Most often, purulent vaginal discharge in women is a sign of the presence of inflammatory diseases affecting the female genital area. The appearance of purulent vaginal discharge cannot be ignored; it requires contacting a gynecologist for examination, identifying the cause of this phenomenon and carrying out further treatment. It is highly not recommended to try to cure yourself, since you can remove external manifestations illness, leaving behind the cause of the illness.
Causes of purulent discharge
The source of purulent discharge that appears in women includes the presence gynecological diseases, in most cases having an inflammatory nature. This can be inflammation of the uterine cavity, fallopian tubes, vagina, cervix.
The appearance of purulent discharge from the fallopian tubes is an extremely a rare event, more often there are purulent discharges from the uterine cavity, the occurrence of which is associated with abortion, oncological diseases. Most often you have to deal with purulent discharge that is caused by various types causative agents of inflammatory processes in the cervix, vagina, as well as on the external genitalia. The main reason for the appearance of purulent discharge from the vagina is hidden infections, such as mycoplasmosis, chlamydia, which are combined with opportunistic microflora attached to it (enterococci, E. coli, streptococci, etc.). In this case, the woman detects mucopurulent discharge some time after the infection occurred. It is possible for these discharges to decrease and even disappear if the disease is not treated, but they will reappear if the disease worsens.
The most common diseases that cause purulent vaginal discharge are:
- trichomoniasis;
- bacterial vaginitis;
- inflammation.
Purulent discharge due to trichomoniasis
With trichomoniasis, purulent discharge appears from the vagina, accompanied by itching, unpleasant smell, burning, painful sensations during sexual intercourse, as well as during urination. With trichomoniasis, the discharge is foamy, profuse, and yellowish-green in color. If the course of the disease is acute, then the appearance of copious discharge is noted, with chronic course disease, the abundance of discharge decreases. From the moment of infection with trichomoniasis until the first signs of the disease appear, it can take from 5 to 15 days. The body does not have strong immunity to trichomoniasis, and therefore the disease can be contracted several times. Treatment of the disease should be carried out not only in the woman, but also in the sexual partner.
If you do not see a gynecologist for a long time due to trichomoniasis, inflammatory processes in the vagina and cervix may develop, and endometritis may occur. In addition, the disease may progress to chronic form, after which it acts as the main cause of pathologies of pregnancy, infertility, and cervical cancer.
Purulent discharge due to bacterial vaginitis
There are many bacteria that can cause the appearance of nonspecific discharge in women. In case of decreased immunity, resistance to infections, bacterial vaginosis, imbalance normal microflora vagina, after childbirth, carrying out gynecological operations and manipulations, long-term use of antibiotics, in case of insufficient hygienic care against the background of thrush, bacterial vaginitis can develop.
Often there is a combination of bacterial vaginitis, fungal and bacterial vaginosis. With bacterial vaginitis, vaginal discharge is profuse, purulent, foamy, yellow-colored. green color, accompanied by an unpleasant odor, burning, itching in the external genital area. In addition, manifestations of bacterial vaginitis include the appearance of pain when urinating and during sexual intercourse.
Treatment of bacterial vaginitis usually comes down to the use of local funds: tablets, suppositories, capsules. To get rid of bacterial vaginitis, antibiotics are often prescribed; in the case of trichomonas vaginitis, this is trichopolum or metronidazole tablets. To treat non-infectious forms of the disease, irritating factors are eliminated.
Purulent discharge due to inflammation
In case of inflammation of the internal genital organs, a woman may experience purulent discharge, accompanied by pain in the lower abdomen, a disturbance in general well-being and menstrual cycle. When purulent inflammation cervix, fallopian tubes or ovaries, vaginal discharge is green, thick, mixed with mucus, which in turn is released from cervical canal. The discharge is characterized by aggravation with tension.
The human body contains a large number of glands that produce certain secretions. IN epithelial tissues The female vagina also contains glands. Their work is directly related to the menstrual cycle. Light discharge before menstruation should not bother a woman. But if purulent discharge appears, you should definitely consult a specialist.
