatives of the stronger sex, the disease caused by this microorganism is called Trichomonas urethritis. Main features:

Burning and pain in the urethra.
Pain during urination.
A man is being tortured frequent urge to empty the bladder.
Discharge comes out of the urethra, female type they are foamy or purulent.
The inflammatory process provokes damage to the capillaries; urine and semen have traces of blood and streaks.
In the pelvic area, the patient feels constant discomfort, heaviness, and pain. Such sensations interfere with everyday tasks.

Manifestations of the disease in acute form last no more than 14 days. If the doctor identified trichomonas colpitis in his partner in time, symptoms and treatment, in men with adequate therapy they too will quickly disappear. But if left untreated, the pathology becomes chronic, which is then quite difficult to get rid of.

Pathognomonic signs of trichomonas colpitis are...?

In both men and women, in the event of this pathology, 2 signs are identified, the presence of which clearly indicates the proliferation of Trichomonas in the body:

the presence of foamy discharge with a yellow or green tint;
this discharge is abundant, it is not transparent, but cloudy white.

To confirm trichomonas colpitis, symptoms, and prescribe treatment in women, not only an examination is used. There are special diagnostic methods. The disease is determined using microscopic examination. Cultivation of Trichomonas is also used. This is a method similar in principle to bacteriological culture with bacterial vaginitis.

After confirmation, treatment is prescribed, which should be used not only in women, but also in men.

Diagnostics

Based on the symptoms, the woman herself can understand that she has trichomonas vaginitis; tests are not always necessary. But only a doctor can make this diagnosis.

Trichomonas colpitis: diagnosis

Just an examination does not give the doctor the right to make a diagnosis. To do this you need:

Take a swab from the vagina;
Sometimes a smear is taken from the rectum;
PCR is a sensitive diagnosis of infections;
Cytological examination procedure.

Sometimes additional consultation with a venereologist is required. Based on the research, the gynecologist identifies the disease and then prescribes appropriate treatment.

Treatment

Treatment for trichomonas vaginitis is different for both partners. For women, topical vaginal preparations are used. For men, therapy is slightly different. If trichomonas colpitis occurs in a woman, treatment should be mandatory in men. Also, if the partner has no symptoms, while the woman suffers from this disease, treatment should also be mutual.

Trichomonas colpitis treatment in women

Main objectives for therapy:

Relief of acute manifestations of the main symptoms of the disease.
Complete destruction of the pathogen - the simplest microorganism, as in acute manifestations diseases, and when carrying Trichomonas.
Prevention of relapse of the disease and complications.

The implementation of the main tasks entails strict adherence of patients to medical instructions, compliance with all nuances of the course of treatment, implementation preventive measures to prevent recurrence of the disease.

Treatment of trichomonas colpitis in women: drugs, other methods

Treatment must be comprehensive, for this purpose both oral and local - vaginal - are prescribed. The patient should also reconsider her lifestyle.

The patient's lifestyle during treatment

For effective drug therapy, the patient must perform simple rules:

Refrain from eating spicy, salty, sweet foods. Food that strongly irritates the gastrointestinal tract helps reduce overall immunity. At the same time they dry up protective forces body. About what effective treatment then can we talk?
During treatment, completely avoid alcoholic beverages.
During the period of the medical prescription, you must abstain from sexual intercourse. During sexual intercourse, trauma to the already inflamed mucous membrane occurs.

Trichomonas colpitis treatment with tablets

To effectively treat Trichomonas colpitis, drugs are prescribed to women and men. This is a systemic therapy that has an anti-trichomoniacal effect. The following drugs are used for this:

Metronidazole is an antiprotozoal drug. To remove the disease, a three or seven-day course of treatment is used. The same drug is used by men when their partner has trichomonas colpitis, treatment regimen: four tablets 2 times a day for a 3-day course, 1 tablet 3 times a day for a 7-day course.
Trichomonacid - destroys protozoa, used for women and men. This medication can be used orally and for local treatment in the form of vaginal suppositories. Adults need to take 0.3 g of the active substance for 3-5 days. Also prescribed for men.
Lutenurin – used as complex drug. Trichomonas vaginitis almost never goes away on its own. Concomitant pathogens will definitely be diagnosed. This drug is active against trichomonas, gram-positive bacteria, and yeast-like fungi. It also destroys sperm, so it is used as a contraceptive.

Trichomonas colpitis in women, treatment with tablets

Oral therapy is used in combination with local medications. For this purpose, anti-inflammatory drugs are used, as well as antibacterial, antiprotozoal, immunostimulating drugs in the form vaginal suppositories and tablets. Douching solutions and traditional methods therapy.

