The scheme of treatment of chronic gardnerellosis in women. Gardenelosis (gardnerellosis): signs and methods of treatment in women. Photo gallery: physiotherapy in gynecology

- vaginal dysbacteriosis associated with a sharp quantitative and qualitative violation normal microflora vagina, a decrease in the number of lactobacilli and the reproduction of conditionally pathogenic microorganisms, including gardnerella. Characterized by the appearance of abundant vaginal discharge grayish color with bad smell. Untreated bacterial vaginosis increases the risk of developing inflammatory diseases female genital area and miscarriage.

General information

is the most common variant of bacterial vaginosis, i.e., an imbalance in the composition of the natural microflora of the female genital organs. Gardnerellosis is observed in 20% of women in reproductive period. The lactic acid microflora, which normally predominates in the vagina, is replaced by opportunistic species in bacterial vaginosis, the leader among which is gardnerella. The way of transmission of gardnerellosis is sexual, more often gardnerella is detected in women who are active in sexual life. Men usually act as carriers of the infection, therefore, in order to exclude relapses of gardnerellosis, it is necessary to carry out simultaneous treatment all sexual partners.

Gardnerellosis in advanced form can cause the development of inflammation urinary tract, uterus and appendages, infertility, complications during pregnancy and childbirth. With gardnerellosis, mixed infection with other microorganisms is often noted: gonococci, trichomonads, mycoplasmas, chlamydia, candida, etc.

Symptoms of gardnerellosis

Gardnerellosis has a course somewhat similar to other inflammatory diseases of the genitals in women. With gardnerellosis, there are: discharge from the vagina (grayish-white, homogeneous, pasty, with an unpleasant "fishy" odor); burning, itching, discomfort during urination and sexual intercourse. Gardnerellosis is accompanied inflammatory changes in the vagina, urethra and cervix. When using intrauterine devices, after menstruation, abortion and childbirth, gardnerellosis can be complicated by endometritis, inflammation of the uterine appendages. Gardnerellosis adversely affects pregnancy: premature births are more common, children are born weakened, premature, infection of the fetus during childbirth is possible.

The presence of gardnerella in the urogenital tract of men, in most cases, does not manifest itself in any way, occasionally causes a sluggish inflammatory process with signs of urethritis. Then there may be small discharge from the urethra (serous-purulent, grayish in color with a "fishy" smell), discomfort during urination. Possible complications in the form of prostatitis, inflammation of the testicles and appendages, the development of infertility.

Causes of gardnerellosis

Bacterial vaginosis (gardnerellosis) occurs as an imbalance in the composition of the natural microflora of the vagina, when “non-physiological” types of microorganisms, primarily gardnerella, begin to dominate. Disrupt normal microflora urinary organs can be external and internal factors.

Among external factors, causing the development of gardnerellosis, are dominated by:

• unfavorable ecology;
• recent and frequent change of sexual partner;
• irrational nutrition, diets with a lack of lactic acid products;
• the use of antibiotics (including suppositories, ointments);
• application contraceptives(vaginal suppositories containing 9-nonoxynol, condoms with spermicidal lubricant, hormonal preparations);
• usage hygiene products(pads, tampons, perfumed intimate hygiene products) and frequent douching;
• wearing underwear and clothes made of synthetic materials that tightly fit the figure.

To internal factors that cause gardnerellosis include:

• endocrine disorders and changes (including pregnancy);
• level reduction immune protection, immunodeficiency states;
• emotional and physical overwork, stress;
• chronic diseases, imbalance of the microflora of the intestinal and genitourinary tract.

Development of gardnerellosis

Normally in the vagina adult woman more than 15 types of microorganisms are found. Acidophilic lactobacilli predominate, the smaller part is bifidobacteria (10%), peptostreptococci (~ 5%). Lactoflora, thanks to lactic acid, maintains the acidic environment of the genital mucosa, which performs local protective and immune functions.

Anaerobic bacteria (mobiluncus, bacteroids, gardnerella, etc.), genital mycoplasmas, trichomonas, candida are found in small quantities in the vagina of women. Sharp increase the number of these microorganisms violates the microbiological balance, vaginal dysbacteriosis or bacterial vaginosis occurs. It is characterized by a decrease in the number of Doderlein microflora (lactobacilli) and the predominance of opportunistic species. More often than others, women with bacterial vaginosis are found to have vaginal gardnerella, which is the main, although not the only, cause of these disorders. Therefore, the state bacterial vaginosis called gardnerellosis.

