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Чаще встречается у женщин в климактерическом периоде, но может возникать также в репродуктивном возрасте [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n\n**Классификация**: выделяют три стадии [1](https://BestClinic.ru/diseases/krauroz-vulvy/): \n1. **Начальная (истончение тканей)** — появляется лёгкая сухость, периодический зуд, покраснение слизистой [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n2. **Склеротическая (уплотнение)** — кожа становится бледной, гладкой, теряет складчатость, возникают микротрещины [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n3. **Атрофическая (фиброз)** — вульва деформируется, малые половые губы сглаживаются, возможен стеноз входа во влагалище [1](https://BestClinic.ru/diseases/krauroz-vulvy/).\n\n## Причины\nТочные причины развития крауроза вульвы до конца не изучены, но выделяют несколько факторов, способствующих его развитию [1](https://BestClinic.ru/diseases/krauroz-vulvy/): \n* **Гормональные нарушения** — дефицит эстрогенов, особенно в менопаузе, приводит к истончению эпителия и снижению эластичности тканей [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Аутоиммунные процессы** — у части пациенток выявляются антитела к собственным клеткам кожи [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Хронические воспаления** — длительные вульвовагиниты, аллергические реакции или инфекции могут провоцировать дистрофические изменения [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Генетическая предрасположенность** — случаи семейного анамнеза подтверждают роль наследственности [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Психосоматические факторы** — стресс, невротические расстройства иногда ускоряют прогрессирование болезни [1](https://BestClinic.ru/diseases/krauroz-vulvy/).\n\n## Симптомы\nКлиническая картина зависит от стадии крауроза вульвы, но наиболее частые признаки [1](https://BestClinic.ru/diseases/krauroz-vulvy/): \n* **Зуд, жжение** — от умеренного до нестерпимого, усиливающиеся ночью [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Сухость, стянутость** — слизистая истончается, становится ранимой [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Болезненность при половом акте** — из-за микротравм и снижения эластичности [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Изменение цвета кожи** — от гиперемии до белёсых участков склероза [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Сужение входа во влагалище** — на поздних стадиях затрудняет гинекологические осмотры [1](https://BestClinic.ru/diseases/krauroz-vulvy/).\n\n## Диагностика\nДля подтверждения диагноза проводят [1](https://BestClinic.ru/diseases/krauroz-vulvy/): \n* **Гинекологический осмотр** — выявляет характерные атрофические изменения [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Кольпоскопию** — позволяет детально изучить поражённые участки [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Биопсию вульвы** — необходима для исключения малигнизации [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n* **Лабораторные анализы** — исследование гормонального фона, исключение инфекций [1](https://BestClinic.ru/diseases/krauroz-vulvy/).\n\n## Лечение\nКрауроз вульвы требует длительного, комплексного лечения, направленного на замедление атрофических процессов, устранение симптомов и профилактику осложнений [1](https://BestClinic.ru/diseases/krauroz-vulvy/). Тактика терапии зависит от стадии крауроза, выраженности симптомов и индивидуальных особенностей пациентки [1](https://BestClinic.ru/diseases/krauroz-vulvy/). \n\n**Полностью излечить крауроз вульвы невозможно** — требуется пожизненное наблюдение у гинеколога [1](https://BestClinic.ru/diseases/krauroz-vulvy/). 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