Trichomonas colpitis: treatment, suppositories that affect pathogenic microflora. To influence pathogenic flora, which contains Trichomonas, bacteria, fungi, is used in treatment combination drugs. Terzhinan, Klion D, Trichomonacid and some others are often used. When to use suppositories, each patient decides individually. Optimal time Treatment is to use suppositories before bedtime.
Immunomodulators. This group of drugs is used mainly for chronic colpitis caused by Trichomonas. Drugs such as Immunal, Pyrogenal and so on are often used.
Douching solutions. When Trichomonas colpitis appears in women, treatment folk remedies involves the use of herbs and products to obtain a solution used for douching. Common herbs for this are chamomile, St. John's wort, coltsfoot, and calendula. They can be combined with other herbs. Products are also used to create a therapeutic tampon. They often put it there natural antibiotic– propolis.
Replenishment of dead bacteria. The doctor prescribes probiotics in the form of vaginal suppositories. They are necessary to support local immunity to resist the development of opportunistic microflora. Drugs such as Lactobacterin, Bifidumbacterin and others are used.

How to understand that Trichomonas colpitis has been cured?

To find out about this, you need to take repeated tests. This is a smear and cultivation/seeding of the flora. Repeated tests The patient's partner must also take the test. If the results do not contain trichomonas, the disease can be considered defeated.

To prevent the recurrence of the disease, you need to take care of yourself:

from promiscuous sex life;
increase immunity;
do not use other people’s personal hygiene items;
use barrier methods of contraception during sexual intercourse.

If treatment is not started on time, complications of the disease may occur: lack of orgasms, infertility due to obstruction of the fallopian tubes or inflammation of the appendages, sometimes malignant formations on the surface of the cervix, complications of pregnancy.

While carrying a baby, not all of the listed drugs are allowed, so treatment must be coordinated with a gynecologist.

A feature of Trichomonas is the presence of organelles of movement (undulating membrane and flagellum), which contributes to its rapid penetration into neighboring organs and tissues, resulting in complications: vulvovaginitis, cervicitis, endometritis, etc.

In external environment Trichomonas die quickly - drying, direct Sun rays, temperature from +45, etc. Therefore, trichomonas infection is transmitted mainly through sexual contact or through hygiene products (towels, linen) with inadequate sanitation at home or in public specialized institutions (baths, saunas, swimming pools).

Note that Trichomonas can be present in the vaginal microflora along with many opportunistic microbes and “legitimate” representatives of the microflora.

A person can be a carrier of a microbe and not get sick. However, this does not exclude the risk of infection for his sexual partner or family members. The risk of Trichomonas colpitis increases under the following circumstances:

But the main factor is still sexual contact with a patient with trichomoniasis and the colonization of the vagina by a hostile “landing party” - a colony of trichomonas. A large number of aggressive microorganisms disrupts the delicate balance of vaginal microflora. Since the symptoms of Trichomonas infection in men differ from those in women, they are weaker or not expressed at all; a woman’s sexual partner often does not even suspect that he is the source of the disease.

Symptoms, diagnosis, complications

The highest percentage of cases is among women of reproductive age, but girls and women during menopause are infected. Incubation period lasts from 1-5 days to 1 month. Depending on the time that has passed since infection, colpitis is divided into three phases:

acute;
subacute;
chronic.

The most vivid and accurate picture is given by acute Trichomonas colpitis. Therefore, at the first symptoms, you should immediately consult a doctor - this will facilitate diagnosis, treatment and avoid complications.

The acute stage of Trichomonas colpitis is accompanied by a complex of symptoms:

Upon visual examination, the vaginal wall is swollen, hyperemic, has petechial rashes (red spots at the sites of capillary rupture), nodules, and erosive areas of the mucosa.

The cause of inflammation (damage) of the vaginal surface can be pathogenic microorganisms, conditionally pathogenic representatives of microflora, physical trauma, age-related changes tissue, etc. Therefore, vaginitis is differentiated into specific (there is a specific pathogen) and nonspecific.

Damage to the vaginal mucosa due to insemination by Trichomonas - this is what Trichomonas colpitis is. Therefore, it is classified as specific.

Even with bright and typical clinical picture To clarify the diagnosis and differentiate the disease for the pathogen, it is necessary to conduct some studies:

A thorough examination is necessary in advanced stages (acute, subacute), since Clinical signs weaken, and chronic colpitis is characterized by almost complete absence symptoms with periodic relapses. A typical complication of Trichomonas colpitis is condylomas and other neoplasms, so a smear for oncocytology is required. This is why you should consult a doctor at the first sign of infection.

If the infection is not treated, then Trichomonas will continue its attack on genitourinary system women, which results in serious complications. As a result of ascending or descending infection, the following occur:

endometritis;
cervicitis;
salpingo-oophoritis;
proctitis, etc.