In addition to gardnerella, the number of other bacteria increases (coccal species, trichomonads, mycoplasmas, mobiluncus, yeast-like fungi). The role of gardnerella in the development of bacterial vaginosis is that it creates a favorable background for the reproduction of opportunistic and pathogenic microorganisms. The vaginal environment is alkalized, the metabolic products of gardnerella exacerbate the resulting mucosal disorders, and a basis for the penetration of other infections arises. Therefore, gardnerellosis contributes to the development of inflammatory diseases of the genitourinary system of women.

Diagnosis of gardnerellosis

To confirm the diagnosis of gardnerellez at a gynecologist's consultation, swabs are taken from the woman's vagina. In the diagnosis of gardnerellosis, it is not so much the presence of gardnerella that matters, but their number and the ratio of microorganisms in the composition of the vaginal secretion. Gardnerella are present in vaginal flora majority healthy women without the development of dysbacteriosis. The diagnosis of "gardnerellosis" is established on the basis of:

• patient complaints and clinical manifestations(the presence of homogeneous pasty secretions of a grayish-white color);
• increase in the pH of the vaginal secretion (> 4.5);
• the presence of "key" cells in the microscopy of smears from the vagina and urethra ("key cells" - epithelial cells covered with small sticks (gardnerella) - an important sign of gardnerellosis);
• amine test

In gardnerellosis, in the course of their vital activity, gardnerella and anaerobic microorganisms form volatile amines (putrescine, triethylamine, cadaverine), which, when decomposed, give an unpleasant “fishy” odor. The basis for the diagnosis of gardnerellosis is the detection of at least three of these criteria. It is also necessary to be examined for the presence of intestinal dysbacteriosis, which can provoke the development of bacterial vaginosis, and to treat it. This will reduce the risk of recurrence of gardnerellosis.

Treatment of gardnerellosis

Early and accurate diagnosis gardnerellosis allows timely treatment. The methods of therapy used by modern gynecology allow the patient to recover and avoid the development of complications, but do not guarantee the absence of recurrence of the disease in the future. Therapeutic treatment gardnerellosis should eliminate the causes and manifestations of the disease and create conditions for the normalization of the microflora of the genital organs.

At the first stage of treatment of gardnerellosis, women are prescribed clindamycin and metronidazole preparations (orally and intravaginally): clindamycin phosphate - capsules and vaginal cream (2%); metronidazole - tablets and gel (0.75%). To avoid the development of vaginal candidiasis in the treatment of gardnerellosis, prescribe clotrimoxazole (cream). When managing pregnancy in women suffering from gardnerellosis, treatment begins in the second trimester of pregnancy with the same drugs (orally and locally as prescribed by a doctor). In the first trimester oral administration metronidazole and clindamycin are unacceptable.

Treatment of gardnerellosis is carried out under the control of clinical and laboratory tests, and is considered completed when complaints, symptoms disappear and laboratory criteria normalize. During the treatment of gardnerellosis, it is necessary to avoid sexual intercourse without a condom, give up alcohol, do not use pads for "every" day, tight synthetic underwear. The second stage of treatment of gardnerellosis includes the use of oral and local preparations containing lacto- and bifidumbacteria, vitamins, immunostimulants.

The need for examination and treatment of men - sexual partners of women with gardnerellosis remains debatable. Relapses of gardnerellosis in women can also occur after treatment of both sexual partners. Nevertheless, it is advisable for persistent and recurrent cases of gardnerellosis to carry out such treatment in the representatives of the stronger sex.

Prevention of gardnerellosis

To avoid the development of gardnerellosis and its recurrence will help preventive measures aimed at eliminating the causes of bacterial vaginosis. The wide prevalence and danger of the consequences of gardnerellosis require not only immediate treatment disease, but also its regular household and medical prevention. Women are advised:

• have a permanent sexual partner and exclude casual sex;
• use a barrier method of contraception (condom), minimize the use of local contraceptives;
• do not use frequently and without vaginal control antibacterial suppositories and tablets;
• use vaccination to create local immunity;
• observe general and intimate hygiene.

