Fungal colpitis ICD 10 codes. Colpitis age treatment. Classification of acute vaginitis

21.03.2023

Inflammation of the vagina occurs for various reasons. Often this is a lack of female hormones in old age. This type of disease is called atrophic colpitis.

Atrophic colpitis - what is it?

All organs of the reproductive system are regulated to varying degrees by female hormones. During the reproductive period, this happens unnoticed by women. The process is smooth, like clockwork, and occurs every month without any pathologies. But when the patient enters menopause, the functions of some organs of the reproductive system are lost.

Atrophic colpitis in menopausal women is associated with a reduction or cessation of the production of female hormones by the ovaries. This process does not remain without consequences in the functions of other organs and cells. Even at the cellular level, changes occur.

What is atrophic colpitis in women? At the physiological level, this is thinning of the vaginal walls, which is accompanied by dryness and tissue atrophy. The mucous membrane undergoes morphological changes: epithelial cells die en masse or become smaller. As a result of this process, vaginal discharge decreases and muscle tone decreases. Taken together, such changes make the organ too vulnerable; inflammatory processes can occur on the atrophied mucosa, which quickly become chronic.

Causes of pathology: all about atrophic colpitis

We will consider the main mechanism of the cause of the pathology, which causes inflammation of the thinned mucous membrane.

If there is a lack of estrogen supply to the mucous membrane, epithelial cells suffer. This leads to a decrease in the production of vaginal secretions. This kills beneficial bacteria. When the body's resistance deteriorates, there is no one to fight pathological bacteria. For this reason, an inflammatory process develops.

There is a risk group - women who have a high probability of developing the disease. Patients who have:

Overweight, obesity.
Diabetes mellitus.
HIV infection.
Those who have had a long-term or severe illness.
Those who have entered menopause.

Senile colpitis - what is it? The name "senile" is translated as "senile." Thus, senile colpitis is an age-related atrophic pathology, the characteristics and causes of which have already been described.

Atrophic colpitis: all about it, symptoms

Manifestations of the disease are important for correct diagnosis. A woman herself may suspect that not all is well with her health. What are the main signs of age-related colpitis?

The discharge is liquid in consistency and can vary in color: transparent, yellowish, with red streaks. Red streaks are traces of blood, a yellowish tint is given by a purulent infection.
During normal activities, especially during physical intimacy with a partner, the patient feels dryness, discomfort, and inconvenience.
The external genitalia may also suffer; the woman complains of itching and burning of the external labia.
Upon examination, you can see that the mucous membrane is very red.

Atrophic colpitis in menopausal women: diagnosis

Age-related atrophic colpitis - what is it and how to treat it? Before treatment, it is necessary to identify what exactly triggered the sudden onset of inflammation. The following methods will help identify the pathogen:

Vaginal flora smear;
Bacterial culture;
Inspection, which should be scheduled to occur 2 times a year;
Cytology is an analysis that determines the degree of tissue damage. To do this, the cells are analyzed and a conclusion is made about the presence of degenerated cells. It refutes or confirms the diagnosis of cancer.

Therapy is aimed at a specific pathogen that has been identified. These are local remedies: suppositories, vaginal tablets, douching with a solution. It is important to ensure that douching occurs using a warm solution at body temperature, otherwise you can get colpitis again.

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It is better to prevent any disease than to treat it for a long time. The same rule applies to atrophic vaginitis. Women begin to detect it in themselves after the end of the reproductive period.

In the latest revision of diseases, atrophic colpitis is designated according to ICD-10. But since this pathology is divided into 2 types, they are indicated in the document under different codes.

Atrophic colpitis ICD 10

Postmenopausal colpitis with tissue atrophy. The exact formulation of the diagnosis can be found using code No. 95.2.
Atrophic colpitis caused by artificially induced menopause. A description of this pathology and recommendations for treating the disease are hidden under code No. 95.3.

Atrophic colpitis ICD code 10

The disease has a code of 95.2, which provides information about the nature of the spread of the disease. The causes, symptoms, basic principles of treatment and prevention of the disease are described here.

The disease is difficult to diagnose and treat, since the cause is a hormonal imbalance in the body. Atrophic colpitis (ICD 10 code No. 95.2 and No. 95.3) must be carried out through differential diagnosis.

Differential diagnosis is necessary to accurately determine the causative agent of the disease. It is carried out by a specialist who determines which pathological organism led to the pathology. Comparisons are made with candidomycosis and various infections that are sexually transmitted. If the latter are detected, even in small quantities, consultation with a venereologist is required.

Atrophic colpitis according to ICD-10

The international document defines the goals of treatment as measures aimed at rehabilitation, restoration of stratified epithelium, and reducing the number of relapses. Since this type of disease very often becomes chronic, it is important to identify the pathology in time and treat it correctly.

The document states that any therapy takes place on an outpatient basis; there are no indications for hospitalization. This disease cannot be treated using traditional medicine recipes; there are no herbs or solutions that could replace estrogens for a woman. Hormonal agents must be used. Chamomile infusions can be used to relieve inflammation. But they will not in any way affect the structure of the cell or the causes of pathology.

Reasons

Age-related colpitis (according to ICD No. 95.2) occurs as a result of cells undergoing morphological changes. The disease appears after menopause. A woman does not yet feel the development of vaginal inflammation because cellular changes have not yet occurred. The disease develops approximately 5 years after the end of menstruation. During this period, the mucous membrane is already thinning, bacteria, viruses and fungi join.

Atrophic colpitis causes, treatment

The disease appears when there is:

Lack of female hormones.
Death of lactobacilli on the mucous membrane.
Attachment of pathological bacteria.

Symptoms

The cause of atrophic colpitis is the physiological changes that occur with age in a woman. Against the background of hormone deficiency, other signs of the disease appear. But the occurrence of inflammation can also be provoked by the patient herself.

Colpitis during menopause, symptoms and treatment

The main risk factors in old age are:

Excessive sexual activity increases the risk of damage to the vaginal mucosa.
Unprotected intimate life - when a woman constantly changes sexual partners, insecurity in sexual life leads to constant infection of the woman’s vagina.
Underwear made from synthetic fibers first brings discomfort, and then pathogenic bacteria appear on the mucous membrane, which leads to inflammation.
Insufficient hygiene of the genital organs leads to colpitis.
Using an antibacterial product for genital hygiene. This remedy leads to the destruction of lactobacilli in the vagina.

At risk for the occurrence of pathology in the vagina are older women with excess body weight, with a weak immune system and pathologies of other body systems.

Symptoms of atrophic colpitis in women

Usually this is a sluggish pathology in which there are no intense signs. Sometimes patients note some changes in their well-being, as well as in the vaginal secretion. In gynecology, atrophic colpitis, symptoms and treatment of pathology in women should be determined by the attending physician.

In advanced forms of age-related vaginitis, inflammation can spread to the cervix, cervical canal and the body of the uterus itself. In old age, there is a danger of cell degeneration. Thus, inflammation of the vagina can lead to cervical erosion. And erosion, in turn, causes the formation of a malignant tumor.

The main symptoms of age-related vaginitis include:

The discharge, similar to egg white, is whitish in color and mucous.
Burning, pain in the vagina, and pain also spreads to the external genitalia.
Intense symptoms occur after using regular soap for intimate hygiene.
In the advanced version of the disease, pain appears at the slightest touch to the walls of the vagina.
Discharge with blood occurs after sexual intercourse and various manipulations. Since the mucous membrane is thin, the cells are fragile, so it is easy to damage.

