What folk remedies can be used to treat vulvar kraurosis? Women's problem

Vulvar kraurosis or lichen sclerosus is a pathological precancerous condition of the external female genital organs that affects them partially or completely.

Accompanied by progressive atrophy, sclerosis of the mucosa and dermis of the vulva. The most susceptible to this problem are women over 40 years of age during menopause, or after a complete cessation of the menstrual cycle.

Sometimes the disease appears in old age, in women after 60 years. In young girls, the disease is extremely rare, but now this is no exception. This disease can also occur in men over 60 years of age.

The disease itself is not life threatening.. But this pathological process irreversible and as a result of complications may develop cancer.

To be sure that there is no threat to life, it is important to visit the doctor regularly and take a biopsy in a timely manner. Must be strictly observed hygiene procedures and care.

Krauroz demands long-term treatment which is not always effective.. In addition, it causes a lot of inconvenience to patients. Many women wonder if, with a disease such as kraurosis, treatment at home is possible?

Causes of kraurosis

The specific causes that lead to the development of kraurosis are unknown. Experts put forward several theories, but none of them fully explains the etiology and mechanism of the development of the disease.

An important role in the causes of occurrence is played by neuroendocrine and autoimmune disorders, viral infections. The main risk factors in the development of vulvar kraurosis in women:

ovarian disease, thyroid gland, adrenal;
short childbearing period;
genital surgery or trauma;
chemical burns of the genitals;
persistent vulva and vulvovaginitis;
papilloma or herpes virus;
reduced immunity or autoimmune diseases;
excess weight;
constant depression and stress;
constant overheating;
ignoring the rules of personal hygiene.

The mechanism of development of the disease is very poorly understood.. The onset of the disease is accompanied by impaired blood supply and microcirculation in the tissues of the vulva.

Swelling of the skin and mucous membranes, which leads to hypoxia. Then an atrophic disorder occurs, the basal layer of the epidermis swells, and its cells separate from the basement membrane.

Nerve endings are destroyed. The structure is broken connective tissue and blood supply to the vulva.

Symptoms of the disease

There are three stages of kraurosis, they differ in the course of the disease:

At the first stage development of the disease is characterized by tumors in the area of the external genital organs. This phenomenon is accompanied by itching and burning, causes discomfort and discomfort.
At the second stage the disease manifests itself more pronounced. This is a violation of the pigmentation of the skin, sharp pain during intercourse. This stage of development has a serious impact on the psychological state of a person. Sleep, appetite disturbed, pain disrupt performance.
At the third stage there are significant swelling. Excessive dryness of the skin of the external genital organs provokes the appearance of cracks. At this stage, the hairline may disappear, there is a narrowing of the entrance to the vagina and the external opening of the urethra.

Diagnosis of kraurosis

This disease is difficult to confuse with any other disease.. But at the initial stage, kraurosis can have similar symptoms with other diseases in this group. It is important to exclude diabetes.

Only the attending physician will be able to make the correct diagnosis and determine how to treat kraurosis. To do this, it is necessary to undergo a visual and laboratory examination.

In some cases it is shown histological examination skin of the vulvar mucosa, this will make it possible to exclude oncological diseases. It is also necessary to examine the immunogram data.

Alternative methods of treatment of kraurosis of the vulva

Treatment of kraurosis with folk remedies is possible only as an addition to the main treatment.

Traditional medicine recipes will help to cope with the symptoms with regular and long-term use. Otherwise, they will not give a positive result.

The most effective ways:

Rubbing the problem area with tincture of string and calendula. For cooking, you will need 3 tablespoons of herbs and 250 milliliters of boiling water. Herbs need to be brewed and insisted for at least two hours. Then strain and apply within a month.
Well relieves itching ointment, prepared at home, from parsley, sea salt and squirrel. Pre-chopped parsley should be mixed with whipped protein and salt. Apply as a compress daily for 15 minutes for at least a week. Keep refrigerated.
Eliminates tightness and dryness, improves blood circulation. For cooking, you need to dilute the spoon baking soda in 0.5 liters warm water. Initially, the perineal area must be washed using tar soap. Then the affected areas are lubricated with the prepared solution. The procedure should be done twice a day for at least a month.
Tar soap and sea buckthorn oil give a good result. Soap must be used every day for washing the perineum. This is great for relieving itching. After such a procedure, problem areas are lubricated sea buckthorn oil.
A positive result is given by sitz baths with herbs. Most effective herbs celandine, chamomile, succession, calendula.
Celandine treatment. ethnoscience This plant has long been used to combat various diseases. With kraurosis, wetting the perineum with alcohol tincture will help. For cooking, you will need finely chopped flowers, leaves and stems, which must be tightly packed in a 0.5 liter jar, pour vodka and leave for 4 days. Use cotton pads to soak.

Treatment of kraurosis with medications

Women with such an unpleasant diagnosis are concerned about the question of whether kraurosis can be cured? Treatment is very difficult task. After all, the causes and mechanism of the development of the disease are studied very poorly. Hospitalization of patients is not required, except in cases of surgical intervention.

It is completely impossible to cure the disease. But stopping the development of kraurosis and eliminating the symptoms is quite real.

The main thing is the correct diagnosis and the implementation of all the instructions of the doctor. Treatment is aimed at eliminating itching, relieving inflammation, improving the properties of vulvar tissues and relieving stress.

At the initial stage, they can be assigned antihistamines, they remove itching and rashes. Sedatives may also be prescribed.

During the course of treatment, hormonal ointments with estrogen. The use of progesterone and corticosteroid ointments is practiced. They also prescribe vitamins A, B, E, C, PP and means to improve immunity.

The following drugs are effective:

Dermovate- has anti-inflammatory and anti-allergic effect, eliminates swelling, relieves itching. Ointment or cream applied thin layer on the affected areas of the skin twice a day. The course of treatment should not exceed 1 month.
Sinaflan ointment has a strong anti-inflammatory and antipruritic effect. The drug inhibits the accumulation of leukocyte macrophages in the inflamed area, reduces vascular tissue permeability, and prevents the formation of edema. It is applied in a small amount to the affected areas no more than twice a day.
The drug miramistin. Has antiseptic action. It has a hydrophobic effect on the cytoplasmic membranes of organisms, increases the permeability of these membranes and cell walls, destroying them. Promotes the healing of small sores, restores the vaginal flora, relieves itching of the mucous membrane. The action of the drug comes quickly.
Celestoderm preparation struggling with chronic diseases skin. Available in the form of an ointment or cream, it has antimicrobial activity.
For the treatment of kraurosis, an oil balm with the same name is used.. Removes itching, dry skin, increases the elasticity of the external genitalia.
Aevit. This vitamin preparation which is assigned to complex treatment. It has an antioxidant and immunostimulating effect, participates in the process of tissue regeneration. Helps improve capillary circulation, normalizes permeability vascular wall into tissue trophism. The course of treatment is 30-40 days.

