How long does it take to treat urethritis in women? Manifestation and methods of treatment of female urethritis

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What it is? Urethritis - acute or chronic inflammatory process, developing in the structure of the urethra. It is characterized by an inflammatory lesion of the mucous epithelium lining the internal walls of the urethra. Both men and women are affected with equal frequency.

Only urethritis in more than half of the female population can be asymptomatic for a long time. It was this factor that helped men win the “palm” in terms of incidence rates.

Urethritis does not pose a particular danger to a woman’s life, but, as an excellent contributing factor, it poses a great threat of inflammatory damage and the development of complications in other organs of the urinary system. Although the manifestation of the inflammatory reaction in the urethritis itself is often preceded by pathological conditions of these organs.

Early detection of the disease is very important - an advanced disease contributes to the upward progression of infection and the development of dangerous complicated processes that are difficult to stop. With urethritis, it is the most harmless of the complications of the disease.

Causes of urethritis in women

Urethritis in women, photo 1

The leading factor in the development of inflammatory reactions in the mucous epithelium of the urethra are infections and irritations, due to which the disease is classified as non-infectious and infectious pathology, which in turn is divided into specific and non-specific.

The causes of non-infectious urethritis are due to:

A hypersensitivity reaction in the body, in which the immune system, when encountering an irritant, attacks the tissue cells of its own body. To put it simply, it is an allergy.
An irritating factor resulting from trauma to the urethra due to: diagnostic examinations, therapeutic manipulations, passing small stones, allergic and gynecological diseases, tumor processes, venous vascular stagnation, first sexual intimacy.
Anatomical structural disorders in the urinary organs.

The main genesis of infectious specific inflammations in the urethra is infections and microorganisms that contribute to the manifestation of sexually transmitted diseases (STDs and STIs). The causative agents are:

Vaginal Trichomonas;
Mycoplasma and ureaplasma bacteria;
Specific gonococcal and other infections.

Infection of the urethral canal is caused by two routes of infection - sexual (unprotected sex) and hematogenous - through the introduction of an infectious agent into the blood from infected foci in the body (stomatitis, caries, or purulent sinusitis).

The cause of infectious urethritis of a nonspecific nature is the uncontrolled processes of intensive growth and reproduction of pathogenic and opportunistic bacteria (rod-shaped, fungal and coccal representatives), provoked by the failure of weakened immunity due to:

Hypothermia (general hypothermia);
Vitamin deficiency and useful substances in organism;
Various diseases suffered the day before;
Stress and psycho-emotional overload;
Serious hormonal overloads (pregnancy conditions).

At the same time, the addition of various infections often transforms non-infectious urethritis into the category of infectious pathologies, with the manifestation of corresponding symptoms.

Symptoms of urethritis in women, characteristic signs

Female urethritis rarely occurs with clear symptoms. During the period of infection latency (up to 2 months), no signs are noted, but even after this time, most patients may not have any specific symptoms of urethritis. Despite the different nature of infectious urethritis, the signs of their acute manifestation are identical. Characterized by:

unpleasant sensations and itchy symptoms during bowel movements Bladder;
periodically recurring aching painful symptoms in the pubic area;
manifestation of urethral discharge with purulent inclusions;
the appearance of bloody impurities in urine;
a feeling of a “sticky” urethra in the morning.

At the same time, the manifestation of signs of urethritis is not necessary in combination. The severity of many of them prevails over other symptoms.

A distinctive feature of the clinical course of infections of this kind is the absence of common signs, such as increased performance fever and feeling of weakness.

The manifestation of symptoms of chronic urethritis in a woman is possible only with an exacerbation of the process (for example, after hypothermia). Signs of the disease are expressed by severe pain in the lower abdomen, pain syndrome and pain when urinating. Without any medical intervention, (after a couple of weeks) such symptoms subside or disappear altogether.

This gives patients reason to believe that the body has coped with the disease on its own. Meanwhile, the infection continues to successfully grow and reproduce in the vaginal glands and Bartholin’s ducts, promoting exacerbation of the disease for any provocative factor (hypothermia, alcohol consumption, frequent sex, etc.).

The signs of various forms of inflammatory damage to the urethra depend on the specific pathogen, which helps to identify the etiology of the disease and prescribe, based on the symptoms, treatment of urethritis in a woman - with drugs selected to effectively destroy a specific infectious agent.

1) Signs of gonococcal (gonorrheal) urethritis can appear within a day after contact with a carrier of the infection, or after one and a half, two weeks. Symptoms are manifested by severe pain and discomfort during prolonged abstinence from urinating. It is possible to identify an infection only when symptoms appear, since in a chronic course, signs of the disease may be absent.

2) In Trichomonas urethritis, the latent period lasts up to one and a half weeks, after which itching symptoms appear, burning in the area of the urethral canal and external labia, foamy whitish discharge, frequent and sharply painful urination. But in a third of patients the disease may not manifest specific symptoms. When the process becomes chronic, the signs disappear altogether.

3) Symptoms of fungal urethritis (candida) do not appear throughout the entire incubation period (from 10 to 20 days). Then moderate burning pain appears during the act of urination, unpleasant discomfort and discharge in the form of a white-pink, viscous and thick substrate. At chronic form course, it is almost impossible to determine the form of the disease based on symptoms, since the signs can be very diverse.

4) Urethritis caused by chlamydia appears a month after infection. The symptoms correspond to the general nature of the disease, with the only difference being that the discharge is purulent in nature.

5) The manifestation of the urogenital tuberculosis form of the disease is characterized by similarity of symptoms with the above symptoms of the disease. Sometimes it develops with tuberculous kidney damage with simultaneous damage to the urethral canal and the development of cystitis. Extrapulmonary pathology (lung tissue on X-ray without pathologies) is characterized by signs of prolonged low-grade fever, weakness and hyperhidrosis.

From all this abundance of forms and similar symptoms, one thing is clear - treatment of female urethritis should take place after a thorough differentiated diagnosis and accurate determination of the etiology of the disease.

Treatment of acute urethritis, drugs

Uncomplicated urethritis in women can be successfully treated – comprehensively and step-by-step. For female urethritis, antibiotic therapy is the most effective stage of treatment. Its effectiveness is due to the correct choice of the drug, which is selected purely individually, taking into account the high sensitivity of a particular pathogen to it.

In order not to waste time while the pathogen is determined, antibiotics with a broad (universal) property are prescribed. Among the most popular:

Drugs from the cephalosporin group: Cefotaxime, Cefazolin, Ceftriaxone. Drugs of the sulfonamide group in the form of “Sulfazol” or “Urosulfan”. Macrolide antibiotics: Azothromycin or Clarithromycin. Fluoroquinolone drugs such as Clinafloxacin.
Sexually transmitted infections are treated with Erythromycin, Tetracycline, Cefuraxime, Oletethrin, Rifampicin, etc.
For fungal genesis, select antifungal drugs- Natamycin, Levorin, Nystatin and Clotrimazole.
Antimicrobial drugs and analogues of “Benzidamine”, “Ornidazole”, “Metronidazole”, “Chlorhexidine”.
For viral etiology of the disease, antiviral drugs are indicated: Anciclovir, Famciclovir, Ganciclovir, Ribavirin.

