Herpetic infection.
Herpetic diseases of the genital organs are caused by the herpes simplex virus, mainly of the second type - HSV-2. The source of infection is sick and carriers. The causative agent is often found in young women who live sexually, possibly with herpes simplex virus infection with orogenital contacts. The genital virus belongs to lifelong persistent infections, so the disease tends to recur.
For a typical course of the disease, genital and extragenital symptoms are characteristic.
Extragenital signs: fever, pain in the muscles, headache, nausea, herpetic eruptions on the face, sleep disturbances.
Genital signs: In the area of the vulva, vagina, cervix, urethra or perineum - on the background of hyperemic and swollen mucosa there are single or multiple vesicles 2-3 mm in size, and last about 2-3 days. Then vesicles burst and they are based on ulcers of irregular shape, covered with a yellowish coating. The sores heal in 2-4 weeks without scar formation. Thus patients complain of sensation of a pain, a burning sensation, an itch in the amazed area, gravity in the bottom of a stomach.
Treatment is difficult due to frequent relapses of the disease and the possibility of reinfection. Apply acyclovir, alpizarin, valtrex, herpevir. Highly effective is proteflazid which is used according to the scheme.
At local treatment use sedentary baths, syringing a solution of potassium permanganate, broth of a camomile. Use antiviral ointments, vaginal tampons with proteflazide.
For the treatment of relapses, antiviral chemotherapeutic drugs, herpetic vaccines, anti-relapse immunotherapy are used.
Pointed condylomas.
The causative agent of genital warts is papilomavirus type VI-XI, XVI-XVIII, XXXI-XXXIII, which are transmitted sexually. Papilomaviruses are the cause of genital cancer. People who have papillomavirus is 2 times as likely to get cancer as healthy.
At the beginning of the disease, single pink, sometimes with a gray tinge of appearance, which have a thin pedicel, rarely a broad base, appear above the surface of the skin of the labia majora, inguinal and interannual folds, the perianal region and the mucous membrane of the urethra, anus, vagina, cervix. Pointed condylomas can expand and merge with each other. These formations resemble cauliflower. The disease has a long course. In patients with a pre-set process, condylomas can be so large that they resemble a tumor. They can be complicated by the addition of a secondary bacterial infection, with significant discharges with an unpleasant odor, pain, and itching. Condylomies create difficulties in walking and sexual intercourse. During pregnancy and during labor, condylomata can cause bleeding. In 15-17% of patients, regression of condylomas is observed, especially those that occurred during pregnancy.
Treatment: with large condylomas, laserocoagulation is performed. It is much more effective than cryodestruction and diathermocoagulation. For the treatment of small condylomas, you can use solkoderm, condylin. Highly effective antiviral immunomodulatory prearat, which I use for the treatment of genital warts is proteflazide. Who take a special scheme.
Molluscum contagiosum.
The causative agent of the disease is a virus that is transmitted by direct contact with the patient or by using objects that were in circulation in the patient. In adults, the main route of transmission is sexual.
On the skin, small hemispherical, dense nodules with a diameter of 3-7 mm are formed, which can merge to form a conglomerate with a diameter of 1-3 cm. The surface of the nodules can be translucent or flesh-colored with a waxy tint. Places of localization of molluscum contagiosum: external genitalia, perineum, pubis, hips, abdomen, face. A molluscum contagiosum can exist for a long time. When squeezing a knot with tweezers, a white curd is released from it.
Treatment: the elements are squeezed out with forceps, lubricated with iodine solution, 10% betadine, garlic juice, celandine, cryotherapy.
Cytomegalovirus infection.
The causative agent of this infection is cytomegalovirus. The percentage of women infected, according to world literature, is very high. In Western Europe, it ranges from 50 to 85%. Among pregnant women with a habitual miscarriage of infected 70%.
Cytomegalovirus, which penetrated the body, persists in it for a long time, standing out with saliva and with sexual relations.
The main signs of infection are extragenital symptoms: central nervous system damage, thrombocytopenia, liver damage, frequent pneumonia. Infection of the fetus during pregnancy leads to congenital anomalies of fetal development (microcephaly, deafness), diseases that occur in newborns and in childhood (cerebral palsy, muscle weakness)
Cytomegalovirus appears in the form of cervicitis and erosions of the cervix, colpitis, vulvitis and other inflammatory diseases that occur in the subclinical form.
The main task of treatment is correction of immune status disorders. Use drugs to stimulate immunity. Specific antiviral drugs of a wide spectrum of action are ineffective. in the treatment of cytomegalovirus infection, a highly effective drug is proteflazide, especially in women with a history of obstetrical anamnesis (frequent miscarriages).