Why does vaginal swelling and pain occur?

Many people will suffer from genital pain due to factors such as diet, personal hygiene habits, and bacterial infection. Patients with genital pain will be restless and will also experience itching symptoms. In current clinical practice, in addition to these symptoms, genital pain will also cause patients to have excessive vaginal secretions, vaginal itching, redness and swelling, and severe cases will cause urinary tract infection during urination, causing difficulty in urination and incomplete urination. Therefore, patients must seek treatment as soon as possible and choose appropriate methods of care to avoid aggravating the condition over a long period of time.

Causes of perineum pain

Before taking any action, the cause should be identified first, and then different actions should be taken according to the different causes. If the perineum is not properly protected during delivery or the fetus is large, the perineum is long and tight, perineal laceration may occur; episiotomy and suture may also cause wounds in the perineum, which may lead to secondary infection; prolonged pressure of the perineum by the presenting part may cause perineal edema; perineal hematoma caused by incomplete ligation of blood vessels when suturing the perineal wound, etc. are all common causes of perineal swelling and pain. Perineal swelling and pain can affect the mother's diet, rest and overall recovery to varying degrees, so it should be treated in a timely manner.

Clinical manifestations

The typical clinical symptoms of this disease are a significant increase in abnormal vaginal secretions, which are thin, homogeneous or thin, pasty, grayish white, grayish yellow or milky yellow, with a special fishy odor. Since alkaline prostatic fluid can cause the release of amines, the odor worsens during or after sexual intercourse. The vaginal pH increases during menstruation, so the odor may also worsen during or after menstruation. Patients have discomfort in the vulva, including varying degrees of vulvar itching, which is generally not time-sensitive. However, the itching is more obvious at rest and when in a tense state. There is also varying degrees of external burning sensation. Some patients experience dyspareunia, and a very small number of patients experience lower abdominal pain, difficulty in intercourse and abnormal urination. The vaginal mucosal epithelium has no obvious congestion when the disease occurs.

This disease can often be combined with other vaginal sexually transmitted diseases, so its clinical manifestations may vary due to the influence of complications. For example, when combined with gonococcal infection, vaginal discharge may show obvious purulent properties, and urinary tract irritation symptoms such as dysuria and dysuria may occur; when combined with Trichomonas infection, foamy vaginal discharge may appear, and the itching may be aggravated and extremely itchy; when combined with Candida infection, vaginal discharge may appear curd-like or tofu-like.

diagnosis

1. Vaginal discharge is grayish white, very sticky, even like paste, and uniform, but it is not purulent discharge, and the amount is uncertain.

Second, the secretion has a particularly high amine content, so it has a fishy smell. During sexual intercourse or after activity, the smell is often aggravated due to the release of amines. Adding 10% potassium hydroxide to the secretion can also release the amine smell.

Third, the pH value in vaginal secretions increases, with a pH range of 5.0-5.5, while the normal pH is 4.5-4.7.

Fourth, clue cells can be detected in the wet smear of vaginal secretions.

Among the above four criteria, the diagnosis can be confirmed if three or more are met, and the fourth is emphasized as a necessary diagnostic criterion.

How to deal with postpartum perineal pain

If the perineal hematoma is found to be large or gradually increasing, the hematoma should be cut open in time, the blood clots should be taken out, and then the bleeding point should be found, ligated to stop the bleeding, and the hematoma cavity should be sutured. If there is a perineal wound, the perineum care should be strengthened, the perineum should be kept clean, and the perineum should be scrubbed with 1:1000 chlorhexidine solution or 1:5000 potassium permanganate solution twice a day, and a sterilized perineal pad should be given. If the wound is found to be infected, the sutures should be removed promptly. If there is an abscess, the wound should be incised and the pus should be drained, and anti-infection treatment should be given. For those with severe perineal edema, apply 50% magnesium sulfate hot compress twice a day for 15 to 20 minutes each time to promote the disappearance of edema. In short, different causes of perineal pain should be treated accordingly, which can often make the perineal pain disappear or be significantly alleviated.