If 15 years ago the diagnosis of “colpitis” was quite rare, then today it is put to 80% of women who turned to a gynecologist for help.
Colpitis is an inflammation of the mucous membrane of the vagina and the vaginal part of the cervix, accompanied by swelling of the mucous membrane and the appearance of abundant white or purulent discharge with an unpleasant odor. Such a condition can arise as a result of various diseases, including candidiasis, gonorrhea, trichomoniasis, bacterial vaginosis (gardnerellosis), genital herpes, chlamydia, mycoplasmosis, ureaplasmosis and other infections. Untreated vaginitis, as this condition is also called, can go to the cervical canal, uterus, appendages, etc., which, in turn, leads to endometritis, cervical erosion and infertility.
The causes of colpitis are many. Among them are the unfavorable ecological situation, early sexual (in many cases, illegible) intimate life, costly, often inaccessible for many, treatment.
Symptoms of colpitis during pregnancy
Depending on the form - acute or chronic - colpitis during pregnancy is manifested unequally. In the acute period, you will definitely not ignore the inflammation: the symptoms are pronounced and cause severe discomfort. The most characteristic of them are:
- swelling and redness of the vaginal mucosa,
- itching and burning in the region of the external genital organs,
- abdominal and pelvic pain (aching, arching, pressing),
- copious abnormal discharge (putrid, with an unpleasant odor, sometimes with blood).
Irritation can spread to the surrounding genital skin tissues (buttocks, inner thighs), and when in a state of neglect, rise higher and affect the reproductive organs: the cervix, uterus, and appendages.
The chronic course of colpitis during pregnancy is less pronounced, sometimes asymptomatic, which makes it difficult to detect the disease and begin its treatment. In this case, the consequences of obesity may be more dangerous.
What is dangerous colpit during pregnancy?
During pregnancy, colpit creates a particular inconvenience, but in reality the colpitis itself is not so terrible as its possible consequences, for example, the likelihood of an ascending infection (it can harm the developing fetus during gestation, and also pose a danger to the baby during labor). In addition, in pregnant women, inflammation of the vaginal mucosa can cause miscarriage and infection of the fetus or lead to infection of the amniotic fluid and the development of pregnancy complications (polyhydramnios, preterm birth, etc.).
In the future, a woman may have difficulty conceiving a child due to chronic colpitis. And almost always running untreated vaginitis leads to endometritis and other lesions.
Colpitis can be infectious or bacterial. In pregnant women, it often occurs due to changes in hormonal levels and failure of the immune system.
Treatment of colpitis during pregnancy
We will not discover America for you if we say that the treatment of colpitis cannot be performed independently. Only a competent obstetrician-gynecologist will be able to determine what caused the occurrence of vaginitis. Based on the results of the tests, he will prescribe treatment. Keep in mind that a pregnant woman is responsible not only for her own health, but also for the health of the baby.
As a rule, chemical drugs (including antibiotics), physiotherapy, herbal decoctions, acid baths, ointment applications, and a special diet are used to treat colpitis during pregnancy.
Treatment of vaginitis in pregnant women is complicated by the fact that they do not allow many effective medicines. For example, widely used drugs such as nolitsin, dalatsin, clindacin, have contraindications during pregnancy. And of the other systemic ones (those that are ingested and act upon absorption into the blood), only nystatin and pimafucin can be used. They are safe even in large doses, but, unfortunately, ineffective. Therefore, treatment with these drugs is combined with topical treatment (douching with decoction of herbs, taking a sedentary bath, using vaginal and rectal suppositories, creams or gels).
Popular betadine can be used only up to 3 months of pregnancy. At the same time, there are no contraindications for pregnant women serzhinan, vagotil. As for antibiotics, they are prescribed only after determining the sensitivity of the pathogen to drugs of this series.
If the cause of colpitis is an infection caused by Trichomonas, the doctor prescribes Metronidazole. True, this drug is contraindicated in the 1st trimester of pregnancy, but if necessary, can be used during the 2nd and 3rd trimesters. Pregnant women in the case of Trichomonas colpitis, prescribed Clotrimazole (in the vagina 100 mg daily for a week). But at the same time there is only a weakening of the symptoms. The cure is only in 1/5 of the patients.
Although tetracycline is often used in gynecological practice for treating vaginitis, pregnant women should not be prescribed it.