Determine atopic colpitis, symptoms and treatment in women after diagnostic procedures. To do this, a smear or culture is taken to determine the pathological flora.

Atrophic colpitis: symptoms and treatment, reviews

There are many medications that can be used when atrophic vaginitis develops. Symptoms and treatment, reviews from women confirm this, depend on each other: when affected by fungi, antifungal drugs are prescribed, when opportunistic bacteria multiply, antibiotics are used.

With the help of a set of therapeutic measures, atrophic colpitis can be completely cured. Symptoms and treatment with folk remedies for the disease help to effectively maintain a woman’s well-being. But still, therapy should be based on hormonal drugs, since this is the main cause of atrophy of the mucous layer. Folk remedies act on inflammation, reducing it; see the next article for more details on treatment.

Treatment

Some symptoms may indicate a causative agent of vaginal inflammation, but in order to prescribe treatment for atrophic colpitis, it is important to conduct additional diagnostics.

Age-related atrophic colpitis, treatment, diagnosis

After menopause, a woman is susceptible to hormonal imbalances. Because of this, manifestations of menopause and various somatic and psychological difficulties begin. At the physiological level, due to a lack of hormones, the death of lactobacilli and the spread of pathogenic bacteria, age-related vaginitis occurs; treatment for such a diagnosis requires complex treatment, when it is known which pathological microorganisms are spreading. Diagnosis of elderly patients involves a mandatory examination of not only the vaginal mucosa, but also the cervix and the uterus itself

To determine the type of pathogenic microflora, a vaginal smear is required.
To check sensitivity to antibiotics, you need to do a bacteriological culture.
Prevention of cancer of the reproductive system is a cytological examination.
To prevent repeated episodes of atrophic colpitis, it is necessary to check the pH level.

The last two methods, as well as colposcopy and colpocytology, should be performed twice a year. If the pH level drops, ulcers may appear on the walls of the vagina, which will again cause inflammation.

Treatment of atrophic colpitis in women, drugs

The treatment for nonspecific and candidal vaginitis differs; the doctor prescribes other medications for treatment. The main goals of therapy for this disease are:

Reducing the intensity of symptoms of the disease;
Restoring the functions of the epithelial layer of the vagina;
Prevention of recurrent episodes of vaginitis.

Hormones are needed to restore the epithelium. A woman no longer receives them naturally, so they are prescribed in medications. The course of the disease, atrophic colpitis, and treatment also differ. Reviews from women indicate that this is a longer process than when nonspecific or specific vaginitis occurs.

Hormonal treatment for atrophic colpitis

You need to immediately assume that the therapy will be long-term. To restore epithelial cells, “make” them function and perform protective functions, you need to take a hormonal drug for a long time. After all, throughout the reproductive period, instead of taking pills, the ovaries did this, supplying the cells with everything they needed. This went on for decades.
Now, when a woman is over 60, medications that need to be taken for at least 5 years will help maintain her health.

The most commonly used drugs for the treatment of atrophic colpitis are: Ovestin and Estriol. These are medications containing the female hormone estriol. They are produced in the form of ointments and suppositories.

Gynecologists also offer systemic medications. They are taken orally or as a patch. Such medications include Angelica, Tibolone, Indivina. Sometimes phytohormones are prescribed as a milder treatment. But any change in dosage, course of therapy, medication is discussed with your doctor. Hormone therapy is a serious intervention in a woman’s internal hormonal world, so it should take place under the supervision of a specialist.

Non-hormonal treatment of colpitis

It consists in the use of local drugs that act on pathogens, support the functions of epithelial cells, and restore the normal microflora of the vagina.

Use of antiseptics. These are often solutions for douching before using medicinal suppositories or vaginal tablets. Citeal and Miramistin are often used for washing. Recently, the treatment of atrophic colpitis with Methyluracil has become popular. This is a combined medicine that has an antiseptic effect and also stimulates local immunity, wound healing, tissue restoration, and has a positive effect on the maturation of leukocytes and red blood cells.
Antibiotics. Antibacterial suppositories, ointments, and creams are used to influence pathogenic flora. Frequent causative agents of colpitis are staphylococci, streptococci, enterococci, as well as sexually transmitted infections: trichomoniasis, chlamydia, ureoplasma.
Antiviral, immunostimulating drugs. Each drug is selected individually. They are necessary to eliminate inflammatory pathogens such as the herpes virus and papilloma.
Antifungal drugs. You cannot do without them when a woman develops candidal vaginitis. In case of severe inflammation, the treatment of atrophic colpitis is supplemented with folk remedies. Among the well-known antifungal drugs are Nystatin, Pimafucin, Clotrimazole and others.
Antihistamines. They are used if the patient has vaginitis as an autoimmune allergic reaction to any irritant.

All medications are agreed with the doctor.

Atrophic colpitis folk remedies

Decoctions, infusions and tampons with medicinal plants are used. Herbs such as chamomile, calendula, and St. John's wort are used for decoctions. They are effective antiseptics and also relieve inflammation. Used in addition to the main treatment.

Atrophic colpitis folk treatment also involves the use of products. They are placed in gauze swabs. For this therapy, candied honey, propolis (diluted with water or paraffin, as an ointment), onions, and garlic are used. All these products act not only as antiseptics, but are also strong in the fight against various cocci. Especially propolis - it is considered a natural antibiotic.

Traditional recipes must be used constantly throughout the illness, then the effect of the main treatment will increase, and the woman will recover faster, as noted in the reviews of patients.

During reproductive age, it is possible that a pathology called “atrophic colpitis” may occur, a disease in the vagina that requires treatment. The atrophic type of vaginitis develops over several years due to a lack of estrogen in a woman’s body. The disease causes a lot of unpleasant symptoms and pain. The only method of treatment is hormonal therapy, but to accelerate the improvement of a woman’s health, the doctor prescribes additional therapeutic measures.

What is atrophic colpitis

The inflammatory process of the vaginal mucosa during menopause is called atrophic vaginitis. The disease is caused by low amounts of the female hormone (estrogen) produced by the ovaries. In medicine, there are other synonyms for the term - senile or senile colpitis. This name comes from the Greek word "colpos", which translates as vagina. With atrophic vaginitis, thinning of the stratified epithelial layer of the vagina occurs. The pathological process is considered only when a woman experiences discomfort and other signs are expressed.

ICD-10 code

Atrophic or senile vaginitis is a common disease and comes in 3 types: acute, chronic and secondary. After 8 years of the climatic period, every 2 patients suffer from colpitis. Every 10 years, the risk of developing the disease increases. Among women, about 80% suffer from colpitis during the menopausal period. Senile colpitis has a code according to the International Classification of Diseases (ICD-10) - 95.2.

Symptoms

Physiological and structural changes in the body, during which atrophic vaginitis is formed, cause significant inconvenience for a woman. The initial stage of senile colpitis is asymptomatic; after years, the woman experiences vaginal discomfort, frequent urination due to changes in the pelvic floor and dyspareunia (painful sexual intercourse). Vaginal discharge may be unusually white or bloody and have a foul odor. Atrophy of the vaginal mucosa or colpitis is accompanied by:

vaginal dryness;
pain when urinating;
itching of the external genitalia;
atopic dermatitis (with allergic colpitis);
urinary incontinence;
redness of the vaginal mucosa.