Causes of purulent discharge in women
It's no secret that most women are in no hurry to see a gynecologist. Even with purulent vaginal discharge, girls prefer not to pay attention to this problem, or self-medicate. In this case, purulent discharge can be a symptom of both serious sexually transmitted diseases and hormonal imbalance. Only a specialist can determine this, based on the test results. It is impossible to determine the cause of the discharge on your own.
Causes of purulent discharge
- Vaginosis
- Infectious diseases
- Gonorrhea
- Urogenital mycoplasmosis
- Chlamydia
- Trichomoniasis
These diseases have fairly simple treatment in the initial stages. It may take about ten days of medication to cure trichomoniasis or gonorrhea. But most women are afraid to receive such a diagnosis and start the disease. At the same time, everything listed diseases can lead to infertility and serious problems with the body.
The disease vaginosis, which can occur due to wearing synthetic underwear or poor hygiene, contributes to constant inflammation of the vaginal mucous membranes, which often leads to infertility. This disease can progress to endometritis, which often leads to death. No woman is immune from vaginosis, despite the fact that it is not a sexually transmitted disease.
When does purulent discharge appear?
Vaginal discharge can be not only a consequence of diseases, but also the norm. Discharge should appear in girls aged 10-12 years. Normal discharge is clear and sometimes whitish in color. These secretions are necessary to moisturize the vagina and protect against infectious diseases. At normal discharge there are no unpleasant symptoms.
The largest amount of discharge can be noted during the period of ovulation. At this time, the discharge may be mucous and stringy. After the second half of the menstrual cycle begins, the discharge becomes creamy.
Discharge in women can also occur due to a change in sexual partner. Other microflora require adaptation, and after some time the discharge disappears.
Wearing synthetic underwear, using intimate gels and tight jeans can also cause discharge. But they can be easily eliminated by giving up “bad” habits.
Normal discharge has nothing in common with purulent discharge. The latter are almost always accompanied by itching, odor and pain. Purulent discharge from the vagina indicate inflammatory processes that require medical attention.
Chlamydia.() Chlamydia is one of the most common diseases of the reproductive system. It is transmitted sexually, but household infection is possible. Using other people's hygiene products, towels, washcloths can lead to this disease.
Methods of infection
- Poor quality condom
- Failure to comply with sanitary and hygienic standards
- Unprotected oral contact
- Sex without a condom
The incubation period of the disease can last several weeks. If left untreated, chlamydia can become chronic and lead to irreversible consequences. Most women do not even suspect that they are sick - the disease becomes asymptomatic. This may cause damage internal organs and weakening of the immune system occurs.
Symptoms of chlamydia
- from the vagina with an unpleasant odor
- Pain and
- Fever and general weakness
- Chlamydia is the main cause of infertility in women and men. Without treatment the fallopian tubes and the abdominal cavity are constantly subject to inflammation.
To detect the disease, a visual examination is not enough - PCR diagnostics are performed. Treatment is carried out antibacterial drugs and immune modulators. At initial stage Chlamydia diseases are very easy to treat.
Candidiasis.() Candidiasis is a disease caused by Candida fungi, which are present in almost any person. They can be found in the mouth, intestines and genitals.
Symptoms of thrush
- Sleep disturbance, irritability
- Pain during sexual intercourse and urination
- Redness of the genitals
Despite the fact that candidiasis has fairly similar symptoms to sexually transmitted diseases, it is not considered infectious.
The cause of candidiasis is most often considered to be a weakened immune system. It can occur with chronic infections, STDs, pregnancy and diabetes.
Treatment of candidiasis comes down to eliminating the cause of the disease. The use of local drugs helps eliminate discomfort, but does not allow complete recovery. Because of this, patients are prescribed immunostimulants. No specialist can rule out the reappearance of thrush.
