Colpitis

Colpitis is an inflammation of the mucous membrane of the external genital organs and / or vagina, one of the most common reasons why a woman is forced to urgently consult a gynecologist.

Types and causes of colpitis

atrophic colpitis, can occur in postmenopausal women, regardless of the regularity of sexual activity against the background of relative hypoestrogenemia, due to the low production of sex steroid hormones and thinning of the mucous membrane, which becomes much more vulnerable to any bacteria that normally has the right to exist
allergic colpitis, it is not always easy to suspect it (reaction of the mucous membrane to latex, lubricants, spermicides, etc.)
colpitis of a bacterial and fungal nature. I must say that inflammation (if it is not caused by a sexually transmitted infection) can occur in absolutely any girl – and be absolutely unrelated to previous sexual intercourse and, in principle, the presence of sexual intercourse in this person. As we know, in the vagina, in addition to lactobacilli (Doderlein’s rods), other representatives of the microbiome (cocci, coccobacillus, leptotrichia, gardnerella, mobiluncus, petosteptococcus, opportunistic mycoplasmas, candida, etc.) normally also “live”. factors (stress, viral infection of any localization with suppression of all links of immunity, taking certain medications: antibacterial agents, glucocorticosteroids, cytostatics – in the case of severe chronic diseases) lactobacilli and other representatives of the vaginal flora exist in peaceful symbiosis and a woman feels well. If their balance is disturbed, then a person has certain complaints, which, depending on the degree of their severity, can significantly worsen the quality of life.

Colpitis complaints

edema, redness of the vaginal mucosa
burning
itching
discomfort in the intimate area
pain
change in the nature of the discharge (unusual color, consistency, amount)
bad smell
discomfort during intercourse

It should be noted that if the inflammatory process comes back again and again (not to mention when a woman is only self-medicating), this is a reason for a more in-depth examination:

-PCR for obligate pathogens,
-colposcopic examination (in particular, a number of conditions of the cervix can support permanent inflammation).

And what to do when a woman does not notice any complaints from the genital organs, but an increased number of leukocytes https://en.wikipedia.org/wiki/White_blood_cell comes in the smears? Does this always indicate the diagnosis of colpitis?
Colpitis diagnostics
Examination by a gynecologist
A standard microscopic examination of the detachable genital organs with a Gram stain has been in the arsenal of a gynecologist for a long time and, according to generally accepted standards, is performed from three localizations: the urethra, the cervical canal and the vaginal vaults, and here it is of great importance whether leukocytes are increased in the cervix and in the vagina or only in the vagina – in the second case, this may be the absolute norm, because in the second phase of the cycle in a healthy woman of reproductive age, there may be an increase in the number of leukocytes in the vaginal discharge. Accordingly, the doctor, interpreting the results of a smear on the flora, pays attention not only to the total number of leukocytes, but also to the ratio of microorganisms, because the doctor does not treat the patient’s tests, but the disease, if any
Femoflor 16 (assessment of the biocenosis of the urogenital tract in women) (PCR test, which describes in detail all the “inhabitants” of the vaginal discharge) in the case when the doctor has doubts about the diagnosis of colpitis or the results of an objective gynecological examination and smear data for microbiocenosis contradict each other
Bacteriological culture (Culture for microflora with sensitivity to antibiotics (BP5: genital discharge))