Cytogram of atrophic colpitis

A procedure called “cytology” is carried out to identify colpitis infection and the condition of female cells. To get tested, you need to make an appointment with a gynecologist and ask to take a vaginal smear to examine the microflora. This is done during a visual inspection. Annual cytology will help detect colpitis at the initial stage before unpleasant symptoms appear. The interpretation of the results of a smear taken during cytology is called a “cytogram”. The main points of deciphering the cytogram:

CBO - cytogram without features.
NILM – without malignant cells.
The endocervix is the outer part of the cervix; normally it should contain cells of glandular (cylindrical) or flat stratified epithelium.
Ecdozervix – cervical canal, MPE cells, superficial, parabasal, intermediate layers can be detected.
Leukocyte infiltration - an increase in the number of leukocytes.
Proliferation is an increased rate of cell division.

Reasons

The only cause of senile colpitis is pathogenic microflora in the vagina, in which harmful microorganisms develop. The basis of colpitis is hypoestrogenism. With normal hormone levels, the inner walls of the vagina are covered with squamous epithelium in many layers. When the level of hormones decreases, which happens during menopause, the epithelium begins to thin out layer by layer. Next, there is a significant decrease in the cells containing the main nutrient for lactobacilli - glycogen.

The function of the main waste product of lactobacilli (lactic acid) is to maintain a normal vaginal environment - control over the internal acidity of the environment. When there is a decrease in glycogen, the colony of beneficial bacteria is destroyed, which provokes the development of pathogenic microorganisms due to increased acidity of the vagina. The unpleasant symptoms of atrophic vaginitis are caused by local inflammation of the mucous membrane, which is facilitated by improper intimate hygiene.

Diagnostics

The outcome of treatment for atrophic vaginitis depends on the diagnosis. Diagnosis is prescribed in a comprehensive manner and includes taking smears for microbiological studies, examining the vaginal walls and cervix using mirrors. In the presence of atrophic vaginitis, changes are detected: a large accumulation of leukocytes, the absence of beneficial lactic acid bacteria, and the content of opportunistic flora. It is possible to identify specific pathogens (Gardnerella, fungi, Trichomonas and others). Other diagnostic methods:

colposcopy;
testing using the PCR method;
a special test strip for determining the acidity of the vagina.

Treatment of atrophic colpitis

In gynecology, the technique is based on the regeneration of the epithelial lining and the prevention of relapses. For colpitis, the doctor prescribes local and systemic hormone replacement therapy (HRT) to produce estrogen and stabilize hormone levels. Under the influence of estrogens, epithelial cells will begin to renew themselves, which will improve the nutrition of the mucous membrane, prevent the formation of microtraumas, and reduce the degree of atrophy. Hormonal therapy for atrophic vaginitis is carried out for a long time from 1.5 to 3 years. The woman will feel the first relief after 3 months of treatment.

Drugs

Prescribing treatment for colpitis on your own is dangerous to health. After the examinations, the doctor will prescribe a set of suitable medications, based on the history of atrophic vaginitis. In addition to hormone therapy, local treatment (creams, ointments, suppositories, vaginal tablets), phytohormone therapy, uroseptics, and drugs for systemic action are indicated. The last group of drugs for atrophic vaginitis is aimed at restoring not only the layers of the vagina, but also the entire body as a whole. Such medications include:

Cliogest;
Angelique;
Estradiol;
Tibolone;
Individual.

Herbal preparations

Phytohormone therapy for senile colpitis is carried out with medicinal syrups, elixirs, tablets and creams with natural ingredients. Cliofit, which contains only natural ingredients, helps perfectly: rose hips, hawthorn, cedar and coriander seeds, chamomile, and other components. The price of Cliofit in Moscow is 168 rubles. The remedy for colpitis can be bought in the form of an elixir and taken according to the following scheme: 3 times a day, 15 minutes before meals, for a week. Other herbal preparations for atrophic vaginitis include:

Klimadinon;
Qi-klim;
Lefem;
Feminal;
Bonisan.

Candles

The use of medicinal suppositories helps very well against the symptoms of atrophic vaginitis, acting locally on the inflamed area of the vagina. Suppositories for colpitis called “Estriol” are supplemented with an estrogenic component, reduce itching, remove excessive dryness and dyspareunia. The drug for atrophic vaginitis is administered intravaginally, also for problems with urinary incontinence, painful urination caused by atrophic problems of the vagina. The following suppositories have proven themselves to be effective for colpitis:

Ovestin;
Elvagin;
Ortho-ginest;
Ovipol Clio;
Estrocad.

Methyluracil

The drug is produced in the form of suppositories for insertion into the rectum, but for colpitis, gynecologists recommend administration into the vagina. The remedy for atrophic vaginitis accelerates the repair (restoration) of the cervix. The course of treatment for colpitis with Methyluracil ranges from a week to 4 months. The medication for atrophic vaginitis stimulates tissue immunity, regenerates cellular structures, heals wounds, and improves the maturation of red blood cells and leukocytes. Before using Methyluracil for the treatment of colpitis, douching with soda and herbal infusions is carried out.

Fluomizin

The drug Fluomizin with an antiseptic in its composition is an effective remedy against senile colpitis. Substances in the tablets affect pathogenic flora: dequalinium chloride (10 mg), lactose monohydrate, microcrystalline cellulose and magnesium stearate. The active component eliminates candida fungi and has a wide spectrum of action against colpitis. The action is based on reducing the activity of cellular enzymes and further destruction of microorganisms. Fluomizin for atrophic vaginitis has few side effects and is available in 6 pcs. costs about 700 rubles at the pharmacy.

Treatment with folk remedies

For age-related colpitis, traditional methods of treatment are very popular, which, compared to medications, have fewer contraindications for use and the possibility of long-term treatment. Gynecologists have a different opinion: folk remedies are useful for atrophic vaginitis, but they should only be used in combination with the main treatment - hormonal therapy. To eliminate itching and heal small cracks, calendula, chamomile, St. John's wort and plantain are recommended. Infusions and decoctions are prepared from herbs according to recipes. Among the folk remedies are:

sitz baths with soda;
douching with tea tree oil;
drink made from chamomile and willow leaves;
alcohol tincture of lily of the valley;
tampons or aloe.

Prevention

There are 2 types of preventive measures for atrophic vaginitis: nonspecific and specific. The first type of prevention contains general recommendations for inflammation of the vaginal mucosa: maintaining daily hygiene, avoiding casual sex, and wearing comfortable underwear. Specific prevention of colpitis includes taking medications, special substances, serums, vaccines and hormonal tablets. All medications for atrophic vaginitis contain estrogens, protecting a woman not only from colpitis, but also osteoporosis.

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Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

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Symptoms and treatment of atrophic colpitis in women

Dobrokhotova Yu.E. Korsunskaya I.M. Zelenskaya E.M. and others. Angelique: clinical effectiveness and influence on some laboratory parameters // Gynecology. - 2006. - T. 8. - No. 3. - P. 51–53.