Trichomoniasis.() Trichomoniasis is a disease genitourinary system. Infection occurs both through sexual contact and through household contact. With trichomoniasis, the appendages, uterus, urethritis, and excretory ducts are affected.
Symptoms
- Redness of the genitals
- Granularity of the labia
- Foamy discharge
- Blood in the discharge
- Itching and burning of the genitals
- Lower abdominal pain
During treatment of this disease you should abstain from sexual intercourse. Treatment is carried out using the drug Metronidazole. The treatment regimen may be different and is individually prescribed by a specialist.
Gonorrhea. Gonorrhea is a sexually transmitted disease that is transmitted through sexual contact. Damage occurs to the mucous surfaces of the urethra. The causative agent of the disease is gonococcus. Gonorrhea can occur without any symptoms. Causes infertility. During anal sex it leads to inflammation of the rectum.
Symptoms
- White or yellow discharge from the vagina
- Pain when urinating
- Bleeding
- Lower abdominal pain
The disease is treated by a venereologist and gynecologist. If treated promptly, gonorrhea can be cured very quickly. Ceftriaxone, Erythromycin, Biseptol are used for treatment. Wherein important role plays healthy image life and smoking cessation.
Purulent discharge in women with inflammation of the cervix and uterine appendages
Inflammation of the uterus and appendages is often accompanied by symptoms such as purulent discharge. Sometimes such discharge has a greenish color and intensifies when physical activity. Accompanied by menstrual irregularities and pain in the lower abdomen.
Inflammation of the uterus and appendages can occur due to severe hypothermia. Wet feet, sitting and lying on cold surfaces can lead to serious women's diseases. But not all causes of inflammation of the cervix and appendages are so harmless. Chlamydia and gonococci also tend to get into the pipes, which leads to severe inflammatory processes.
Infertility may occur as a result of inflammation of the appendages. It occurs due to inflammation of the epithelium and scarring of the tubes. Long-term inflammatory processes lead to proliferation connective tissue. As a result, the ovaries become very thick and the movement of the egg becomes impossible. Most often, this is the cause of infertility, which is very difficult to treat.
Inflammation can also occur in abdominal cavity. The appearance of adhesions leads to pain in the intestines, frequent constipation and diarrhea.
It is possible to distinguish inflammation of the appendages from other diseases only after full examination. The patient needs to have an ultrasound and blood tests. Treatment can be carried out only after an accurate diagnosis has been established.
Treatment consists of taking anti-inflammatory, antimicrobial and restorative medications. Although painful symptoms may go away within a week after taking the medication - in no case should you stop treatment.
There are many reasons for vaginal discharge. Put accurate diagnosis and treatment can only be carried out in medical conditions. Do not delay your visit to the gynecologist if you have the slightest suspicion.
Purulent discharge in women most often are a sign of inflammatory diseases of the female genital area, including sexually transmitted diseases (STDs). Purulent discharge in women cannot be ignored; they require contacting a gynecologist for examination and further treatment. Let's look at the most common causes of purulent discharge in women.
Purulent discharge in women: trichomoniasis
If a woman suffering from trichomoniasis for a long time does not consult a gynecologist, trichomoniasis can lead not only to the development of inflammatory processes in the vagina and cervix, but also to the occurrence of endometritis - inflammation of the uterine mucosa. In severe cases, these processes lead to infertility or problems with conception, miscarriage, and spontaneous miscarriages.
Often, when a woman becomes infected with trichomoniasis, she becomes infected with other microorganisms (a mixed infection develops). Therefore, examination and diagnosis of the causes of purulent discharge, as well as their treatment, must be comprehensive.
With trichomoniasis, women most often develop vulvovaginitis. With trichomonas vulvovaginitis, discharge in women is copious, foamy, liquid, mucopurulent, yellow or green, with an unpleasant odor. This discharge in women causes severe itching and irritation of the external genitalia. Also with trichomoniasis, irritation and burning in the urethra when urinating and discomfort in the vagina during sex.