Ointments with androgens are effective for kraurosis. Biogenic stimulants are recommended, which have a general strengthening effect. Effective for severe itching. In some cases, specialists prescribe mesotherapy with hyaluronic acid for treatment.

Treatment of kraurosis with homeopathic remedies

Homeopathy is a kind alternative medicine, which involves the use of highly diluted drugs that cause disease in humans, but in small quantities they are able to cause positive influence and cure symptoms.

Homeopathic medicines for treatment are selected individually. Since everyone has different reasons that provoke the disease, the reaction, the stage of the disease and the characteristics of the body that must be taken into account.

But there are some tools that are suitable for every woman:

Ointment or gel traumel C- Removes redness, inflammation, swelling and itching. Does not have a negative effect on the body.
Preparations for injection - Ubiquinone, Mucosa, Hepar and etc.

It is important to choose a drug that will create protection for the whole organism, eliminate damage or deficiency of necessary biological factors.

At correct use, homeopathy gives a good result in a cure or provides a long-term remission.

Phototherapy for kraurosis

Phototherapy for kraurosis is a type of treatment in which photosensitizers are given intravenously. After that, the affected areas of the patient are irradiated laser beam low intensity.

As a result of a photochemical reaction, the photosensitizer is activated and releases oxygen along with active radicals. They cause necrosis of affected cells while healthy cells remain intact.

This method makes it possible to avoid a cosmetic defect and has high efficiency. Therefore, it is very important for women.

The main benefits of phototherapy:

security;
painlessness;
fast healing;
absence of scars after applying the method;
carried out without the need for hospitalization;
one session is enough;
no side effects;
fast recovery after the session.

Often women are interested in whether it is possible to go to the sea with kraurosis? For any diseases in the acute stage, trips to the sea are contraindicated.

In addition, there are a number of diseases with which it is better to relax in some sanatorium in your region.

With some gynecological diseases, among them kraurosis, it is impossible to go to the sea.

A disease such as kraurosis requires time-consuming and long-term treatment. The likelihood of a cure depends on the stage at which the disease is detected.

Self-treatment with folk remedies is possible only as an additional to the main one and after the recommendation of a doctor.

In addition, do not abuse the use folk recipes so as not to aggravate the situation even more. It is important to adhere to the indicated dosages.

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Kraurosis of the vulva is a pathological process that is characterized by progressive atrophy of the external genital organs with the subsequent development of sclerotic processes, ...

What kind folk remedies can be used to treat vulvar kraurosis?

Kraurosis of the vulva is a pathological process that is characterized by progressive atrophy of the external genital organs, followed by the development of sclerotic processes, as well as neuroendocrine and psychoemotional disorders. Atrophic processes begin, and then reach the greatest degree of their impact in the clitoris and labia minora. Gradually, signs of atrophy appear on the mucous membrane of the entrance to the vagina, in the region of the labia majora, and to a lesser extent on the skin of the pubis.

Atrophic processes of the vulva are characterized by smoothing and loss of folding, decreased elasticity, dryness and slight vulnerability (cracks, abrasions occur), a whitish or yellowish tinge of integumentary tissues. Gradually, sclerotic changes lead to deformation of the vulva, compaction, flattening and gradual smoothing and disappearance of the clitoris and small lips, narrowing of the entrance to the vagina, and sometimes the external opening of the urethra. As a result of atrophic and sclerotic processes, loss of elasticity, the integumentary tissues of the vulva acquire a resemblance to a crumpled parchment sheet, which has a pale grayish or mother-of-pearl hue.

As the disease develops, the labia majora becomes significantly flattened, and the resulting cracks and abrasions contribute to infection and the occurrence of inflammatory processes, accompanied by hyperemia, swelling and soreness of the tissues. Kraurosis is usually preceded and accompanied by itching of the vulva.

Kraurosis of the vulva is a precancerous disease of the external genital organs, expressed in dystrophic, atrophic and sclerotic changes in their skin. Kraurosis is often combined with leukoplakia. Usually kraurosis occurs in women during menopause or postmenopause. The development and course of kraurosis of the vulva is long and progressive. At the same time, patients complain of itching of the vulva, usually paroxysmal in nature and aggravated at night, as well as during physical exertion and overheating of the body, dryness of the skin of the external genital organs.

The itching is prolonged and sometimes unbearable. The cause of itching is changes in the nerve receptors of the vulva, the presence of small cell infiltrates in the tissues of the vulva, which are the source of purinogenic proteinases. Complaints of pain occur in the presence of cracks, ulcers, as well as inflammatory processes, secondary vulvitis.

When the external opening of the urethra is narrowed, pain and difficulty urinating occur. All attempts at sexual intercourse cause sharp pain due to narrowing of the entrance to the vagina, abrasions, etc. Therefore, sex life becomes impossible. All these disorders increase the intensity of emotional-neurotic syndromes. Patients are less able to work.

Patients with vulvar kraurosis are prescribed local treatment: application in the form of ointments of estrogens, vitamin A and novocaine, 0.5% prednisolone ointment with anesthesin, the introduction of a 0.5% solution of novocaine in subcutaneous tissue vulva. And in especially severe cases, the operation of extirpation of the vulva. There are also folk remedies for treating kraurosis, though little is written about them. Here are some recipes for these folk remedies.

Folk remedies for kraurosis of the vulva:

Chamomile baths for vulvar kraurosis. Chamomile baths with a pharmacy temperature of 38-39 ° should be done daily or every other day. Brew 1 cup of chamomile in 3 liters of water, leave for 30 minutes. Strain and use. After the bath, lubricate with sea buckthorn oil, adding 2 ampoules of sinestrol to a 100-gram bottle of oil, which are prescribed by an oncologist.

Infusion of calendula flowers. Brew them in the morning, insist during the day, strain the infusion before going to bed, heat it up to 39-40 degrees and do with it therapeutic baths. You can add celandine and a string to the infusion. Take baths every day, or every other day.

Parsley compresses help with kraurosis. Grind the plant, crush it well, add fine salt, one raw protein chicken egg and mix thoroughly. Store the mixture in the refrigerator. Make compresses with this mixture on the affected area.

Herbal decoction for washing with vulvar kraurosis. Do washing with a decoction of herbs: chamomile, celandine, succession, calendula. Wash without soap with a decoction of room temperature (use cool). Rub after washing sore spot laundry soap dark color.

Infusion of Veronica for douching with vulvar kraurosis. 2 tablespoons of Veronica herb per 0.5 boiling water, insist at room temperature until cool. Douching at night and for 2 weeks, a week break, and so on, the entire course of treatment.

Daily, can be washed 2 times a day, depending on the severity of the disease, with a solution: 1 tablespoon of baking soda per 1 liter of boiling water, always with tar soap(it relieves itching). Then lubricate sore spots with sea buckthorn oil, baby cream, also good fir oil.

Treatment of vulvar kraurosis with celandine. Pick celandine during flowering with the root, shake off the ground, rinse and ventilate a little. Cut the grass into a half-liter jar, and then pour it into a dark bowl, pour vodka and close it with a tight lid (cork). Insist 3-4 days. Then moisten a cotton swab with this tincture and lubricate sore spots. In this case, the sore spot will burn, but you have to be patient. After that, lubricate with a thin layer of 0.25% Sinaflan ointment.

