Mycoses anogenital: Definition
Definition
Fungal infections are associated with anogenital fungal growth at the perineum (crotch) which meet the digestive (anus), genital (vagina, scholarships, acorn) and urinary (bladder). In this area naturally wet conditions are conducive to the permanent presence of a quiescent form of yeasts and fungi. Germs multiply pathologically predisposing circumstances when superimposed.
The fungus is most frequently found yeast: Candida albicans but absent from the skin in the vagina and digestive tract in limited quantities.
Fungal anogenital are not strictly sexually transmitted infections (STIs): they also occur independently of sex.
The fungus is called recurrent if more than 4 recurrences per year.
Risks and consequences of fungus anogenital
Vulvovaginal mycosis or anogenital represents half of the consultations for genital infections: 7-8 times out of 10 it is a fungus (actually a yeast) called Candida albicans (P. Rispail, integrated module 5 Faculty of Montpellier, 2005). Among the 200 known species of Candida, only twenty are responsible for human infections.
A local fungus is not dangerous but painful by the gene it causes. It has as consequences of disrupting sex or interrupts.
It must always evoke underlying disease when it lasts and / or recurrence: a sexually transmitted infection (STI), diabetes, or acquired immune deficiency (cancer, HIV). The transition from one form to local fungal infection is generally dangerous and always due to a general medical condition associated need support quickly.
Infants, fungi are common anogenital before it acquires the optimal immune defense and digestive flora capable of fighting against the proliferation of yeasts and fungi. The fungi involved are often candida albicans or monilia. Skin weakened by the fungus is a gateway to other microbes and poisonings by surrounding products.
Causes and origins of the fungus anogenital
Fungal spores, quiescent forms are present in limited quantities in the digestive tract and the vagina frequently, less frequently on the glans penis. Candida albicans is the usual host of vulvovaginal mucosa and anal. Proliferates when it colonizes the skin and mucous membranes with hyphae (invasive form of the fungus).
Symptoms appear and then become bothersome.
This proliferation of Candida albicans (or other mushrooms) is frequently linked to an imbalance immune or immune immaturity (infant), and / or conditions conducive to fungal overgrowth (fungus) as diabetic hyperglycemia unknown or whose treatment is unbalanced. HIV infection, cancer or immune deficiency in people taking anti-graft rejection are important factors for fungal growth.
Fungus often acute anogenital is secondary to antibiotic treatment, prolonged or not. The risk is greater when the antibiotic is effective against many bacteria, in particular gastrointestinal (broad spectrum). The destruction of part of the digestive and vaginal commensal flora leaves the field open to colonization by fungi.
Chemical attack, mechanical factors are also fungal development: too much or not enough personal hygiene, clothing too tight, aggressive for fragile genital mucosa (string) ...
Depression, stress, overwork sufficient to cause an imbalance in favor of Candida albicans in susceptible individuals. Women are much more likely than hormones like progesterone which promotes fungal growth, especially in the second half of the menstrual cycle and during pregnancy.
Signs and symptoms of genital mycosis
Anogenital fungus Candida albicans is manifested by symptoms of itching (pruritus for doctors), inflammation (redness) local more or less painful, burning local white plate, white lumpy clots on bright red background. It can be seen in women signs of vaginal white as curd and pain during intercourse. These signs can be localized to the vulva and vagina or anal only. Because of the female anatomy, the anogenital extension is more common in women.
At the anal margin (periphery of the anus) and human foreskin, rashes and small cuts may appear painful. If they are not treated, these symptoms can persist for long periods, causing irritability and understandable disrupt sexuality.
In infants, the rash caused by maceration layer may become secondarily infected by a fungus: it becomes red with white buttons and tasks more or less well defined (thrush buttocks). Local care is not enough: if the fungus is not treated, the symptoms persist permanently.
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