Senile vaginitis

Senile vaginitis

[Summary]



Senile vaginitis, also known as atrophic vaginitis, it is a non-specific vaginitis. Occurred in women after menopause, but after ovariectomized or breast-feeding women may also arise.



[Diagnosis]




According to the age, history, check with local visible genital flushing, and humid, congestive vaginal wall, scattered bleeding, after the fornix and cervical most obvious. After stripping vaginal mucosa can be formed ulcers. It is not difficult to diagnosis in general. When chronic inflammation, may occur two results: First, the vaginal mucosa connective tissue fibrosis, vaginal lose flexibility, vaginal stenosis and the final formation of scar; another situation for the vaginal wall adhesion vaginal atresia, even in the formation of more than atresia Vaginal empyema. Although such cases rare, but serious condition.


[Treatment]




Senile vaginitis treatment principle is to strengthen the resistance of vaginal mucosa inhibit bacterial growth and reproduction. Systemic treatment, oral diethylstilbestrol 0.25 to 0.5 mg per day, a total of seven days. After the medication sometimes caused the withdrawal of bleeding. Local medication, improve vaginal pH, or acid with 1% potassium permanganate 1:5000 vaginal washing. Vaginal night caving sit drug, B phenol 0.25 ~ 0.5 mg tablets placed in the vagina, a day, a total of seven days. When necessary, we can apply spreading antibiotic ointment or powder.


[Etiology:




Main reason is due to ovarian function recession, the level of estrogen in low or lack of vaginal epithelial cells glycogen reduced vaginal pH value of the pH, reduced ability to kill pathogens. At the same time, shrinking vaginal mucosa, the Pifei thin, insufficient blood supply to the vagina to reduce resistance, ease of propagation of bacteria cause inflammation invasive lesions. In addition, poor personal hygiene habits, lack of nutrition, particularly the lack of vitamin B group, may be related to the pathogenesis.


[Clinical]




The main symptoms are increased Leucorrhea, a yellow or purulent water, the smell, a serious infection, vaginal bleeding, there will be bit by bit, and fall burning pain and vaginal flu. If involved vestibular and urethral mucosa around the mouth, often in frequency, Niaotong.


[Diagnosis]




And the identification of specific vaginitis, vaginal secretions should take checks except trichomoniasis, mold and other pathogens. Leucorrhea should be bloody and uterine cancer identification. Gynaecological examinations attention to the size and shape uterine bleeding and vaginal cytology sources and, if necessary, cervical or endometrial biopsy, etc..