Folk remedies treatment of colpitis during pregnancy
Treatment of colpitis with herbs and folk recipes can only be effective if it is combined with medication. In this case, douching grass decoctions with anti-inflammatory and wound-healing effect will be a good help in the treatment of colpitis. To prepare the decoction of chamomile medicinal, you need to take two tablespoons of herbs for 1 liter of water, boil for 5-10 minutes, insist, drain and 2-3 times a day to carry out syringing. With the same purpose, use calendula decoction.
The course of treatment is useful to complete the douching weak acid solution. For this purpose, you can use lemon juice (dilute one tablespoon of juice in a liter of warm boiled water) or table vinegar (two tablespoons per 1 liter of water). This procedure will “give strength” to Dederlein’s wand, which will continue to struggle independently with an alkaline environment and uninvited guests from outside. At the expense of carrying out a similar procedure during pregnancy, you need to consult with your doctor.
If during pregnancy a woman is having sex, then now is the time to take a break. Be sure to adhere to a gentle milk-vegetable diet, which excludes spicy, salty, acidic foods that can further irritate the inflamed walls of the vagina and cervix. It is also necessary to exclude sweets: sweets, chocolates, cakes, etc.
In order to increase the body's defenses, in addition to drugs whose action is aimed at treating colpitis itself, the doctor must also prescribe fortifying and immunomodulating drugs. Appointments should be made, taking into account the individual characteristics of the woman and the particular course of pregnancy.
What is colpitis?
Colpitis (otherwise, vaginitis) is a pathological inflammatory process that develops as a result of reproduction on the mucous membrane of the vagina of pathogenic or conditionally pathogenic microflora.
In the course of their vital activity, bacteria secrete a huge amount of toxins and decomposition products. To remove harmful substances from the body, the glands located in the genital area begin to work more actively. For this reason, patients have abundant secretions, which include both the waste of the pathogenic microflora and the pathogens themselves.
Beli irritate the external genital organs, therefore often colpitis is accompanied by vulvitis (inflammation of the vulva).
According to statistical information, pregnant women suffer from colpitis especially often. The incidence among future mothers reaches 75-80%. The relationship between pregnancy and the risk of developing the disease, apparently, no. Women can get sick during any period of pregnancy. However, the greatest danger to the fetus is the development of the pathological process in the third trimester (immediately before birth).
Causes of colpitis during pregnancy
The causes of colpitis during pregnancy are many. Paradoxically, pregnancy itself significantly increases the risk of developing the disease.
There are two explanations for this:
Gestation of the fetus is associated with a weakening of the protective functions of the body due to the natural inhibition of immunity. In this way, nature implements the protection mechanism of the child, whom the mother’s immune system may take for a dangerous antigen,
Under natural conditions, the environment in the vagina is acidic. Due to this, the mucous membrane is reliably protected from the uncontrolled reproduction of pathogenic microorganisms. However, in the period of gestation, a rearrangement of the hormonal background is observed: the pH of the mucous membrane changes, and the acidic environment becomes alkaline. Due to this, favorable internal conditions are created for the reproduction of various pathogens: bacteria causing venereal diseases, conditionally pathogenic microflora, yeast-like fungi of the genus Candida, etc.
There are also several factors that increase the risk of developing colpitis outside of pregnancy:
Premature onset of sexual activity (14-16 years),
Long-term use of antibiotic drugs,
Wearing tight fitting linen made from unnatural (synthetic) materials
The development of allergic reactions to linen, feminine hygiene products,
Damage to the vaginal mucosa (mechanical, thermal or chemical),
The presence of acute or chronic endocrine pathologies (hypo-or hyperthyroidism, diabetes, etc.),
Violation of the rules and regulations of intimate hygiene.
Diagnosis of colpitis during pregnancy
Confirm the presence of colpitis can only practicing gynecologist. For making a correct differential diagnosis after collecting anamnesis, an initial examination of the vagina and cervix using mirrors is carried out.
Characteristic manifestation of signs of a pronounced inflammatory process:
Puffiness and hyperemia of mucous membranes,
A large amount of clear, greenish (yellowish) or white discharge of different consistency with a pronounced unpleasant odor.
In addition to the initial examination, laboratory tests are recommended:
Taking vaginal smears from the walls of the cervix on the subject of pathogenic and conditionally pathogenic microflora, fungi, leukocytes, etc.)
Taking smears for crops for venereal infections: chlamydia, ureaplasmosis, etc.
