Urethritis - inflammation of the urethra in women (urethra), the clinical course distinguish between acute and chronic. By the type of pathogen that caused urethritis, they share:
Specific (caused by sexually transmitted infections):
- Gonorrhea (infection with gonococcal);
- Chlamydia (pathogens - chlamydia);
- caused by mycoplasma.
Nonspecific - arisen because of any pathogenic microflora, causing inflammation from other organs, including urethritis, provoked by fungi and opportunistic microflora.
Symptoms of urethritis
Pronounced symptoms will be with acute urethritis: pain during urination and after it, itching and burning in the urethra, hyperemia and purulent discharge from the urethra. With chronic urethritis, the symptoms will be erased, sometimes pain in the urethra area is at rest, but more often the symptoms of urethritis will be observed with exacerbations after hypothermia, sex or against any other diseases that cause a decrease in immunity.
The scheme of treatment of urethritis in women
After diagnosing urethritis and identifying the type of pathogen that causes it, the doctor prescribes appropriate treatment. To combat the pathogen causing inflammation, the treatment of urethritis in women begins with broad-spectrum antibiotics. But they are appointed with due regard for their sensitivity to microflora - the treatment of urethritis in women and the appropriate antibacterial drugs prescribed after taking a smear from the urethral mucosa, identifying the pathogen and determining which drugs will be effective against it.
The most commonly used fluoroquinolones (Ofloksatsin, Ciprofloxacin, Gatifloxacin, Leofloxacin); macrolides (Azithromycin, Clarithromycin, Roxithromycin); semisynthetic penicillins (Amoxiclav, Augmentin, Flemoxin ). These are drugs, a dosage form for the use of which, pills, treatment with a course of 5 to 10 days. Less commonly, urethritis in women is treated with antibiotics for parenteral administration, usually a group of cephalosporins (ceftriaxone, cefatoxime, cefuroxime).
With urethritis caused by mycoplasma, imidazole derivatives (Metronidazole, Ornidazole, Tinidazole) are prescribed for 7-10 days. Candidiasis urethritis is treated with antifungal drugs (Fluconazole, Terbinafine, Nizoral). The treatment of these types of urethritis in women is complex: candles are used with these drugs vaginally, together with the treatment of tablets. If infection with urethritis occurred sexually, then the course of treatment with drugs aimed at eliminating the pathogen is carried out simultaneously to both partners.
In addition to suppositories with antibacterial drugs, the local treatment of urethritis includes sedentary baths and douching with solutions of antiseptic or decoctions of herbs (chamomile, yarrow, calendula). If necessary, the doctor carries out installations in the urethra of solutions of Protargol, Chlorhexidine, Dekasan, Collargol, Miramistin.
Together with drug treatment, physiotherapy is prescribed (vaginal electrophoresis or the pubic area with a solution of Furadonin, diadynamic therapy of the lumbosacral zone). To improve immunity apply immunomodulators, multivitamins.
A special role in urethritis is given to a diet: for the prevention of exacerbations, alcohol, spices, smoked and pickled products are excluded from the diet, milk and vegetable food and a large amount of liquid are recommended during the day. During the period of exacerbation, sex, exercise, and hypothermia are contraindicated.