Prescribed tablets medications, drugs for intramuscular or intravenous injection. In accordance with the symptoms of urethritis in women, antibiotic drugs are selected according to schemes - for monotherapy (prescription of one antibiotic), combined schemes of 2, 3, and 4 phase treatment.

Treatment with antibiotic drugs is supplemented by installations - the introduction of antibiotics directly into the urethra using catheterization and intravaginal suppositories.

Vaginal suppositories for urethritis are selected according to three categories: those with antibacterial, anti-inflammatory and antiviral properties. Among them are Hexicon, Polygynax and Betadine.

An indispensable condition for successful therapeutic treatment is a correction of the diet with plenty of fluid intake.

Treatment of chronic urethritis in women, drugs

When treating chronic forms of female urethritis, long-term therapy includes:

antibiotic therapy individually selected for this pathogen;
washing the urethral canal with antiseptic drugs;
antibacterial installation of the urethra;
with pronounced signs of urethral narrowing - cauterization and bougienage of the urethra;
vitamin complexes and enzyme treatment (enzyme therapy);
immunomodulatory agents, interferons, antioxidants and probiotics.

Complications of the disease often develop as consequences of a long asymptomatic course of the disease, or when treatment fails. One of the first complications of female urethritis is cystitis. The subsequent rise of infection can manifest itself as inflammatory reactions in the form of colpitis, andexitis or endometritis. The most unfavorable consequence of the disease is.

The prognosis of treatment is determined by the timeliness of diagnosis and a correctly drawn up treatment protocol. Compliance with these conditions, as a rule, eliminates the development of complications.

Sometimes they manifest themselves in the form of irreversible changes in the urethral canal itself - narrowing of its vessels, the so-called proliferation of scar tissue. All this can be avoided if you do not self-medicate, but entrust yourself to a specialist.

Main symptoms:

Urethritis in women is an inflammatory disease that affects the walls of the urethra. With absence timely treatment the pathological process occurs quite quickly acute form becomes chronic, which leads to the development of other diseases.

Acute urethritis in women can manifest itself at any age, however, due to the nonspecificity of clinical signs, it is not always diagnosed in a timely manner. It is impossible to take any medications on your own or carry out therapy through traditional medicine without an accurate diagnosis. Such actions can lead to the development of serious complications.

How to treat urethritis in women can only be told by a specialized medical specialist after carrying out the necessary diagnostic measures and making an accurate diagnosis. If therapy is started in a timely manner, the prognosis is favorable in most cases.

It should be noted that it can occur not only in women, but also in men. However, due to the physiological characteristics of the former, the disease can occur together with cystitis and is diagnosed more often.

Etiology

The causes of urethritis in women may be due to the following etiological factors:

genitourinary tract infection;
complications after certain gynecological procedures;
neoplasm in the urethra;
rough sexual intercourse;
allergic reaction for a cosmetic or detergent;
diseases of a gynecological nature - , .

Transmission of infection during urethritis in women can occur sexually or hematogenously.

In addition to direct etiological causes, several predisposing factors for the development of the inflammatory process should be highlighted:

weakened immune system due to other chronic diseases;
STD;
frequent hypothermia;
compliance with mono-diets;
the presence of chronic infectious foci;
failure to comply with basic rules of personal hygiene;
trauma to the external genitalia;
use of irritating contraceptives;
chronic diseases genitourinary system;
alcoholism;
pregnancy.

Regardless of what caused the development of the inflammatory process, you need to understand the following: treatment of urethritis in women should only be comprehensive, therefore, the provoking factor must first be eliminated.

Classification

Acute and chronic urethritis in women is classified according to several criteria. So, according to etiology they distinguish:

infectious;
non-infectious.

The infectious form of the disease occurs:

nonspecific urethritis - most often provoked by Escherichia coli, staphylococci, streptococci;
specific - sexually transmitted, trichomonas urethritis is more often diagnosed in women;
viral - provoked by HPV or herpes virus.

According to the nature of the pathological process, it can be acute or chronic. Urethritis is classified as either complicated or uncomplicated by cystitis. The latter is very rare. Even if everything points to urethritis in women, it is highly not recommended to independently compare symptoms and treatment. Such actions can only aggravate the course of the pathological process.

Symptoms

Quite often the disease is asymptomatic in the first stages of development or has minor clinical manifestations, which is attributed to a temporary deterioration in health. It is also worth considering the fact that in women, the symptoms of urethritis may be blurred if the patient took any medications on her own or underwent treatment folk remedies.

General symptoms of urethritis in women are as follows:

itching in the vagina and vulva;
discharge of a yellow or green color with a purulent consistency - the color of the discharge will depend on the causative agent of the inflammatory process;
discomfort, pain during sexual intercourse or during urination;
a burning sensation after urination, which persists for some time after emptying the bladder;
redness of the external genitalia;
frequent urge to urinate, which does not bring relief.

If urethritis occurs along with cystitis, clinical picture may be supplemented with the following features:

pulling pain in the lower abdomen;
burning and pain during emptying of the bladder, which does not go away even after urination;
there may be blood in the urine;
the urge to urinate may bother the patient every 10–15 minutes.

In addition to specific symptoms, there are also general signs of urethritis in women that are not directly related to the genitourinary system:

muscle pain;
an increase in temperature - most often this is a low-grade fever, but a rise in readings up to 38 degrees is not excluded;
weakness, irritability.

It should be noted that with uncomplicated urethritis, general signs are most often absent.

Candidal urethritis in women complements the general clinical picture with the following signs:

white discharge, sometimes with a pink tint;
Blunt pain lower abdomen;
The discharge has a strong, unpleasant odor.

Candidal urethritis in its clinical picture is similar to some diseases that are sexually transmitted, so self-treatment is strongly not recommended.

Unfortunately, this disease can occur in little girls. You can suspect the course of the inflammatory process based on the following signs:

the child cries while urinating;
visits the toilet less often, although he drinks enough fluids;
symptoms of general intoxication may be present.

If you have symptoms, you should consult a gynecologist; taking any medications yourself is strongly not recommended.

Diagnostics

The diagnostic program consists of a physical examination of the patient and carrying out the necessary diagnostic measures. During the initial examination, the doctor finds out the nature of the clinical picture and collects an anamnesis.

Based on the data obtained, a diagnostic program is determined, which may include:

UAC and BAC;
urine analysis according to Nechiporenko or Zimnitsky;
bacteriological examination urine;
urethroscopy;
ultrasonography pelvic organs;
analysis for Mycobacterium tuberculosis;
STD test.