Biological (bacteriological) examination of smears. Sowing whites from the vagina to nutrient media to determine the pathogen and its sensitivity to antibacterial drugs,
Ultrasound examination of the uterus and fetus. Conducted to identify the threat of abortion, delayed fetal development, placental insufficiency,
According to the testimony held colposcopy.
Treatment of colpitis during pregnancy
Regardless of the duration of pregnancy, colpitis must be eliminated without fail, so you should not hesitate to visit the doctor. The sooner the diagnosis is made and the treatment prescribed, the higher the probability of timely cure and birth of a healthy child.
The means of drug therapy are selected by the doctor based on the “neglect” of the pathological process, the intensity of manifestations, the duration of pregnancy, the etiology of the disease and other factors.
Preparations for colpitis during pregnancy:
Pimafucin Effective with fungal infections of the skin and mucous membranes. During pregnancy, it is recommended to use vaginal suppositories, as local treatment is most safe for the fetus. Preparations with a similar effect: Nystatin, Clotrimazole in the form of candles. The price of these drugs varies from 20 to 300 rubles,
Terzhinan, Hexicon. Candles. Price - from 200 to 300 rubles. Method of application - on 1 candle before going to bed for 1-2 weeks,
Metromikon Neo. Other trade names: Klion-D, Meratin-Combi, Neo-Penotran Forte. The drug is recommended for trichomonas colpitis. Method of application: 1 candle per day for 10-14 days,
Betadine. The use of Betadine is permissible only during the first trimester of pregnancy (up to 12 weeks), since the drug contains iodine in its composition, which can affect the development of the endocrine system of the fetus (in particular, the thyroid gland). Cost - from 170 to 350 rubles,
Polygynax The drug is ambiguous and is not always recommended by gynecologists, as in the annotation pregnancy is indicated as a contraindication to receive. However, at the end of gestation, just before delivery, it is acceptable to use Polyginax suppositories.
Instead of douching, preference should be given to irrigation of the external genital organs with medicinal herbs, and medical baths. They effectively relieve inflammation, eliminate discomfort and itching (chamomile, St. John's wort, calendula, coltsfoot, etc.). The recommended course of treatment is from 7 to 14 days.
Danger of colpitis during pregnancy
In the period of gestation of the fetus to the treatment of colpitis should be approached especially carefully. This pathology can be dangerous both for the mother and for the unborn child:
Further infection. Both bacteria and fungi have a tendency to ascending damage to tissues and anatomical structures. Microorganisms can easily get into the bladder, uterus, kidneys, causing much more serious diseases,
Tearing tissue. The presence of "old" unhealed colpitis can be dangerous for the mother's body, as inflamed and swollen birth canal become prone to ruptures. Even with the normal course of the labor process, significant damage can occur with the development of massive bleeding,
Risk of abortion. In the presence of colpitis, the risk of miscarriage increases by 20-40%,
Purulent and necrotic processes after childbirth. Colpitis can cause the development of purulent-septic complications in the postpartum period: suppuration of sutures, development of secondary infections, etc.,
The formation of the inflammatory focus. With insufficient attention to the problem or illiterate, delayed treatment, colpitis can become chronic. Chronic disease is capable of delivering a lot of problems, is difficult to treat and gives frequent relapses with the risk of upward infection and the development of severe complications,
Endometritis. With an insufficient level of body resistance, infectious agents penetrate into the uterus, and, “settling” in the organ, contribute to the development of inflammation of its mucous and erosion of the cervix,
Inflammation of the appendages: ovaries and fallopian tubes. Some of the pathogens (mainly pathogens of sexually transmitted diseases: Trichomonas, gonococcus, etc.) are able to penetrate into the internal genital organs and cause severe purulent inflammation,
Infertility It occurs relatively rarely when the "running" colpitis. Adhesions in the uterus and fallopian tubes interfere with the process of normal physiological fertilization and lead to the rejection of the egg. As a result, the patient is not able to get pregnant for a long time (there is a risk of complete infertility).
The consequences of colpitis for a child
Colpitis can cause the following fetal hazards:
Infection of amniotic fluid and placenta. Through the cervix and the adjacent anatomical structures, the causative agent of colpitis can penetrate the placenta and infect the amniotic fluid in which the fetus is located. With a high degree of probability, this will entail horioamnionitis and will end in functional impairment in the body of the fetus,
The development of placental insufficiency. Intrusion of microorganisms into the placenta causes a pronounced immune response and a decrease in organ function. As a result, the fetus does not receive enough nutrients and oxygen,
Fetal infection. In severe cases, can lead to intrauterine death.
