The cervix is ​​an organ that is often subject to inflammatory processes, so sometimes there is a need for specific gynecological measures. One such procedure is a vaginal bath. The entire procedure will take the patient no more than a quarter of an hour, but medicinal solutions prescribed by the doctor can help solve many gynecological problems.

Indications and contraindications

Vaginal baths can be used as an independent method of treatment, as well as in combination with other gynecological procedures. They are also used as preparation for surgery and certain types of examinations.

Contraindications to vaginal baths: menstruation, pregnancy, postpartum and postoperative periods.

Preparation for the procedure

Before going to the office where the procedure will be performed, it is necessary to empty the bladder and rectum, then carry out hygienic measures.

How to make vaginal baths

After the doctor has performed a gynecological examination, he determines the order of the procedure. Then, having explained to the patient all the intricacies of the event, he gets to work.

The procedure is performed in a gynecological chair in several stages:

• Cusco's speculum is fixed in the vagina;
• part of the solution is poured into the vagina and, with the help of mirrors, is immediately drained;
• the remaining solution is poured into the vagina so that the entire vaginal area of ​​the cervix is ​​covered;
• After 5-15 minutes, the solution is drained, and the doctor uses cotton swabs to dry the vaginal walls.

After the procedure is completed, the patient can go about her business; there is no need to stay in the medical facility for observation. There is no need to be afraid that the procedure will cause harm, because the solutions used for vaginal baths are diluted in safe proportions, and the instruments are thoroughly disinfected.

Results

As a result of the use of vaginal baths, patients experience the following improvements:

• pain and inflammation disappear;
• other symptoms of diseases are relieved: itching and burning go away.

During and after the procedure, there is a possibility of the following complications occurring: injury to the vaginal tissue when installing instruments, pain when removing the speculum, an allergic reaction to drugs introduced into the vagina. To avoid such consequences, you need to do an allergy test with this drug before the procedure.

At the Diana Clinic, vaginal baths are performed by experienced doctors, so you don’t have to be afraid of pain and other unpleasant sensations.

Vaginal bath (therapeutic) - 500 rub.

One of the simple but very effective procedures in gynecology is vaginal bath. Thanks to the direct delivery of the disinfectant to the cervical area, it allows you to achieve a good anti-inflammatory effect.

Vaginal bath: when and why?

The cervix, despite its small size, naturally has a special structure. There are two types of epithelium adjacent here - single-layer cylindrical and multilayer squamous. The border where the two types of epithelium meet each other is where most inflammatory diseases occur. What works well to relieve inflammation? – Rinsing the inflamed area with disinfectants. A vaginal bath helps achieve this goal.

Main medical indications for the procedure:

• Cervicitis;
• Endocervicitis;
• Cervical erosion;
• Colpitis.

For these pathologies, the bath is used in addition to conservative treatment methods. If a vaginal bath is performed before inserting a tampon with medication, this increases the effectiveness of the administered medication. It is also used before surgery to prepare the cervix, and after it for more active rehabilitation.

A vaginal bath is not performed when the cervix is ​​dilated, because in this condition infection can be carried into the uterus. That is, during menstruation, after an abortion and childbirth, this procedure is not prescribed.

How is this done?

The procedure takes place on a gynecological chair.

1. A speculum is inserted into the vagina. It opens access to the cervix.
2. The cervix is ​​treated with a sterile cotton ball and the mucus is removed.
3. The first dose of medication is administered. It pours out immediately by tilting the mirror down.
4. The second portion of the medicine is poured in. The speculum is closed and left in the vagina for 5-10 minutes.
5. After this time, the medicine is drained and the vagina is dried with a sterile swab.

The patient can go home immediately after the procedure. The regularity of baths is prescribed by the attending physician.

At the Medic center, all basic medical procedures in the field of gynecology are performed, including vaginal baths. Sign up and come to the appointment. Qualified health workers with extensive experience will help you quickly and delicately solve problems with women's health.

Diagnosis and treatment	Price
Doctor's appointment (initial)	1500 rub.
Treatment regimen	2000 rub.
Checking the patency of the fallopian tubes under ultrasound control	6000 rub.
Doppler	1200 rub.

Equipment. Sterile: Cusco vaginal bicuspid speculum, forceps, cotton balls, rubber gloves, diaper; others: gynecological chair, warm solution of a pharmacological agent, individual diaper for the patient. Note. Be sure to warn the patient to empty her bladder, rectum and toilet her external genitalia the day before the procedure. A vaginal bath can be an independent type of treatment in gynecology or can precede treatment with tampons, suppositories, vaginal tablets and other means for insertion into the vagina.