Genital atrophyvulvaVagina entranceGynecologyVulva deformityWomen Vulvar itchingKraurosis vulvaCure kraurosislabiaCraurosis remedies

It is believed that such a disease as kraurosis of the vulva is the "prerogative" of women of pre- and postmenopausal age. In part, there is some truth in this, since among 2-10% of women with this disease, it accounts for half of older women.

But kraurosis in women can occur at the age of 30 and younger, and even in girls. The disease is subject to long-term and sometimes, not always effective treatment and causes a lot of inconvenience to patients with this pathology.

A bit of anatomy

The vulva is medical term, which determines the area of the external genitalia in the fairer sex, which is limited to the pubis on the upper side and the entrance to the vagina from the lower, and in virgins also hymen. The external female genitalia include the large and small pudendal (labia), the vestibule of the vagina and the Bartholin glands, the clitoris and the urethral outlet (the external opening of the urethra).

The vulva is covered with skin and mucous membranes, which contain a significant number of glands, nerve receptors and blood vessels. The vulvar tissues are so delicate that they are easily injured and often inflamed. The hormonal and immune systems are responsible for their condition. Thanks to estrogens, the elasticity and tone of the skin and vulvar mucosa, their normal blood supply and the ability to fight adverse factors are preserved.

But in premenopausal age, when hormonal changes occur and changes in the work of the hypothalamus - pituitary - ovaries system, there is a decrease in estrogen production, which cannot but affect the condition of the vulva tissues. They show structural and functional disorders, atrophy (thinning), dryness, mild trauma and a predisposition to inflammatory reactions.

Kraurosis of the vulva: what is it?

Vulvar kraurosis or lichen sclerosus is a disease that refers to dystrophic lesions of the external genital organs and is characterized by atrophy of their skin and mucous membranes, which is due to the involution of the vulva. The disease kraurosis flows for a long time and constantly progresses and is manifested by itching and dryness of the skin and mucous membranes. As already noted, this pathology most common in older women (see menopause in women).

Causes and mechanism of development

The exact causes leading to the development of the disease are unknown. On the this moment there are several theories, but none fully explains the etiology and mechanism of development of vulvar lichen sclerosus. a certain role in the causes given state play neuroendocrine and autoimmune disorders, viral and infectious agents, psychogenic factors and others. There are a number of risk factors in the development of kraurosis of the external genital organs in women:

diseases of the hormonal sphere (ovaries, adrenal glands, thyroid gland, pituitary gland);
short childbearing period early menopause indicates the presence of severe ovarian hypofunction);
injuries of the external genitalia or surgery on them;
chemical burns of the genitals (for example, after douching with a high concentration of potassium permanganate);
oophorectomy at a young and mature age;
persistent vulvitis and vulvovaginitis;
papilloma or herpes virus;
reduced immunity and autoimmune diseases;
obesity;
psychogenic factors (constant stress, depression, obsessive fears);
emotional lability;
disregard for the rules intimate hygiene;
constant overheating.

The mechanism of development of pathology is also not well understood. With lichen sclerosus of the vulva, several successively changing moments are noted. At the onset of the disease, disturbances in blood supply and microcirculation in the tissues of the vulva, swelling of the skin and mucous membranes are noted, which leads to hypoxia.

Then atrophic disorders develop, manifested by hyperkeratosis, edema of the basal (initial) layer of the epidermis and separation of its cells from the basement membrane. With swelling of the dermis, the structure of collagen fibers is disturbed, and elastic fibers disintegrate due to an increase in elastase activity. In addition, nerve endings are also destroyed. The structure of the connective tissue is also disturbed, which leads to clogging of the arterioles and increases the disruption of the blood supply to the vulva. That is, a vicious circle is formed.

Symptoms

The symptomatology of the disease is directly related to its duration and prevalence, how pronounced the process is and whether any treatment has been carried out before.

Itching - a pathognomic symptom of kraurosis is constant or occasional itching in the vulva. This symptom may be associated with a burning or tightening sensation of the skin, as well as a feeling of dryness of the vulva, as after washing with harsh soap. As a rule, itching increases or occurs either at night or after emotional experiences or hygiene procedures.

Due to the thinning of the skin and mucous membranes, they are easily injured, infected, and cracks and sores quickly form at the sites of injuries, which, in addition to itching, cause pain. Due to atrophy of the labia and narrowing of the vestibule of the vagina, sexual intercourse becomes painful or even impossible. Narrowing of the urethral opening causes problems (pain) with urination.

In addition to local manifestations in patients with lichen sclerosus, disorders of the nervous system are pronounced:

depression
emotional lability
aggressiveness and irritability
sleep problems

As well as vascular disorders (arterial hypertension), as well as problems in carbohydrate and fat metabolism(obesity). The pathology has a pronounced clinical picture and only 2% of patients have no complaints. There are three stages of the disease, which are easily determined during a gynecological examination:

initial stage

This stage is characterized by swelling and redness of the external genitalia. When looking at the labia, bright hyperemia and swelling are visible, which resemble ordinary inflammation. Complaints of patients at this stage of the disease are tingling sensations, "goosebumps", slight or moderate itching.

atrophic stage

On examination, the so-called kraurotic triangle is easily determined, the apex of which is directed towards the pubis, and the base is located in the upper third of the pubic lips. The labia minora becomes thinner, they become flat, and the clitoris is reduced in size. There is also a change in the color of the soft tissues of the vulva: they acquire a whitish hue (pale bluish or waxy). hairy part the vulva does not suffer, but there may be a narrowing of the entrance to the vagina.

sclerotic stage

At this stage, the clitoris and labia minora "disappear" - they atrophy and become almost invisible, and the large pudendal lips flatten and resemble rollers, limiting the sharply narrowed entrance to the vagina. The opening of the urethra is also significantly narrowed. Hairiness disappears. The skin and mucous membranes become glossy and acquire a pearly color.

Many small folds appear on the tissues of the vulva, and it becomes like a sheet of crumpled parchment. In addition, there are multiple small hemorrhages, microcracks and scratches on the skin and mucous membranes. The process progresses and captures the perianal area, inguinal folds and internal surfaces hips. At this stage, the itching becomes so unbearable that the woman cannot resist intensive scratching of the affected surface, which contributes to the formation of new microtraumas and their suppuration.

Diagnosis of kraurosis

The disease in the stage of atrophy and sclerosis is difficult to confuse with any other pathology, but in the initial stage, kraurosis should be differentiated from vitiligo, neurodermatitis, red lichen planus as well as diabetes and vulvovaginitis.

Examination - to diagnose sclerosing lichen of the vulva is quite simple already at the first examination of the patient. But taking an anamnesis is unlikely to help in making a diagnosis (no characteristic data). Complaints of the patient and data are taken into account gynecological examination.