Purulent discharge in women: inflammation of the ovaries and fallopian tubes
With inflammation of the internal genital organs (for example, the ovaries or fallopian tubes), purulent discharge in women is possible. Pain in the lower abdomen, menstrual irregularities and general condition. With purulent cervicitis (inflammation of the cervix), women may also have purulent discharge. As a rule, with purulent cervicitis, the discharge is thick, green, mixed with mucus from the cervical canal. Discharge in women with purulent cervicitis increases with strain (for example, after defecation).
Purulent discharge in women: bacterial vaginitis
There are many bacteria that can cause nonspecific discharge in women. With decreased immunity, decreased resistance to infections, imbalance of normal vaginal microflora, after gynecological manipulations and surgeries, after childbirth, with bacterial vaginosis, after long-term use of antibiotics, with insufficient hygiene care, against the background of thrush, banal bacterial vaginitis may occur.
Often, bacterial vaginitis is combined with fungal (thrush) and bacterial vaginosis (gardnerellosis). Bacterial vaginitis also occurs in girls who are not yet sexually active. Bacterial vaginitis manifests itself as profuse, purulent, foamy, yellow-green discharge from the vagina. They are accompanied by an unpleasant odor, itching and burning in the external genital area, painful sensations during urination and sexual intercourse, and discomfort.
Bacterial vaginitis is usually treated using local remedies - vaginal suppositories, tablets, capsules. If earlier treatment bacterial vaginitis in virgins was difficult; now there are special forms of local products for use in girls. These are vaginal capsules with a thin tip that allow you to insert active substance in the vagina.
It should be remembered that the treatment of bacterial vaginitis must be complete. Even if the condition improves (no discharge in women, itching and burning), treatment must be continued in accordance with the doctor’s prescriptions and instructions for medical use medicines. If you stop treatment ahead of schedule, the process may become chronic, develop into bacterial vaginosis, or recurrent vaginitis with the slightest violation of the hygiene regime or decreased immunity.
Vaginal capsules ® are effective means against most bacteria and fungi that cause nonspecific vaginitis. Polygynax contains neomycin, polymyxin B and nystatin as antimicrobials, and dimethicone, which has antipruritic, anti-inflammatory and improves vaginal trophism. Separately, there is a Polygynax® Virgo uniform for girls. This allows you to easily treat nonspecific bacterial vaginitis in children and adolescents. Polygynax® is suitable for both treatment and prevention of fungal-bacterial vaginitis before gynecological examinations, surgeries, childbirth, and abortions. The treatment regimen with Polygynax® consists of 12 injections of vaginal capsules into the vagina once a day at night. And for prevention, a 2-fold shorter course is enough - 6 injections.
Pus – a clear sign inflammation. Purulent vaginal discharge is evidence that an inflammatory disease is occurring in some part of the female genital organs. The inflammatory process can affect not only the vagina, but also other organs: from the ovaries to the vulva. Correct diagnosis causes pathological discharge will allow you to prescribe timely effective treatment.
Purulent discharge - what is it?
Discharge in women is normal phenomenon. If reproductive system is normal, then women’s discharge should be:
- transparent, mucus or jelly-like consistency;
- without negative symptoms, pain and fever;
- insignificant in quantity;
- no noticeable odor;
- without skin irritation.
In the event that leukocytes, white blood cells, die in large quantities and enter the site of inflammation to fight the infection, pus is formed. This is a whitish or yellowish-green liquid, viscous consistency with an unpleasant specific odor.
The main characteristics of purulent discharge are as follows:
- copious amounts;
- color change;
- the appearance of a pungent odor;
- viscosity is less than natural physiological secretions.
Causes
Purulent discharge is a symptom of an inflammatory disease of the female reproductive system. As a rule, such discharge occurs due to the following diseases:
- bacterial vaginosis;
- vaginitis;
- vulvitis;
- endometritis;
- cervicitis;
- sexually transmitted diseases;
- congenital malformation – duplication of the uterus and vagina in incomplete form.