Colpitis is an inflammation of the mucous membrane of the vagina and the vaginal part of the uterus, in which swelling of the mucous membrane occurs and copious discharge appears (with an unpleasant odor, purulent or white).

timely treatment of gynecological diseases;

Source: Gynecology - National Guide, ed. V.I. Kulakova, G.M. Savelyeva, I.B. Manukhina 2009

The individual course of acute colpitis depends on factors such as the state of immunity and the age of the woman, as well as the causative agent of the infection. Trichomonas colpitis is characterized by strong discharge: foamy, purulent, yellowish-green in color, with a strong unpleasant odor. With candidal colpitis, the discharge is usually white, with a curd-like consistency.

The effectiveness of treatment increases when both sexual partners are treated together. In the first trimester of pregnancy, the use of tinidazoles is contraindicated due to the presence of teratogenic effects. During pregnancy (after 12 weeks) - local applications of 2% clindamycin cream.

The effectiveness of therapy is monitored by determining the maturity of the epithelium using colpocytological and colposcopic methods, as well as by determining the pH of vaginal secretions.

Considering that the natural flora of the vagina prevents the entry and development of pathogenic and conditionally pathogenic microbes due to the acidic reaction of the vaginal contents, predisposing factors are necessary for the development of colpitis:

If acute colpitis is not treated in a timely manner, it usually becomes chronic. Chronic colpitis is dangerous because the infection can lurk, and the inflammatory process will be sluggish with periodic exacerbations. The symptoms of colpitis in this case are not pronounced.

decreased immunity.

PREVENTION

Candida colpitis is an inflammation of the vaginal mucosa that occurs as a result of infection by yeast-like fungi of the genus Candida. As a rule, candidal colpitis is combined with damage to the vulvar mucosa. This type of disease occurs in women of reproductive age. Pregnant women are especially at risk.

Classification of acute vaginitis

Chronic colpitis is characterized by a slow spread of the infectious process to other organs: the fallopian tube, uterus and ovaries.

Classification of colpitis

Van Voorhis B.J. Genitourinary symptoms in the menopausal trauma // Am. J. Med. - 2005. - Vol. 19. - P. 118.

NON-DRUG TREATMENT

nonspecific, caused by the activation of opportunistic flora: staphylococcus, Proteus, Escherichia coli and Pseudomonas aeruginosa, fungi of the genus Candida. This form of colpitis is caused by a violation of the vaginal microflora;

No. 5. - pp. 140–142.

Very positive

2 Superficial gastritis

INFORMATION FOR THE PATIENT

Atrophic vaginitis is treated only on an outpatient basis.

ICD-10 code N95.2 Postmenopausal atrophic vaginitis. Atrophic vaginitis caused by artificial menopause (N95.3) is excluded.

ointment applications, suppositories and ointments (, etc.);

Predisposing factors for the occurrence of colpitis are a decrease in the resistance of a woman’s body to somatic infectious diseases, a decrease in the endocrine function of the endocrine glands (ovarian diseases of various natures, menopause, diabetes mellitus, obesity), a violation of the anatomical and physiological organization of the vagina due to prolapse of its walls, gaping of the genital slit . The predisposing factor may be mechanical, chemical, thermal damage to the vaginal mucosa during manipulation in the vagina and uterus (out-of-hospital abortion, improper douching, insertion of various objects into the vagina).

According to the nature of the course, colpitis can be chronic and acute.

INDICATIONS FOR HOSPITALIZATION

CLASSIFICATION

All of the above factors weaken the body’s defenses against various infections, which facilitates the unhindered penetration of microbes into tissues and their reproduction, whereas in a healthy body they predominantly die during the process of self-cleaning of the vagina.

This form of the disease occurs when the production of estrogens, sex hormones produced in the ovaries, decreases. Inflammation, thinning, dryness, itching and bleeding of the mucous membrane occur.

Gupta S. Kumar N. Singhal N. Kaur R. Vaginal microflora in postmenopausal women on hormone replacement therapy // Indian.J. Pathol. Microbiol. - 2006. - Vol. 49. - P. 457–461.

antimicrobial vaginal tablets (“”);

TREATMENT GOALS

Samples taken from the stomach are checked for the presence of microorganisms, in particular, to identify Helicobacter pylori, which causes inflammatory processes in most cases of chronic gastritis. In addition to identifying microorganisms, samples obtained during FGDS make it possible to determine the level of gastric acidity, which is extremely important when prescribing treatment.

In the treatment of colpitis, doctors use an integrated approach consisting of:

No non-drug treatment methods have been developed.

If a woman is healthy, then the vaginal flora consists mainly of vaginal flora. which produce lactic acid, which has a detrimental effect on various microbes.

You should avoid perfumed sprays for intimate hygiene and bath gels, various contraceptive gels that contain spermicides, as they disrupt the natural microflora of the vagina.

SYNONYMS

Changes in the gastric mucosa, causing various disruptions to its functioning, are one of the manifestations of the disease. Its most characteristic symptom is pain in the upper abdomen. It can be either sharp or dull, aching. Drawing painful sensations occur when the stomach is empty. Pain may appear 1-1.5 hours after eating.

Palacios S. CasteloBranco C. Cancela M.J. Vazguez E. Lowdose vaginally administred estrogens may enhance local benefitis os systemic therapy in the treatment of urogenital atrophy in postmenopausal women on hormone therapy is effective for manging atrophic vaginitis // Maturinas. - 2005. - Vol. 50. - P. 98–104.

4 Gastritis, unspecified

Be sure to include fresh and boiled vegetables in your diet. Fruits should be consumed either half an hour before meals, or 1-1.5 hours after. This mode of consumption is due to the fact that fruits are processed fairly quickly in the stomach. If, for example, a meat dish was eaten shortly before, the digested product lingers in the stomach, causing additional irritation of the mucous membranes.

Antibacterial therapy is prescribed only after determining the sensitivity of the pathogen to antibiotics. The use of drugs during pregnancy should be agreed with the attending physician. The following drugs have a proven clinical basis for the safety of using vaginal forms during pregnancy: Neotrizol, Fluomizin, Lomexin. However, it is recommended to prescribe these drugs in the second or third trimester of pregnancy. You should not overuse chamomile douching, as this can negatively affect the natural microflora of the vaginal mucosa.

non-infectious chronic or subacute vaginitis is caused by metabolic disorders, hormonal imbalances, and an allergy to the partner’s sperm. With this form of the disease, the vaginal microflora corresponds to the norm, however, in the absence of treatment, bacterial infection caused by dysbiosis gradually occurs.

Postmenopausal atrophic vaginitis, senile atrophic vaginitis, senile colpitis, atrophic vaginitis.

chronic nonspecific colpitis is caused by vaginal dysbiosis. Microflora disturbances lead to the growth of colonies of opportunistic microbes and fungi of the genus Candida, which provoke inflammation of the genital tract mucosa. Depending on the pathogen, the disease is accompanied by copious discharge and itching or is asymptomatic;

washing the external genitalia with medicinal solutions, douching the vagina with antimicrobial agents;

Marx P. Schade G. Wilbaum S. et al. Lowdose (0.3 mg) synthetic conjugated estrogen F is effective for manging atrophic vaginitis // Maturinas. - 2004. - Vol. 47. - P. 47–54.

Balan V.E. Principles of hormone replacement therapy for urogenital disorders // Gynecology. - 2000. - T. 2. -

Atrophic vaginitis - a symptom complex caused by a significant decrease in estrogen content, which leads to thinning of the stratified squamous epithelium of the vagina, its dryness, dyspareunia, itching and recurrent inflammatory reaction.

