Experts in this article:
Sui Long, the chief physician of the cervical and vaginal diagnosis and treatment center of the obstetrics and gynecology hospital affiliated to Fudan University
Diwen, Chief Physician of the Obstetrics and Gynecology Department of Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine
Many women are vaginitis "The "trouble", as one of the most common reproductive health issues, affects womens health and quality of life.On November 7th, at the 7th China International Import Expo, the "lactic acid is beneficial to the" Private Female Health Popularization Association "to pay attention to female reproductive health and maintain vaginal micro -ecological balance.
Vaginitis youthful,
Standardous and other lifestyles need to be paid attention to
Under normal circumstances, womens vagina maintains the vaginal micro -ecological balance by multiple normal flora.When the vaginal micro -ecological environment balance is broken or the exogenous pathogen is invaded, inflammation can cause inflammation.Depending on the pathogen, common vaginitis is:
(1) bacterial vaginal disease;
(2) Out -vulvar vaginal fake silk yeastMultiological disease, commonly known as fungal vaginitis;
(3) vaginal dripping disease, also known as trichomonia vaginitis, etc.
Professor Sui Long, chief physician of the cervical and vaginal lesion diagnosis and treatment center affiliated to Fudan University, introduced, "Common causes of generally destroying micro -environment include personal living habits, not cleaning in placeIn the same room, the self -immunity is poor, the bodys overall resistance to the germs decreases, and antibiotics or hormones are used for a long time.Wait, a series of imbalances that make the vaginal micro-environment may lead to vaginitis.Professor Sui Long, chief physician of the Early Classification Diagnosis and Treatment Center
At present, vaginitis is still one of the most common clinical consultations for women."About half of the general gynecological diseases in the hospital clinic are gynecological inflammation such as vaginitis or pelvic inflammatory disease, and there is a trend of youth. It may be related to young peoples sub -health, staying up late, irregular life or high workplace pressure, and fatigue." Shanghai TrafficProfessor Di Wen, chief physician of the obstetrics and gynecology department affiliated to the University of the University Medical College.
Mold vaginitis
Drop 70 % of women of childbearing age
"October vaginal itching, there may be burning pain, sexual intercourse and pain in the vulva.Signs include gynecological examinations to see the congestion and edema of the vulva, which can be accompanied by scratching. In severe cases, it can be seen that skin cracking, epidermal falling, and even erosion, and vaginal mucosa congestion. "Professor Sui Long introduced.
About 70-75%of women of childbearing age will occur at least once in their lives, and the proportion of women who will still recur in their lives will still be as high as 40-50%.About 5-8%of adult women may develop recurrent mold vaginitis (that is, ≥ 4 times a year).①②
Why are women of childbearing age easily troubled by mold vaginitis?"The level of estrogen in nursery age is relatively high, and the vaginal environment adapts to yeast reproduction. In addition, estrogen can promote the formation of fake wire yeast to form a fakecetic phase, which makes it more pathogenic.In a frequent sexual life, fake silk yeast lurking in female genitalis or male genitals can increase the incidence of mold vaginitis. "Low force and infection. In addition, women during pregnancy are easily infected due to factors such as decreased physical resistance, increased estrogen levels, and increased glycogen content.ID = "35ih9vpa"> Professor Di Wen, chief physician of the obstetrics and gynecology department affiliated to Shanghai Jiaotong University School of Medicine
How to determine whether the reproductive tract is healthy?
Three abnormalities appear in time
Is the reproductive tract healthy?Professor Diwen shared several simple judgment methods:
1. See: The amount and color of the leucorrhea.Generally, normal physiological leucorrhea is white and thick or egg white, or it can also be pale yellow, sticky, small, and no smell.If the leucorrhea is green or tofu -like, it may be prompted to be moldy vaginitis; if the shape is like a foam, it may be trichomonal vaginitis; if it is blood wire, the leucorrhea may be abnormal.
2. Feeling: Look at personal feelings.Healthy vagina should be itchy, burning, pain, etc.There should be no obvious vaginal discomfort in daily life and sexual behavior.
3. Hear: Some inflammation has a smell.
"The pH value of the healthy vagina is usually between 3.8 and 4.5. This acidic environment helps inhibit the growth of pathogenic microorganisms and maintains beneficial bacteria in the vagina. HealthyIn the vagina, the microbial flora is based on lactic acid bacteria as an advantageous bacteria, which can be accompanied by a small amount of other hybrid symbiosis; Professor Di Wen, such as normal lactate function, as white blood cell lipaseFor the treatment of vaginitis, lactic acid combined with cluthydrazole treats vaginitis, which can enhance the solubility of clhcomazole.Dao health?
It is important to do 3 things well
1. Good living habits
Professor Sui Long suggested to maintain good living habits, including paying attention to the hygiene of public places, choosing strong absorption and good intercourse purenessCotton underwear, avoid overwashing the vagina and abuse of washing agents, avoid staying up late, etc., which leads to a decline in immunity. You must eat reasonably and exercise hard to allow the immune system to run normally.In particular, the use of anti -inflammatory drugs should be used to avoid destroying normal flora balance in the vagina.
2. Do individual examinations every year
, So regular gynecological medical examinations are very necessary.It is generally recommended that individuals should regularly and regular physical examinations, including cervical screening and HPV virus detection, etc. from one year after the beginning of sex.
3. Treatment on time on time
Some women have reproductive tract discomfort, they will choose to buy medicine by themselves,Instead, it is easy to cover up symptoms and prolong the course of disease; some women stop the medicine without symptoms after medical treatment, and there is no foot treatment ... In fact, these are misunderstandings.
For mold vaginitis, the latest release of the "Vulvar vaginal vaginal fake silk yeast disease guidelines (2024 edition)" released by the China Medical Associations obstetrics and gynecological science branch infectious disease collaboration group pointed outAfter clearing the diagnosis, in accordance with the principles of treatment and the specific situation of the patient, the appropriate antifungal drugs and treatments are selected.③
Professor Sui Long introduced: "Simple mold vaginitis is mainly used for medication, commonly used drugs include clonazole, monazole, moldmid, fluorinazoleWait. Permanent fungal vaginitis is mainly prolonged treatment. Commonly used drugs are clubcimazole, monazole, and fluoronazole, and the vulva is localized with antifungal drugs or glucocorticoids to improve symptoms.During pregnancy and chronic recurrent mold vaginitis.
Bayer Health Consumption Strategic Cooperation Customer Division, Qian Fengying, said, "Bayer always pays attention to womens reproductive health and continuously explores how to provide more professional solutions.The lactic acid antibacterial gel contains scientific innovation. Through the synergy of the formula of lactic acid with the natural probiotic element, it effectively supports the growth of beneficial bacteria in the vagina and promotes micro-ecological balance.
Reference Data:
① sobel, J.D. Vulvovaginal Candidosis. Lancet 2007, 369, 1961–1971.
② JeanMonod, R.; JeanMonod, D. Vaginal Candidiasis (VulvovagAginal Candidiasis). USA, 2020; PP. 1 –4.
③ The Infectious Disease Cooperation Group of the Obstetrics and Gynecology of the Chinese Medical Association.-504.