Any of these diseases requires detailed consideration, since purulent discharge from the genital tract is a sign of diseases with different meaning. It is necessary for every woman to know the cause of the appearance of pus and the symptoms, so that if they arise, they can immediately seek help from professionals, without waiting for complications to develop.
Vaginitis (colpitis) is an inflammation of the vaginal mucosa.
It should be noted that vaginitis may have various shapes(granulous, serous, etc.), therefore purulent discharge is not the norm for this disease, but rather an exception. Purulent vaginitis is necessarily accompanied by itching, pain in the lower abdomen and general symptoms, which are characteristic of intoxication. Upon examination, the gynecologist can see bright red vaginal mucosa, sometimes with infiltrates (reddish nodules) and small hemorrhages.
To treat the acute form of vaginitis with purulent discharge, it is necessary to use antiseptic solutions for douching. To do this, use rivanol, chlorophyllipt, potassium permanganate (weak solution) or herbal decoctions. Medical procedure Do this several times a day until symptoms disappear completely. Additionally must be appointed antibacterial agents after full diagnostics looks like a pathogen.
Vulvitis is an inflammatory disease of the vulva: the mucous membrane of the labia minora and labia majora.
As a rule, vulvitis occurs in girls and is associated with non-compliance with the rules intimate hygiene. This disease affects women much less frequently. This disease may be accompanied by endocrine diseases, diaper rash, decreased immunity and some infections.
Vulvitis is characterized by large amounts of purulent discharge and other symptoms:
- burning and itching in the perineal area, which becomes stronger when urinating due to irritation of the inflamed mucous membrane by urine;
- pain when urinating and walking;
- drowsiness, lethargy, general weakness and fatigue;
- increase lymph nodes in the groin.
It is recommended to avoid sexual contact and begin immediate treatment. Local treatment ailment involves washing with chamomile infusion and potassium permanganate. Antibiotics are also prescribed wide range actions (mainly in the form of ointments). To relieve itching and pain Anesthetics may be used.
Endometritis and cervicitis are inflammations of the inner or outer mucous membrane of the cervix.. Both types of inflammation can deprive a woman of the opportunity to give birth naturally.
Endometritis is an inflammation that does not tend to spread deep into the uterine mucosa. In terms of its symptoms, cervicitis, in fact, like endometritis, does not have any particularly pronounced signs.
The symptoms are similar to the inflammatory diseases described above. Therefore, you should immediately consult a doctor if purulent vaginal discharge, itching and pain appear.
Endometritis can pass without a trace without special treatment, since during menstruation the uterine mucosa is shed. Symptoms disappear when the epithelium is rejected, since purulent superficial endometritis does not spread beyond the mucous membrane. Discharge during endometritis is abundant: pus comes out, the affected epithelium is rejected, and blood comes out from the opened vessels.
Inflammatory diseases that are sexually transmitted
All inflammatory processes that occur in the female reproductive system, as a rule, occur due to sexually transmitted diseases. One of the most common causes of pus discharge from the vagina is gonorrhea.
The cause of purulent discharge in women may be, somewhat less frequently, mycoplasmosis, ureoplasmosis, chlamydia (manifested by endometritis, vaginitis and cervicitis) and trichomoniasis.
Trichomoniasis is an inflammation of the genitourinary system that affects approximately 10% of the population according to WHO.
The incubation period of the disease lasts for a month. Trichomoniasis threatens a woman with infertility or complications during pregnancy.
The symptoms of the disease are as follows:
- yellow purulent foamy discharge with a strong unpleasant odor;
- pain when urinating and during sexual intercourse;
- itching in the perineum.
Chronic trichomoniasis has symptoms similar to acute ones, only they appear during periods of stress, infections and during poor personal hygiene.
Local medications are not effective in treating the disease, so medications are prescribed general action. Medicines that strengthen the immune system, vitamins and physiotherapy are also used.
Chlamydia is a common sexually transmitted disease.