Many colpitis pathogens can cause infectious diseases in the fetus: pneumonia, pyoderma, etc. In addition, the risk of having a child with impaired mental development, a weakened immune system, etc., increases significantly.
Thus, colpitis is a dangerous inflammatory pathology, often of mixed etiology. Both pathogenic and conditionally pathogenic microflora can act as the causative agent of the disease. This disease is especially undesirable for pregnant women, since in this case there is a threat to the health of the mother and child. It should be noted that approximately half of all cases of colpitis during pregnancy occur in fungal lesions.
The symptomatology of pathology is typical, for an experienced gynecologist, the diagnosis is not very difficult. Manifestations include redness and swelling of the vaginal mucosa, pain, itching, and mainly abundant discharge. In some cases, there may be common manifestations of intoxication. Depending on the individual characteristics of the mother's body, the colpitis can occur without any symptoms.
Treatment must be carried out in a timely manner and strictly recommended by the attending physician. Self-treatment is unacceptable, because it can lead to harmful consequences for the child’s body (many antifungal drugs are toxic).
Postponing a visit to a specialist with the first symptoms of colpitis during pregnancy is not worth it, because a long pathological process leads to the development of a huge number of serious complications that are dangerous to the health and life of the mother and child.
Education: The diploma “Obstetrics and Gynecology” was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013, graduate school in NIMU named after. N.I. Pirogov.
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Medical expert articles
Inflammatory disease of the mucous membrane of the vagina, accompanied by marked discomfort in the area of the external genital organs, is called colpitis or vaginitis. Inflammation often extends to the vaginal part of the cervix or the vestibule (vulvovaginitis). Nevertheless, many have never heard of him. So what is - colpitis in women during pregnancy?
This is a fairly common disease of the female genital tract, caused by pathogenic or opportunistic microorganisms. Practically every woman faced colpitis during her life, and many were right during pregnancy, because the future mom's body partially loses its ability to resist infection.
Next question: what to do? Is colpit dangerous during pregnancy? Be sure to listen to the recommendations of the attending physician. The disease is accompanied not only by significant discomfort, but may have a negative impact on the outcome of pregnancy. The danger is not so much colpitis, as the lack of its treatment.
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Complications and consequences
Pregnant women should not ignore the symptoms of colpitis, since the consequences of such an irresponsible attitude can be dangerous for the very future mom and her unborn child.
First, it is necessary to take into account the ability of pathogens to ascending infection. If left untreated, they migrate with blood and lymph flows, into the uterus and appendages, urinary organs, colonizing all large spaces and causing an inflammatory process.
Secondly, much depends on the type of infectious agent. Such pathogens as Trichomonas and themselves are very mobile, moreover, the gonococci use them as a vehicle, so co-infection with these microorganisms, which is not an exceptional rarity, is especially dangerous.
Thirdly, the presence of colpitis during childbirth (open uterus) significantly increases the likelihood of infection of the uterus and appendages and the appearance of diseases such as endometritis, salpingo-oophoritis, leading to the development of adhesive processes, tubal obstruction, ectopic pregnancy and persistent infertility. These are, of course, long-term consequences.
Closer in time are complications during childbirth in the form of tears in the walls of the vagina and cervix, because the edematous, ulcerated mucous membranes lose their elasticity. There is a possibility of significant injuries of the birth canal and the development of massive hemorrhages.
Colpitis is a foci of infection, and after childbirth, the sutures can be suppurative for a long time, secondary inflammatory processes with suppuration and necrosis can develop. Purulent inflammation is often complicated by the formation of infiltration in the vaginal wall and spreads to the adjacent tissues (paracolpitis), and occasionally - an abscess.
In general, long-existing inflammation is chronized and manifests itself by frequent exacerbations with the likelihood of development in ascending and generalized inflammation.
According to medical statistics, quite often colpitis is the cause of missed abortion. The probability of miscarriage in future moms with colpitis, especially specific, is increased by 1.2-1.4 times compared with those who do not have it.
The presence of an inflammatory process in the vagina may have other negative consequences for the child.