And in the future, if treatment is ignored, the woman will face infertility or even cancer. Some practicing oncologists suspect that all neoplasms in the body consist of trichomonas that have degenerated into one of their forms. And although official medicine this theory is not accepted; there are several monographs by Russian researchers that discuss the Trichomonas nature of cancer.

Trichomonas colpitis during pregnancy is dangerous for the child. The disease can cause miscarriage or premature birth.

With an ascending infection, the amniotic fluid becomes infected, which can affect the development of the fetus. Infection of a child can also occur at birth during passage through the birth canal.

Treatment during pregnancy is carried out with extreme caution so as not to harm the baby. For the treatment of expectant mothers, priority is given to vaginal suppositories, baths, and ointments. The course of antibiotic therapy is selected individually by the attending physician to exclude the effect of the drug on the fetus. Along with Trichomonas antagonists, a pregnant woman is prescribed vitamins and other immunostimulants that can strengthen the body's defenses.

Treatment of specific colpitis and prevention

Treatment of colpitis in women is aimed at eliminating the infection (the cause of inflammation) and strengthening the immune system. To exclude reinfection Both partners (spouse) undergo treatment.

Treatment of trichomonas colpitis is complex. Assign active drugs to combat systemic pathogens (tablets) in combination with local means (vaginal suppositories, irrigation, enemas, baths). Oral medications:

Metronidazole;
Nitazol;
Nasojin;
Ornitazol.

At the same time as taking the tablets, suppositories and ointments are used:

Trichomonacid;
Hexicon;
Terzhinan.

For irrigation, washing, and baths, solutions of medicinal antiseptics are used ( Boric acid, Potassium permanganate) or herbs (chamomile, yarrow).

In chronic forms of Trichomonas colpitis, immunomodulators (Immunal, Pyrogenal) and eubiotics (Lactobacterin, Vagilak, Bifidumbacterin) are prescribed for treatment to normalize the vaginal microflora.

Trichomonas colpitis is treated on an outpatient basis; only cases with complications such as damage to the uterus, fallopian tubes, ovaries, and urinary system require hospitalization.

Fans of traditional medicine should remember that grandmother’s recipes can only be used as auxiliary measures and after consultation with your doctor. Usage unconventional methods before contacting a doctor, it will not defeat Trichomonas, but it will make it difficult for the latter to diagnose due to a blurred clinical picture.

The rules for preventing infection are the same for everyone sexually transmitted infections: usage individual funds hygiene (towels, washcloths), refusal to visit public water and health centers with poor sanitation, use of physical protection (condoms), spermicides during casual sexual contacts.

And the most reliable means- this is annual preventive examination a gynecologist and refusal of promiscuous sex life. Having one sexual partner who shares an attitude of devotion and fidelity is a recipe for safety, health of future children and, perhaps, happiness.

A woman begins to have discharge; its color can be yellow, pinkish or gray. The discharge is accompanied by pain in the lower abdomen, which can radiate to the lower back, and may intensify during urination. She may also experience discomfort and pain during sexual intercourse. In addition, itching and burning appear in the genitals.

Trichomonas belong to the simplest organisms, classified as flagellates. They are introduced during sexual intercourse if the partner has Trichomonas. U healthy woman The vagina copes with the invading bacteria. But if the body is weakened or there are some diseases, then the protection will not work. It is also believed that the cause of colpitis may be poor environment and hormonal imbalance.

In what cases is a woman susceptible to colpitis? The reasons are as follows:

if ovarian function is weakened;
woman’s organs and systems are susceptible to various diseases;
if there are abnormalities in the reproductive system;
if a woman does not comply with basic rules of hygiene and sexual life;
with frequent and improper douching, when using antiseptics, with thinning of the mucous membrane in older women, the vaginal mucosa may undergo changes;
in the presence of vaginal injuries.

Trichomonas colpitis in women is divided into two types:

1 Chronic form. It takes two months to develop, after which, if not done necessary treatment, complications may begin in the form of endometritis, cervicitis and salpingo-ophritis.
2 For development acute form It takes up to 15 days for a woman to become infected; this form is distinguished by pronounced symptoms.

Some women, even with an acute form of colpitis, do not consult a doctor, but are treated on their own; such an attitude is fraught with serious consequences; this infection can lurk and then become chronic. In this case, the inflammation slowly spreads to the uterus, ovaries and fallopian tubes.

Signs of the acute form begin suddenly. Characteristic pain, itching and burning appear, and mucopurulent discharge comes out of the vagina. It happens that a woman experiences a burning sensation while urinating. Inflammation can also spread to the cervix and external genitalia.