The causative agent of the disease is chlamydia, a bacterium that destroys cells and releases toxins. Manifestations of chlamydia are as follows:
- purulent discharge that is yellow in color and has an unpleasant odor;
- lower abdominal pain;
- burning in external and internal organs;
- bleeding between periods;
- fatigue and general weakness;
- low-grade fever (increase in temperature over a long period of time within 37.5 degrees).
Chlamydia without treatment can provoke dangerous diseases(salpingitis, endometritis, encephalopathy). In addition to the female genitourinary system, the liver, lungs, gastrointestinal tract and heart can also be affected by chlamydia. There is a high risk that a pregnant woman with chlamydia can pass it on to her baby at birth.
Chlamydia can be cured in a few weeks. Antibiotics, immunomodulators, antifungal and topical antimicrobial drugs are used to combat the disease. The woman's sexual partner also needs treatment.
Candidiasis (thrush) – fungal infection, which is caused by the candida fungus.
The fungus may be present in the vagina, colon, or mouth and this is considered normal. When candida begins to actively multiply, candidiasis develops. It is caused by a violation of the vaginal microflora due to hormonal imbalances, chronic infections, tight underwear, pregnancy, illness endocrine system, sexual contact with a patient with candidiasis. Chronic candidiasis can provoke urethritis, endometritis, infertility or pyelonephritis.
The symptoms of thrush are as follows:
- copious discharge white curdled consistency;
- pain during sexual intercourse and urination;
- itching of the genital organ.
Prescribed for treatment antifungal drugs local action (usually suppositories). When frequent relapses It is necessary to check the pancreas.
Duplication of the uterus and vagina in incomplete form
A fairly common malformation of the uterus is its duplication with incomplete vaginal duplication. The second vagina is isolated from external environment and its blood circulation has inferior functionality, as a result of which it develops in a double organ inflammatory process. Purulent discharge accumulates in the organ cavity, which after some time breaks into the normally formed vagina through the fistulous tract.
This pathology can be treated in mandatory. The treatment method for this pathology is surgical. The surgeon removes the paired organ that has festered without damaging the reproductive function.
Menopause and purulent discharge
During the cessation of the menstrual cycle, pathological discharge may occur. Bloody, curdled, yellowish mucous or purulent discharge should be a signal for immediate contact with a specialist. After all, their presence may indicate that the genitals are infected and serious diseases are developing: chlamydia, bacterial vaginitis or gonorrhea.
Purulent discharge during menopause can be white or yellow and have a creamy consistency. May be accompanied by a strong unpleasant odor, reminiscent of stale fish. Also, purulent discharge may be accompanied by itching, pain, intoxication and fever.
After a thorough diagnosis and identification of the causative agent of the infection, the doctor prescribes antibiotics. Treatment can include suppositories (vaginal), washing and douching, vitamins and a special diet.
Pathological vaginal discharge with blood
Serous-bloody discharge is quite common rare disease, as primary vaginal cancer.
An accompanying secondary infection can provoke copious discharge with blood of a purulent type, which has a foul odor. The location of the tumor is the posterior or anterior wall of the vagina. This type of cancer usually affects women between 60 and 70 years of age. Visually, the tumor resembles loose ulcerative or necrotic lesions.
If there is purulent discharge with blood, then the diagnosis is made by objective examination. For an accurate diagnosis, a biopsy of all formations in the vagina that resemble a tumor is necessary.
Treatment for vaginal cancer depends on the type of tissue the tumor comes from and the stage of the disease. As a rule, radical surgical treatment or radiation therapy.
Thus, there are a lot of diseases that cause pus to be discharged from the vagina. Their symptoms are very similar, so consultation with a gynecologist and venereologist is mandatory. Exactly qualified doctor will be able to make the correct diagnosis and prescribe adequate treatment. But most diseases can be avoided if you maintain personal hygiene, wear cotton underwear and use contraception.