The doctor determines how to treat urethritis in a woman only after the final diagnosis. In any case, treatment must be comprehensive.

Treatment

In women, treatment of urethritis, if the disease is uncomplicated, can be done at home or on an outpatient basis. But drugs, physiotherapeutic procedures and general recommendations doctor's instructions must be strictly followed.

Drug therapy may include:

Antibiotics for urethritis can be prescribed in the form of tablets or injections (Monural is most often used);
general strengthening;
anti-inflammatory;
suppositories for cystitis as a complication;
vitamin and mineral complexes.

Daily procedures will be required - washing the genitals with an antiseptic solution. For this, you can use both pharmacy products and herbal decoctions that have the same properties - at the discretion of the doctor.

Separately, it should be said about such a drug as “Monural”. This antibiotic can only be prescribed by a doctor individually. Monural is used to treat not only urethritis, but also other diseases of the genitourinary system, so you should not take the medicine thoughtlessly.

Treatment of urethritis with folk remedies is possible, but only in consultation with the attending physician and as an addition to the main course of treatment. You need to understand the following: through traditional medicine you can relieve symptoms, but not eliminate the disease at the root. Therefore, it is inappropriate to use such methods as the main ones.

Provided that therapy is started in a timely manner, the prognosis is favorable and there are no complications. Otherwise, the disease becomes chronic, which is almost impossible to completely cure.

Prevention

Preventing a disease is much easier than treating it. In this case, it is enough to follow these simple recommendations:

maintaining intimate hygiene;
avoiding hypothermia;
use of hypoallergenic cosmetic care products;
healthy intimate relationships- if necessary, you need to use special lubricants;
prevention of STDs.

You should definitely undergo a preventive examination by a gynecologist at least once every six months. If you have chronic diseases or other predisposing factors, you need to visit your doctor more often.

Is everything correct in the article? medical point vision?

Answer only if you have proven medical knowledge

Burning sensation and discomfort when urinating in women may indicate inflammation of the urethra. The woman's urethra is susceptible to various types of infections and irritations. This is explained by its anatomical location between the vagina and anus, which are potentially dangerous due to the possibility of penetration of pathogenic bacteria into the external opening of the urethra. There are other reasons for the development of urethritis associated with mechanical irritation, allergies, viruses, and fungal infections.

What is urethritis in women

The urethra (synonym: urethra) is an organ with the function of removing fluid from the bladder into the external environment. It is a single tube through which both women and men urinate.

The urethra is a tubular organ that connects the bladder to the external environment

At any age valid various reasons Inflammation of the urethra, or urethritis, may develop. This fact applies to both sexes. However, women are in the zone increased risk, which is due to the structural features of the genitourinary system of the fair sex. The female urethra is located in the pelvic area between the pubis and the vagina, its external opening extends into the area of the vestibule of the vagina behind the clitoris. Anatomically, the organ is wider and shorter (about 4 cm) than in men (equal to the length of the penis), which means that bacteria penetrate the woman’s urethra more easily and quickly.

Female urethritis is most often caused by bacterial pathogens and causes painful urination and frequent trips to the toilet. However, urethritis should not be equated with a urinary tract infection. Doctors differentiate these conditions, even though they may have similar symptoms. The treatment approach differs and depends on the underlying cause of inflammation.

Types of disease and causes of infection

The main role in the development of inflammation of the urethra belongs to various types of infections; less likely causes include mechanical irritation or other non-infectious factors. Thus, urethritis comes in two main types:

infectious, which is caused by a certain type of pathogen (bacterial or viral);
non-infectious, which is not associated with a specific pathogen.

Infectious urethritis is further divided into two large groups:

gonococcal, which develops as a result of infection with a bacterium that causes gonorrhea (about 20% of cases);
non-gonococcal, which is caused by other pathogens (chlamydia, trichomonas, mycoplasma, candidal fungus, herpes or papilloma viruses, cytomegalovirus).

When urethritis has a set of symptoms characteristic of a certain type of pathogen, then such inflammation is called specific for this type of pathogen. Nonspecific infectious urethritis occurs as a classic inflammatory reaction characteristic of the body as a response to most types of infectious pathogens.

Non-infectious inflammation may be due to the following reasons:

Sometimes patients have a combination of several causes for inflammation.

Infection of the urinary canal occurs in one of two ways: as a result of sexual intercourse with an infected person (sexual route) or from any source of chronic inflammation in the body through the bloodstream (hematogenous route). Such foci may include purulent tonsils, inflammation maxillary sinuses, caries.

Newly developed urethritis is classified as acute inflammation. If, after successful recovery, the disease recurs 2–3 months later, this indicates a chronic course of the inflammatory process.

Risk factors

Additionally, various conditions that negatively affect or have a noticeable burden on the immune system contribute to the development of urethral infections. These conditions include:

postoperative period;
chronic or recent acute illnesses;
poor diet;
violations of intimate hygiene rules (untimely/improper washing);
pregnancy;
hypothermia;
chronic stress;
alcohol abuse.

Symptoms of inflammation

Female urethritis is not characterized by severe symptoms. Specific manifestations occur rarely. The incubation period can range from 1 day to several weeks after infection. During this time, there are no signs of inflammation. The following general signs and symptoms may gradually appear:

increased number of urinations;
discomfort when going to the toilet;
burning or irritation in the urethra;
unusual vaginal discharge;
purulent discharge or impurity (in advanced forms of the disease);
elevated temperature;
pain in the lower abdomen.

Urethritis - inflammation of the urethra as a result of infection or other damage to the organ wall

Non-infectious urethritis does not cause fever, pain in the lower back or lower abdomen, or traces of blood in the urine. Such symptoms indicate the presence of an infection, which means that it is necessary to consult a doctor for diagnosis and treatment.

In approximately half of the cases, women have no symptoms at all, especially if the causative agent is chlamydia or mycoplasma. The asymptomatic course of the disease is dangerous because the patient is a spreader of the infection, and in addition, she herself is in a situation that threatens complications against the background of apparent well-being.

For this reason, it is important to get tested regularly. It will accurately indicate the presence or absence of sexually transmitted infections (STIs).

How is urethritis diagnosed?

Diagnosis of the disease in women, as in men, is carried out by a urologist. An initial medical examination may reveal an increase in size and redness of the external opening of the urethra and the surrounding area. Touching the inflamed area is painful and unpleasant.