Antacids are prescribed, such as Almagel, Gastal, Maalox, which significantly reduce the acidity of the stomach, eliminating belching, heartburn and nausea, normalizing the functioning of the mucous membranes.

Treatment of colpitis includes:

Atrophic colpitis, when an infectious process in the vagina occurs as a result of a decrease in the level of estrogen in a woman’s body, i.e. in old age. Mostly atrophic colpitis occurs in women after menopause, when, as a result of a decrease in estrogen levels, the vagina becomes vulnerable to infections.
maintaining a balanced diet (normal amounts of proteins, fats and carbohydrates).

Screening issues have not been sufficiently studied. Regular observation by a gynecologist of patients at risk of developing atrophic vaginitis and prescribing hormone replacement therapy will significantly reduce the manifestations of hypoestrogenism.

failure to comply with personal hygiene rules,

With atrophic chronic gastritis, degeneration (atrophy) of the cells of the stomach walls occurs, as a result of which they cease to function normally and produce gastric juice. That is why, with atrophic gastritis, the acidity of the stomach is reduced, since the changed cells produce mucus rather than normal gastric juice. Mucus does a good job of protecting the walls of the stomach, but does not participate in the digestion process, which is why the entire system begins to work incorrectly.

To prevent the disease, a woman must eliminate those conditions that facilitate the penetration of pathogenic microorganisms and monitor:

Unspecified chronic gastritis usually occurs against a background of increased acidity and is characterized by the concentration of inflammatory processes in the mucous membranes in certain areas of the stomach. In 80% of cases with unspecified chronic gastritis, a large number of Helicobacter pylori bacteria are detected.

local - vaginal suppositories and tablets are prescribed;

EPIDEMIOLOGY

physiotherapy;

Mucosal atrophy caused by removal of the ovaries or uterus is classified under the heading “Artificial menopause syndrome.” This atrophic colpitis (vaginitis) is assigned code N95.3 in ICD-10.

non-infectious, occurring due to allergies, sexual intercourse without sufficient hydration, irritation of the mucous membrane with latex, tampons, douching solutions.

Mainini G. Scaffa C. Rotondi M. Local estrogen replacement therapy in postmenopausal atrophic vaginitis efficacy and safety of low dose 17betaestradiol vaginal tablets // Clin. Exp. Obstet. Gynecol. - 2005. - Vol. 32. - P. 111.

With candidal colpitis, the doctor may detect a white coating on the reddened mucous membrane of the vagina, and when trying to remove it, the mucous membrane will begin to bleed.

Prevention of colpitis involves promptly consulting a doctor when the first symptoms of the disease appear and observing the rules of personal hygiene.

Trichomonas colpitis is one of the most common types of sexually transmitted disease. Along with vaginal lesions, inflammation of the cervix and urethra (trichomoniasis) can often be observed. Mostly Trichomonas colpitis has a chronic course with periodic exacerbations.

If acute colpitis is detected, depending on the pathogen, etiotropic local therapy is additionally prescribed.

Since most of the signs of gastritis (pain, heartburn, nausea) are caused by increased stomach acidity, with atrophic gastritis with its low acidity, signs of the disease do not appear immediately. Because of this, it is rarely possible to diagnose the disease in the initial stages.

violation of anatomical features,

Strong antibiotics are used to combat Helicobacter pylori. This treatment has a number of side effects and contraindications, so only the attending physician should prescribe drugs and their dosage based on all tests, including FGDS. To get rid of bacteria, not just one antibiotic is used, but pairs of them. This will be Clarithromycin with Metronidazole or Amoxicillin. The course of treatment lasts from 10 to 14 days and must be completed completely. If the drugs cause severe side effects, the doctor may reduce their dosage.

Regardless of the type of chronic gastritis and the characteristics of its drug treatment, the diet and diet for any such disease are the same. They are aimed at facilitating the work of the gastrointestinal tract and reducing the load on the stomach.

weak ovarian activity;
antibiotic therapy to influence the causative agent of infection (those antibiotics to which the greatest sensitivity has been detected are used);

Atrophic vaginitis is one of the manifestations of the postmenopausal period. Timely consultation with a gynecologist and the prescription of hormone replacement therapy will avoid not only changes in the urogenital tract, but also reduce the incidence of cardiovascular diseases and osteoporosis.

The only method of prevention is hormone replacement therapy.

The feeling of hunger should be avoided, so meals should be frequent, but it should be consumed in small portions. Fatty, fried, spicy and salty foods are best completely excluded from the diet. Be sure to eat porridges: oatmeal, buckwheat, millet. It is advisable to steam or boil the meat. Fried foods can be consumed during periods of remission, but it is desirable that the frying is soft, without a crust.

diseases,

During treatment, the woman is required to undergo laboratory tests at certain intervals.

Treatment of colpitis must be adequate and timely, otherwise the disease can spread to the uterus itself, appendages, cervical canal, which can lead to such serious complications as. and infertility.

ETIOLOGY

mechanical damage,

This form of colpitis in ICD-10 is designated by code N76.1. The disease develops with inadequate treatment of the acute stage, but sometimes vaginitis occurs in a subacute form, imperceptibly turning into chronic:

CLINICAL PICTURE

hygiene of sexual life and hygiene of the genital organs.

A correct and timely diagnosis is the key to successful treatment of colpitis. As a rule, the diagnosis is made based on a survey of the patient, an examination by a gynecologist, and the results of laboratory tests.

1 Main symptoms

REFERENCES

Colpitis is one of the most common diseases of the female genital area, which most often affects people of reproductive age.

Suckling J. Lethaby A. Kennedy R. Local oestrogen for vaginal atrophy in postmenopausal women // Coch. Database Syst.Rev. - 2006. - Vol. 18. - P. 1500.

DIFFERENTIAL DIAGNOSTICS

When treating superficial gastritis, not only antibiotics are used. Since in this type the acidity of the stomach is increased, normalizing drugs such as Omeprazole and Ranitidine are prescribed to reduce it. These are relatively mild drugs that cause virtually no side effects and have a very beneficial effect on the internal environment of the stomach. By reducing the level of acidity, they help speed up the healing of mucous membranes and reduce pain.

Postmenopausal atrophic (senile) colpitis – ICD-10 code N95.2

sexually transmitted infections

Kolpi?t. or vagina?t(from?????? and vagina- “vagina”) - inflammation of the mucous membrane. which may be the causative agent. Trichomonas, mycoplasma. staphylococcus, etc. The disease can also be caused by an association of microorganisms.

Vaginal smear

In addition to pain, chronic gastritis often causes heartburn, nausea, and belching. There may be an unpleasant taste in the mouth and a feeling of fullness in the stomach. Often with illness, appetite decreases. Other discomfort in the abdomen also appears, such as a feeling of heaviness and bloating. Flatulence and intestinal dysfunction may begin.

With antral gastritis, inflammation is located in the lowest part of the stomach, where it passes into the duodenum. In medicine, antral gastritis is also called type B gastritis. Due to the localization of inflammation of the mucous membrane, this type of gastritis can subsequently cause diseases of the duodenum. And it is antral gastritis that provokes the appearance of ulcers in the stomach and duodenum.

