Causes of vaginitis for women and methods of treatment of vaginal infections

Vaginal infections are one of the most serious health problems facing women, and in order to be deeply aware of the causes of these infections to avoid them and to know how to deal with them, many of the questions that preoccupied many women were raised by Dr. Heba Mohamed Faragallah, Women section Al Garhoud Private Hospital, to look at the causes, treatment and methods of prevention:

What are the main causes of vaginal infections?

Inside the vaginal cavity, there is a variety of microorganisms that live naturally in a delicate balance. A group of bacteria called organic bactericidal bacteria plays a key role in maintaining the environment that is good in producing the lactic acid, preventing other microbes from multiplying out of control, VaginitisIn the case of imbalance and vaginitis, bacterial vaginosis is the most common cause of vaginal infections, where it reaches 50%. Confusion of fungal infections (candida vulvovag), trichomoniasis, and vaginal bacteria. The other two are also considered to be the most important causes of vaginal infections. The above three causes are 90% of the causes of vaginal infections.

It is worth mentioning that there are several factors that may in themselves disrupt the natural bacterial balance, such as detergents, antibiotics, birth control pills, diabetes, pregnancy, stress, lack of personal hygiene, foreign body, estrogen rate.

 What are the most common inflammatory symptoms?

The change in the amount, color or smell of vaginal secretions, for example vaginitis, is usually associated with vaginal discharge with an unusual odor (similar to fish odor), which is especially evident after intercourse. Fungal infections are accompanied by lumpy white secretions, , While tricomonas is associated with a gray-green foam and has an unusual odor.

Other symptoms include: itching, heartburn, pain during intercourse, pain during urination, droplets of blood (other than menstrual period) and pain in the lower abdomen (rarely occurs).

It should be noted here that nearly half of women with bacterial vaginosis have no symptoms.

Does persistent vaginal inflammation indicate a more serious health problem than the inflammation itself?

Persistent or recurrent vaginal infections may indicate a more serious health problem than the infection itself, such as diabetes, hormonal abnormalities, immune system weakness, or cervical cancer or swelling.

Is there any vaginal discharge evidence of inflammation of the vagina?

At the reproductive age, natural vaginal secretions have certain characteristics. They are white or translucent, may be thick or thin, and most likely have no odor and are estimated to be 1-4 ml in 24 hours. These secretions are considered natural and physiological. These physiological excretions increase during the midmenstrual cycle, ie when ovulation approaches, or during pregnancy, or with contraceptive pills.

As a result, vaginal secretion under the above characteristics does not mean any inflammation. These natural secretions protect the vagina from dehydration and protect it from germs.

How does a woman discover an infection?

Women can detect vaginitis by distinguishing between physiological secretions and their characteristics as mentioned above. If the secretions are accompanied by itching, burning or irritation, or if accompanied by a foul odor or non-white color, and if there is Pain During intercourse or during urination, a woman should see a doctor.

What is the risk that pregnant women get vaginitis?

Bacterial infections during pregnancy may cause serious health problems because they are associated with bacterial vaginosis, premature birth, amniotic fluid infection and placenta during labor. We note that there are different types of bacterial infections:

1 – bacterial infection called (Bacterial vaginosis)

2 – a bacterial infection called streptococcal bacterial vaginosis This infection causes serious health complications on the mother and fetus, where the mother is at risk of premature birth and the fetus is exposed to a serious infection on the brain and lungs and bones, so the pregnant woman must perform tests during pregnancy In order to receive appropriate treatment where tests and treatment of Bacterial vaginosis after the seventh week and thirty pregnancy.

Vaginitis may also cause miscarriage, according to recent medical studies, where about 31.6% of pregnant women with vaginitis are at risk of miscarriage.

It is worth mentioning that pregnant women can prevent vaginal and bacterial infections before and during pregnancy by taking care of themselves and consult with the doctor when they feel any symptoms, in addition to the examination of vaginitis before pregnancy and during pregnancy in the form of periodicity required.

Who are the most prone to vaginitis?

Women who are most prone to vaginitis are sexually active women, pregnant women who use oral contraceptives, diabetic patients, or people with HIV, who are taking antibiotics.

Are there any helpful factors for vaginitis?

Malnutrition, lack of sleep disorders, stress, lack of hygiene, injury or scratches in the internal vaginal wall, use of nylon or silicone underwear, non-drying of the genitals well after bathing or after urination, frequent use of vaginal douche.

What is your advice to women to prevent vaginal inflammation and give you advice during infection?

– Always care about the purity and cleanliness of the genital area.

– After using the bathroom clean the genital area in the direction from front to back.

– Do not use strong soap or perfumed or vaginal douches frequently (vaginal shower can be used once a week)

– Do not use scented towels (diapers) or perfumed toilet paper.

– Avoid wearing tight underwear with artificial fibers and tight pants as well.

– Wear cotton underwear.

– Women who have diabetes should maintain their blood sugar level and keep it under control.

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