The set of mandatory tests includes:

Clinical (general) analysis of urine and blood.
Urinalysis according to Nechiporenko is a special test that determines the number of leukocytes and red blood cells in 1 ml of urine; used to identify inflammatory processes in the urinary system.
Urine culture and pathogen sensitivity test to antibiotics - an analysis to identify a possible causative agent of infectious inflammation and determine its sensitivity to different types of antibacterial drugs. It is carried out by culturing urine on special nutrient media. The result must be expected within 4 weeks, sometimes longer. May include a test for Mycobacterium tuberculosis (Koch's bacillus) of the genitourinary system.
Urethral smear - collection of biomaterial from the area of inflammation for further research using PCR diagnostics. This modern method is highly accurate because it is based on the study of DNA or RNA molecules that any virus or pathogenic microorganism contains.

Urethroscopy - examination of the inner surface of the urethra using a medical endoscope

Instrumental diagnostic methods are represented primarily by urethroscopy. The examination is carried out using an endoscopic device in the form of a tube with an optical device, which is inserted into the urethra to examine the internal surface of the organ. At the same time, the doctor has the opportunity to collect biological material for analysis. Ultrasound diagnostics makes it possible to assess the overall picture of the condition of the pelvic organs.

The final differential diagnosis is carried out by a specialist based on test results, since even specific symptoms do not give a clear answer to the question about the type of pathogen. The correct prescription of therapy directly depends on the accuracy of the diagnosis.

Differential diagnosis of types of infectious urethritis - table

Type of infectious urethritis	Specific symptoms
Gonorrheal	The first symptoms appear several weeks after infection and include: pain and stinging when urinating, retention of urine, cloudy urine, greenish discharge from the urethra. Without timely treatment, the disease becomes chronic, in which there may be no symptoms.
Trichomonas	A third of episodes of Trichomonas urethritis are asymptomatic. In other cases, symptoms appear 2-3 weeks after infection. Characterized by itching and burning in the area of the external genitalia and urethra, foamy greenish-yellowish discharge.
Candida	In addition to painful urination, this type of urethritis is characterized by the presence of a moderate amount of whitish discharge of a thick consistency.
Mycoplasma	Mucous discharge from the vagina in unpleasant smell, discomfort and burning when urinating, pain in the lower abdomen.
Chlamydia	Yellowish vaginal discharge, painful urination, fever (not always).
Tuberculosis	Usually develops in the complex of tuberculosis of the genitourinary system. Characteristic signs (in addition to the general signs of urethritis): weakness, excessive sweating, low-grade fever, blood in the urine, frequent urination.

Features of treatment of different types of urethritis

Antibiotic therapy is the mainstay of treatment for infectious inflammation of the urethra. In some cases, antiviral or antifungal agents are used, depending on the diagnosis. The drug is selected based on the specific type of pathogen. The course of treatment takes place at home and takes about a week. The tablet form of drugs is mainly used, less often antimicrobial ointments, topical creams, and antiseptic solutions are used. Hospitalization may be necessary in rare complicated cases.

Drug therapy

Nonspecific inflammation is treated with broad-spectrum antibiotics, these include drugs from the following groups:

cephalosporins (Ceftriaxone, Cefazolin, Cefotaxime);
sulfonamides (Urosulfan, Sulfazol);
macrolides (Azithromycin, Clarithromycin);
fluoroquinolones (Levofloxacin, Clinafloxacin, Oflosacin).

The gonococcal type of inflammation is treated antibacterial drugs, active against the causative agent of gonorrhea - Neisseria gonorrhoea. These include:

antibiotics of the cephalosporin group (Ceftriaxone, Cefuroxime, Cefacor);
combination antimicrobial drugs (Oletetrin);
aminocyclitol antibiotics (Spectinomycin);
anti-tuberculosis antibiotic active against gram-positive and gram-negative cocci (Rifampicin);
macrolides (Erythromycin).

If it is determined that the causative pathogen is chlamydia or mycoplasma, then the drugs of choice are:

tetracyclines (Tetracycline, Doxycycline);
macrolides (Azithromycin, Clarithromycin, Erythromycin);
fluoroquinolones (Oflosacin, Clinafloxacin).

Trichomoniasis, as one of the causes of urethritis, is treated with the antimicrobial agents Trichopolum (Metronidazole) or Ornidazole, as well as a nitroimidazole antibiotic called Nimorazole. In combination with therapy, local antiseptics and anti-inflammatory drugs can be used:

Benzydamine;
Chlorhexidine;
Iodovidone (suppositories).

Antimycotic drugs, such as Clotrimazole, Nystatin, Levorin, are used for the inflammatory process caused by candida fungus. Clotrimazole is used topically in the form of an ointment, as well as in the form of tablets for oral administration.

Viral urethritis is treated with antiviral agents, which may include:

Acyclovir;
Ribavirin;
Penciclovir.

If the drug is chosen correctly, the first improvements can be observed 1–2 days after the start of therapy. If the disappearance of symptoms occurs before the course of treatment prescribed by the doctor is completed, it is necessary to take the medicine for as many days as recommended by the specialist, otherwise the infection may recur with renewed vigor.

If urethritis is associated with a sexually transmitted disease, then the patient’s sexual partner must undergo diagnostics and, if necessary, treatment. Sexual activity can be resumed no earlier than 1 week after both partners have fully recovered.

Treatment of the chronic form

A protracted or recurrent course of the disease requires an integrated approach to treatment with a multifaceted effect on the source of inflammation. This approach includes not only a systemic antibacterial therapy, but also local antiseptic treatment with solutions (for example, Chlorhexidine) or anti-inflammatory ointments (Cycloferon, Viferon), which provide additional immunomodulatory and antiviral effect. Therapy includes taking multivitamin complexes and drugs to increase the body's immune forces (for example, based on Echinacea purpurea), taking probiotics and hepatoprotectors (in the treatment of chlamydia).

Instillation into the urethra - the procedure of drip injection of a medicinal solution into the urethra

For chronic urethritis of gonococcal origin, drip infusions of liquid medications (antibiotic solutions) are performed into the opening of the urethra. In the presence of strictures (narrowing of the lumen of the canal), instillation of colloidal silver into the urethra is used, as well as the bougienage procedure - the introduction of a hard or soft metal rod (bougie) into the cavity of the canal in order to expand it. In this case, the diameter of the rod is gradually increased to a given size.

If chronic urethritis is caused by the mechanical impact of the catheter or other injury, then the decision to prescribe antibiotic therapy to prevent infection is made by the doctor. Sometimes a course of antihistamines (antiallergic) drugs is indicated, the action of which relieves swelling and irritation.

Diet

Caffeinated drinks and sweets such as coffee, tea, Coca-Cola, chocolate. It is better to reduce or eliminate these drinks as much as possible, replacing them with bottled drinking water.
Fruits and vegetables rich in natural acids, such as citrus fruits: lemons, limes, oranges, grapefruit, tomatoes. It is necessary to limit only temporarily until recovery occurs.
Spicy dishes and foods, such as horseradish, mustard, hot peppers, barbecue sauce, spicy snacks (chips, croutons, crackers).
Alcoholic drinks. It is advisable to exclude it completely for the entire period of treatment.