Of the instrumental methods of examination, simple and extended vulvoscopy is used (examination with a colposcope, but not of the cervix and vaginal walls, but of the soft tissues of the vulva).

Laboratory tests include a blood sugar test (to exclude diabetes mellitus) and polymerase chain reaction on HPV, which is carried out with vulvar tissue cells to determine the presence / absence of HPV in them. Cytology of smears-imprints from the tissues of the vulva is also carried out. In alarming cases, a histological examination of a piece of skin / mucous membrane of the vulva is also indicated to exclude a malignant process. It is better to take the material aimingly, under vulvoscopy.

It is also necessary to examine the immunogram data to exclude immunological disorders.

Treatment

With kraurosis, treatment is a difficult task, since the causes and mechanism of development this disease have not yet been studied. As a rule, patients are not subject to hospitalization, only in cases of surgical intervention. Currently, preference is given to conservative methods of therapy. First of all, a change in lifestyle is shown:

the wearing of synthetic underwear, especially tight-fitting ones, is excluded;
completely abandon bad habits (smoking and drinking alcohol);
observe the rules of intimate hygiene (wash twice a day using mild soap);
it is forbidden to use pads and cotton swabs, flavored toilet paper;
do not use intimate deodorants and sprays, shower gels and bath foam;
stick to proper nutrition.

Diet for kraurosis

There is no special diet for lichen sclerosus of the vulva. You just have to follow the rules healthy eating. First of all, it is worth giving up coffee and black tea, since they contain a high content of caffeine, which has an exciting effect on an unstable psycho-emotional background.

In addition, pickles, smoked meats, spicy and seasonings should be abandoned, as these products aggravate itching in the vulva area. Food should be dominated vegetable oils, as sources of vitamins E and A - natural antioxidants that have a beneficial effect on the condition of the skin, increasing its elasticity and tone. From fatty fried foods, convenience foods and fast food should also be abandoned due to high content carcinogens, preservatives and stabilizers, which provoke the development malignant neoplasms.

Non-drug treatment of kraurosis

laser treatment - exposure to a laser beam on the affected area for 4-5 minutes at several points, for a course of 12-16 procedures (effectively eliminates itching, normalizes sleep and psycho-emotional state);
acupuncture;
ultrasound;
phonophoresis with glucocorticoids;
UVR of the lumbar region and sacrum;
balneological procedures (treatment with mud, taking showers, baths or irrigation with mineral waters);
ozone therapy;
radiotherapy;
mistletoe therapy (administration of preparations of white mistletoe, which stimulates the immune system);
photodynamic treatment.

Photodynamic therapy for kraurosis

Photodynamic treatment of kraurosis and more innovative method, which consists in the introduction of photosensitizers (photosens, photoditazin, photohem and others) intravenously into the patient's body, after which the affected areas of the vulva are irradiated with a low-intensity laser beam. Due to the ongoing photochemical reaction, the photosensitizer is activated and begins to release oxygen and active radicals, which act on atypical cells, causing their necrosis, while healthy cells are undamaged.

Before carrying out photodynamic therapy, the patient is prescribed an examination:

colposcopy;
cytological smear-imprint from the vulva;
general blood analysis;
blood chemistry.

Phototherapy has a number of advantages and its effectiveness in the treatment of kraurosis reaches 90 - 95%:

absolute security;
painlessness of the method;
fast healing;
scars are not formed;
does not require hospitalization;
one session is enough;
good cosmetic effect;
missing side effects and complications;
impact only on atypical cells;
short postoperative period and rapid recovery.

Medical treatment

In addition to physiotherapy for vulvar kraurosis, drug treatment is also used. Drug therapy for this disease is carried out both locally and systemically. For external treatment, ointments and creams are prescribed, which include hormones. Applications of creams on the vulva area are carried out 1-2 times a day. Preparations for local treatment:

cream with estrogens (estriol, permarin) - applied twice a day, the course is 2-3 weeks (does not stimulate the growth of the endometrium, but is not indicated for women of reproductive age);
progesterone cream (prajisan, krynon) - also applied twice a day for 3 to 4 weeks, is optimal for the treatment of kraurosis in young women;
ointment with 2% testosterone - has a pronounced antipruritic effect, increases the elasticity of the tissues of the vulva, is applied twice a day, the duration of the course is 2-3 weeks;
ointments with glucocorticoids reduce the susceptibility of skin receptors to histamine, reduce the permeability of the walls of blood vessels, exudation and itching, tone up blood vessels, have an anti-inflammatory effect, have a local immunosuppressive effect (1% hydrocortisone ointment, 0.5% prednisolone ointment, 0.5% butesonide).

In addition to hormonal ointments, ointments with vitamin A and diphenhydramine are used for local treatment, and in case of cracks and their infection, antibacterial ointments.

Systemic therapy includes the appointment of antiallergic drugs (tavegil, claritin), sedatives (motherwort, peony or valerian tincture) and tranquilizers (seduxen, phenazepam), hormonal drugs(estrogens and progesterone), vitamins E and A and biostimulants (aloe extract, vitreous body) and immunomodulators (polyoxidonium, taktivin). If necessary (development of the inflammatory process in places of microtrauma), antibiotics are prescribed.

Folk methods of treatment

In the treatment of kraurosis, folk remedies are also used, but only as an addition to the main method of therapy. Many patients are helped by warm baths with an infusion of calendula, chamomile and string flowers (all herbs can be brewed together or separately). Baths are held at least 3 times a week.

The application of compresses from chopped parsley, chicken egg protein with the addition of a small amount of sea salt is also effective. It is also prescribed to take a decoction of the collection of the following herbs: succession, tricolor violet, strawberry leaf, horsetail, blackcurrant leaf and nettle, yarrow and burdock root. This decoction is taken 100 ml three times a day for three months.

Surgery

At this time surgical interventions with lichen sclerosus are performed quite rarely due to high risk recurrence of the disease and the development of complications and cosmetic defects. Usually, surgical intervention performed in case of violation of the anatomical structures (stenosis of the vestibule of the vagina or urethra, synechia of the labia minora, and others). But with the ineffectiveness of conservative treatment, minimally invasive surgical procedures are performed:

denervation of the vulva;
laser ablation;
cryodestruction of affected areas.

If there is a suspicion of malignancy of the process, a vulvectomy is performed.

Prognosis and complications

The prognosis for lichen sclerosus is favorable for life, but unfavorable for the disease, since the process is chronic and progressive. Complications include malignancy of the process (malignancy), which is possible in 4-8% of cases.

Obstetrician-gynecologist Anna Sozinova

Kraurosis of the vulva is a pathological process, a precancerous condition that affects the external genitalia and is accompanied by progressive atrophy, sclerosis of the mucosa and dermis of the vulva. Quite often, this pathology occurs simultaneously with leukoplakia. The disease is diagnosed, as a rule, in women over 45. Often the disease occurs in young women who have undergone surgery on the genitals.

