Of the viral infections that cause genital diseases in women, the most common clinical manifestations are herpes simplex virus and papillomavirus.
Genital herpes is transmitted sexually from both patients and carriers; with orogenital contact and in cases of transplacental infection of the fetus. The main reservoir of infection in women is the cervical canal, and in men - the genito-urinary tract.
Infection with the herpes simplex virus does not always lead to clinical manifestations, and often proceeds as a carrier or in a latent asymptomatic form. A characteristic feature of genital viral infection is the duration of the pathogen in the body and the tendency to relapse. This is due to the prolonged persistence of the virus.
Local manifestations can be in all female organs. The most typical localization of them in the lower parts of the reproductive system (vulva, vagina, cervix).
A characteristic feature of herpes simplex is the appearance of individual or numerous vesicles against the background of hyperemia and edema of the mucous membrane. After 2-3 days the vesicles are opened and ulcers of irregular shape are formed in their place. Sometimes they are covered with a purulent coating, which indicates the attachment of a secondary infection. Within 2-4 weeks, the ulcers heal without scarring. Local manifestations are accompanied by severe soreness, headache, general weakness, sometimes a rise in temperature to subfebrile numbers, an increase in regional lymph nodes.
The diagnosis is established on the basis of a clinical picture, an anamnesis and according to the results of serological and immunological reactions.
Treatment of viral female genital diseases
Treatment is reduced to the use of antiviral drugs: zovirax, tibrofen in combination with interferon, deoxyribonuclease with the simultaneous use of an antiviral vaccine. Locally used creams are "Zovirax", "megasin", "Bonafton". When attaching a bacterial or trichomonas infection, it is advisable to prescribe antibiotics that dry out powders of talc, zinc oxide. In the stage of remission of relapse, vitamins of group B, C, calcium gluconate, desensitizing agents, adaptogenes are prescribed.
Papillomavirus infection is caused by papillomavirus and clinically manifested by genital warts, placed on the external genitalia, sometimes at the external aperture of the urethra.
The course of the disease is long and complicated by the attachment of a secondary infection. Emergency cautiousness is necessary in terms of differential diagnosis of patients (intraepithelial carcinoma). This helps to conduct a biopsy.
Of the most effective treatments for genital warts, mention should be made of the use of podophylline and a carbon dioxide laser.