It is beneficial to consume freshly squeezed carrot juice mixed in equal proportions with apple or celery juice, which is a recognized remedy for the symptoms of urethritis.

Recipes of traditional healers

Some well proven ones traditional methods treatments can be used as part of complex therapy if the attending physician approves such actions. Effective folk methods are easy to use and not dangerous in terms of side effects, these include:

Baths or lotions with essential oils. Add a few drops essential oil cypress, pine (which is especially useful), or parsley into clean, cool water and rinse the external opening of the urethra with it. You can also moisten a clean soft cloth, towel or cotton wool, applying to the inflamed area for a few minutes. This remedy has anti-inflammatory, analgesic and antiseptic effects. It can be used as needed.
Cranberry juice. Most effective remedy from inflammation and infection urinary tract. Cranberries stimulate the production of hippuric acid in the urine, which inhibits the growth of bacteria that cause urethritis. It also prevents the attachment of pathogenic microorganisms to the mucous membrane of the urinary tract. For cooking medicine squeeze juice from washed fresh berries. The resulting concentrate is mixed half and half with boiled water. If desired, add honey to taste. Take 2–3 glasses of fruit juice per day. In some people, cranberries may cause a hypersensitivity reaction such as a rash or digestive upset. In this case, treatment with this drug is stopped.
Soda solution. A common problem with urethritis is urine, which irritates the mucous membrane of the urinary tract and causes a burning sensation when going to the toilet. To neutralize excess acid in urine, people use a solution of soda orally. The therapeutic effect of sodium bicarbonate is expressed not only in the more gentle effect of alkaline urine on the walls of the urethra, but also in the fact that the alkaline environment ensures the natural death of harmful microbes. To prepare the solution, pour 1 teaspoon of soda into 250 ml of hot drinking water. An effervescent reaction occurs. You need to wait until the solution cools down a little and drink in small sips. Take 1–2 glasses of solution per day.

Traditional treatment of urethritis - gallery

Cypress oil helps relieve burning and discomfort from urethritis Cranberry juice prevents the proliferation of bacteria in the urinary tract Baking soda is an excellent remedy for alkalinizing urine.

Treatment prognosis and possible complications

The disease is most often treated effectively and quickly if the infection has not had time to spread to other organs of the urinary system. In advanced cases, when the bladder or kidneys are involved, treatment is much longer, and complications are potentially dangerous to health.

Venereal diseases, common reasons inflammation of the urethra, threatens women with the development of chronic inflammation reproductive organs and potential infertility. Other complications include chronic pain in the lower abdomen and discomfort during sexual intercourse. Women with untreated sexually transmitted infections are more susceptible to ectopic pregnancy, which carries a serious risk to life.

Preventive measures

Most pathogens that cause inflammation of the urethra are transmitted through sexual contact. Therefore, precautions related to sexual intercourse help greatly in preventing undesirable consequences. A few simple rules below will help protect yourself from contracting STIs and their consequences in the form of urethritis:

Avoid sexual relations simultaneously with several partners.
Use condoms during sexual intercourse with a casual or non-regular partner.
Regularly undergo a medical examination and take the necessary tests.
If you become aware that you are infected with an STI, be sure to inform your loved ones who are in close contact with you so that they can take protective measures regarding their health.
Remove wet swimsuits or swimming trunks immediately after swimming.
Avoid sitting on extremely cold or hot surfaces.

Other methods of prevention include drinking enough fluids, preferably clean drinking water. This technique will speed up the process of urine production. This way the infection will be washed out of the body naturally. It is not recommended to abuse foods and drinks that irritate the urinary tract, as well as use cosmetics for intimate areas (sprays, lubricants, etc.) that irritate the mucous membranes or cause allergies.

Causes and symptoms of urethritis: video

Urethritis is a common infection that can be successfully treated and rarely causes complications. You should not ignore any symptoms of discomfort during urination, as well as the presence of unusual discharge, in order to prevent the disease from becoming chronic, which is more difficult and longer to treat than acute inflammation.

With chronic urethritis, pain may occur at rest. In most cases, in women, symptoms may not appear at all, which significantly reduces the chance of detecting urethritis and its treatment. Urethritis is an inflammation of the urethra (urethra). Cystitis and urethritis in women often occur simultaneously. At the same time, their manifestations can be equally pronounced, or the symptoms of one of the diseases can sharply predominate. The causes of urethritis in women are varied. In women, inflammation of the urethra is immediately followed by inflammation of the bladder (cystitis). If the first symptoms of urethritis occur, you should immediately contact a urologist. Female urethritis, as a rule, has milder symptoms than male urethritis. The main reason for this is the structure of the genitourinary system. Gonococcal urethritis is accompanied by purulent discharge from the urinary canal, as well as pain and cramping.

Perhaps of all sick women, those with urethritis suffer the most. The main symptoms of urethritis in women are pain along the urethra, which may have a burning or stinging character. Initially, pain is noted only when urinating, and over time it also manifests itself at rest. The main cause of urethritis in women is infection.

Urethritis is the process of inflammation of the urethra, the thin duct through which urine is removed from the bladder. Symptoms of urethritis in women include pain and pain during urination. If you do not pay attention to the symptoms of urethritis in women, that is, if you start the disease, then the disease can become chronic.

In women, the symptoms of urethritis are extremely difficult, if not impossible, to distinguish from the symptoms of cystitis, and urethritis in its pure form (without an accompanying inflammatory process in the genital organs) is extremely rare.

The main symptoms and signs of urethritis in women include:

Discharge from the urethra (the nature of the discharge depends on the causative agent of urethritis, most often greenish or white-yellow or bloody discharge with an unpleasant odor is observed)
Lower abdominal pain. As a rule, pain with urethritis in women is localized in the lower abdomen. Pain with urethritis in women is constant and of low intensity
Burning (itching) in the area of the urethra, redness of the outlet of the urethra.

Most often, symptoms of urethritis in women appear several hours or days after sexual intercourse.
In view of those already described above anatomical features structure of the urethra in women, their urethritis is often associated with cystitis.

Symptoms of urethritis in women appear several hours or days after sexual intercourse. Due to the anatomical features of the female urethra, urethritis is usually associated with the disease cystitis.

Symptoms of urethritis in women are often confused with manifestations of cystitis. The latter disease is inflammation in the bladder. The main manifestation of cystitis is a frequent urge to empty the bladder. With the development of cystitis, pain in the lower abdomen and pain in the urethra at the end of urination are noted. With the development of symptoms of urethritis in women, a slightly different picture is observed - pain occurs at the very beginning of the process or evenly accompanies the entire process of emptying the bladder. In addition, at an advanced stage of the disease, pain in the urethra does not go away.

