Estrogen deficiency during menopause leads to the development of atrophic colpitis - a disease that causes a lot of trouble for women over 45 years old. At present, the Belgian company has offered an excellent remedy for the treatment of this ailment - Triozhinal. Feedback from everyone who used candles or capsules is positive.
Atrophic colpitis: what is it
Atrophic or senile colpitis is an inflammation of the walls of the vagina during the period of a woman's life, when menstruation stops. More than 40% of postmenopausal women have atrophic vaginitis. Postmenopausal atrophic vaginitis occurs due to thinning of the vaginal walls, urogenital or vaginal atrophy, which is due to a decrease in estrogen levels. It most often occurs after menopause.
Women with vaginal atrophy are more prone to chronic vaginal infections and urinary problems. You can often hear complaints from women about pain during intercourse.
Signs of atrophy
Atrophic colpitis is manifested by the following symptoms:
- lack of vaginal lubrication(dry vagina);
- burning in the vagina;
- bleeding after intercourse;
- pain or discomfort during it;
- omission of the walls of the vagina;
- pain or burning when urinating;
- frequent urination;
- frequent urination at night;
- frequent urinary tract infections;
- urinary incontinence (involuntary or stress).
Some women experience symptoms several years before menopause, some begin to complain of them after the cessation of menstrual function, while others may not complain at all. All these symptoms have previously been treated with pure estrogen preparations or homeopathic remedies in tablet form. Treatment did not always bring relief. In almost 80% of cases, the use of the drug Triozhinal is effective. Reviews confirm this statistic.
Causes of urogenital atrophy
The cause of senile colpitis is a decrease in estrogen. Without estrogen, the vaginal tissue thins and dries out. It becomes less elastic, more brittle and easily injured.
Decrease in estrogen saturation can occur in other situations, including:
- while breastfeeding;
- after spaying (surgical menopause);
- after cancer chemotherapy;
- after radiotherapy for pelvic cancer;
- after hormone therapy oncological processes of the breast;
- women who have given birthby caesarean section.
Smoking worsens the circulation of all organs, including the cells of the vagina. In this case, all tissues lack oxygen. There is a thinning of the mucosa, blood flow is reduced or limited. It should be noted that smokers are also less responsive to oral estrogen therapy. And therefore, the use of Triozhinal (candles) is justified. Reviews of many note the positive effect of this drug.
Regular sexual activity helps to restore the cells of the vagina and benefits the cardiovascular system: it improves the condition of the heart and blood vessels. Triozhinal also operates. Patients' testimonials confirm that some symptoms of somatic diseases disappear.
Statistics of atrophic disorders
Data on the prevalence of symptoms of this disease does not reflect the real situation, as most women are silent about the existing problems. The incidence ranges from 3% in perimenopause to 60% in postmenopause lasting more than 5 years.
The composition of the "Triozhinal"
Optimal for the treatment of urogenital atrophy, especially if it is accompanied by dysuric disorders, is the drug "Triozhinal" - candles. Feedback from everyone who has used it is always positive. The composition of "Triozhinal" includes: estriol in the amount of 0.2 mg, progesterone - 2.0 mg, and a strain of lactobacilli, known for a high degree of kinship with the cells of the vaginal mucosa. Local application of hormones inin combination with these beneficial bacteria, it provides an increase in the level of Doderlein sticks in the vagina and allows the drug to show its effect almost immediately, which several times reduces the risk of recurrence of atrophic dysuria. The formation of a normal vaginal biocenosis due to lactobacilli makes it possible to provide effective maintenance therapy for atrophy of the vaginal mucosa and bladder at a low dosage of estriol.
Dosage
The following scheme of treatment with Trioginal seems to be optimal: 2 weeks, 2 capsules at a time, then 1 capsule 1 time per day for a week. And for further maintenance therapy, 1-2 capsules per week are enough. It is not necessary to use Trioginal tribiotic (capsules) for a long time. Reviews of women confirm that it is enough to use it for only 3 weeks. And this allows you to level all the symptoms of urogenital atrophy, especially their dysuric manifestations, and significantly improve the quality of life of patients.
The action of the drug "Triogynal"
Reviews of doctors indicate that after the use of this drug, the biocenosis of the vagina is normalized. This effect is not characteristic of any of the estrogenic drugs used to treat atrophic colpitis. At the same time, the woman notes that the quality of sexual life has significantly improved. Dryness, discomfort during sexual intercourse disappeared. This is due to the fact that the selectedthe optimal hormonal composition of the drug "Triozhinal". Patient reviews indicate that the condition of the vaginal mucosa is significantly improving. This is due to the fact that the trophism of the vaginal epithelium is normalized, the amount of glycogen increases, which allows you to maintain the optimal pH of the vagina - from 3.8 to 4.5. microorganisms.
