What causes genital redness, swelling and itching?

The female reproductive system is the most sensitive, otherwise it is easy to get diseases such as inflammation. When women find that their reproductive system is red, swollen, and itchy, it is possible that this is due to recent infection or vaginitis, urethritis, urinary tract infection, and long-term lack of attention to cleaning, which has led to bacterial invasion. Special attention should be paid in normal times.

1. Western medicine etiology and pathology

(1) Postpartum physical weakness, such as birth canal injury or excessive bleeding or residual placenta and fetal membranes, can easily allow pathogens to invade the uterine cavity and cause infection.

(2) Intrauterine operations such as IUD placement, curettage, or pre-existing chronic inflammation of the reproductive tract may cause infection and spread due to surgical interference.

(3) Poor hygiene during menstruation and the postpartum period can allow pathogens to invade the uterine cavity and cause inflammation. Lower genital tract infections such as gonorrheal Neisseria cervicitis and chlamydial cervicitis spread upward to cause pelvic inflammatory disease.

(4) Direct spread of inflammation to adjacent organs, such as appendicitis, peritonitis, cystitis, etc. Pelvic inflammatory disease may reoccur, leading to an acute attack.

2. TCM etiology and pathogenesis

The common causes and pathogenesis are intense heat and toxicity, and damp-heat and blood stasis.

3. Clinical manifestations

(1) Symptoms: Lower abdominal pain accompanied by fever, even high fever and chills, increased vaginal discharge, purulent and foul-smelling.

(2) Physical signs: acute illness, fever, increased heart rate, muscle tension, tenderness and rebound pain in the lower abdomen, intestinal discomfort

weaken or disappear. Gynecological examination: The vagina was congested, with a large amount of purulent secretions and obvious tenderness in the vault. Cervical congestion and edema.

There is obvious pain when lifting the uterus, the uterus is slightly larger, softer, more tender, and has limited movement. There is obvious tenderness in the fallopian tube, and sometimes a mass can be felt.

4. Diagnosis

Medical history includes history of gynecological and obstetric surgery, history of pelvic inflammatory disease; or lack of attention to hygiene during menstruation and after childbirth, unclean sexual intercourse, etc.

Clinical manifestations include high fever, lower abdominal pain, increased vaginal discharge, lower abdominal muscle tension, tenderness, and rebound pain.

Laboratory examinations showed elevated white blood cell count, erythrocyte sedimentation rate, and blood C-reactive protein. Vaginal shovel

A large number of white blood cells are seen in the specimen, and pus can be aspirated by puncturing the posterior fornix. Secretions, puncture fluid, and blood culture can be tested

Auxiliary examination B-type ultrasound examination showed inflammatory exudate or mass in the pelvic cavity.

5. Western medicine treatment

Antibiotic treatment: Antibiotics are selected based on drug sensitivity testing. The pathogens are mostly mixed infections of aerobic bacteria, anaerobic bacteria and chlamydia, so antibiotics are mostly broad-spectrum antibiotics and combined use of drugs. Commonly used drugs include penicillins, cephalosporins, aminoglycosides, macrolides, tetracyclines, quinolones, nitroimidazoles, clindamycin and lincomycin.

Surgery may be considered if medical treatment is ineffective, pyosalpinx or tubo-ovarian abscess persists, or abscess ruptures. Depending on the situation, choose abdominal surgery or laparoscopic surgery. The scope of surgery should be comprehensively considered based on the extent of the lesion, the patient's age, and general condition. The principle is to remove the lesion.