Ποια είναι τα συμπτώματα της κολπικής ξηρότητας;

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Δρ. Στέφανος Παππάς* – Μαιευτήρας Γυναικολόγος – Χειρουργός Μαστού

Η κολπική ξηρότητα είναι ένα κοινό πρόβλημα για το οποίο πολλές γυναίκες διστάζουν να ζητήσουν βοήθεια. Πρόσφατη έρευνα αποκάλυψε ότι τουλάχιστον 4 στις 10 γυναίκες υποφέρουν από τα συμπτώματα της.

Σε κανονικές συνθήκες τα τοιχώματα του κόλπου λιπαίνονται και ενυδατώνονται από ένα λεπτό στρώμα υγρού που προέρχεται από μικρούς αδένες του κόλπου και του αιδοίου, αλλά και από τις φυσιολογικές εκκρίσεις του κόλπου και της μήτρας. Αυτό διατηρεί την ελαστικότητα, το πάχος και το pH του κόλπου σε φυσιολογικά επίπεδα.
Αν διαταραχθεί αυτή η ισορροπία έχουμε κνησμό, ξηρότητα, πόνο στη σεξουαλική επαφή, κολπικές λοιμώξεις, μυκητίαση.Ο βασικός ρυθμιστής της κολπικής υγείας είναι τα οιστρογόνα. Κατά συνέπεια, η απουσία τους – εμμηνόπαυση – είναι ο βασικός λόγος εμφάνισης της ξηρότητας του κόλπου.
Πέρα από αυτό όμως και άλλοι παράγοντες μπορούν να προκαλέσουν ξηρότητα σε νεότερες γυναίκες:

Αυτοί είναι:

  • ορμονική θεραπεία με αντι-οιστρογόνα (πχ στον καρκίνο του μαστού)
  • θεραπεία για ενδομητρίωση με διακοπή της περιόδου
  • χειρουργική αφαίρεση των ωοθηκών
  • χημειοθεραπεία και την ακτινοβολία για αντικαρκινική θεραπεία
  • θηλασμός
  • εγκυμοσύνη
  • υπερβολική καθαριότητα και κολπικές πλύσεις με σαπούνια
  • φάρμακα (αντισηπτικά, αντικαταθλιπτικά)
  • κάπνισμα
  • ανοσολογικές διαταραχές (σύνδρομο Sjogren)

Η βλάβη αυτή είναι εύκολα αναστρέψιμη. Οι λύσεις είναι απλές και κυρίως ορμονικές (οιστρογόνα) ή ενυδατικές. Χρησιμοποιούνται σκευάσματα τα οποία ενυδατώνουν τον κόλπο, ορμονικές κολπικές κρέμες, και επιπλέον προτείνονται αλλαγές στις συνήθειες της ασθενούς.

Προτείνουμε στις ασθενείς μας

  • διακοπή του καπνίσματος,
  • εμπλουτισμό της διατροφής,
  • συχνότερη συνουσία,
  • αποφυγή χρήσης κολπικών φαρμάκων ή σκευασμάτων χωρίς λόγο

Παρόλο που αποτελεί μια πολύ συχνή κατάσταση είναι λίγες οι γυναίκες που το επικοινωνούν με το γυναικολόγο τους ή προβαίνουν σε αντιμετώπιση της ξηρότητας.


* Ο Δρ. Στέφανος Παππάς είναι διακεκριμένος γυναικολόγος-μαιευτήρας στην Αθήνα. Ολοκλήρωσε με επιτυχία  με επιτυχία τις σπουδές του στην Ιατρική Σχολή του Πανεπιστημίου Αθηνών ενώ αργότερα έλαβε τον Τίτλο της Ιατρικής του Ειδικότητας στην Μαιευτική Γυναικολογία. Κομβικό ρόλο στην καριέρα του διαδραμάτισε η εξειδίκευση του ως μαιευτήρας-γυναικολόγος για οροθετικές γυναίκες καθώς έχει φέρει στον κόσμο δεκάδες υγιή παιδιά οροθετικών γυναικών και έχει λάβει αναγνώριση για το έργο του.

Ο Δρ. Στέφανος Παππάς διαθέτει πολυετή εκπαίδευση και εργασιακή εμπειρία σε μεγάλα νοσοκομεία της Αθήνας και του εξωτερικού ως γυναικολόγος-μαιευτήρας και ως χειρουργός μαστού.

Διατηρεί ένα σύγχρονο ιατρείο στην Αθήνα και συγκεκριμένα στα Ιλίσια, όπου οι ασθενείς του λαμβάνουν προσωποποιημένη  και αποτελεσματική φροντίδα με σύγχρονες μεθόδους και πρωτοποριακές τεχνικές από τον χώρο της Ιατρικής, για θέματα όπως: η εγκυμοσύνη και ο τοκετός, ο προγεννητικός έλεγχος, για διάφορες γυναικολογικές παθήσεις, ο καρκίνος, η εμμηνόπαυση ενώ πραγματοποιεί ετήσιες εξετάσεις γυναικολογικές και ενημέρωση των εφήβων. 
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