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Viral Sexual Diseases

Herpetic infection.

Herpetic diseases of genital organsAre caused by the herpes simplex virus, mainly of the second type - HSV-2. The source of infection is sick and carriers. The causative agent is often found in young women who live sexually, possibly with herpes simplex virus infection with orogenital contacts. The genital virus belongs to lifelong persistent infections, so the disease has a tendency to relapse.

For a typical course of the disease, genital and extragenital symptoms are characteristic.

Extragenital signs: fever, pain in the muscles, headache, nausea, herpetic eruptions on the face, sleep disturbances.

Genital features: In the area of ​​the vulva, vagina, cervix, urethra or perineum - on the background of hyperemic and swollen mucosa there are single or multiple vesicles 2-3 mm in size, and last about 2-3 days. Then the vesicles burst and they are based on ulcers of irregular shape, covered with a yellowish coating. Sores heal in 2-4 weeks without scar formation. Thus patients complain of sensation of a pain, a burning sensation, an itch in the amazed area, gravity in the bottom of a stomach.

Treatment is difficult due to frequentRelapse of the disease and the possibility of reinfection. Apply acyclovir, alpizarin, valtrex, herpevir. Highly effective is proteflazid which is used according to the scheme.

At local treatment use sedentary baths, syringing with a solution of potassium permanganate, decoction of a camomile. Use antiviral ointments, vaginal tampons with proteflazid.

For the treatment of relapses, antiviral chemotherapeutics, herpetic vaccines, anti-relapse immunotherapy are used.

Pointed condylomas.

The causative agent of genital warts isPapilomaviruses of type VI-XI, XVI-XVIII, XXXI-XXXIII, which are transmitted sexually. Papilomaviruses are the cause of genital cancer. People who have papillomavirus is 2 times as likely to get cancer as healthy.

At the onset of the disease above the skin surfaceLarge labia, inguinal and interannual folds, perianal region and mucous membrane of the urethra, anus, vagina, cervix appear single pink, sometimes with a gray tinge of formation, which have a thin pedicle, rarely a broad base. Pointed condylomas can grow and merge with each other. These formations resemble cauliflower. The disease has a long course. In patients with a pre-set process, condylomas can be so large that they resemble a tumor. They can be complicated by the addition of a secondary bacterial infection, with significant discharges with an unpleasant odor, pain, and itching. Condylomas create difficulties in walking and sexual intercourse. During pregnancy and during labor, condylomata can cause bleeding. In 15-17% of patients, regression of condylomas is observed, especially those that occurred during pregnancy.

Treatment: With large condylomas, laserocoagulation is performed. It is much more effective than cryodestruction and diathermocoagulation. For treatment of small condylomas, you can use Solcoderm, condylin. Highly effective antiviral immunomodulatory prearat, which I use for the treatment of genital warts is proteflazide. Who take a special scheme.

Molluscum contagiosum.

The causative agent of the disease is a virus thatIs transmitted by direct contact with the patient or by using objects that were in circulation in the patient. In adults, the main route of transmission is sexual.

On the skin are formed small hemispherical,Dense nodules with a diameter of 3-7 mm, which can merge, forming a conglomerate with a diameter of 1-3 cm. The surface of the nodules can be translucent or flesh-colored with a waxy tint. Places of localization of molluscum contagiosum: external genitalia, perineum, pubis, hips, abdomen, face. A molluscum contagiosum can exist for a long time. When squeezing a knot with tweezers, a white curd is released from it.

Treatment: the elements are squeezed out with forceps, lubricated with iodine solution, 10% betadine, garlic juice, celandine, cryotherapy.

Cytomegalovirus infection.

The causative agent of this infection is cytomegalovirus. The percentage of women infected, according to the world literature, is very high. In Western Europe, it ranges from 50 to 85%. Among pregnant women with habitual miscarriages of infected 70%.

Cytomegalovirus, which penetrated the body, persists in it for a long time, standing out with saliva and with sexual relations.

The main signs of infection areExtragenital symptoms: central nervous system damage, thrombocytopenia, liver damage, frequent pneumonia. Infection of the fetus during pregnancy leads to congenital anomalies of fetal development (microcephaly, deafness), diseases that occur in newborns and in childhood (cerebral palsy, muscle weakness)

Cytomegalovirus appears in the form of cervicitis and erosions of the cervix, colpitis, vulvitis and other inflammatory diseases that occur in the subclinical form.

The main task of treatment is correctionViolations of the immune status. Use drugs to stimulate immunity. Specific antiviral drugs of a wide spectrum of action are ineffective. In the treatment of cytomegalovirus infection, a highly effective drug is proteflazide, especially in women with a history of obstetrical anamnesis (frequent miscarriages).

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