The maximum number of these bacteria is found in the reproductive age of the woman; the acidic secret produced by them protects the vagina from infections. For this reason, girls before puberty and women in postmenopausal women are most susceptible to vaginal infections. Typical pathogens of purulent colpitis are Candida, Shigella, Streptococcus and Staphylococcus.
Patients of younger age
Children's colpitis is the most common gynecological disease in pre-pubertal girls. In addition to the lack of estrogen and acid-producing bacteria, there are a number of other causes of this disease, including poor personal hygiene. The source of vaginal infections in childhood is often a foreign body. Treatment depends on the causative factor. If the matter is in poor hygiene, then the girl needs to give recommendations on the proper care of herself. For relief of symptoms, the doctor can offer one of a number of produced vaginal creams. Bacterial infections of the vagina require the appointment of antibiotics.
Older patients
Atrophic colpitis is a disease that often occurs in postmenopausal women. The lack of female sex hormones leads to thinning of the mucous membrane and infection of the vagina, which is exacerbated by the lack of acid-forming bacteria. A woman suffering from this disease complains of unpleasant sensations, vaginal discharge and discomfort during intercourse. The diagnosis is usually confirmed by the characteristic type of vagina during examination. If necessary, the doctor takes a smear for laboratory testing. Symptoms of atrophic colpitis quickly regress with the appointment of hormone replacement therapy, especially in combination with topical application of creams containing estrogen and antibiotics.
Vaginismus is a painful spasm of the muscles of the lower third of the vagina that occurs during sexual intercourse. Spasm can be triggered by a feeling of fear of possible pain, especially if a woman has recently had a disease in the vagina and vulva. Some cases are associated with psychological trauma, which led to the development of fear of intercourse. The diagnosis is made on the basis of the patient's description of the nature of the pain and the conditions of its occurrence, especially if the pain appears when trying to have sexual intercourse. Spasm can also occur with a vaginal examination of a woman. The solution of this problem can be the treatment of painful conditions of the vagina or vulva.
Women without any organic pathology of the genitals can seek help from a psychotherapist, a sex therapist, who among other things uses relaxation techniques in the treatment. A woman suffering from vaginism due to psychological problems is often recommended to use vaginal dilators (dilators) - devices that extend the walls of the vagina to overcome the fear of penetration.