The appearance of pathology is due to an atypical reaction of the upper layers of the skin to the effects of various external and internal factors. Another fairly common cause of the disease is chronic inflammatory process. Kraurosis can also develop as a result of non-compliance with the rules of personal hygiene, CNS disorders, chemical burns and injuries. Many patients seek salvation in the treatment of kraurosis with folk remedies, but not everything is so simple.

To prevent a precancerous condition from becoming cancerous

Therapy of the pathological process should be immediate and comprehensive. Along with acceptance medications: antihistamine, sedative, antibacterial, immunostimulating, anti-inflammatory, hormonal, you can use natural folk remedies used at home.

Funds from the people will help eliminate symptoms and get rid of kraurosis as soon as possible. However, despite the healing properties of drugs, it is strictly forbidden to take them without the knowledge of a specialist.

Recipes for oral administration

Connect 10 g of boron uterus with the same amount of mother and widow's uterus. Dry the components in advance, and chop finely. Brew 15 grams of the mixture with freshly boiled water - 300 ml and set aside for an hour. Consume a quarter cup of the filtered potion three times throughout the day. The course of treatment is 90 days. You can read about the upland uterus, which solves many women's problems, here.
Combine in equal quantities dried, chopped boron uterus with oregano and wormwood. Brew 20 g of the mixture with boiled water - 200 ml. Leave the composition to infuse. Divide the entire volume into three equal parts and drink in a day. You need to prepare the medicine every day. Duration treatment course- three months.

Outdoor Home Remedies

1. Mix dried chamomile with calendula flowers, celandine and string. All ingredients must be taken on a spoon. Cut the herbs and brew 50 grams of boiled water - three liters. The tool should stand a little. After half an hour, strain and use for sitz baths.

Perform the procedure three times a week. The infusion should be warm. The therapeutic course is a month. Baths will help in eliminating symptoms and speeding up recovery.

2. An excellent effect in the treatment of kraurosis with folk remedies can be achieved by using tar soap. It should be used for everyday washing. Soap helps to eliminate itching. After manipulation, treat the affected skin with sea buckthorn or fir oil. Read the article "Sea buckthorn oil - an elixir of health".

3. Take fresh parsley, grind it to a mushy consistency, combine with raw egg white and a pinch of salt. Mix the mass and put it on a linen napkin. Treat the affected areas with the prepared mixture. Keep product refrigerated

4. Help in healing and douching. Brew dried finely chopped veronica (grass) in the amount of 30 g of freshly boiled water - half a liter. After the composition is infused, use it for everyday douching. The duration of the course is half a month, then a week break and a repeat of the treatment.

5. Fill the spoon blue vitriol freshly boiled water - a liter. Wait for the solution to settle. Ready solution dilute with boiling water in a ratio of 200 ml of water to 400 ml of the product. Next, the composition is poured into a capacious container, for example, a basin. Take baths for at least half an hour for 30 days.

6. Excellent results can be achieved using freshly squeezed aloe juice. When ingested, the agent helps to eliminate inflammatory and accelerate regenerative processes in tissues.

To prepare the medicine, fresh leaves of the plant are taken (it is important that it is more than three years old), crushed. Next, the container is placed in the refrigerator for 15 days.

7. Dilute 10 g of soda in a liter of boiled water, mix. Add tar soap here - a small piece. After cooling the solution, use it for baths.

Treatment of kraurosis is a long and laborious process. The sooner you go to the hospital, the greater the chance of a cure. If you do not want to harm yourself, in no case do not take any means without consulting a doctor. Moreover, do not abuse drugs from the people and try not to exceed the dosages indicated in the recipes.

Kraurosis in women is a change in the state of the genital organs associated with age. Companions of this pathological process are atrophy of the vulvar mucosa, paresthesia (abnormal skin sensitivity), a feeling of dryness and itching.

IN advanced cases a woman may suffer from sclerotic changes in the labia and clitoris. Treatment usually includes hormone therapy, a course of vitamins, and physical therapy. In extreme cases, vulectomy is prescribed, or in other words, surgical intervention.

Kraurosis stages

The sooner the problem is identified and adequate treatment begun, the more likely it is to exclude the progression of the pathology. There are several stages of kraurosis in women at sixty:

1 stage. Swelling and redness of the genital organs are observed. This is due to a violation of microcirculation in the tissues.
2 stage. Impaired pigmentation, unusual dryness, as well as inelasticity of the mucosa. Thin scales of a white shade are formed (reflection of lichenization), flattening of the labia occurs.
3 stage. The genitals atrophy, cicatricial sclerosis progresses. The vulva shrinks, thereby reducing the size of the labia. The vagina narrows.

Kraurosis in women last stage is a physical discomfort. It causes pain during urination and sexual intercourse. Tissue cracks that are prone to infections may form. Kraurosis together with mucosal lesions increase the likelihood of malignant cell formation. Pathology can occur and progress not only in women after 60.

Causes of the disease

Immune, neuroendocrine disorders, and metabolic disorders lead to the development of kraurosis. Also, the cause may be an unsuccessful surgical intervention in the genitals or use for hygienic purposes. inguinal region unsuitable means, solutions.

Classic diagnosis includes:

Colposcopy. Painless examination with a microscope for understanding by a doctor outside Problems.
Biopsy. Examination of a piece of tissue with suspicion of kraurosis. This is followed by a more precise histological examination.
Analysis of the flora by smear (urethra, cervix, vagina), microscopic examination.
Blood analysis and immunogram preparation.

Treatment is based on the identification of the nature of the disease and established by the doctor diagnosis.

However, one should not also lose sight of the psychosomatic nature of the occurrence of pathology. Some women are not able to adequately perceive stress and pressure, and this affects the entire body, including the vulva. The answer to psychosomatics is naturopathy.

The causes and course of the disease are individual, but there is a list of general recommendations for prevention and primary treatment(naturopathy):

- Schedule. Balance between business and leisure good sleep, at least 1.5 hours for fresh air, avoid stress.
- Proper nutrition. Eliminate from the diet following products: coffee, spirits, sweets (especially chocolate), bread (white). Fried, fatty and smoked food goes away too. Bright spices, an abundance of salt and sugar - remove. Often these foods lead to itching. But freshly squeezed juices, protein (lean meat, fish) and greens add. They work great in women after 60 on the body and on the figure as a whole.
- For naturopathy, kraurosis is also a lack of vitamins of class A, E. Deficiency leads to drying of the vulvar mucosa and itching. You can restore the balance with carotene oil (take 1 tablespoon per day, drink water or juice).
- Drink at least a liter of water a day. Many people forget about this elementary rule of healing, but it is difficult to imagine cleansing the body without water.

Systematic application of folk recipes. For example, washing with tar soap. After water treatment treat the sore spot with sea buckthorn oil or a good baby cream.
Medicinal compresses. You will need fresh parsley, salt and one egg white. Grate the parsley and mix with the rest of the ingredients. Apply the resulting mass to the sore spot, hold for 20-30 minutes. Store the mass for the compress in the refrigerator.
Homeopathic treatment is also practiced. But it is important to understand the nature of your symptoms in order to properly conduct therapy. From universal means to combat itching, Traumeel S gel can be distinguished. It will relieve redness, swelling, and itching. There are no negative side effects.