About 20% of women reproductive age face such unpleasant disease like gardnerellosis. In fact, this disease is nothing more than one of the types of bacterial vaginosis - a condition in which the normal composition microflora of the vagina.

Normally, the lactic acid microflora predominates in the vagina. Under the influence of certain factors (decreased immunity, stress, etc.), lactobacilli are forced out conditionally pathogenic microflora which can contribute to the development of many diseases. With an increase in the number of gardnerella in the vagina, gardnerellosis occurs. By themselves, these opportunistic pathogens not dangerous, but they create favorable environment for reproduction of trichomonas, mycoplasma, yeast-like fungi, which can lead to the development serious illnesses genital area in women. Therefore, it is not worth delaying the treatment of gardnerellosis.

Gardnerellosis is not venereal disease, but some factors predisposing to infection contribute to its development venereal diseases. Most often, this bacterial vaginosis occurs as a result of the following reasons:

• a large number of sexual partners;
• casual sex;
• hormonal changes in the body during pregnancy, menopause;
• frequent douching, especially with antiseptics (chlorhexidine, Miramistin);
• the use of protection products containing 9-nonoxynol;
• reception antibacterial drugs wide spectrum of action;
• stressful situations.

Symptoms of gardnerellosis

Signs indicating the development of gardnerellosis are very few and similar to the symptoms of other gynecological diseases. The main, and in most cases the only, symptom of the disease is mild, homogeneous, gray-white or yellowish discharge from the vagina, which has an unpleasant odor (the smell of "rotten fish"). The appearance of symptoms such as itching and burning in the vagina, pain in the lower abdomen, discomfort and pain during intercourse indicates the development inflammatory processes in the vagina and other pelvic organs in women.

Treatment of gardnerellosis

This disease requires aimed at recovery normal ratio microorganisms in the microflora of the vagina, increasing local immunity in it, as well as strengthening general immunity. Treatment is carried out in two stages: the first is a decrease in the number of gardnerella in the vagina, the second is the colonization of lactobacilli. The second stage of treatment will not be effective without the first.

In order to reduce the number of gardnerella in the vagina, antibiotics are prescribed (Trichopolum, Metronidazole). If there are contraindications to taking these drugs (pregnancy, lactation), local treatment- treatment of the vagina with a solution of Miramistin, Metronidazole in the form of a gel, it is also possible to introduce Betadine suppositories.

Restoring the normal microflora of the vagina is the most difficult stage treatment. Patients are prescribed drugs containing lactobacilli. Similar drugs must also be taken orally, since in most cases bacterial vaginosis is detected and. The course of taking drugs of this group lasts at least a month.

It is also important to increase the overall immune status organism. Patients are prescribed vitamin therapy (Biomax, Vitrum, Alphabet, etc.) and natural immunomodulators(echinacea, lemongrass).

During treatment, it is recommended to avoid sexual intercourse or use barrier methods protection (condoms). After the end of the course of treatment, you need to undergo a follow-up examination to assess its effectiveness, if necessary, the course of treatment is extended.

Prevention of gardnerellosis

Prevention of the disease is reduced to the elimination of factors leading to its development:

• orderly sex life, the presence of one sexual partner;
• avoidance of casual sexual relations;
• douching should not be carried out without a doctor's prescription, and this procedure should not be abused in order to emergency prevention sexually transmitted diseases;
• observance of intimate hygiene, timely change of hygienic tampons and pads during menstruation;
• wearing loose underwear made from natural materials;
• strengthening immunity.

Many women diagnosed with gardnerellosis are concerned about the need to treat their sexual partner. In men, gardnerella in rare cases can cause urethritis, or prostatitis, but gardnerellosis itself cannot occur in them due to anatomical structure reproductive system. If a woman who has one sexual partner has a relapse of the disease, then it is necessary to examine her partner, since it is he who can be the source of infection for her. In such cases, treatment of the sexual partner is necessary to prevent recurrence of gardnerellosis.

Which doctor to contact

If there is an unpleasant smelling discharge from the vagina, you can contact a gynecologist or venereologist. In addition, it will be useful to consult an immunologist, especially with recurring episodes of the disease.