- Date: 04/30/2019
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If there is purulent discharge in women, the reasons can be very different. This is a symptom of genital diseases. Almost every woman has encountered a similar problem at least once during her life. Normally, the nature of the discharge depends on the phase of the menstrual cycle. In phase 1 they are scanty, transparent or slightly whitish in color. During the release of the egg, the leucorrhoea is transparent and stretchy, and in the second half of the cycle it is thicker and often resembles jelly.
Why does pus appear?
The appearance of purulent discharge in women is always a pathology. Most often the cause is bacterial diseases, since pus is a mixture of bacteria, leukocytes and other components. The following etiological factors are distinguished:
- vaginitis;
- inflammation of the cervix;
- salpingoophoritis (damage to the uterine appendages);
- inflammation of the uterine mucosa;
- trichomoniasis;
- gonorrhea;
- cancer of the uterus;
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Purulent discharge in women is very rarely the only symptom of the disease. Pain in the lower abdomen, general malaise, menstrual irregularities, and bleeding are very common. Dysuric phenomena are possible.
At inflammatory diseases Not only the volume of discharge changes, but also its color and consistency. They are greenish or yellow color with an unpleasant odor. Often the discharge contains lumps or blood. If the condition does not return to normal, then it is necessary to urgently contact a gynecologist.
Pathological manifestations of endometritis
Causes of pus in leucorrhoea include endometritis. This is an inflammation of the inner layer of the uterus (endometrium). This organ is located deep in the pelvis. It often becomes inflamed and muscle layer. In this case, metroendometritis develops. The development of the inflammatory process is based on damage to the mucous membrane of the organ or the penetration of infection through the vagina from the outside during sexual intercourse.
The following reasons for the development of this pathology are identified:
- medical abortion;
- diagnostic curettage of the uterus;
- probing;
- examination of the organ and fallopian tubes;
- installation of a spiral;
- non-compliance with douching rules.
Most often, the appearance of discharge is caused by streptococcal infection, E. coli, Klebsiella, Enterobacter and other microbes. Purulent discharge indicates acute inflammation of the uterus. Leucorrhoea is purulent-bloody or mucopurulent. They smell unpleasant and are accompanied by fever, pain in the lower abdomen, and general malaise.
Postpartum endometritis is very common. It is caused by infection during or after childbirth. Inflammation occurs in almost every second woman who has undergone C-section. Other symptoms of the disease include increased heart rate and difficulty urinating. When chronic endometritis Menstrual irregularities and pathological discharge come to the fore.
Signs of cervicitis
When purulent discharge appears in a woman, the causes may include isolated inflammation of the cervix. This disease is called cervicitis. The cervix is a barrier between the vagina and the uterine lining. Inflammation in it can be caused by both nonspecific (cocci, coli, fungi), and specific microflora (gonococci, treponema, trichomonas).
Highlight the following factors risk of this pathology:
- artificial termination of pregnancy;
- diseases of the rectum;
- installation and removal of intrauterine devices;
- birth trauma;
- scraping.
The disease is often combined with vaginitis and inflammation of the vulva. The vast majority of patients are women aged 20 to 50 years. Cervicitis is manifested by the following symptoms:
- purulent or mucous discharge from the genital tract;
- dull pain in the lower abdomen;
- discomfort.
Cervicitis is dangerous because it can cause miscarriages and early birth.
Symptoms of vaginitis
Most common cause the appearance of pus in the discharge is colpitis (vaginitis, inflammation of the vagina).
This is an infectious-inflammatory disease. The causative agent most often acts as a conditionally pathogenic microflora. Under certain circumstances (against the background of dysbiosis or decreased immunity), uncontrolled bacterial growth occurs, which leads to inflammation.
There are primary and secondary colpitis. Primary inflammation develops immediately in the vaginal area. In secondary cases, the inflammatory process spreads from the vulva. The following risk factors for developing vaginitis are identified:
- failure to comply with intimate hygiene rules;
- endocrine disorders (diabetes, obesity);
- presence of sexually transmitted diseases;
- performing abortions;
- alternating anal and vaginal sex;
- long-term treatment with antibiotics;
- vaginal dysbiosis;
- chronic diseases of the genital organs;
- allergies to intimate hygiene products.