Each forum on the topic of kraurosis contains real photos that reflect the pathology. But do not take them personally, because every woman at the age of 65 everything happens individually. And the horrors from the forum (and they usually post the most neglected states) most likely do not apply to you.

But kraurosis in women can occur at the age of 30 and younger, and even in girls. The disease is subject to long-term and sometimes not always effective treatment and causes a lot of inconvenience to patients with this pathology.

A bit of anatomy

Vulva is a medical term that defines the area of the external genitalia in the fairer sex, which is limited to the pubis on the upper side and the entrance to the vagina from the lower, and in virgins also the hymen. The external female genitalia include the large and small pudendal (labia), the vestibule of the vagina and the Bartholin glands, the clitoris and the urethral outlet (the external opening of the urethra).

The vulva is covered with skin and mucous membranes, which contain a significant number of glands, nerve receptors and blood vessels. The vulvar tissues are so delicate that they are easily injured and often inflamed. The hormonal and immune systems are responsible for their condition. Due to the elasticity and tone of the skin and vulvar mucosa, their normal blood supply and the ability to deal with adverse factors are preserved.

But in premenopausal age, when hormonal changes occur and changes in the work of the hypothalamus - pituitary - ovaries system, there is a decrease in estrogen production, which cannot but affect the condition of the tissues of the vulva. They show structural and functional disorders, atrophy (thinning), dryness, mild trauma and a predisposition to inflammatory reactions.

Kraurosis of the vulva: what is it?

Vulvar kraurosis or lichen sclerosus is a disease that refers to dystrophic lesions of the external genital organs and is characterized by atrophy of their skin and mucous membranes, which is due to the involution of the vulva. The disease kraurosis flows for a long time and constantly progresses and manifests itself in the mucosa. As already noted, this pathology is most common in older women (see).

Causes and mechanism of development

The exact causes leading to the development of the disease are unknown. At the moment, there are several theories, but none fully explains the etiology and mechanism of development of vulvar sclerosus. A certain role in the causes of this condition is played by neuroendocrine and autoimmune disorders, viral and infectious agents, psychogenic factors and others. There are a number of risk factors in the development of kraurosis of the external genital organs in women:

Symptoms

The symptomatology of the disease is directly related to its duration and prevalence, how pronounced the process is and whether any treatment has been carried out before.

Itching - a pathognomic symptom of kraurosis is constant or occasional itching in the vulva. This symptom may be associated with a burning or tightening sensation of the skin, as well as a feeling of dryness of the vulva, as after washing with harsh soap. As a rule, itching intensifies or occurs either at night, or after emotional experiences or hygiene procedures.

In addition to local manifestations in patients with lichen sclerosus, pronounced nervous system disorders:

depression
emotional lability
aggressiveness and irritability
sleep problems

As well as vascular disorders (arterial hypertension), as well as problems in carbohydrate and fat metabolism (obesity). Pathology has a pronounced clinical picture, and only 2% of patients have no complaints. There are three stages of the disease, which are easily determined during a gynecological examination:

initial stage

atrophic stage

On examination, the so-called kraurotic triangle is easily determined, the apex of which is directed towards the pubis, and the base is located in the upper third of the pubic lips. The labia minora becomes thinner, they become flat, and the clitoris is reduced in size. There is also a change in the color of the soft tissues of the vulva: they acquire a whitish hue (pale bluish or waxy). The hairy part of the vulva is not affected, but there may be a narrowing of the entrance to the vagina.

sclerotic stage

Many small folds appear on the tissues of the vulva, and it becomes like a sheet of crumpled parchment. In addition, there are multiple small hemorrhages, microcracks and scratches on the skin and mucous membranes. The process progresses and captures the perianal region, inguinal folds and inner thighs. At this stage, the itching becomes so unbearable that the woman cannot resist intensive scratching of the affected surface, which contributes to the formation of new microtraumas and their suppuration.

Diagnosis of kraurosis

The disease in the stage of atrophy and sclerosis is difficult to confuse with any other pathology, but in the initial stage, kraurosis should be differentiated from vitiligo, neurodermatitis, lichen planus, as well as from diabetes mellitus and vulvovaginitis.

Examination - to make a diagnosis of lichen sclerosus of the vulva is quite simple already at the first examination of the patient. But taking an anamnesis is unlikely to help in making a diagnosis (no characteristic data). The patient's complaints and gynecological examination data are taken into account.

From instrumental examination methods simple and extended vulvoscopy is used (examination with a colposcope, but not the cervix and vaginal walls, but the soft tissues of the vulva).

Lab tests include a blood test for sugar (to exclude diabetes mellitus) and an HPV polymerase chain reaction, which is performed on vulvar tissue cells to determine the presence / absence of HPV in them. Cytology of smears-imprints from the tissues of the vulva is also carried out. In alarming cases, a histological examination of a piece of skin / mucous membrane of the vulva is also indicated to exclude a malignant process. It is better to take the material aimingly, under vulvoscopy.

It is also necessary to examine the immunogram data to exclude immunological disorders.

Treatment

With kraurosis, treatment is a difficult task, since the causes and mechanism of development of this disease have not yet been studied. As a rule, patients are not subject to hospitalization, only in cases of surgical intervention. Currently, preference is given to conservative methods of therapy. First of all, a change in lifestyle is shown:

the wearing of synthetic underwear, especially tight-fitting ones, is excluded;
completely abandon bad habits (smoking and drinking alcohol);
observe the rules of intimate hygiene (wash twice a day using mild soap);
it is forbidden to use pads and cotton swabs, flavored toilet paper;
do not use intimate deodorants and sprays, shower gels and bath foam;
stick to proper nutrition.

Diet for kraurosis

There is no special diet for lichen sclerosus of the vulva. You just have to follow the rules of a healthy diet. First of all, it is worth giving up coffee and black tea, since they contain a high content of caffeine, which has an exciting effect on an unstable psycho-emotional background.

In addition, pickles, smoked meats, spicy and seasonings should be abandoned, as these products aggravate itching in the vulva area. Food should be dominated by vegetable oils, as sources of vitamins E and A - natural antioxidants that have a beneficial effect on the condition of the skin, increasing its elasticity and tone. Fatty, fried foods, convenience foods and fast food should also be discarded due to the high content of carcinogens, preservatives and stabilizers, which provoke the development of malignant neoplasms.

Non-drug treatment of kraurosis

laser treatment - exposure to a laser beam on the affected area for 4-5 minutes at several points, for a course of 12-16 procedures (effectively eliminates itching, normalizes sleep and psycho-emotional state);
ultrasound;
phonophoresis with glucocorticoids;
UVR of the lumbar region and sacrum;
balneological procedures (treatment with mud, taking showers, baths or irrigation with mineral waters);
ozone therapy;
radiotherapy;
mistletoe therapy (administration of preparations of white mistletoe, which stimulates the immune system);
photodynamic treatment.