Any violation of the microflora can be settled naturally without treatment, but this may take not a few days, but months or even years. During this time, under good circumstances, you can get rid of gardnerellosis, and with poor prognosis he can go to chronic form and cause many complications. The opinion of any gynecologist will be unambiguous: gardnerella infection requires treatment.

Usually, the treatment of gardnerellosis is carried out in two directions. First you need to reduce to normal the amount of sharply increased number of gardnerella infections. Then using medicines restoration in progress the number of lactobacilli in the vaginal microflora.

Effective treatment of the gardnerella virus is aimed at the destruction of actively multiplying microorganisms. Pathogenic bacteria shouldn't be many. They may be present in allowable amount and it causes absolutely no alarm. Doesn't give off a rotten fish smell. As soon as this number began to increase, immediate diagnosis and treatment of the bacterium gardnerella vaginalis is required.

Any effective treatment gardnerellosis does not guarantee recovery in one day. It's not just a disease to be cured. Bacterial vaginosis is special condition organism that requires intervention. Much easier to treat anaerobic bacteria or viruses than to completely restore the normal microflora, providing it necessary quantity lactic acid bacteria. To do this, conditions must be created for recovery, which depend not only on the intake of drugs, but also on the regulation of sexual relations, the normalization of nutrition, the formation of proper hygienic skills for caring for own body. To attain effective result you will have to check other organs that could cause gardnerellosis. Intestinal dysbacteriosis is often a prerequisite for changes in microflora. Until this disease is cured, no gardnerella treatment will work.

How and with what it is necessary to treat gardnerellosis, can it be cured?

Since gardnerellosis is not a dangerous sexually transmitted disease, some women even in the doctor's office ask the question whether it is necessary to treat gardnerella vaginalis. At the beginning of the article, we talked about what the absence of therapy can lead to. When a diagnosis is made, each patient should immediately ask the attending physician how to treat gardnerella in order to quickly return to normal life again and avoid complications.

For an experienced gynecologist, it is not a problem in choosing the means when deciding how to cure gardnerella. This is usually done with antibiotics and a topical treatment that includes prescriptions. traditional medicine, suppositories, tampons and other preparations. You can not defeat the disease quickly. It will have to wage a complex struggle, which will be aimed at full recovery of the whole organism, because it is more of a disease that is not received from a sexual partner, but has developed in the body itself due to some kind of failure. Before deciding how to treat gardnerellosis, it is necessary to eliminate the cause that caused it. If it was sexual contact, be sure to end the relationship. If the disease provoked a weakening of the immune system, start restoring it, otherwise the virus will not become less in the body.

A special approach is required in cases where the question is how to cure gardnerellosis in early pregnancy? It is strictly forbidden to prescribe all those drugs that ordinary patients are treated with to this group of women so as not to cause pathologies in the development of the fetus. In pregnant women, gardnerella is treated, but using a special scheme and only under the strict supervision of a doctor. It is better to start such treatment immediately before childbirth, so that early dates formation of the embryo does not cause developmental disorders by taking antibiotics. Sometimes pregnant women ask if gardnerella is treated without the use of antibiotics so as not to harm the baby. You can try to use the same means in the third trimester, but using them not in the form of tablets, but choosing candles or gels.

For everyone who is interested in whether gardnerellosis is treated in pregnant women with douching, there are disappointing statistics that often the disease develops due to the fact that from the vaginal cavity, if the procedures for intimate hygiene useful lactobacilli were washed out. Choosing douching as a treatment, a pregnant woman aggravates the process, but in no way contributes to her recovery. Despite the fact that the gardnerella is washed out, the microflora is still at risk, because lactobacilli will never reach the norm during such procedures.

Do not ask your friends if you can cure gardnerella on your own. Health does not like being taken lightly. Bacterial vaginosis is not just dangerous disease, this is the first alarm signal that something in the body is not functioning properly and is failing. Only timely diagnosis and right choice medicines will relieve in the future from experiences, whether chronic or advanced gardnerellosis is treated. This is not only extremely unpleasant, but also much more difficult, and more dangerous for health.

Scheme and course of treatment of gardnerella vaginalis or how to get rid of it?