Trichomonas colpitis is not the only disease of its kind; there are also senile and atrophic ones. In the first case, the mucous membrane is affected, as a result of which it atrophies. As a rule, this species does not cause any particular problems. The second type occurs when a woman pays little attention to her health and does not visit gynecological clinics. If you undergo periodic examinations, this disease can be easily identified. Symptoms are considered to be the presence of mucous membranes, liquid discharge, sometimes mixed with blood. Pain, itching and burning appear. During sexual intercourse, a woman experiences discomfort and pain.

Treatment rules

If you become infected with this disease, you must be treated immediately so that the form does not develop into a chronic one. Mandatory rules in the treatment of this disease are:

excluded during the entire treatment sex life and alcohol intake;
trichomonas colpitis requires treatment not only of the woman, but also of her partner;
Any form of Trichomonas needs to be treated, even if the woman is simply a carrier of this virus.

Treatment methods include the following:

the woman’s vagina is treated with antiseptic medications;
a course of medication is prescribed;
the vaginal microflora is brought back to normal;
drugs that strengthen the immune system are prescribed.

After a week's use complex treatment a woman comes for examination; a follow-up examination is scheduled after the menstrual cycle.

Preventive actions

To get rid of the problems that Trichomonas colpitis brings, prevention is necessary:

1 As soon as any gynecological diseases, they need to be treated, since the functioning of the ovaries depends on them.
2 Monitor your immunity and prevent it from weakening.
3 Carefully select products for intimate hygiene, try not to use gels with perfume additives.
4 Avoid using contraceptive gels containing spermicides, they change the internal microflora of the vagina.
5 Underwear should be changed every day. When using pads, give preference to natural materials.
6 It is advisable not to wear synthetic underwear.

What complications can there be?

This disease must be treated on time, otherwise the following consequences may occur:

due to inflammation that begins in the cervix, cervicitis may develop;
inflammation of the uterine layer causes endometritis;
if the fallopian tubes and ovaries become inflamed, salpingoophritis develops;
the disease in women of reproductive age is fraught with infertility;
neoplasms may appear in the pelvic area;
the urinary system may be affected;
For pregnant women, this disease can be fraught premature birth or early miscarriage.

ethnoscience

Before resorting to folk medicine, you need to consult your doctor. Folk recipes use only as an additional treatment to the main treatment.

1 Pour two tablespoons of chamomile flowers into a liter of water and put on fire, after 15 minutes remove from heat and cool. Use the strained broth for douching in the morning and evening. The course is two weeks. Instead of chamomile, you can use calendula.
2 Mix pedunculate oak bark, yarrow herb, sage and rosemary in a ratio of 20:20:40:20 g. The resulting mixture is poured with three liters of water and put on fire until it boils. Strain the cooled infusion and use for douching in the morning and evening.
3 The use of propolis tablets has a good effect. Every day before bed, insert one tablet into the vagina. The expected course of treatment is ten days.
4 Wash thoroughly and insert the candied honey as deep as possible into the vagina. Try to lubricate the walls and cervix. The recommended course of treatment is two weeks. At the beginning of treatment, itching and burning may occur, but this will go away over time.
5 This treatment is intended for the woman's partner while she is being treated. Every day for two weeks a man should drink water with honey dissolved in it. He should use 100 grams of honey per day in three doses.
6 Grind coltsfoot leaves, pour one spoon of leaves with one liter of boiling water. Let it brew for an hour. Use the strained infusion for douching. It helps well when inflammation becomes chronic and pain is present. You can prepare gray blackberry leaves in the same way.
7 Celandine. Fill two spoons with two liters of water. Place on the fire, bring to a boil and keep on low heat for another five minutes. It should stand for one hour. Use the strained infusion for douching twice a day.
8 A good remedy is the introduction at night of tampons soaked in a composition of garlic and onion juices and glycerin in equal proportions. The expected course is 20 days. Contraindications include pregnancy.
9 Soak the tampon in sea buckthorn oil and administer before bedtime. This method of treatment can be used until the disease completely recedes.
10 Pour a glass of boiling water over a spoonful of yellow egg capsule flowers. Leave for 40 minutes. Use the strained infusion for douching.

Methods for identifying the disease:

vaginal discharge is taken for cytological examination;
vaginal contents, its culture is checked for microflora;
polymer is checked chain reaction for trichomonas antigens;
blood and urine are taken for general examination;
carried out under a microscope endoscopic examination- colposcopy.

It is very important to start treatment in a timely manner, since the disease is insidious and can cause severe consequences. Drug therapy, backed up traditional treatment, is the most effective. The main thing to remember is that treatment should only be prescribed by a doctor, independent actions can only make the situation worse. Be healthy!