PATHOGENESIS

DIAGNOSTICS

The disease is typical for older women and patients with artificial menopause. Atrophic vaginitis manifests itself 5–6 years after the onset of natural or artificial menopause. Considering the general trend towards an increase in the proportion of elderly and senile people, as well as the number of patients after radical ovarian surgery, there has been a marked increase in the registration of atrophic vaginitis in a number of regions where hormone replacement therapy is not widely used.

Brand A.H. The woman with postmenopausal bleeding // Aust. Fam. Physican. - 2007. - Vol. 36. - P. 116–120.

various diseases of internal organs and systems;

If inflammation of the vaginal mucosa is not treated, then the inflammatory process can spread to the cervical canal. uterus, appendages, etc., which in turn leads to. i.

Predisposing factors for the occurrence of colpitis are:

Symptoms of acute colpitis occur suddenly. In the vaginal area there is a burning sensation, pain, itching, copious discharge of a purulent or mucopurulent nature with an admixture of ichor, heaviness in the lower abdomen. Sometimes symptoms of colpitis such as burning and pain when urinating occur. When examining the patient, the vaginal mucosa has a swollen and red appearance, and at the slightest impact it begins to bleed. The inflammatory process can spread to the external genitalia and cervix.

The main cause of atrophic vaginitis is hypoestrogenism due to artificial menopause (surgical treatment, radiation therapy), or due to general physiological aging of the body.

In block N76 of the International Classification of Diseases, after the tenth revision, acute, subacute and chronic vaginitis remained. Senile (atrophic) colpitis and vaginitis, recognized by artificial menopause, are moved to block N95, which includes disorders that arose in the perimenopausal period.

EXAMPLE OF FORMULATION OF DIAGNOSIS

There are two forms of atrophic vaginitis: postmenopausal and associated with artificial menopause.

antral;

Acute vaginitis is of the following types:

Local clinical manifestations of hypoestrogenism in the vagina: dryness, itching, burning and dyspareunia. Changes in the vaginal microbiocenosis, characteristic of the postmenopausal period, lead to recurrent nonspecific persistent colpitis.

strengthening the immune system;

3 Atrophic gastritis

For local treatment the following are prescribed:

In case of acute trichomonas colpitis, while examining the patient on a chair, the doctor can immediately notice redness and swelling of the vaginal mucosa, and see mucopurulent discharge in the back of the vaginal vault.

To normalize the acid balance, inhibitors are prescribed, such as Omeprazole, Pantoprazole, Lansoprazole. But these drugs are not enough to raise the level of acid in the stomach to the required level. Therefore, for atrophic gastritis, preparations of hydrochloric acid and gastric juice enzymes are prescribed. This is called replacement therapy.

preparations for general strengthening effects;
fundamental.

Kendall A. Dowsett M. Folkerd E. Smith I. Caution: Vaginal estradiol appears to be contraindicated in postmenopausal women on adjuvant aromatase inhibitors // Ann. Oncol. - 2006. - Vol. 17. - P. 584–587.

Depending on the characteristics of the body and the type of chronic gastritis, it is worth reducing the consumption of milk and dairy products, or, conversely, increasing their consumption, especially kefir and cottage cheese.

DRUG TREATMENT

The most common types of colpitis are:

With superficial chronic gastritis, the inflammatory process spreads only to the upper layer of the gastric mucosa, without affecting the glands and without causing their atrophy. Therefore, such gastritis is also called simple or catarrhal. If the provoking factor is removed, the affected layer of the mucous membrane is quickly restored.

Atrophic (autoimmune) chronic gastritis is a very dangerous disease. This is what is called a precancerous condition of the stomach. This type of gastritis is diagnosed mainly in middle-aged and older people, and it requires immediate treatment.

It has been established that colpitis is most often caused by fungal pathogens, Trichomanas, and Gardnerella. Therefore, treatment with broad-spectrum drugs (tinidazoles - metronidazole) is necessary for 5-7 days.

If you adhere to the diet prescribed by your doctor, the exacerbation of superficial chronic gastritis will disappear within a week. But it is impossible to reduce the number of Helicobacter pylori bacteria in the stomach with diet alone. Therefore, a gastroenterologist may prescribe drug treatment to prevent further spread of the inflammatory process throughout the stomach.

antibacterial therapy (fluoroquinolones or combination drugs - “Ofor”, “Tiflox”, etc.) in combination with local treatment with broad-spectrum drugs that are not absorbed into the blood and do not inhibit normal microflora;

The main method of treating atrophic colpitis is hormone replacement therapy, which is carried out in two ways:

The fundic type of gastritis is diagnosed extremely rarely. With it, inflammatory processes in the mucous membranes are located in the middle and upper parts of the stomach. This is where the glands that produce hydrochloric acid are located. Due to this localization of inflammation, the functioning of the glands is disrupted and the acidity of the stomach changes.

malnutrition of the mucous membrane,
systemic - hormonal injections or tablets for oral administration are prescribed.

Chronic specific colpitis (vaginitis) is observed with sexually transmitted infections (gonorrhea, chlamydia, trichomoniasis), which have a latent or latent course. The disease occurs with exacerbations and remissions (light intervals). Women with an erased or asymptomatic form of chronic specific colpitis are dangerous to others. Without knowing about the disease, they infect their partners through sexual contact. Chronic specific vaginitis during pregnancy leads to infection of the child. Children become infected in utero or when passing through the birth canal;

The stratified squamous epithelium of the vagina is a target for estrogens, with a decrease in the level of which a gradual thinning of the epithelium is observed. This leads to a significant decrease in the number of cells containing glycogen. Glycogen is the main nutrient substrate for lactobacilli. Acid, the main waste product of lactobacilli, maintains the acidic pH of the vagina. With a decrease in glycogen content, there is a gradual decrease in colonization of the vagina with lactobacilli, an increase in pH and, as a result, colonization of the vagina with other opportunistic microorganisms (causing a local inflammatory reaction of the vaginal mucosa).

Another group of drugs are systemic drugs: Angelique ©, Tibolone, Femoston 1/5 ©, Indivina ©, Climodien ©, Cliogest ©, estradiol in the form of a gel, patch, tablets. These drugs, in addition to their local effect on the vaginal epithelium, also affect the entire body as a whole, reducing the manifestations of menopausal syndrome. They are used continuously for 5 years.

The goal of therapy is the rehabilitation of stratified squamous epithelium and the reduction of relapses of vaginitis.

Among medicines with gastric enzymes, Pancreatin, Vestal, Mezim, Panzinorm are most often prescribed. Thanks to them, it is possible to reduce the load on the stomach and other digestive organs, which promotes better absorption of food. In addition to enzymes, Acidin-pepsin tablets are prescribed, which, when released into water, form hydrochloric acid. A drug such as Natural Gastric Juice may also be prescribed, which is very effective due to the natural content of both enzymes and acid in it.

5 Diet

allergic reactions (to suppositories, ointments, etc.),

In a state of remission, chronic gastritis does not manifest itself in any way, although its attacks may occur after the abuse of heavy foods or during strong emotional experiences. Typically, exacerbations of chronic gastritis occur in spring and autumn.

Treatment tactics

Blood and urine tests can look for signs of inflammation and anemia. A stool test will show how well food is being digested and whether there is hidden blood in the digestive tract. However, the main diagnostic procedure is FGDS - fibrogastroduodenoscopy, in which an endoscope is inserted into the patient’s stomach through the esophagus. Thanks to FGDS, it is possible to examine the diseased organ from the inside, assess the extent of inflammation of the mucous membrane, take samples of gastric fluid and a biopsy of the stomach walls.