This is due to the fact that the optimal amount of estriol in the Trioginal preparation has been selected. Instructions for use, reviews of gynecologists indicate that after a week the effectiveness of 0.2 mg of this natural estrogen is already visible, which affects not only the vaginal mucosa, but also all organs of the reproductive system. At the same time, not only trophism improves, but also blood circulation, the quality of cervical mucus increases.
2 mg of progesterone, which is part of the drug Trioginal, promotes the formation of intermediate cells in the vaginal mucosa and stimulates the formation of proteins and glycogen.
The third component of Trioginal is dried strains of Doderlein sticks. They provide a normal ratio of these sticks in the vagina and are resistant to various antimicrobial drugs, which prevents the occurrence of candidal colpitis.
This ratio represents the remedy "Triozhinal". Instructions, reviews of gynecologists indicate that this is the mostthe optimal set of necessary components.
Benefits of "Trioginal"
Currently, doctors claim that oral estrogens have no effect on the symptoms of vaginal atrophy. They are used only in the case of a combination of urogenital atrophy with menopausal disorders. Local preparations containing small doses of estrogens are more effective in the treatment of atrophic urogenital disorders, since they do not affect the entire body and do not worsen the general well-being of patients. The maximum effect from the use of these suppositories, creams, vaginal tablets and silicone vaginal rings occurs by the third month of therapy with Trioginal.
Reviews of doctors indicate that this drug contains the estrogen hormone estriol, which has less effect on the entire body of a woman. All other drugs for general and local use include hormones: 17β-estradiol, estradiol acetate, estradiol hemihydrate, conjugated estrogens, estrone. All of them, at high doses, can cause side effects in the form of breast engorgement, nausea, vomiting, minor bleeding from the vagina, candidiasis, and psychological discomfort.
Different forms of estradiol lead to the growth of the endometrium, and therefore an annual assessment of the condition of the uterine mucosa is required. Estriol does not affect the function of the endometrium and does not cause its hyperplasia. Therefore, in these cases, the Triozhinal tool is used. Reviews of many patients indicate a goodactivity of this drug for a short time of its use.
Of the side effects of treatment with Trioginal, only pain or engorgement of the mammary glands should be noted. Rarely, there are other undesirable symptoms: burning or itching in the vagina, vaginal spotting, edematous syndrome.
Contraindications
There is a large list of contraindications for treatment with Trioginal capsules, so it is necessary to take into account the risks of oncological processes.
Diseases in which the prescription of the drug is contraindicated:
- breast cancer;
- hormone-dependent oncological processes, especially endometrial cancer;
- liver cancer;
- Vaginal bleeding;
- endometrial hyperplasia;
- liver disease with changes in biochemical parameters;
- porphyria;
- under 18 years of age;
- thrombosis or thromboembolism;
- history of heart attacks or strokes;
- pregnancy period;
- breastfeeding;
- malignant arterial hypertension;
- coagulation disorder;
- diabetes mellitus with angiopathy;
- severe damage to the cardiovascular system;
- sensitivity to drug components.
The drug should be prescribed with caution in hypertension, endometriosis, hereditary thromboembolic diseases in relatives; liver diseases; uncomplicated diabetes mellitus, cholelithiasis, migraine, epilepsy, bronchial asthma,systemic diseases.
With simultaneous use with Phenobarbital, Carbamazepine, Phenytoin, Rifampicin, Rifabutin, Nevirapine, Efavirenz, there is an increase in the breakdown of estrogens. This reduces the effectiveness of the drug. The metabolism of estrogens is reduced when used together with inhibitors of microsomal liver enzymes ("Ritonavir", "Nelfinavir"). Hypericum perforatum preparations also work.
Using Trioginal capsules
Reviews say that within a few hours after application, an improvement is felt. After the first week of admission, dysuric symptoms disappear. Some women note that Triozhinal helps in the treatment of certain gynecological diseases: adnexitis, fibroids, infertility. Proper application and implementation of all doctor's recommendations allows using Triozhinal (candles) for the treatment of all diseases caused by estrogen deficiency. Patient reviews are proof of this.
The price of the drug is available. Now the medicine "Triozhinal" is in great demand. Customer reviews report that the drug can be bought at any pharmacy, and two bottles are enough just for the course of treatment.