In girls, colpitis can develop against the background of tonsillitis or scarlet fever. A risk factor for the development of vaginitis is mechanical damage to the mucous membrane during masturbation or sexual intercourse. Vaginitis appears heavy discharge, itching, burning, swelling of the mucous membrane, pain when urinating, abdominal pain. The discharge is purulent in nature, but can also be mucous. Often they contain an admixture of blood. The discharge has a foul odor.
The cause is sexually transmitted infections
Purulent discharge in women is a symptom of gonorrhea and trichomoniasis. These are diseases that are sexually transmitted. The causative agent is gonococcus. Infection of women is possible through any type of sexual intercourse (traditional, anal) and even petting. It is possible to become infected by wearing someone else's underwear or using towels.
The following women are at risk:
- leading chaotic sex life without using a condom;
- commercial sex workers;
- under 25 years old;
- pregnant women;
- drug and alcohol users;
- having other STIs.
Gonorrhea can affect the cervix, vagina, and rectum. The appendages (fallopian tubes and ovaries) often become inflamed. Acute form Gonorrhea is manifested by purulent or serous-purulent discharge, frequent and painful urine discharge, bleeding, and abdominal pain. Ulcers often form on the genital mucosa.
Every second woman has mild symptoms. As the infection spreads higher, the temperature rises significantly and symptoms of intoxication appear. In chronic cases of gonorrhea, purulent discharge may be the only complaint. An equally common cause of pathological discharge mixed with pus is trichomoniasis.
More than 100 million new cases of this disease are diagnosed every year. The majority of patients are women. Trichomonas are active when the vaginal pH increases. Normally, the reaction varies from 3.8 to 4.4. The optimal reaction of the environment for these microbes is 5.5-6.6. The following risk factors for the development of trichomoniasis are identified:
changes in acidity during and after menstruation;
- sexual contact with a sick man;
- abortion and childbirth;
- decreased immunity.
Discharges in this disease have the following features:
- yellow or green;
- often foam;
- have a bad smell;
- plentiful.
Additional symptoms include discomfort during sexual intercourse, burning or pain when urinating, and vaginal itching.
Therapeutic tactics for diseases
Before treating sick women, a number of studies are carried out:
microscopic examination of smears;
- Ultrasound of the uterus and appendages;
- X-ray examination;
- general blood and urine tests;
- blood chemistry;
- identification of the causative agent of the disease PCR method or ELISA;
- examination of the cervix;
- colposcopy.
If necessary, laparoscopy is performed. Treatment of sick women is determined by the underlying pathology. For bacterial colpitis it is carried out drug therapy. Antibiotics, immunomodulators, and suppositories are used to restore the microflora. With the development of atrophic colpitis, estrogens are indicated.
Anti-inflammatory and antimicrobial agents are used in the form of tablets for oral administration, solutions for injection, vaginal suppositories, gels and vaginal tablets. If vaginitis is caused by Trichomonas, then Metronidazole is used. Treatment lasts 1-1.5 weeks. When identifying acute endometritis Antibiotics (cephalosporins and Metragyl) are prescribed intravenously.
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Vitamins and immunostimulants are required. If necessary, diagnostic curettage is performed. Physiotherapy is indicated during the recovery period. Often used in the treatment of cervicitis combined agents(Terzhinan). They are effective against bacteria, fungi and protozoa. Chlamydial cervicitis is an indication for the prescription of tetracyclines (Doxycycline).
During the remission phase, it is recommended to treat the vaginal and cervical mucosa with antiseptics. Treatment of acute inflammation of the uterine appendages is carried out in a hospital. It involves the use of antibiotics (penicillins, macrolides, cephalosporins, fluoroquinolones or aminoglycosides), drinking plenty of fluids, and administering infusion solutions. Thus, the appearance of purulent discharge in a woman is a reason to visit medical institution and examinations. Self-medication can lead to complications.