1. Wash and dry your hands.

2. Using sterile tweezers, remove the sterile diaper from the bag, place it on the table next to the gynecological chair and unfold it.

3. Following the rules of asepsis, place a vaginal speculum, forceps, cotton balls, and rubber gloves on the diaper.

4. Place a warm medicinal solution in a volume of 0.5 l next to the gynecological chair.

Note. Medicinal products used for vaginal baths: furatsilin solution 1:5000, or 0.5% potassium permanganate solution, infusion of chamomile, calendula, etc. Liquid temperature - 37-38°C.

5. Conduct psychological preparation of the patient.

6. Invite the patient to place an individual diaper on the gynecological chair and undress to the waist from below.

7. Help the patient lie down on the gynecological chair (see practical skills “Toilet of the external genitalia”).

8. Wear sterile rubber gloves.

9. Go to the gynecological chair and stand at the woman’s feet.

10. Insert the Cusco speculum into the vagina.

11. Open the speculum, expose the cervix so that it is located between the doors of the speculum.

12. Remove mucus from the cervix with a cotton ball on a forceps.

13. Pour a medicinal solution in a volume of 20-30 ml along the back flap of the speculum into the vagina.

14. Tilt the mirror down and immediately drain it.

15. Pour a second portion of the solution into the vagina so that the cervix is ​​completely immersed in liquid.

16. Fix the mirror with a screw on the ratchet.

17. After 10-15 minutes. pour the solution by tilting the mirror down.

18. Using a cotton ball on a forceps, dry the remaining solution in the vagina.

19. Having opened the screw, remove the Cusco speculum from the vagina, after squeezing it.

20. Remove rubber gloves and place them in a container for waste material.

21. Help the woman get out of her chair and offer to get dressed.

22. Disinfect used equipment.

23. Wash and dry your hands.

24. Make a note in the appropriate medical document

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DOUCHING OF THE VAGINA

INDICATIONS:

Colpitis

Endocervicitis

Cervical erosion

Chronic disease of the uterine appendages and others.

CONTRAINDICATIONS:

Uterine bleeding

Menstruation

Pregnancy.

EQUIPMENT: Esmarch mug, vaginal tip, medicinal solution prescribed by a doctor.

TECHNIQUE:

1. Pour 1-1.5 liters of medicinal solution into Esmarch’s mug.

2. Hang Esmarch’s mug on a stand 70-100 cm above the level of the patient’s pelvis.

3. Check the temperature of the liquid in the mug with a water thermometer and wash the external genitalia.

4. Insert the tip into the vagina to a depth of 6-7 cm.

5. Open the tap, releasing liquid at a higher or lower speed.

6. At the end of the procedure, remove the tip.

TECHNIQUE FOR INSTALLING A VAGINAL BATH

INDICATIONS:

Colpitis

Cervicitis.

CONTRAINDICATIONS:

Acute inflammatory processes of the internal genital organs

Uterine bleeding

Menstruation

Pregnancy.

EQUIPMENT: double-leaf mirrors, medicinal solution as prescribed by a doctor

TECHNIQUE:

1. Insert a flap speculum into the vagina, fix it and pour in the solution (the first portion is immediately drained and the water is replaced).

2. The duration of the bath is 10-15 minutes. The patient's pelvis should be elevated so that the solution does not spill out.

Vaginal baths is a form of drug therapy for pathological processes of the cervix. For this purpose, the vaginal part of the cervix is ​​immersed in a medicinal solution for 5-10 minutes.

Contraindications to vaginal baths:

1. menstruation,
2. postpartum and post-abortion periods.

Instruments: vaginal speculum, spoon-shaped and Cusco type, medicinal solutions, forceps, cotton and gauze swabs.

How to make vaginal baths, technique

First, douche the vagina with a soda solution (dissolve the mucus). A spoon-shaped speculum is inserted into the vagina and mucus and liquid are removed with a tuffer. Then replace the spoon-shaped mirror with a folding one (Cuzco), into which the medicinal solution is poured for 5-10 minutes. The vaginal part of the uterus should be immersed in the solution.

At the end of the procedure, the mirror, carefully rotating in one direction, is removed from the vagina. When the end of the speculum reaches the vestibule of the vagina, it is tilted and the liquid is poured into a substitute basin. The remainder of the solution is dried with a cotton or gauze swab before removing the mirror. For vaginal baths, a 2-3% solution of protargol and a 1-2% solution of silver sulfate are most often used.

Ed. prof. V.S. Mayata

“What are vaginal baths, how are they done, contraindications” section