Any disease requires not only competent diagnosis, but also the right treatment regimen. Gardnerellosis is no exception here. Not everyone will succeed in curing him with the drugs used by neighbors or girlfriends. And the first failure will be hidden in ignorance of the reasons that led to the disease. Only a doctor can, after a diagnosis and a confidential conversation with the patient, draw up a treatment regimen for gardnerella vaginalis, which will be applicable to a specific case of the development of the disease.

The course of treatment of gardnerellosis usually consists of two stages:

In different patients, the course of treatment may include completely different drugs, if at the same time other viruses or fungi are found in the body. Often, candida or chlamydia become a companion of vaginal bacteriosis, then it will not be possible to manage only with these drugs. You will have to resort to the use of antifungal gels or drugs that act on chlamydia.

There is no exact answer to the question of how much gardnerella is treated. For some this process will only take a week. This group of patients, who quickly get rid of bacteria and restore the microflora in the vagina, includes only those women who asked for help at the first symptoms of the disease and impeccably followed all the doctor's recommendations.

Having received bacterial vaginosis, one cannot only look for the answer to the question of how to get rid of gardnerella (gardnerellosis). This bacterium must be present in the microflora. You need to think about how to strengthen your immunity. To do this, it is important to constantly monitor the health of the reproductive system.

Treatment of chronic gardnerellosis (bacterial vaginosis)

Flow chronic gardnerellosis, like its treatment, has its own characteristics. The disease can manifest itself in periods of exacerbation, which smoothly turn into latent stage and there is a lull. It seems to patients that the disease is gone, and the treatment of vaginal gardnerella can be stopped. However, it is precisely this lack of proper treatment that allows the bacteria to gain strength while the disease is in a sluggish form, and continue their action further. After a short lull, the disease begins to progress again and the imbalance of beneficial and harmful bacteria becomes even more noticeable, because now reproduction is even faster.

Chronic gardnerellosis or bacterial vaginosis requires treatment, which includes both the use of antibacterial drugs and products containing live lactobacilli, and an immunotherapy complex. In addition to the main course, local therapy can be added, but only the doctor decides how to treat gardnerella vaginalis.

It will not be possible to defeat chronic vaginal bacteriosis with antibiotics alone. They reduce the amount of a harmful virus and prepare the ground for the reproduction of lactobacilli, so you will need to saturate the diet with products that promote the formation of lactic acid bacteria and take drugs that promote this process. Gynoflor E helps most women.

The fight against gardnerellosis at home

Since this disease has nothing to do with sexually transmitted diseases, the treatment of gardnerella at home with the help of traditional medicine is also possible, but only after diagnosis and doctor's prescriptions. Herbs that fight viruses can be very effective in treating gardnerella.

This disease has been around for centuries. And if earlier doctors didn’t call it bacterial vaginosis, many women were still bothered by the smell of rotten fish from their genitals. I had to be treated by local healers. So they then compiled a list of herbs that may be useful in the treatment of gardnerellosis at home.

Any herb can be both a helper and an allergy or rash provocateur. You can not prescribe such therapy yourself. Having discussed with the doctor the most acceptable recipes of traditional medicine, you can start treatment at home, rather than experimenting with your own health.

To fight harmful bacteria, you can put tampons soaked medicinal decoction from herbs. Plants can be used singly or in combination, taking them in the same amount. Birch and plantain leaves, chamomile and calendula flowers, thyme and lavender herb, coriander and flax seeds, oak bark strengthen the immune system and fight viruses. You can prepare a decoction of violet, mint, yarrow, using all parts of the plant as raw materials. A tablespoon of dry potion is taken in a glass of water. It must be brewed in a water bath or allowed to brew in a thermos. A swab is moistened with a warm solution and inserted into the vagina for 20-25 minutes. The same solution can be added to baths, which are also good to take every evening. From the same herbs, you can also prepare delicious tea, which will also help restore immunity.

Although many doctors offer douching solutions from medicinal herbs, it is absolutely impossible to use such procedures for the treatment of gardnerella at home. In the vagina, and so reduced the number of lactobacilli. If you start douching even useful solution, their number will be even less.

At home, you can be treated not only with the use of herbs, but also using other substances. An active assistant in the fight against vaginosis is potassium permanganate. It is recommended to make baths by adding a few crystals of potassium permanganate to the water. Instead of potassium permanganate, you can use ordinary or sea ​​salt. It can also kill bacteria. It is not for nothing that people with vaginosis after a vacation at sea notice that their disease has gone away on their own.

