Kraurosis vulva - Chronic progressive atrophic process of skin and mucous membrane of the vulva associated with involutive changes in the external genitalia. Kraurosis vulva accompanied by paresthesia, dryness, itching, mucous; atrophic and sclerotic changes gy6 labia, the clitoris, the labia majora; dyspareunia, vulvitis, vaginal stenosis. Kraurosis diagnosed during visual inspection, vulvoskopii, vulvar tissue biopsy. Treatment kraurosis vulva includes local and general hormone therapy, physical therapy, vitamin therapy, if indicated - vulvectomy.
gynecology refers to background dystrophic lesions of the vulva. The disease is found among patients of different age groups: less than the age of 30 years and older, most often - in menopause. When kraurosis vulva there is atrophy and hyperkeratosis of stratified squamous epithelium proliferation of fibrous connective tissue, leading to distortion and reduction of the external genitalia, a breach of their functions. Early detection and adequate therapy kraurosis vulva can prevent progression of the disease.
In the process of development kraurosis vulva are three stages. In the first stage of the vulva kraurosis marked swelling and redness of the genitals caused by a violation of microcirculation and tissue hypoxia. In the second stage of the vulva kraurosis observed violation pigmentation, dryness, roughness, inelastic skin and mucosa, whitish appearance on their thin scales (lichenification); flattening of the small and large labia.
The third stage is characterized by a complete kraurosis vulvar atrophy and development of scar sclerosis of the external genitalia. Rigid vulva sclerotic tissue shrink, resulting in a sharp decrease in the volume of small and large labia, clitoris, vagina contraction, the external opening of the urethra and the anus. Kraurosis vulva stage sclerosis creates difficulties and causes pain during intercourse, and sometimes urination and defecation.
The emergence of deep, poorly healing cracks at kraurosis vulva can easily be complicated by the addition of an infection. In conjunction with kraurosis vulva leukoplakia increases the risk of malignant transformation.
hypofunction of the adrenal cortex, ovary, thyroid disorders bioelectric activity of the cerebral cortex. In most cases, the vulva kraurosis occurs when short reproductive period during menopause, and at a young age - after surgery on the genitals.
A certain role in the pathogenesis of chronic inflammation kraurosis play the vulva, including long persistent HPV infection, HSV. It is not excluded immunopathological mechanism of development of degenerative changes in kraurosis vulva. It is noticed that kraurosis vulva is psychosomatic roots and is seen in patients suffering from depressed mood, depression, dissatisfaction with themselves and the surrounding reality, have problems in the sexual sphere.
Sometimes the root cause kraurosis may be a chemical burn of the vulva (eg, potassium permanganate). Women with kraurosis vulva, as a rule, are obese, diabetic, disregard the rules of personal hygiene.
vulvodynia (burning sensation, a feeling of dryness, contraction), it can not attract enough attention to the patient.
The main symptom is unbearable kraurosis paroxysmal itching vulva, escalating at night, after the hot tubs and exercise. The cause of the itch receptors are changes in the vulva, causing disturbances in conducting nerve impulses. Persistent itching of the vulva, continuing for a long time, leads to disruption of sleep and health, exhaustion of the nervous system with the development of psycho-emotional disorders, and vascular.
Patients with kraurosis vulva is also concerned about dyspareunia - pain during intercourse, preventing intimate life; sometimes dysuria and violation of defecation. When kraurosis vulva marked scratches and abrasions, multiple fractures, subepithelial hemorrhage, inflammation.
In the initial period kraurosis large vulva and labia look bloodshot and swollen. Then the skin and mucous membranes become dry and rough, with whitish-gray tint, become wrinkled appearance, they lost the hair. Gradually, the clitoris and the labia minora no longer be determined, labia take the form of flattened rolls; sharply reduced (sometimes to the complete obliteration) clearance vagina, urethra.
gynecological examination on the chair. One of the main diagnostic methods kraurosis vulva - vulvoskopiya (colposcopy), which allows to see the pathological changes of the mucosa and skin.
Kraurosis vulvae under full atrophy and sclerosis requires differential diagnosis in early stages but it must be distinguished from neurodermatitis, lichen planus, leukoplakia, dysplasia, vulvitis, vaginitis, diabetes having similar genital symptoms.
When kraurosis vulva recommended laboratory testing for the presence of HPV by PCR typing of the virus definition immunogram blood sugar. In order to detect a virus infected epithelial cells and the presence of atrophy or atypia necessary cytology smears and fingerprints with the mucosa of the vulva.
To exclude a possible malignancy, with kraurosis vulva vulvar tissue biopsy with histological study of the material. Pathological findings at kraurosis vulva characterized by depigmentation, hyperkeratosis of the epithelium, sclerosis and atrophy of the dermis and connective tissue, complete or partial loss of elastic fibers, collagen homogenization, inflammatory infiltrates in the tissues.
laser therapy, reflexology, balneoprocedures. roentgenotherapy (Bucky rays) photodynamic therapy. Required vitamin (vitamins A, E, C, B, PP), receiving immunomodulators, bio-stimulants. With the ineffectiveness of conservative therapy kraurosis vulva use invasive methods of treatment: vulvar denervation, laser ablation and cryotherapy affected tissues, for suspected malignancy - superficial surgical excision of the skin of the vulva (vulvectomy).
gynecologist and treatment. Important is individually tailored diet, lack of stress, intimate hygiene, the right choice of underwear. To reduce cancer risk patients with vulvar kraurosis must be 1 every six months to pass vulvoskopiyu and suspicious findings - cytological and histological study.