The originators of infections of the female genital tract

In women, a urethral infection usually coincides with a bladder infection.

Vulvovaginitis

 * Itching, burning, discharge;
 * previously the disease was classified according to the finding in MOP, today rather according to etiology.

Viral

 * Herpes genitalis, HSV-2, HSV-1;
 * genital blisters, later pustules;
 * unpleasant benign disease, dangerous in pregnancy;
 * dg: clinical symptoms, virus culture, PCR;
 * therapy: aciclovir.

Bacterial vaginosis
Aerobic vaginitis - dysmicrobia, aerobic species predominate, especially E. coli, enterobacteria, candida.
 * Frequent disease, consequence of vaginal dysmicrobia';
 * decrease in the amount of lactobacilli in the vaginal secretion, overgrowth of other bacteria, mainly anaerobes (bacteroids, eptostreptococci, fusobacteria);
 * Gardnerella vaginalis, Mobiluncus;
 * dg: Amsel's criteria - typical discharge, positive amine test (fishy smell), during microbiological examination of the secretion, the finding of changed epithelia covered with bacteria, vaginal pH > 4.5;
 * therapy: metronidazole; untreated vaginosis can result in pelvic inflammatory disease.

Lactobacillosis - pathogenic strains of lactobacilli.

Vulvovaginal candidiasis - predisposition: decompensated DM, immune disorders, corticosteroids, ATB treatment.

Trichomoniasis

 * Trichomonas vaginalis;
 * foamy, yellow-green discharge;
 * dg: vaginal pH, amine test, detection of trichomonad Ag in secretions (ELISA), therapy also necessary for sexual partners.

Cervicitis

 * N. gonorrhoeae, Chlamydia trachomatis, HSV, HPV and others;
 * dg: gonococcus - culture, chlamydia - direct diagnosis (chlamydia Ag - ELISA, immunofluorescence methods, PCR).

Infection of the uterus

 * Mostly as a result of abortion, childbirth, instrumentation;
 * begins as endometritis, then affects the myometrium, parametrium and small pelvis, sepsis;
 * pyogenic bacteria, often nosocomial strains (S. pyogenes, S. agalactiae, S. aureus) ;
 * therapy: ATB, drainage of pus.

Deep pelvic inflammation

 * Chlamydia trachomatis, E. coli, bacteroids, peptostreptococci, anaerobic bacteria, Haemophilus influenzae, aerobic streptococci, Mycoplasma hominis, Ureaplasma urealyticum, N . gonorrhoeae, Actinomyces israeli;
 * usually multiple pathogens, determining the primary causative agent is problematic;
 * dg: sono, fluid puncture (microbiological examination).