ADVERSE FEATURES OF PATIENTS WITH BENIGN DYSTROPHIC DISEASES OF THE VULVA

Abstract

Aim – to present the results of clinical and anamnestic observation, microbiological study of the microflora of the urogenital tract of women with benign dystrophic diseases of the vulva (DVD). Materials and methods. We examined 88 women with verified benign DVA aged 18 to 68 years. Using the clinical-anamestic method, social, household, medical factors that may be associated with the course and outcome of DVA were studied, and the spectrum of the most common pathogens was analyzed. Results. In addition to a number of social, domestic and medical reasons that may have an impact on the occurrence and course of DZV, the authors found that among the examined patients, an average of 2.2 years passed from the moment of the first signs of the disease to the first visit, while according to the literature data, this indicator averages 1.7 years. It was also established that the most common pathogens in DVD were Ureaplasma urealyticum (33%), HPV type 16/18 (24%) and Candida albicans (61%), Gardnerella vaginalis (28%), Staphylococcus epidermidis (44%), which may indicate both their starting and aggravating role in the origin of dystrophy. Conclusion. These studies show late seeking medical help among a significant part of the surveyed (50%), which is partly due to shyness due to the intimate nature of the disease (66%), as well as an inattentive attitude to pathology (47%). The most common microorganisms in dystrophic diseases of the genitals were Ureaplasma urealyticum (33%), HPV type 16/18 (24%) and Candida albicans (61%), Gardnerella vaginalis (28%), Staphylococcus epidermidis (44%).

Keywords

• lichen sclerosus of the vulva
• benign dystrophic diseases of the vulva
• adherence to therapy
• clinical and anamnestic observation
• infections of the urogenital tract