Women defeat urinary tract multifocal. According to 3. D. Starostin (1971), trichomonads were detected simultaneously in three foci in 48.8%, 2 - y 42,3%, in one - only in 8.9% of women. In 86% of women lesion is localized in the lower urinary tract (including a 98.9% develop vulvovaginitis), and bottom-up process is available to 14% [Turanova EN et al, 1971].
Vaginitis - the most common form of trichomoniasis. Trichomonads isolated from the vagina in almost all infected women [Rein, Muller, 1984]. In acute vaginitis appear abundant liquid, pus, often foamy whites, many authors ascribe the accompanying blowing bacteria. Sometimes the inflammation is expressed very strongly, and flatulence is very intense. This "emphysematous" coleitis also due trichomonads and cured protivotrihomonadnymi drugs [Wille, 1971]. If trichomonas vaginitis pH secretion greater than 4.5. Adding to belyam 10% solution of caustic potash accompanied by the smell of rotten fish (the smell of amines) in a mixed infection with bacteria (WHO, Geneva, 1984). Occasionally there are corrosive selection mixed with blood, diffuse hyperemia, a phenomenon makuleznogo, granulosa and erosive vaginitis. Chronic vaginitis often occurs without noticeable symptoms, but occasionally appear genital itching and discharge.
And vestibular vulvitis . In acute inflammation there burning sensation in the external genitalia, whites, and itching. The skin of the labia majora and the vestibule mucosa edematous, hyperemic and covered with secretions. In a groove between the hymen and the small labia stagnant pus, after the removal of which are sometimes visible minor erosion. Sometimes develops dermatitis inner thighs. In chronic process marked focal hyperemia of the mucous membrane of the vulva. Could be genital warts, the virus which is also sexually transmitted.
Urethritis . The urethra is infected, most patients trichomoniasis women, and urethritis in 1 / 3 of women even in the acute stage is subjectively asymptomatic, the rest are dysuric disorder.Trizomonadny chronic urethritis usually does not subjective sensations. The urethra is often palpable in the form of compacted strands; discharge scanty. At ureteroscopy reveals mild, transient or solid infiltrate mouth urethral glands hyperemic, edematous, with obstruction takes the form of yellowish nodules. Almost half of female patients Trichomonas can be detected in the paraurethral ducts [Wallin et al., 1981]. However, severe clinical presentation of Trichomonas parauretrita happens infrequently. In the chronic stage parauretrita palpated tight knots.
Bartolini is characterized by pain and the appearance of swelling in the lower third of the labia.Clinical manifestations are not different from gonorrheal bartolinitov. Trichomonazice bartolinity began to meet at least gonoreyny [Glazkov, LK et al, 1984]. When you close the mouth of the duct is formed false abscess. Common disorders are absent, the body temperature does not rise, there is pain in the Bartholin gland.
Endocervicitis . If trichomonas vaginitis naturally drawn into the outer part of the cervix. About the frequency of trihomonadnyh cervicitis there are conflicting opinions. So, Rein, Muller (1984) argue that the trichomonads from the cervical canal is isolated in no more than 13% of women, and A. Tsvetkov, G. Hristeva (1985) found them in the cervical canal at 51.64% of patients. When endocervicitis cervix swollen, there are sites of hyperemia. Derived from the channel selection. The result is erosion, often in the back of the throat. In chronic follicular endocervicitis erosion.Opportunity for upward trichomonas infection. G. A, Resurrection, YO Naftoleva (1974) when using the aspiration technique found trichomonads in the uterine cavity in 10.2% of the patients.Ascendant trichomoniasis clinically in 46% of patients metroendometritom, 54% of patients and adnexitises perimetritom. During these diseases does not differ from the flow of similar processes of another etiology.
