Monday, June 22, 2020

Gynecology-senile vaginitis-a common disease of elderly women

With the increase of age, every woman will enter menopause, and then will enter the old age. Senile vaginitis is a common disease of elderly women, with an incidence of 30-50%. Senile vaginitis is usually mild, but it can have an adverse effect on the psychology and physiology of elderly women and affect the quality of life of elderly women. Therefore, it is of great significance to understand and correctly understand senile vaginitis.

Senile vaginitis is also called atrophic vaginitis. After normal menopause, the ovaries, which are the main female secretors of estrogen, begin to shrink and their functions begin to decline. In addition to the cardiovascular system, urinary system, and skeletal system, the vaginal wall will also undergo a series of changes. The main manifestations are atrophy of the vaginal wall, thinning of the mucous membrane, a decrease in local glycogen content, and an increase in pH. The result of these changes is that the natural defense function of the vagina is weakened, local body resistance is reduced, and pathogenic bacteria are prone to invade and reproduce, causing inflammation. In addition, this disease can also be caused for women who have surgical removal of bilateral ovaries, premature ovarian failure, pelvic radiotherapy, long-term amenorrhea, and long-term breastfeeding.

If an elderly woman suffers from senile vaginitis, it will cause itching, burning or falling pain in the lower abdomen. Vaginal secretions will also increase than usual, and may be light yellow, and in severe cases, bloody purulent leucorrhea or even vaginal bleeding may occur. Once the inflammation spreads and affects the mucosa around the vestibule and the urethra, urinary tract irritation symptoms such as frequent urination and pain may occur.

If you suspect that senile vaginitis, especially bloody leucorrhea, you should go to the hospital in time, because there may be the following conditions:

1 Senile vaginitis can cause vaginal wall ulcers, leading to vaginal adhesions. In severe cases, it can cause vaginal stenosis or even atresia. At this time, the originally increased secretions will appear to be out of flow, forming pus accumulation in the vagina or even the uterus. Increased inflammation;

2 Sometimes vaginitis can also be caused by other microorganisms, such as trichomonas or Candida. If these two types of vaginitis cannot be diagnosed in time, it will directly affect the treatment effect, and the result will inevitably be twice the result with half the effort;

3 Older women are the most common age for various malignant diseases, such as cervical cancer or endometrial cancer. The early manifestations of these diseases are not typical, and there can be similarities with the symptoms of senile vaginitis.

Therefore, after prompt treatment, the diagnosis of senile vaginitis can be made by excluding other diseases.

Senile vaginitis is inflammation of the vagina caused by bacterial infection, and its therapeutic effect and prognosis are good.

1 Regular exercise to increase body resistance, pay attention to the cleanliness of the vulva to prevent secondary infections.

2. Increase vaginal acidity: Since the pH value of the vagina in elderly patients with vaginitis is higher than normal, flushing the vagina with acidic solutions such as lactic acid or acetic acid can increase vaginal acidity and inhibit bacterial growth.

3 For bacterial infections, local use of metronidazole or ofloxacin in the vagina can play a better effect.

4. Treatment with estrogen preparations can fundamentally change the vaginal local infection characteristics, increase the resistance of the vagina to bacteria, and reduce or avoid the possibility of senile vaginitis. However, there are certain precautions for the use of estrogen, which must be used under the guidance of a doctor.

Senile vaginitis is a common disease with frequent incidences. Correctly understanding and diagnosing the disease is of great significance to the physical and mental health of elderly women and improving the quality of life of elderly women.

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