Wednesday, February 27, 2013

Vaginitis after menopause because estrogen is scarce

Vaginitis after menopause because estrogen is scarce
Behind the the intersection of woman and menopause and surgery excise ovary or the intersection of malignant tumour and pelvis after the radiotherapy, because estrogen is reduced or scarce, the lower fat of woman's vulva skin is reduced, the mucous membrane of skin becomes thin, it becomes flat that the overcast lip withers, even merge with the skin around together. Most blood vessels and elastic fiber disappear, the body of gland is reduced, the pubes is sparse, take shape and dry in the shade and wrinkle outside. Can cause the crack and bleed while damaging slightly.
Increase with age, the range of withering can extend to perineum department, rectum and rectum, lead to the fact the rectum expands and invites the skin tension to reduce, slight stool incontinence happens. Can also cause anal fissure by the fact that the serious part shrinks. Shrink and follow with the vulva, reduce because of the elastic fiber of vaginal wall, make the vaginal mouth chip, the vaginal wall expands out, the vaginal volume is reduced, the mucous membrane becomes thin, wrinkle the wall and disappear, often the capillary happens to break when the sexual intercourse or vagina is washed, abnormality appears in the vaginal wall point-likely to bleed or coffee-like secretion. Because leather cells include glycogenically and reduce at the vagina, vaginal pH value rises, some resistance is weakened, it is apt to be caused inflammation by the bacterial infection. The statistics show, senile vaginitis will take place to about 30% of the old women.
Senile vulva vaginitis is mainly shown as leucorrhea is unusual on clinic. Usually leucorrhea and yellow water sample, leucorrhea can present suppuration when it is serious to be infected with, there are stinks. Leucorrhea is the courage and uprightness when the vaginal mucous membrane has ulcer, the patient can have bits to bleed sometimes. It is uncomfortable that other clinical manifestation have pudendal pruritus, scorching hot sense or pelvis that fall bloatedly. Inflammation can often involve the mucous membrane around vaginal vestibule and urine road junction, cause polyuria, dysuria and urinary incontinence and symptom. The gynaecology can see vulva and vaginal mucous membrane and present the senile change while checking, the pleat disappears, unless it have cover is poor, unless congested in mucous membrane, it is bleed to last companion,it is be scattered to have often to surface in light to bleed by some or bleeding spots flaky. Inflammation appear when being serious the peel is lossed, form the shallow ulcer of table at the mucous membrane. Speculum can see palace check, neck congested, have scattered and light to bleed some.
It is as very apt to diagnose a disease as clinical manifestation according to the patient's age. Because trichomonad vaginitis and mould vaginitis can also take place to old women, senile vaginitis can also coexist with two kinds of above-mentioned vaginitis. So, should gather the vaginal secretion and carry on the aetiology inspection at the same time while diagnosing senile vaginitis, in order to get rid of trichomonad vaginitis and mould vaginitis. There are persons who bleed of irregular vagina on there is courageous and upright leucorrhea or companioning, should pay attention to getting rid of cervix uteri and uterus body malignant tumour, do the intersection of palace and neck, blow slice, live, examine or examine, blow, check by stage if necessary. The gynaecology should pay attention to vagina, cervix uteri, uterus shape, size and texture while checking, in order to find the vagina accumulates suppuration and uterus and accumulates suppuration in time.
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