Urethritis in women is much more complicated than in men. He deprives a woman of a full life.

Meanwhile, cystitis and urethritis can develop in parallel. Under such circumstances, the symptoms of urethritis in women may be similar to the symptoms of cystitis, or dominate the latter disease.

Previously, there was an opinion that only men were susceptible to urethritis. In reality, this is not at all true - every woman can get urethritis.

There are two types of urethritis - non-infectious and infectious. The causative agents of the latter can be microorganisms:

- specific- those that cause exclusively sexually transmitted diseases (Trichomonas, gonococcus, mycoplasma, chlamydia, ureaplasma, less often - gardnerella). Moreover, infections are often combined with each other or with concomitant diseases caused by other fungi, bacteria and viruses.

- nonspecific(a group of opportunistic microflora - staphylococcus, proteus, streptococcus, E. coli and others).

What is Urethritis

Urethritis is an inflammation of the urethra. Its main manifestation is burning, stinging or pain when urinating, but at some stage of the disease the urethra begins to hurt constantly, day and night, day after day.

There is no need to confuse urethritis with cystitis - inflammation of the bladder. The manifestation of cystitis is frequent urination, or frequent false urge to urinate. Cystitis is characterized by pain in the lower abdomen or sharp pain in the urethra at the end of urination. With urethritis, the pain is strongest at the beginning of urination or the same throughout it. In addition, as already mentioned, the urethra can hurt constantly, without any connection with urination at all.

Cystitis and urethritis often occur simultaneously. At the same time, their manifestations can be equally pronounced, or the symptoms of one of the diseases can sharply predominate. In women, the symptoms of urethritis are less pronounced than in men and may go unnoticed altogether.

Who suffers from urethritis

Any woman can get urethritis. Moreover, it is a rare older woman who can say that she has never had similar symptoms in her life. Of course, the more predisposing factors, the greater the chance of developing urethritis, but there are so many of these predisposing factors, and they occur so often that literally any woman has a chance of getting sick.

Still, let’s list some of these factors here to make it clear what I’m talking about.

Hypothermia - one-time strong or periodic not too strong, both can lead to the occurrence of urethritis.
Sex life. The beginning of sexual activity under certain conditions becomes the beginning of suffering associated with urethritis. Violent sexual intercourse can cause symptoms of urethritis in any woman at any time. Women who suffer from urethritis for a long time usually note an exacerbation of urethritis after each sexual intercourse.
Errors in diet. Hot, sour, salty, spicy, fried, pickled, bitter, alcoholic - all these substances enter the urine and, when released, irritate the urethra.
Gynecological diseases. This is perhaps the most serious of all predisposing factors. Almost any disease in this area leads to disruption of the vaginal microflora and a decrease in local immunity. And any disease can thus lead to the development of urethritis.
Urolithiasis disease. If crystals constantly form in the kidneys, they, released in the urine, can injure the walls of the urethra and cause symptoms of urethritis. Usually, sooner or later inflammation occurs, and severe urethritis develops.
Medical procedures and interventions. A smear from the urethra in a woman can cause the development of urethritis. Catheterization of the bladder, cystoscopy - all this is familiar to women suffering from urethritis, and all this leads to an exacerbation of the disease, although it is carried out to treat it.
Decreased immunity. In fact, all of the above is in one way or another connected with the immunity of the wall of the urethra, so there is little left to mention here. Pregnancy, childbirth, breastfeeding and the menstrual cycle are associated with changes hormonal levels in a woman, which cannot but affect the pelvic immune system and can lead to the appearance of urethritis without other visible causes. We will talk more about immunity problems with urethritis a little later.
Toxic and radiation factors. This is already exotic and very rare. But I will tell you a case that my patient told me. In one respected and very expensive Moscow clinic (I do not give its name here, but if you ask me, I will not hesitate to name it) this lady was offered a course of physiotherapeutic procedures involving the insertion of an electrode directly into the bladder. The interesting thing is that the lady was treated exclusively for a gynecological disease, and why they needed to touch the bladder, I can’t imagine. After the first procedure, the lady developed such acute radiation cystitis and urethritis that all other problems were immediately relegated to the back burner. She had the prudence to refuse further procedures, and in this state she came to me. Fortunately, treating all diseases was not difficult.

How does urethritis develop?

I was able to divide the course of female urethritis into three stages. It is characteristic that any of these stages can last for a very long time and does not necessarily go into the next one. Or, on the contrary, it may be very short-lived.

Stage 1. It all starts with periodic exacerbations of urethritis. They occur infrequently and can be expressed in different ways, from minor manifestations to very severe ones. The point is that exacerbations pass quickly and nothing bothers the woman in the intervals between exacerbations. Most often, exacerbations are not so frequent as to force a woman to see a doctor, but even if she visits a regular urologist or gynecologist, everything will end with the prescription of mild antibiotics and will be postponed until the next exacerbation. As a rule, any antibiotics at this stage quickly relieve the exacerbation.

Stage 2. Exacerbations are happening more and more often, antibiotics are helping worse and worse. To relieve an exacerbation, only the most powerful and expensive drugs help. In the interval between exacerbations there are no (or almost no) symptoms, but a calm life has already been replaced by anxious anticipation. The woman begins to visit doctors. It all starts with a visit to a urologist and gynecologist at a district clinic, then through friends or commercial medical centers. Various diseases are found and treated, a large number of different medications are taken, and nothing changes. You begin to limit yourself in many things - food, clothing, sex life. Life takes on clear stages - from exacerbation to exacerbation.

Stage 3 is the hardest. Remission of the disease actually does not occur; the woman feels either bad or very bad. The urethra constantly “aches” or “feels”, it hurts when urinating, and during exacerbations it constantly hurts. Antibiotics at this stage either bring significant and short-term relief, or have no effect, or even provoke an exacerbation. A woman begins to be afraid of the cold, tasty food, and sex life. My patients told me that during these periods they lost Good work, their husbands abandoned them, they attempted suicide. To be honest, I still feel a little uneasy when I listen to these stories, and only one thing consoles me - now I can cure these women, I can give them back a normal life.

Causes and development of the disease

Let's now talk about the most interesting thing - why everything happens this way.

So, I would venture to say that all cases of urethritis in women are associated with a gynecological disease - a violation of the vaginal microflora, or vaginal dysbiosis. Dysbacteriosis is that instead of the normal microflora, some bacteria appear in the vagina in large quantities, which normally either should not be there at all, or should, but in very small quantities. This bacterium can also become a sexually transmitted infection - chlamydia, ureaplasma, trichomonas, etc., but most often it is either a mixed flora or an opportunistic pathogen.

I constantly hear the question - where does it (flora) come from there? I answer. The term "opportunistic" means that the bacterium becomes pathogenic, that is, causes inflammation, only under certain conditions. In fact, this only happens when there are a lot of bacteria, that is, when there are conditions for their reproduction. And in small quantities, all these pathogens are found in our body in a variety of places - on the skin, in the intestines, in the lungs, etc.