The female body is characterized by such a disease as gardenelosis or bacterial vaginosis. It is accompanied by inflammation of the mucous membrane of the vagina itself, a change in the microflora. In addition, abundant cases appear when this disease occurs without any symptoms.

What exactly causes bacterial vaginosis is difficult to say. Most experts are of the opinion that this is primarily due to a hormonal disorder. The reason may be the use of antibiotics, as well as the presence intrauterine device. For diagnosis, it is necessary to determine the acidity in the vagina, examine the smear of the mucous membrane. If gardenelosis was found during the examination, treatment, which is based on the destruction of bacteria, the restoration of normal microflora, should be immediate.

Gardenelosis: main symptoms, signs

Many women may not even suspect that they have a similar disease. in such cases, it is detected quite by accident, during a preventive examination. But still the main ones are:

• copious discharge from the vagina, which may be white or gray;
• the presence of a specific smell;
• periodic itching in the genitals, burning, the presence of discomfort;
• frequent urination.

The longer there is no treatment of gardenelosis in women, the more serious the complications are. Difficulties arise during pregnancy, during childbirth. Gardenelosis often causes premature birth. In addition, many other infectious diseases and even cervical cancer. Bacterial vaginosis can develop in parallel with diseases such as chlamydia and gonorrhea.

Gardenelez and sexual life

gardenelosis (bacterial vaginosis)- a purely female disease with damage to the mucous membranes of the vagina, so it does not develop in a man. However, do not forget that he (the man) is the sexual partner of a woman, so he may well be a carrier and the symptoms of the disease may also appear in him. So, against the background of bacterial vaginosis, a man can get urethritis, accompanied by pain, pain during urination. Therefore, if gardenelosis begins to appear in women, treatment in men should be complete and mandatory.

Treatment of gardenelosis

If the disease is detected, then it is time to treat it. Fast Taken measures help avoid complications. Purpose of treatment- Destroy the bacteria that cause the disease. Gardenelez treatment is carried out in several ways: using antimicrobial tablets, as well as using vaginal suppositories and gels.

The main drugs whose action is directed to gardenelosis treatment are m etrodinazole, clindamycin, metrogil plus. Many doctors recommend using antibacterial tablets and local treatment at the same time. For example, you can use metrodinazole and vaginal gel"Metrogil".

As soon as the bacteria are destroyed, you should proceed to the next stage of treatment - the restoration of microflora. For this, drugs called probiotics are used. They are live bacteria that actively fight harmful bacteria. For example, these may be drugs inex, lactobacterin.

If all the above recommendations are strictly followed according to the doctor's instructions, then the disease will successfully recede, the woman's body will recover with the complete disappearance of all discomfort. Gardenelosis treatment will take more than two weeks, so you should be patient and devote maximum time to yourself. Thanks to a responsible approach to solving this problem, you can get rid of not only gardenelosis, but also perform excellent prevention of more serious diseases.

Gardnerellosis or bacterial vaginosis- this is gynecological disease, which is characterized by a change vaginal microflora. Also, the term vaginal dysbacteriosis is used to refer to this pathology in medicine.

It does not cause inflammatory processes, is quite common female disease and involves the treatment of gardnerella in the body.

In healthy female body 95% of all vaginal biocenosis are lactic acid bacteria, which play a direct role in creating a natural protective barrier of the vaginal mucosa.

The remaining 5% is occupied by about 300 other various microorganisms, including gardnerella, and this is the norm.

The microflora of the vagina is extremely sensitive to both various external and internal factors of influence.

The causes of gardnerellosis in women can be a variety of processes:

1. puberty in adolescents;
2. decreased immunity in general;
3. diseases of the endocrine system;
4. stress instability;
5. intestinal dysbacteriosis;
6. failure of the menstrual cycle;
7. violation of intimate hygiene;
8. lack of regular sexual activity;
9. frequent change of sexual partners;
10. taking antibiotics and contraceptives;
11. prolonged use of intrauterine contraception;
12. pregnancy and childbirth;
13. artificial termination of pregnancy;
14. various surgical procedures;
15. chemotherapy;
16. exacerbation of chronic ailments;
17. climate change and dietary changes.

