Genital sagging

Introduction The vulva fall feeling is caused by the vulvar leiomyomas or vaginal inflammation and other symptoms that cause the vulva to feel heavy. The principle of treatment of vulvar leiomyomas is local excision of pedicled fibroids or removal of deep fibroids. Prevention of vaginal inflammation gives up the abuse of antibiotics, cleaning underwear separately, avoiding excessive cleaning, paying attention to nursing during pregnancy, alerting washing machines, and paying attention to public places.

Cause

Causes of vulvar fall: vulvar leiomyomas or vaginal inflammation.

an examination

Related inspection

Gynecological examination of genital gynecological routine examination vaginal pathogen examination vaginal secretions examination vaginal trichomoniasis examination

Diagnosis and examination of vulvar fall: patients can be diagnosed with symptoms.

Differential diagnosis

Differential diagnosis of vulva fall:

1, non-specific vaginitis: take secretions for smear, with Gram stain microscopic examination, you can find common pathogens, and no mold or trichomoniasis.

2, fungal vaginitis: take secretions for smear, stained with Gram, under the microscope can find a group of Gram-positive densely stained oval spores, or visible pseudohyphae and budding cells are connected Chain or branched. The most reliable method is to perform a mold culture test.

3, trichomonas vaginitis: take the secretions and a small amount of warm saline that has been dripped on the glass tablets to reconcile, microscopic examination. Visible activity of Trichomonas vaginalis. If the trichomoniasis is not found in a special case, the culture method may be used instead, and the test result is highly accurate.

4, senile vaginitis: take secretion examination should be different from trichomonas, fungal vaginitis. Pay attention to the cervix, the size of the uterus and its morphology, the source of bleeding and the results of vaginal cytology, if necessary, for cervical or endometrial biopsy to rule out the possibility of uterine cancer.

5, vulvar leiomyomas: vulvar leiomyomas occur in the clitoris, labia majora, labia minora, generally single hair, the shape is round or oval, smooth surface, hard texture, envelope, good activity. Vulvar leiomyomas are mostly derived from the smooth muscle of the vulva, the vertical hair muscle of the hair follicle or the smooth muscle of the blood vessel. At the time of pathological examination, the smooth muscle cells were arranged in a crisscross, parallel or spiral arrangement. The cytoplasm was eosin, the nucleus was long rod-shaped, the ends were obtuse, the nucleus had a halo-like void, and there was a fibrous interstitial between the muscle bundles. Because it is rare in the clinic, it is easy to be misdiagnosed. The mass is hard and can be differentiated from vulvar lipoma; its mass is solid, the activity is good, the surface has no rupture, no history of pus, and it can be differentiated from Pap septic abscess and Pap sac cyst. The differential diagnosis with other diseases also includes: the vulvar cyst of the vulva is generally small and soft, and the cystic yellow sebum is contained in the cyst; the papilloma of the vulva is more common in elderly women, with papillary or sacral protrusions; vulva The fibroids are hard, smooth, and lobulated. They can be cystic when degenerated. The cut surface is dense and pale, with a braided structure. The vulvar cancer has itching, ulceration, more exudate and purulent. Secretion, the shape of the mass is irregular, the boundary of the basal is unclear, accompanied by metastasis symptoms; the vulvar adenoma of the vulva occurs mostly in the labia minora, which is smaller and has a harder texture. The final diagnosis requires a pathological examination to confirm. The treatment of the disease is mainly surgical resection, no malignant report.

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