Numerous factors can lead to disruption of the vaginal microflora - hypothermia, gynecological diseases, antibiotic treatment, stress, proper nutrition etc. In my life, I have seen only a few women whose vaginal microflora was not disturbed, and I have never seen normal vaginal microflora in women suffering from urethritis or cystitis.

So, we have a pathogen in the vagina. It constantly enters the urethra and causes chronic inflammation. As long as the immunity of the urethral wall copes with the situation, no symptoms of the disease arise.

During sexual intercourse, a more intense discharge of microflora into the urethra occurs; in addition, sexual intercourse itself is a considerable load for the urethra. Therefore, exacerbations of urethritis are almost always associated with sexual activity. But not only with her.

The role of immunity in the development of urethritis

As soon as the described situation develops, everything begins to be in the pathogen-immune balance. The immune system maintains the number of pathogens at a certain level, preventing them from developing further. This can go on for years and decades, and very often this is what happens. Moreover, there may be a sharp sudden increase immune system, and then the woman will think that the disease has gone away on its own. This happens extremely rarely.

But overall it is like a time bomb where no one knows when it will explode. Sooner or later, a failure occurs in the immune system, the number of pathogens increases sharply, and the disease enters a new stage.
In addition, the woman begins to periodically take antibiotics, and antibiotics tend to reduce immunity. While the flora is sensitive to them, these processes seem to compensate for each other - when taking an antibiotic, immunity decreases, but the number of bacteria in the vagina also decreases. But when the microflora loses sensitivity to antibiotics, taking them either does not bring relief or even provokes an exacerbation.

Urethritis in women and sexually transmitted infections

Bacterial sexually transmitted infections, namely gonococcus, chlamydia, mycoplasma, ureaplasma and trichomonas, can cause urethritis when located on the wall of the urethra. They can also cause disruption of the vaginal microflora, against which various opportunistic microflora easily develop, which in turn causes urethritis. It turns out that sexually transmitted infections can cause inflammation of the urethra in two ways.

Treatment of urethritis due to sexually transmitted infections is no different from the treatment of ordinary urethritis. The only difference is the selection of drugs for antibacterial therapy.

Urethritis and urolithiasis

With urolithiasis, crystals, so-called salts or sand, constantly form in the urine. Excreted in the urine, they injure and irritate the wall of the urethra, causing symptoms of urethritis.
If at this time all the above processes occur in the vagina, then an infectious inflammation will develop on the wall of the urethra. If not, then the symptoms of urethritis will periodically bother the woman, but usually not too much. But, as practice shows, sooner or later bacterial inflammation develops, and the course of the disease noticeably worsens.

Treatment of urethritis against the background of urolithiasis, among other things, aims to reduce the formation of salts to a minimum. This is greatly facilitated by increased drinking regimen and forced diuresis.

Complications of urethritis

We won’t have to talk about the complications of urethritis for a long time; there are very few of them. The most serious complication is the transition of inflammation of the urethra to the stage when it constantly hurts and no treatment can change this.

With urethritis, the inflammatory process can spread to the bladder, and then cystitis will develop. This happens very often; these two diseases constantly accompany each other. Further, the inflammatory process can spread to the kidneys with the development of pyelonephritis.

Long-term neglected chronic urethritis can lead to deformation of the urethra and the development of its stricture - narrowing. This is manifested in the fact that when urinating, urine is not released in a vigorous, cheerful stream, but with difficulty, as if overcoming an obstacle. Sclerosis of the bladder neck manifests itself in the same way, which sometimes develops with cystitis. But all this happens relatively rarely.

Other complications of urethritis are so exotic that they will not be discussed here.

Treatment of urethritis in women

In the treatment of urethritis, antibiotics and anti-inflammatory drugs that are active against the pathogen, and immunostimulating drugs, including multivitamins, are traditionally prescribed. Physiotherapeutic procedures are recommended - especially for urethritis complicated by cystitis. It is important to follow these dietary rules: drink plenty of fluids, avoid alcohol, spicy and spicy foods. For acute gonorrheal urethritis, a gonorrhea treatment regimen is applicable; local treatment this involves the introduction of antiseptic solutions into the urethra.

If the patient's treatment was timely, the treatment outcome is favorable. Prevention of urethritis consists of maintaining personal hygiene, culture of sexual activity, timely detection and treatment of those diseases that can cause the development of inflammation of the urethra.

How should treatment be carried out?

When treating chronic urethritis in women, three main tasks are solved.

1. Restoring the properties of the wall of the urethra. This must be done in any case, but this task takes on particular importance in severe cases of the disease, when inflammation is no longer directly related to infection.

2. Restoration of normal vaginal microflora. As long as there is a constant infection of the wall of the urethra with microorganisms from the vagina, urethritis will return again and again. There is only one way to interrupt this - to populate the vagina with the microorganisms that should live there. This is not at all easy to do; this part of the course of treatment cannot be standard and can only be selected individually.

3. Restoration of the immune system. When the vaginal microflora is disturbed, with prolonged inflammation of the urethra, and very often during attempts at treatment, the body’s immunity in general and the immunity of the bladder wall in particular suffers. If it is not restored, the treatment will not have a lasting effect. It is very important to constantly remember that general and local immunity are restored in different ways, in completely different ways. Limiting yourself to prescribing a weak immunomodulator is the same as doing nothing.

Prevention of urethritis

Prevention of urethritis is to minimize all factors that can lead to disruption of the microflora in the vagina and to a decrease in immunity. Let's list the main ones.

Severe hypothermia.
Hormonal changes: pregnancy, childbirth, abortion, menstrual irregularities, withdrawal of oral contraceptives, menopause, etc.
Severe stress.
Irregular sex life.
Neglect of hygiene rules.
Sexual infections.
Treatment with antibiotics.
Problems with bowel movements, both constipation and diarrhea. Especially if these problems are chronic.
Irregular and unhealthy diet, lack of essential nutrients and vitamins.
Sleep problems, regular lack of sleep.

Here it is appropriate to remember the rules of sexual hygiene, since failure to comply with these rules also contributes to the appearance of urethritis.

You cannot move from anal intercourse to vaginal intercourse, from anal sex to caresses in the vaginal area.
Try to visit the toilet before and after each sexual intercourse.
Try to have a regular sex life without episodes of prolonged abstinence and, on the contrary, excessive activity.
Never forget about contraception and STD prevention. It is best to combine a condom with antiseptics or spermicides. Don't forget that STDs can be transmitted through both oral and anal sex!
Even if there is no reason, you should visit a gynecologist and get checked for STDs every six months.