All of the above conditions can lead to a decrease in the number beneficial lactobacilli in the body. As a result, Gardnerella has the opportunity to actively develop and colonize the internal genital organ.

Symptoms and manifestations of vaginal dysbacteriosis

Female symptoms diseases are simple and understandable. They are observed on permanent basis in the form of abundant white, grayish or yellowish discharge from the genital tract. On visual inspection, a foamy discharge can often be detected, which is easily removed with a cotton swab.

The main symptom is accompanied by a pungent odor characteristic of rotten fish.

Among other manifestations, redness and itching of the external genital organs, burning during urination, as well as discomfort during intercourse can be expressed.

Medical diagnosis of gardnerellosis

If bacterial vaginosis is suspected, it is not recommended to start self-elimination Problems. This ailment can occur along with other infections, so it requires proper diagnosis and treatment under the supervision of a specialist.

In order to identify or refute the presence of gardnerellosis, several laboratory studies are carried out.

The most effective is the microscopy of a smear from the vagina. The final diagnosis must be confirmed by an analysis of isonitrile - the presence of this substance in a woman's body indicates the presence of an abundance of gardnerella in the vaginal microflora.

If bacterial vaginosis is detected, additional tests on possible comorbidities, as well as on the sensitivity of pathogens to various drugs, after which, based on the results and general condition the patient's body, is discharged suitable treatment gardnerellosis.

Features of the therapy of vaginal dysbacteriosis

The appointment of drugs to eliminate bacterial vaginosis is necessary only in the absence of pregnancy in the patient. This disease does not pose a threat to the life of a woman or her unborn baby.

Therefore, therapy can be postponed until the birth of the child. Only in some cases, from the second trimester, the doctor can prescribe certain drugs that have no contraindications during pregnancy.

The choice of medicines is a very responsible process, since the wrong selection of medicines for each individual patient can only aggravate her illness. Any woman who is faced with such an unpleasant pathology must know how to treat the pathogen gardnerella.

However, only a doctor has the right to prescribe specific medicines for her illness.

Gardnerellosis is not included in the category of sexually transmitted diseases, strictly sexually transmitted, but in order to avoid transmission harmful bacteria between partners for the period of therapy should refrain from sexual relations. In addition, both partners must undergo treatment, otherwise an exacerbation of the disease will occur again.

Treatment regimen for bacterial vaginosis

Used to treat bacterial vaginosis in women various forms release of medicines: vaginal suppositories, suppositories, gels and ointments for local or external treatment, as well as tablets and capsules for oral use.

In addition, along with the main drugs are often prescribed additional medicines to improve the body's immunity.

The primary goal of treating the disease is the elimination of all, including those found along with gardnerella, harmful microorganisms. For this, antibiotics and antiseptics are used. At the same time, in order to prevent the appearance of mycosis in the cleaned areas of the vaginal mucosa, antifungal drugs are included in the complex of drugs.

An important role in the prevention of bacterial vaginosis belongs to rehabilitation therapy vaginal microflora, which contributes to the renewal normal amount lactic acid bacteria in genitourinary system. The intestine in such a period especially needs bifidobacteria, and to smooth the load on the liver due to the antibiotics taken, doctors attribute hepatoprotectors.

As to which specific medicines should be introduced into the treatment of gardnerellosis is out of the question. Even the simultaneous therapy of two partners often involves great friend drugs from another. For this reason, self-treatment based on information obtained outside of medical consultations is strongly discouraged.

Any information from free sources about certain medicines is presented for substantive review and further discussion at an appointment with a specialist.

Macmirror Complex

The drug for combating single or chronic vaginal dysbacteriosis Macmirror is well tolerated and has a beneficial effect on the recovery of many patients. Antiseptic with a wide spectrum of action eliminates gardnerellosis not only as an autonomous disease, but also with infections that have joined it.

Macmirror is produced in the form of tablets, as well as in combination with a gel or vaginal suppositories, and is used according to the doctor's prescriptions. The duration of treatment is determined by the degree of neglect of the disease. The drug is contraindicated in case of sensitivity to the composition or in case of impaired renal function.