A more promising direction of treatment are: Vaginal prebiotics that stimulate the growth of vaginal lactoflora, which do not contain foreign lactoflora, but rather promote the growth of a particular woman’s own lactoflora (Vapigel, Lactagel)

Chronic gastritis disease: ICD code 10

Atrophy of stomach cells cannot be completely cured. But by carefully following the diet prescribed by the doctor and taking prescribed medications, further changes, as well as the occurrence of oncological processes, can be avoided.

Treatment of colpitis is a group of measures aimed at eliminating predisposing factors for the development of the disease, treatment of concomitant diseases, taking into account clinical manifestations.

The development of colpitis is also facilitated by malnutrition of the vaginal mucosa due to vascular disorders and senile atrophy. Colpitis occurs when the rules of personal hygiene and sexual hygiene are not observed, as well as from the irrational use of antibiotics. All of the above points contribute to the settlement of unusual microflora in the vagina with the further development of inflammatory changes. Colpitis can be caused by streptococci, staphylococci, proteus, and fungi. In recent years, the number of colpitis caused by chlamydia and mycoplasma has increased sharply. Urogenital chlamydia often occurs in the form of mixed infections: chlamydial-mycoplasma, chlamydial-trichomoniacal, and especially often chlamydial-gonococcal.

changes in the vaginal mucosa as a result of irrational use of contraceptives, too frequent or improper douching, thinning of the mucous membrane during the postmenopausal period;

long-term use of antibiotics,

specific, caused by STDs and tuberculosis. With a combined infection, there are several types of pathogens in the vagina, for example, Trichomonas and gonococcus. Therefore, the ICD-10 classification indicates that code N76.0 includes acute colpitis without further specification (NOS);

various vaginal injuries (chemical, thermal or mechanical).

local hormonal therapy (according to indications).

Mostly microbes enter the vagina during sexual intercourse. However, for a healthy woman this process is not scary, since the vagina tends to self-cleanse, which leads to the destruction of these bacteria.

other,

Diagnosis of atrophic vaginitis is not difficult. It is based on data from anamnesis, examination, colposcopy, colpocytology, determination of vaginal pH, microbiological examination and determination of the vaginal health index. Colposcopy is characterized by thinning and slight trauma to the vaginal walls and cervical epithelium, and areas of hemorrhage. Schiller's test reveals weak uneven coloration. Colpocytological examination reveals cells typical of atrophic changes (cells of the basal and parabasal layers predominate), and the vaginal pH increases. To exclude possible specific causes of vaginitis and exclude sexually transmitted infections, it is recommended to additionally examine the contents of vaginal and cervical secretions using the polymerase chain reaction method.

failure to comply with personal hygiene rules;

According to the International Classification of Diseases ICD-10, colpitis (vaginitis) belongs to class XIV - Diseases of the genitourinary system and diagnosis block N76, which includes inflammatory diseases of the vulva and vagina.

As a rule, this condition in women can arise as a result of a variety of infections, which include (candidal colpitis), (trichomonas colpitis). genital herpes and various other infections. Colpitis is often caused by streptococci, gonococci, mycoplasmas, E. coli and other infections that penetrate the vagina from the outside, or together with blood directly from the source of inflammation located inside the body.

Depending on the localization of inflammation on the mucous membranes of unspecified chronic gastritis, there are two types:

a special diet that excludes fatty, spicy and salty foods, as well as any alcoholic drinks.

To make a correct diagnosis, tests are taken from the woman’s cervical canal, urethra and vagina. This helps to clarify the type of pathogen.

SCREENING

Colpitis is one of the most common gynecological diseases. Typically, adult women of reproductive age suffer from colpitis. The occurrence of colpitis is promoted by a number of local and general factors. The natural flora of the vagina in the form of Doderlein rods is a fairly powerful barrier to foreign microflora that enters the vagina primarily during sexual intercourse. The acidic reaction of vaginal contents prevents the colonization of it by pathogenic and conditionally pathogenic microbes.

If tests reveal the presence of Helicobacter pylori bacteria in the stomach, then the same antibiotics are prescribed as for superficial gastritis.

Due to atrophic changes in the vaginal tissues, the number of lactobacilli, which maintain an acidic environment in the vagina and prevent pathogenic flora from multiplying, decreases. The result is chronic nonspecific vaginitis. Senile atrophic colpitis (vaginitis) is designated in ICD-10 by code N95.2.

general strengthening treatment, especially for immune disorders;
various anomalies of the reproductive system (prolapse of the vaginal walls, displacement of the genital organs, wide gaping of the genital slit, etc.);

Atrophic vaginitis.

poor sexual hygiene (frequent changes of partners);

Favorable with adequate and timely administration of hormone replacement therapy.

Subacute and chronic vaginitis

Classification of vaginitis

To prescribe effective treatment that will relieve the severity of the exacerbation and prevent the development of more dangerous diseases, it is necessary to establish the cause of chronic gastritis and its type according to the international classification. Diagnosis is carried out precisely on the days of its exacerbation, since in a state of remission some tests will not show any changes in the body.

Treatment of any form of unspecified chronic gastritis is similar to the treatment of superficial chronic gastritis. Vitamin B12 is prescribed if necessary.

The main medications for atrophic colpitis are Klimonorm, Ovestin, Gynodian-Depot, etc.

Sweet foods, desserts and chocolate should be consumed in small quantities. As for drinks, you need to give up strong tea and coffee, completely eliminate carbonated drinks, juices with a high content of preservatives and alcohol.

The only method of treating atrophic vaginitis is hormone replacement therapy with local or systemic drugs, the effectiveness of which is comparable regardless of the route of administration. It is advisable to start therapy no later than 18–36 months after the onset of menopause.

Preference should be given to comfortable underwear made from natural fabric.

Differential diagnosis for atrophic colpitis must be carried out with a large group of sexually transmitted infections and candidomycosis. The only indication for consultation with other specialists is the identification of sexually transmitted diseases: gonorrhea, syphilis, and herpes infection.

In atrophic chronic gastritis, test results may reveal a deficiency of vitamin B12 in the body. In this case, patients are prescribed the necessary vitamin in the form of tablets or injections.

Q37.3 ICD Yeast colpitis - what is it? This is a pathology indicating damage to the vaginal mucosa by fungi of the genus Candida. These single-celled organisms already exist in the normal flora of a woman's vagina. But with certain immune processes, injuries or pregnancy, these fungi begin to actively multiply, leading to inflammation of the mucous membrane. It is also called thrush, candidal colpitis.

Yeast colpitis ICD-10

This disease is also designated in the document under code N77.1, which describes ulcerations and inflammation of the vulva and vagina in diseases that fall under classification in other headings.

Yeast colpitis causes

The disease is not a sexually transmitted disease, although it can be transmitted through sexual contact. When unfavorable factors appear, yeast vaginitis occurs, the reasons may be different:

pregnancy;
decreased immunity;
long-term use of antibiotics.

The disease manifests itself with symptoms similar to nonspecific colpitis, but there are distinctive features of the signs by which we can say with almost 100% certainty that the cause of the disease is yeast.