Photodynamic therapy for kraurosis

Photodynamic treatment of kraurosis and not only is an innovative method that involves the introduction of photosensitizers (photosense, photoditazine, photohem and others) intravenously into the patient's body, after which the affected areas of the vulva are irradiated with a low-intensity laser beam. Due to the ongoing photochemical reaction, the photosensitizer is activated and begins to release oxygen and active radicals, which act on atypical cells, causing their necrosis, while healthy cells are undamaged.

Before carrying out photodynamic therapy, the patient is prescribed an examination:

cytological smear-imprint from the vulva;

Phototherapy has a number of advantages and its effectiveness in the treatment of kraurosis reaches 90 - 95%:

absolute security;
painlessness of the method;
fast healing;
scars are not formed;
does not require hospitalization;
one session is enough;
good cosmetic effect;
there are no side effects and complications;
impact only on atypical cells;
short postoperative period and rapid recovery.

Medical treatment

cream with estrogens (estriol, permarin) - applied twice a day, the course is 2-3 weeks (does not stimulate the growth of the endometrium, but is not indicated for women of reproductive age);
progesterone cream (prajisan, krynon) - also applied twice a day for 3 to 4 weeks, is optimal for the treatment of kraurosis in young women;
ointment with 2% testosterone - has a pronounced antipruritic effect, increases the elasticity of the tissues of the vulva, is applied twice a day, the duration of the course is 2-3 weeks;
ointments with glucocorticoids reduce the susceptibility of skin receptors to histamine, reduce the permeability of the walls of blood vessels, exudation and itching, tone up blood vessels, have an anti-inflammatory effect, have a local immunosuppressive effect (1% hydrocortisone ointment, 0.5% prednisolone ointment, 0.5% butesonide).

In addition to hormonal ointments, ointments with vitamin A and diphenhydramine are used for local treatment, and in case of cracks and their infection, antibacterial ointments are prescribed.

Systemic therapy includes the appointment of antiallergic drugs (tavegil, claritin), sedatives (motherwort, tincture of peony or valerian) and tranquilizers (seduxen, phenazepam), hormonal drugs (estrogen and), vitamins E and A and biostimulants (, vitreous body) and immunomodulators ( polyoxidonium, taktivin). If necessary (development of the inflammatory process in places of microtrauma), antibiotics are prescribed.

Folk methods of treatment

The application of compresses from chopped parsley, chicken egg protein with the addition of a small amount of sea salt is also effective. It is also prescribed to take a decoction of the collection of the following herbs: tricolor violet, strawberry leaf, field horsetail, blackcurrant and nettle leaf, yarrow and burdock root. This decoction is taken 100 ml three times a day for three months.

Surgery

Currently, surgical interventions for lichen sclerosus are performed quite rarely due to the high risk of recurrence of the disease and the development of complications and cosmetic defects. As a rule, surgery is performed in case of violation of the anatomical structures (stenosis of the vestibule of the vagina or urethra, synechia of the labia minora, and others). But with the ineffectiveness of conservative treatment, minimally invasive surgical procedures are performed:

denervation of the vulva;
laser ablation;
cryodestruction of affected areas.

If there is a suspicion of malignancy of the process, a vulvectomy is performed.

Prognosis and complications

With such a diagnosis as "kraurosis of the vulva" is faced by many representatives of the weaker sex. Kraurosis disease refers more to women. It implies changes in the state of the external genitalia. The disease is accompanied by sensations of discomfort, dryness, and severe itching of the mucous membranes. Pathology can be diagnosed during a gynecological examination. Methods of treating the disease include: taking vitamins, physiotherapy, as well as taking hormonal drugs.

In contact with

Kraurosis of the external genital organs in women - what is it?

As a rule, the disease is most often diagnosed in females, regardless of age. The most common disease occurs in women in menopause. With the development of pathology, there is a violation of the functions reproductive system. If you notice the disease in a timely manner and begin to treat it, you can reduce the risk of complications and progression of the disease.

There are several stages in the development of pathology:

The first stage is characterized swelling and redness in the genital area.
The second stage is characterized by sensations of dryness, compaction of the structure of the labia, as well as the formation of white scales (such formations are also present with).
The third stage is characterized complete atrophy of the genitals. The tissues of the genital organs become wrinkled, their size is greatly reduced, the vagina becomes narrower. All this leads to the fact that during sexual intercourse and urination, severe pain appears, which significantly complicates the number of physiological needs women.

When cracks appear in the genital area, an infection often penetrates, which causes a number of complications.

It is impossible to single out any cause for the development of pathology. The disease can be triggered by a number of reasons. The main reason for the occurrence of pathology lies in the violations that occur in immune system and metabolism. In some cases, the cause of development may be a mucosal burn that occurred as a result of the use of contraception or chemical elements as well as household chemicals.

Some psychologists say that the disease is a mental illness, arguing that the basis of the disease is the wrong attitude of the fair sex to stressful situations and women being in a state of severe depression.

Many experts have confirmed the fact that the disease can develop if a woman is constantly depressed,experiences a feeling of dissatisfaction with oneself, disappointment in oneself and others. At the heart of such a state of a woman, as a rule, lies a feeling of distrust towards men. But in each individual case, the reason that gave impetus to the development of pathology is unique.

It has also been proven that women who are overweight, have diabetes, the disease occurs several times more often, as well as those who do not follow the rules of personal hygiene and do not take care of themselves enough.

Symptoms of pathology, first of all, begin to manifest themselves by the occurrence of unpleasant burning sensations in the genital area, as well as a feeling of discomfort and dryness. As a rule, such symptoms are hard to miss and usually they immediately attract the attention of a woman.

The main symptom of the disease is severe itching, which occurs at different intervals and often increases during a night's sleep, after taking a bath with hot water and after exercise.

If itching haunts a woman constantly, then a woman often begins to disturb her sleep and develop insomnia. This significantly reduces the level of performance and perception of any information. Many patients complain that during sexual intercourse they experience enough severe pain, all this interferes with a normal sexual life.

At the initial stage of the disease, the labia often look edematous, roughness and tightness appear in the mucosal area. Hair growth often stops on the skin. The diameter of the vagina is greatly reduced.

But one should not, on the basis of these symptoms, diagnose kraurosis and begin treatment, similar symptoms may be due to. Any diagnosis requires confirmation. In order to put accurate diagnosis some research needs to be done. But Often the diagnosis can be made at the first examination of the patient.. If kraurosis disease is suspected, a colposcopy examination is performed, it is during this procedure that changes in the mucosa and its damage can be seen.

Patients who are faced with the disease, experts recommend taking a series of tests using the PCR technique.

Treatment of kraurosis is carried out with the help of medications, which are aimed at reducing itching, removing swelling and eliminating the inflammatory process. Many patients are prescribed drugs that relieve allergies, for example, suprastin.

Also appointed sedatives which have a mild sedative effect.