Predisposing factors are so common in the life of any modern person that it is completely impossible to exclude them. Therefore, all that remains to be done is to be regularly observed by a doctor, and if the slightest deviation is detected, carry out preventive treatment. I can say with confidence that prevention is much easier and more enjoyable than treatment.

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Due to the false belief that urethritis is more a male problem than a female one, not much attention was paid to the disease, which led to its increased spread. The modern clinical picture is characterized by frequent cases of detection of urethritis in women, which requires taking certain measures. The disease does not lead to death, but it can seriously spoil life, and therefore it should be treated promptly and correctly.

What is urethritis

Before clarifying how to treat urethritis in women, you should understand what it is. The disease is characterized by an inflammatory process in the walls of the urethra (urethra).

The rarity of this problem in females compared to males is explained by anatomical structure urinary system. The urethra is no more than 2 cm in length and is also quite wide.

On the one hand, this allows pathogenic bacteria to more easily penetrate and cause disease, but in men inflammation occurs more often, since their urethra is larger in size, which means there is more area for development.

Urethritis is almost always accompanied by at least one other disease of the genitourinary system. Most often, this accompanies cystitis, the symptoms of which are very similar, but there is one fundamental difference.

For urethritis painful sensations occur throughout the entire process of urination and continue after its completion. Cystitis causes pain only for a while. Moreover, the first is a complication of the second, but relatively simple.

Signs of urethritis in women

The disease is usually classified into the following types and subtypes:

infectious:
- specific (infection in the form of gonococci, Candida fungi, Trichomonas, chlamydia, enters female body through sexual intercourse with an infected person);
- nonspecific (a purulent inflammatory process caused by streptococci, Escherichia coli or staphylococci);
- viral (pathogens are genital warts or herpes viruses).
non-infectious.

The latter type can be caused by a number of certain factors, among which are:

complications after allergies;
injury to the urethra (during catheterization, cystoscopy, etc.)
small kidney stones that pass through the canal, damaging its walls;
inflammation caused by malignant tumors;
diseases of the gynecological area;
early onset of sexual activity;
problems in the pelvic vessels.

Based on the above reasons, we can summarize that there are two ways to become infected. The first is sexual, in which the infection is transmitted from one partner to another through sexual contact, the second is hematogenous, when the microorganism disease-causing, is already present in another part of the body and has moved through the blood to the urethra.

The development of the disease is influenced by generally accepted factors, including weakened immunity, hypothermia, poor personal hygiene, chronic diseases, injuries, stress and hormonal imbalance.

How does urethritis manifest?

Like any disease, urethritis in women has symptoms by which it can be identified and even distinguished from other ailments. It is worth noting that there is some difficulty in diagnosing the disease, since in women it occurs with less severe symptoms or without them at all.

The incubation period of urethritis is characterized by a large difference in duration. It can last for several minutes or several months. During this time, the disease may remain in a latent form and even after its end, symptoms may still not appear.

Thus, urethritis automatically becomes a chronic condition, which is not felt for a long time, but is transmitted sexually, and then can cause a number of complications that will have to be dealt with for quite a long time.

If the disease makes itself felt, it can manifest itself in the following ways:

itching sensation when urinating;
aching, pulling, uncomfortable feeling;
periodic pain in the pubic area;
whitish or purulent discharge from the urethra;
some stickiness in the urethra in the morning;
blood spots in the urine.

Symptoms can be noticed either individually or in a combination of several at once. Any changes in temperature, general condition body and well-being may not be observed. In the chronic form, discomfort and pain occur only in the acute phase of the disease.

In addition, urethritis in women, the symptoms and treatment of which can be different, is also characterized by a specific manifestation. It depends on what the causative agent of the disease is.

With gonorrheal urethritis, 2-3 weeks after infection, a cutting pain is felt when going to the toilet. Severe discomfort also occurs with prolonged abstinence.

Candidal urethritis is characterized by burning, pain and discomfort during urination. The development of symptoms occurs approximately 21 days after infection. Also noticeable is a discharge that is distinguished by a pinkish tint of a white thick mass.

At week 3, Trichomonas urethritis manifests itself with severe itching and burning in the urethra and external genitalia. Quite often, it may not appear at all or disappear in the chronic form.

Also, after a few weeks, chlamydia urethritis may make itself felt. It is characterized by minor itching and pain when urinating, as well as various discharges, sometimes even with pus.

Urogenital tuberculosis is also not ignored. Only with this form of urethritis can low-grade fever, sweating and weakness be observed. It can be combined with tuberculosis of the kidneys, genitals and bladder.

Mycoplasma urethritis causes mild itching and mild discomfort during the urination process. Today, this form of the disease is the rarest case, and under certain circumstances it may even be the norm.

Types of treatment for urethritis in women

In order to get rid of the disease, measures should be taken in a timely manner. Many doctors note the fact that some women independently diagnose themselves and prescribe a course of treatment and most often make mistakes due to similar symptoms.

Only a specialist who conducts certain examinations to ensure accurate determination can diagnose the disease and prescribe treatment. Treatment consists of several types, which must accompany each other for a speedy and complete recovery.

Medicines

Drug treatment of urethritis in women requires medications depending on the form of the disease. So, for trichomonas urethritis, metronidazole, ornidazole, benzydamine, etc. can be prescribed.

Gonorrheal urethritis does not tolerate antibiotics such as oletethrin, cefacor, erythromycin, rafimpicin and others. It is worth noting that the drug is prescribed only by a doctor in each individual case.

Nonspecific urethritis is treated with antibiotics, which have a certain versatility (broad spectrum). Viral urethritis in women requires treatment antiviral agents, which contain acyclovir.

Each antibiotic has its own dosage requirements. These include dosage, how it is taken (orally, orally, rectally, vaginally), etc. Also, in individual cases, injections or infusions through a catheter may be prescribed.

Non-drug

Urethritis in women, the symptoms and treatment of which depend on the form, has one common universal remedy - proper nutrition and healthy image life. This course is not the main one, but it necessarily accompanies medication.

Your daily diet should include fatty, spicy, sour foods, as well as foods high in salt. Particular attention should be paid to the mode, quantity and volume of servings. Do not forget that you need to drink at least 1.5 liters of liquid (water, natural juices, tea).

A healthy lifestyle involves avoiding hypothermia, maintaining good personal hygiene, and having protected sexual intercourse. If the disease is still present in the body, then sexual intercourse should be avoided until complete recovery.

Folk remedies

If urethritis is detected in women, symptoms, treatment, medications - all this is important, but ethnoscience also should not be left on the sidelines. First of all, it is necessary to pay attention to strengthening the immune system.

In parallel with this, you should drink herbal infusions in order to remove the infection from the body and heal the damage. Among the most useful are the following infusions:

from leaves of currant (black);
from yellow green grass;
from parsley leaves.

Such funds are also necessary for preventive purposes, which will eliminate the development of problems and complications.