Burning and itching during colpitis covers the area of the vagina, external genitalia and anus.
The discharge has a sour smell.
The discharge is abundant and thick, white in color and has a cheesy consistency. May appear in sheets or have a granular consistency

A photo will help you recognize yeast colpitis, since the disease can also be classified visually.

A feature of the pathology is also its distribution. With bacterial colpitis, bacteria are often localized on the outer layers of the vagina. With yeast infection, the deeper layers of the female genital organs are also affected. In this condition, chronic candidal vaginitis is diagnosed. It is very difficult to cure.

For this reason, therapy should be started as soon as the first symptoms of mucosal damage appear.

How to treat yeast colpitis in women?

For this pathology, complex treatment is used: local therapeutic procedures and general ones. By general we mean drugs that act systemically, used by injection or orally.

For treatment to be effective, you must adhere to all doctor's recommendations. To prevent re-infection, a course of treatment is also necessary for men. Therapy is prescribed by a doctor, followed by control tests.

Treatment of yeast colpitis: drugs

A group of drugs that act on fungi are called antimycotic substances. These are substances that destroy the cells of a yeast-like fungus.

Lomexin. Its active substance is fenticonazole. Presented in the form of vaginal capsules and cream. Treatment involves antifungal agents primarily. This is an effective drug, as it is a combined remedy, it contains antibacterial, anti-inflammatory and antifungal substances. It should not be used in the 1st trimester of pregnancy. It is also used to treat chronic forms of the disease.
Ginofort. This is a vaginal treatment cream. It is one of the new generation drugs. It has a powerful effect, so it cannot be used during pregnancy and lactation. One application gives an effect for 4-5 days. Made with butoconazole. If a woman has treated yeast colpitis with tablets, she should ask her gynecologist about the need to use this cream.
Pimafucin. A well-known antifungal drug with antimycotic, anti-inflammatory and antibacterial effects.
Mycoflucan. Made on the basis of fluconazole. This is a systemic drug, presented in the form of tablets for oral administration. It is very important to consult a doctor before using it, as it has some contraindications.

It should be noted that if a pregnant woman has developed yeast colpitis, treatment with oral medications is rejected. You can only use local remedies that are not contraindicated for this condition.

Vaginal tablets are actively used; yeast colpitis is also effectively treated with suppositories. But in certain patient conditions, some antifungal agents are poorly tolerated. Therefore, folk remedies come to the rescue.

How to treat yeast colpitis in women: traditional methods

Substances of natural origin alone will not cure the patient of the pathology, especially during the addition of a bacterial infection. You can supplement the main local or systemic treatment with the following herbs:

calendula;
juniper;
oak bark;
chamomile;
nettle;

Helps overcome mushrooms by swabbing with onions, garlic, soda and carrot juice.

Yeast colpitis: nutritional features

The patient’s diet is important for the treatment of Candida fungi. Proper nutrition speeds up the healing process. Acceptable products include:

low-fat seafood;
nuts;
natural fermented milk products;
eggs;
boiled or steamed meat;
vegetables in all forms, except frying;
cereals;
not white bread;
carrot juice;
unsweetened fruits.

If you eat milk, fatty meat, tea or coffee, white bread and alcohol, yeast colpitis will develop even more.

Local treatment is similar to the treatment of nonspecific colpitis, in which an antifungal substance is sometimes used in combination medications. But these diseases manifest themselves in different ways.

ICD-10 - International Classification of Diseases, Tenth Revision.

Full name: International Statistical Classification of Diseases and Related Health Problems.

Disease codes according to ICD-10

ICD-10 contains 21 classes of diseases. Codes U00-U49 and U50-U99 constitute class 22 and are used for temporary designation and research purposes (not listed on our website).

Included: diseases generally considered to be communicable or vector-borne

C00-D48 - Neoplasms

Contains 6 blocks

Excludes: autoimmune disease (systemic) NOS (M35.9) certain conditions arising in the perinatal period (P00-P96) complications of pregnancy, childbirth and the puerperium (O00-O99) congenital anomalies, deformities and chromosomal disorders (Q00-Q99) endocrine diseases, nutritional and metabolic disorders (E00-E90) disease caused by the human immunodeficiency virus [HIV] (B20-B24) trauma, poisoning and certain other consequences of exposure to external causes (S00-T98) neoplasms (C00-D48) symptoms, signs and abnormalities identified during clinical and laboratory tests, not classified elsewhere (R00-R99)

E00-E90 - Diseases of the endocrine system, nutritional disorders and metabolic disorders
Excluded: complications of pregnancy, childbirth and the puerperium (O00-O99) symptoms, signs and abnormalities identified during clinical and laboratory tests, not classified elsewhere (R00-R99) transient endocrine and metabolic disorders specific to the fetus and newborn (P70-P74)

F00-F99 - Mental and behavioral disorders

Includes: psychological developmental disorders

Excluded: symptoms, abnormalities identified during clinical and laboratory tests, not classified elsewhere (R00-R99)

G00-G99 - Diseases of the nervous system

Contains 11 blocks

Contains 4 blocks

Contains 10 blocks

Contains 8 blocks

Excludes: disease caused by the human immunodeficiency virus [HIV] (B20-B24) trauma, poisoning and other consequences of exposure to external causes (S00-T98) mental and behavioral disorders associated with the puerperium (F53.-) obstetric tetanus (A34) postpartum pituitary necrosis (E23.0) postpartum osteomalacia (M83.0) observation of the course. pregnancy in a woman at high risk (Z35.-). normal pregnancy (Z34.-)

P00-P96 - Selected conditions arising in the perinatal period
Includes: disorders occurring during the perinatal period, even if death or illness occurs later

Q00-Q99 - Congenital anomalies [malformations], deformities and chromosomal disorders

Contains 21 blocks

Excluded: birth trauma (P10-P15) obstetric trauma (O70-O71)

V01-Y98 - External causes of morbidity and mortality

The diagnosis in the classification is represented by code and name. The codes are constructed using alphanumeric coding. The first character in the diagnosis code is a letter (A – Y), which corresponds to a specific class. The letters D and H are used in several classes. The letter U is not used (kept in reserve). Classes are divided into blocks of headings that describe “homogeneous” diseases and nosologies. Next, the blocks are divided into three-digit headings and four-digit sub-headings. Thus, the final diagnosis codes make it possible to characterize a particular disease as accurately as possible.

Codes from ICD-10 are actively used in Russian medicine. Sick leave certificates indicate a diagnosis code, the explanation of which can be found in the electronic version of the classification on our website or on similar third-party resources. Our website contains easy navigation and comments on the classes and headings of ICD-10. To quickly jump to the description of the diagnosis code of interest, use the search form.

The website presents current classification information for 2018, taking into account excluded and added codes according to the Letter of the Ministry of Health of Russia to the executive authorities of the constituent entities of the Russian Federation in the field of healthcare and a list of noted typos and opportunistic corrections proposed by the World Health Organization.

What is ICD-10?

ICD-10 - international classification of diseases, Tenth Revision. It is a normative document with a generally accepted statistical classification of medical diagnoses, which is used in healthcare to unify methodological approaches and international comparability of materials. Developed by the World Health Organization (WHO). The words “Tenth Revision” mean the 10th version (10th edition) of the document since its inception (1893). Currently, the 10th revision of the ICD is valid; it was adopted in 1990 in Geneva by the World Health Assembly, translated into 43 languages and used in 117 countries.