Local preparations that are prescribed for kraurosis include hormonal ointments, the main component of which is estrogen or progesterone. At a young age, estrogen preparations are not recommended. Most strong action provide medicines, active ingredient which are androgens. Treatment of kraurosis with such ointments quickly and permanently eliminates the sensation of itching and discomfort.

If the pathology is accompanied by any infection, then antibacterial ointments are prescribed that fight inflammation and eliminate the infection.

Non-drug treatment of kraurosis: laser, physiotherapy, phototherapy

Often, in addition to drugs, treatment includes non-pharmacological means such as: laser, physiotherapy and phototherapy.

Treatment with these methods positive impact on the general state mucous membrane of the genitals. In this case, the methods are recommended to be used together with the use of medicines, in this case, the effectiveness and efficiency of therapy is significantly increased. The attending physician should determine the course of procedures and their specifics after the examination. It is impossible to say which procedure is better, since in each case the result is individual.

Apart from drug therapy and physiotherapy, nice results show folk methods of treatment:

Women who decide to treat vulvar kraurosis only with folk remedies at home should not rely on it. high hopes. Reviews of those who have already undergone such therapy speak only of a decrease in symptoms and discomfort. On the complete cure one can hope only in complex therapy and strict self-organization.

From the mouth of an oncogynecologist:

inevitable age-related changes are perceived differently by us. Some immediately diagnose themselves with "old age", after which they fall into apathy and lose all interest in active life. Others, on the contrary, even at the age of 80 manage to maintain a teenage thirst for activity, and look at health problems philosophically and with irony. Why was it necessary to once again proclaim the obvious truths, you ask?

The fact is that the first category is of no interest to doctors, since any persuasion and exhortation to undergo a course of treatment rests on misunderstanding and decadence, and the patient prefers to come to terms with the "inevitable". But both of them suffer from this, since many doctors, faced with an “age-related” disease, out of habit only shrug their shoulders and prescribe harmless complex vitamins. “Understand, you are no longer a teenager ...” - this phrase, familiar to many, should, according to doctors, “support” the sick person.

In practice, the opposite happens most often, and an adequate patient from the conditional group of optimists moves into the category of “old people”. A wonderful illustration of what has been said is the kraurosis of the vulva. The diagnosis is unpleasant and in a sense really age-related, but it would be unreasonable to consider it incurable. Therefore, 35-45-year-old women, who lowered their hands from this news and prepared for imminent old age, must understand that life - bright, exciting and full - is far from over.

Description and main clinical manifestations

Kraurosis of the vulva (scheme)

It is believed that vulvar kraurosis is a chronic and intractable pathological process in which hyperkeratosis (excessive thickening) of the epithelial layer and its atrophy develops, the growth of coarse connective tissue and, as a result, dysfunction of the external genital organs. There are three stages of the disease:

1 stage. The patient notices the first signs of a problem: swelling and redness of the genitals. There are no other manifestations of kraurosis, although the mechanism of blood microcirculation and the normal supply of oxygen to tissues have already failed.
2 stage. Symptoms become more pronounced: skin problems appear (discoloration, dryness, inelasticity, roughness), initial changes in the mucous membrane and labia.
3 stage. All signs are seen complete atrophy and cicatricial sclerosis of the external genitalia. Fabrics wrinkle, thereby reducing normal volume clitoris, vagina, and urethra. The skin completely loses its elasticity, and the inevitable chronic microcracks due to this often turn into a gateway for various pathogenic microorganisms.

Kraurosis of the vulva (at least in stages 1 and 2) is a disease that can and should be treated. With adequate and timely therapy, the development of irreversible destructive changes can most often be completely stopped while maintaining the usual quality of life!

Symptoms

Pain in the lower abdomen can also be a symptom of kraurosis.

Severe, exhausting and unbearable itching of the vulva, which occurs most often after hot baths, at night and after physical exertion.
Slight tingling in the external genitalia (paresthesia).
Feeling of dryness, tightness and burning (signs of vulvodynia).
Sleep disturbance, decreased performance are signs of exhaustion of the nervous system.
Cardiovascular pathologies.
Unpleasant and painful sex (dyspareunia).
Difficulty urinating and defecation.

Do not ignore the above symptoms, considering them insignificant or insignificant. Once again, we remind you that with a timely visit to a doctor, the situation can be brought under control. To endure pain and self-treat with painkillers is Right way to big problems and intensification of the destructive process!

Causes and risk factors

This topic is still the subject of scientific discussion, so it should not be surprising that doctors, in response to a question about the causes of kraurosis, prefer streamlined and general formulations such as “well, you know, age.” It is assumed that various immune, neuroendocrine and metabolic disorders in the body are involved in the problem, but if you try to understand specific reasons, there will not be so many reasons for a definite answer:

Under certain conditions, vulvar kraurosis can serve as a provoking factor for the development of malignant neoplasms, but the probability of this is not at all 100% (from 20 to 50 cases per 100 patients).

Despite the fact that croirosis of the vulva is one of the intractable diseases, to fight it modern medicine already able (at least for initial stages). Moreover, the widespread opinion among doctors about the irreversibility of changes in the body is nothing more than concern for the “honor of the uniform” and an attempt to avoid explanations with those patients who asked for help too late.

Folk recipes

Herbal collection No. 1. You will need the following components: calendula flowers (20 g), field horsetail and shepherd's purse (10 g each), birch buds (15 g), rose hips (20 g), yasnotka (15 g). 1 tsp carefully chopped mixture pour 200 ml of boiling water, leave for about an hour and strain. Divide the resulting liquid into 2 equal parts and drink at intervals of 12 hours. The course of treatment is 1-2 months.
Herbal collection No. 2. It consists of violet tricolor, strawberry leaves, burdock root (3 parts each), string, horsetail, yarrow, leaves black currant(2 parts each) and 1 part nettle. A tablespoon of the crushed collection is poured into 1/2 liter of boiling water, kept on low heat for 3-4 minutes, insisted for about 20 minutes, cooled and filtered. Reception schedule: 100 ml 3 times a day, the course of treatment is 3 months.
Herbal collection №2
"Carotene box". Grate some carrots (2-3 per medium bowl), pour over with olive oil, boil in a water bath for 10-15 minutes, cool and strain. Take 1-2 tbsp. l., without fail with any juice, 2-3 times a day. Thus, the body will receive a sufficient portion of vitamins A and E. The course of treatment is optional.
Cleanser #1. You need to combine oregano, horsetail, oats, hop cones and calendula flowers (1 tbsp each). Steam the resulting composition in boiling water (1 l), cool, insist (about 2 hours), strain and add 1 s. l. apple cider vinegar.
Cleanser #2. Pour into 1 liter of water or 1 tbsp. l. (9%), or 2 tbsp. l. (6%) vinegar. After the procedure, treat the mucosa of problem areas with a swab dipped in oil solution vitamins A or E (optional).
Herbal collection No. 3. You will need (in equal parts) a boron uterus, a motherboard and a widow's grass. 1 st. l. pour a glass of boiling water, insist for an hour, divide into three equal parts and drink medical fee during the day.
upland uterus mother, or oregano Widow grass - wormwood