Some pathogens overcome the placental barrier and infect the amniotic fluid and the placenta, which may entail in the early stages - the development of vascular and brain abnormalities in the embryo, chorioamnionitis, placental insufficiency, infection of the fetus. All this can result in the birth of a child with developmental abnormalities, congenital pneumonia, immunodeficiency, and also - his death.
A baby can become infected during childbirth, which causes a number of complications in a newborn, for example, blyon.
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Features of the flora of future mothers
During pregnancy, hormonal changes occur, which determine the characteristics of the vaginal microflora. An increase in the amount of estrogen leads to an excessive accumulation of glycogen in the epithelium cells. This is an additional breeding ground for beneficial bacilli. They also begin to multiply vigorously. It was found that by the time of delivery in a healthy woman, the number of lactobacilli is several times higher than before pregnancy.
But progesterone is involved in the hormonal alteration. Its action is aimed at preserving the fetus, therefore a decrease in immunity is necessary. This is manifested by a decrease in leukocyte immune surveillance. Conditionally pathogenic microorganisms are able to multiply more actively. If there are additional factors provocateurs, then inflammation of the vagina is provided. Often it proceeds in a worn form, and a woman notices only the increased amount of discharge.
Kolpit during pregnancy: the main causes
Colpitis does not occur in all pregnant women. This requires certain factors and causes that will help reproduce non-specific or pathogenic flora.
- Allergy. Hygiene products, panty liners (especially impregnated with fragrances), synthetic underwear, washing powder or rinse can occur. Sometimes it is a consequence of general allergization when using certain products.
- Hygiene Non-observance of elementary rules of hygiene, rare change of linen leads to the creation of a favorable environment for the reproduction of bacteria. Excessive hygiene is also dangerous, the use of antibacterial soap, which destroys not only pathogenic but also useful flora.
- Douching. Enthusiasm for self-medication with the help of douching does not lead to good. Solutions of antiseptics, herbal teas wash the flora, change the acidity. After such treatment, vaginal dysbiosis or bacterial vaginosis often occurs.
- Nutrition . Lack of vitamins and nutrients affects the state of the whole organism and the reproductive system. Excess sweet, baked goods and other simple carbohydrates creates an additional nutrient medium for the fungus - candida. Therefore, it is not uncommon for candida colpitis in sweet teeth and diabetes patients.
- Injuries. Chemical or mechanical damage to the mucous membrane leads to the formation of a wound surface, on which pathogens can get and cause inflammation.
- Antibiotics. Long-term treatment with antibacterial drugs destroys all microorganisms. Therefore, candidiosis or bacterial vaginosis may develop after therapy.
Colpitis during pregnancy does not have any particular symptoms. It is characterized by the following manifestations.
- Highlight. They may have a different character depending on the pathogen. In candidiasis, it is a cheesy or creamy white discharge with a sourish odor. Vaginosis is characterized by leucorrhoea with the unpleasant smell of rotten fish. A similar "aroma" appears when Trichomonas coleitis, but the color of the discharge is greenish, they are liquid and frothy. Sometimes the discharge resembles pus, may have streaks of blood.
- Sensations . In most cases, itching and burning of varying intensity are concerned. But the yeast colpitis may be erased, and itching is not observed. Possible urination disorders, slight soreness. Concerned about the pain during intercourse, vaginal dryness.
- General state . Colpitis usually occurs in a mild form and does not lead to the appearance of fever, loss of strength and symptoms of intoxication.
Risks for a child
Pregnant women with colpitis may have pain in the lower abdomen, aching, radiating to the lower back. This condition is dangerous for the baby and endangers the pregnancy.
- 1 trimester On the background of infection, abortion may occur. Sometimes during infection in the vagina there are difficulties in conceiving.
- 2 trimester. The child is already protected by the placenta from the action of pathogens. But they can cause its premature aging, which leads to placental insufficiency, delayed fetal development, and chronic hypoxia.
- 3 trimester. Colpitis can not significantly affect the fetus, but the fetal membranes are at risk. Chronic infection in the vagina can cause premature birth, prenatal discharge of amniotic fluid. The consequences for the baby are postpartum infection.
Treatment of colpitis in pregnancy depends on the identified pathogen. Use antibiotics, antiseptics and antifungal agents.
- Candida colpitis. For the treatment of applied local funds from the fungus. It can be candles "Pimafutsin", "Clotrimazole" (from the second trimester). Treatment partner is not required. Men act only as candidates.