Vaginal suppositories Hexicon

Hexicon- Women's assistant to avoid gynecological infections. In case of unprotected sexual contact with a casual partner, it is recommended to use the medication no later than within two hours after its completion.

it antibacterial agent, which is used both in preventive and medicinal purposes. Hexicon effectively fights the pathogens of vaginal dysbacteriosis without harming lactobacilli.

The medicine retains its properties even when used during menstruation, and is contraindicated only in case of personal intolerance to the components of the composition.

Antibiotic - a guarantee of recovery or a provocation of relapse?

The vast majority of doctors will definitely answer: the key to recovery. Despite the fact that the use of antibiotics is just one of the causes of an overabundance of gardnerella in the female body, only chemicals can help get rid of this disease in most cases.

90% of patients are cured thanks to the right antibiotic.

The maximum effect of therapy is achieved in the early stages of the disease. In this case, the second stage is the restoration of the vaginal microflora. The faster harmful microorganisms are destroyed, the shorter the course of treatment.

Active ingredient: Metronidazole

Metronidazole is considered one of the the best antibiotics to combat pathogens of the vaginal microflora. The substance has several forms of release: tablets, vaginal suppositories, gels and solutions for injections. Metronidazole has a fruitful effect on the elimination of gardnerella, destroying its DNA structure.

The medicine has serious contraindications. It is forbidden to use medicines containing Metronidazole with breastfeeding and during pregnancy up to the second trimester. Moreover, even smallest dose alcohol during the use of the substance can lead to Antabuse-like syndrome, which is characterized by sharp deterioration the general condition of the body and the formation of aversion to alcoholic beverages.

Most Popular trade names medicines based on metronidazole:

1. Trichopolum;
2. Metrogyl;
3. Flagyl;
4. Klion;
5. Bacimex.

Active ingredient: clindamycin

Clindamycin has a wide spectrum of action, destroying not only gardnerella, but also many other pathogens. The antibiotic comes in the form of capsules, vaginal cream, suppositories, gel for external use, as well as in the form of ampoules with a solution for intravenous and intramuscular administration.

Similar in content active substance Clindamycin medicines:

• Dalacin;
• Clindahexal;
• Zerkalin;
• Clindamycin.

Active ingredient: Ornidazole

Many modern specialists give their preference to Ornidazole. Usually, in cases of advanced bacterial vaginosis, tests also recognize pathogens such as chlamydia, trichomoniasis, and many others.

Thanks to a wide range action Ornidazole is able to replace a complex of several various drugs, while affecting even such infections that may not have been detected during research.

The rapid action of the tablets helps to feel positive changes within 2 hours after taking them.

Contraindications of the drug apply to nursing mothers, the first trimester of pregnancy, blood pathologies, as well as neurological diseases.

Antibiotics for the treatment of vaginal dysbacteriosis containing Ornidazole:

• Meratin;
• Dazolik;
• Tiberal;
• Orgil;
• Lornizol.

Active ingredient: Doxycycline

Doxycycline affects the elimination of multiple infections that are sexually transmitted. Like Ornidazole, it can save the patient from prescribing several medications at the same time, while remaining effective in the fight against each existing disease, acting quickly and without causing complications.

Doxycycline is contraindicated in case of intolerance to the composition, pregnancy, breastfeeding and in case of pathologies of the gastrointestinal tract.

Trade names of medicines that contain doxycycline:

• Unidox Solutab;
• Vibramycin;
• Doxilan.

Prevention of vaginal dysbacteriosis

Unfortunately, it is impossible to protect yourself 100% from such an unpleasant ailment as dysbacteriosis of the vaginal microflora, but a number of preventive measures able to reduce the risk of contracting gynecological infections in the future by an order of magnitude.

All you need is:

• lead healthy lifestyle life, strengthen the immune system;
• do not self-medicate;
• use condoms when frequent shift sexual partners;
• carefully observe the rules of personal hygiene;
• avoid stress and conflict situations;
• restore the body after taking the necessary chemicals;
• 1-2 times a year, even with excellent health, visit the gynecologist's office.

Simple recommendations will help to avoid a lot of painful consequences that women at any age are so susceptible to. One has only to make it a habit to take care of yourself and your body, as many health problems will disappear by themselves.

It is important to remember that health is a priceless treasure that needs to be protected.