- Trichomonas colpitis. Therapy is prescribed only from the second trimester with the drug "Ornidazole", "Tinidazole". Treatment of the sexual partner is necessary.
- Bacterial vaginosis. In the first trimester use "Povidone-Yod", "Hexicon", "Clindamycin", and from the second - candles "Terzhinan". Reviews show that the drug quickly eliminates unpleasant symptoms. It is not necessary to treat a spouse or sexual partner.
- Nonspecific colpit. The cause is coccobacillary flora, which responds to the use of antibiotics. You can use "Clindamycin" from the first trimester, and from the second - "Terzhinan". Also prescribed candles with antiseptics "Hexicon" and "Povidone-Iodine."
In case of purulent colpitis, it is necessary to determine the cause of the disease and carry out antibacterial treatment in accordance with the identified pathogen.
Colpitis in pregnant women requires a response from the woman and the doctor. If you do not carry out timely treatment, the complications can occur at the time of delivery and after them. Proved that chronic inflammation makes the vaginal tissue more loose and prone to rupture. Postpartum endometritis also occurs more often in women with non-treated colpitis.
What is colpitis in women during pregnancy
Colpitis is a general definition of a whole group of diseases. It can flow in one of two forms:
Nonspecific due to excessive activity of microorganisms that are always present in the vagina. These microorganisms are conditionally pathogenic, that is, they are constantly present in a small amount and form part of the normal microflora, but in the presence of unfavorable factors they begin to multiply vigorously. Nonspecific colpites include:
Nonspecific colpitis during pregnancy is a fairly common occurrence. Specific is less common, it is caused by pathogenic and dangerous flora.
- Trichomonas and others.
Normally, a woman “in position” should feel fine and should not be bothered by anything. But this is the ideal.
In life, it happens differently. Against a background of weakened immunity, ailments that previously were “silent” manifest themselves. These include colpit. Symptoms and treatment of the disease in all forms are generally similar. But even if you have already come across a diagnosis of colpit, you should not take any measures yourself. You need to visit a doctor, only he must prescribe effective means of treatment. After all, a woman is responsible not only for her health, but also for the future baby. Not all drugs are allowed for her: some effective medicines are prohibited during pregnancy due to the negative effect on the fetus.
Causes of colpitis in pregnant women
Colpitis during pregnancy causes different. It is not always possible to establish exactly what exactly led to the reproduction of conditionally pathogenic microorganisms and the development of inflammation.
Yeast (candidal) colpitis occurs if the expectant mother:
- suffers from systemic diseases (even in latent form - for example, diabetes),
- recently underwent antibiotic treatment
- prone to allergies
- likes sweet foods with a high content of "fast" carbohydrates (ice cream, cakes, sweets).
Trichomonas and ureaplasma colpitis manifest themselves after unprotected sexual intercourse with an infected partner, and the contact could happen long before the pregnancy, but the disease peacefully “dozed” - the woman’s immunity defended her. During the period of gestation of the fetus, the immunity naturally weakens - and the colpitis manifests in the future mother.
Why does the disease manifest itself in some women and “hide” in others and have no obvious symptoms? Much here depends on the hormonal background, which changes dramatically at the beginning of pregnancy, as well as on the general health of the woman.
Under the influence of hormones, the alkaline environment in the vagina changes to acidic, which bacteria and viruses like very much. The same happens with the prevalence of fast carbohydrates in the diet.
That is why pregnant women are at risk.Add another delicate factor - not always a woman pays due attention to careful hygiene of the genitals. This is another plus for germs. This also includes wearing a narrow, uncomfortable underwear made of synthetic materials.
Women are often interested in: is it possible to catch, for example, Trichomonas colpitis in household way? In principle, there is a risk, but it is minimal. However, the rules of hygiene during pregnancy should be observed with double attention, so as not to give bacteria a chance for excessive activity.
Colpitis during pregnancy: symptoms
Symptoms of colpitis in women during pregnancy do not differ from those in the non-pregnant. It can be noted that they appear more clearly. The most common patient complaints will be complaints about:
- feeling of constant humidity in the vagina,
- plentiful white whites, yellowish or greenish,
- swelling of the labia,
- itching and burning in the vagina.
In pregnant women, signs of specific and nonspecific colpitis may appear.
When viewed in the mirrors, the gynecologist will note irritation, redness of the mucous membranes and cervix.
Symptoms increase after active movements, such as brisk walking. Sexual intercourse causes unpleasant, painful sensations. Perhaps asymptomatic for colpitis. Is it dangerous? In principle, if the symptoms do not manifest clinically, doctors may not insist on treatment or postpone treatment until the second trimester, when the pregnant woman is going through the most peaceful period.
A completely asymptomatic course is rare. A woman feels well that something is wrong with her, according to discharge and painful sensations.
Colpitis during pregnancy: consequences for the child
What is dangerous colpit during pregnancy, so it is a complication. It can significantly affect the immune system and the body of the woman herself, causing:
- inflammation of the uterus,
- endometritis (inflammation of the uterus),
- cervical erosion.
The infection rises in an ascending way and can reach the kidneys, and this threatens with a serious disease - pyelonephritis. The kidneys during the carrying of the child and so are subjected to a double load, and if the inflammation also begins, you will have to be treated with antibiotics, the likelihood of miscarriage increases.
At birth, the inflamed mucous membranes quickly burst and heal for a long time.
For the child, the situation is also not the best way. It can become infected during the passage of the birth canal (the ureaplasma and trichomonas forms are especially dangerous in this regard). The eyes, bronchi, and lungs of the child are affected.
Candida colpitis can cause placental insufficiency, as a result of the development of which, the fetus in the mother's womb is starving, lacking oxygen. Yeast colpitis (thrush) can cause miscarriage or premature birth.
The nature of the discharge with colpitis during pregnancy
What discharge during pregnancy causes colpitis? Most often - light, plentiful and rather thick.
If the disease has a fungal nature, the discharge will be cheesy. If the disease is caused by the presence of chlamydia or gonococci, then yellow or greenish. Specific colpit is accompanied by an unpleasant smell.
A suspicion of trichomonas colpit will immediately arise from a doctor if the patient complains of a foamy discharge.
Possible admixture of blood or bloody streaks. The reason - the cervix becomes loose and easily injured.
Colpitis during pregnancy: treatment
The decision on how to treat colpitis is made by the gynecologist on the basis of these analyzes and taking into account the patient's complaints. Treatment of colpitis in pregnant women has its own characteristics. Very rarely used tablets and capsules for oral administration - most often used candles and creams, that is, topical preparations, for example:
Which of the drugs to choose - will depend on the causative agent of vaginitis, as well as on how long the woman is pregnant.
Does not pass colpitis during pregnancy: what to do
If the medicinal products prescribed by the gynecologist have no effect, additional examinations will have to be performed. Possible reasons:
- reduced immunity
- the presence of a disease that supports inflammation,
- failure to comply with hygiene measures
- neglect of treatment of the sexual partner,
- substantial errors in the diet (an abundance of sweet, spicy, salty foods).
In such a situation, it is difficult to give advice on how to cure colpitis. It all depends on the specific predisposing factors, and therefore the treatment will be aimed at identifying those and eliminating them. These measures must be taken in parallel with the treatment of colpitis.
Trichomonas colp during pregnancy
Trichomonas colpit is dangerous for the fetus, as it threatens with hypoxia and premature birth.
Treatment of Trichomonas colpitis in pregnant women is carried out differently depending on how long it is detected. If this is the first trimester, then appoint syringing or baths with furatsilinom. The introduction of the solution of albucide into the vagina helps.
From the second trimester it is allowed to drink a course of Trichopolum. It is this drug is considered the most effective and is able to completely relieve the symptoms of colpitis caused by Trichomonas.
The use of Trichopolum is possible only under the supervision of a physician. This is an indispensable condition for treatment.
Ureaplasma colpitis during pregnancy
Ureaplasma colpitis is a disease that interferes with conception. Therefore, it is better to treat it at the planning stage. But if it is found in a woman who already carries a child under her heart, he should definitely be treated.
The consequences for the baby can be not only unpleasant, but life-threatening. A child may be born with severe malformations, or it may even stand still in the womb. Possible miscarriage or premature labor. Until 22 weeks of pregnancy, women are given a course of maintenance therapy and use local remedies, and from 22 weeks the use of drugs is allowed inside.
It is difficult to prevent colpitis, since it is not always possible to say with 100% certainty what factors led to it, why the organism was unstable to a particular strain of microorganisms. If you are pregnant, carefully observe yourself, note changes in your state of health and consult your doctor if you have any problems. The sooner you cope with colpit, the less trouble it will give you. Good health to you and your baby!