Causes and symptoms of bacterial vaginosis. Diagnosis of bacterial vaginosis. How to treat bacterial vaginism with medical and folk remedies

Bacterial vaginism Vagina is an unrealistic disease in which the ratio of intimate microflora is disturbed: the amount of lactobacilli is reduced and the number of conditionally pathogenic microorganisms is growing.

The doctors of the old hardening this state is often referred to as Gardnerlese, which is incorrect. Yes, Gardnerwell Vaginalis is found in almost all patients with cacawaginos, but the fact of the presence of Gardnerners in a woman does not yet testify to the Bacawing. Yes, and in addition to this bacterium, there are other conditionally pathogenic microerats that can provoke vaginal dysbiosis.

Below, we consider the causes of the occurrence of bacterial vaginosis, symptoms of the disease, methods of diagnosis and methods of treatment.

Bacterial Vaginosis - Causes

The causes of the occurrence of the Bacawnosis are not currently investigated. But it is just known that such factors can contribute to the development of this disease as:

1. Reduced immunity, strong stress.
2. Hormonal changes. In the risk area there are women receiving hormonal drugs, teenagers, pregnant women, women who have come Climax.
3. Taking antibiotics. Long-term antibacterial therapy drugs threatens the death of not only pathogenic microorganisms, but also representatives of the useful microflora as a large intestine and vagina.
4. Previously suffered a disease of the reproductive system, which is inflammatory.
5. The recent change of sexual partner.
6. Menstrual disorders. Moreover, even healthy in the gynecology of women in certain phases of the menstrual cycle have higher collision risks with bakvaginosis.
7. Benign cervical diseases.
8. Specific types of contraception: long-term use of Navy, candles or lubricants with nonoxynol-9.

Bacterial Vaginosis - Symptoms

• The main symptom of the babovaginosis is the abundant vaginal separated white or grayish-white color, a homogeneous consistency. In case of chronic bacterial vaginosis, the selection may become curd, to acquire a greenish-yellow shade.
• The vaginal discharge with Bacawing may have a characteristic smell of fish, increasing in critical days, after performing hygienic procedures or after a relationship.
• Infrequently bacterial vaginosis accompany pain or discomfort when urination, sexual intercourse.
• Sometimes the disease can proceed absolutely asymptomatic.

Bacterial Vaginosis - Diagnostics

Bacterial Vaginosis and Ambrel's criteria

1. Positive aminotest: Fish odor at the discharge, extended before or appeared after adding to the vaginal separated 10% solution of potassium hydroxide.
2. In the bacterial vaginosis, the discharge is specific, which is found in the gynecological examination.
3. The hydrogen indicator of the vaginal separated above 4.5 is usually 5-6. Determined by the indicator strip.
4. In case of bacterial vaginosis, the smear contains "key cells".

Bacawaginos can be diagnosed with patients who have coincided with 3 points out of 4.

Bacterial Vaginosis and Criteria Nuggen / Newjent

The "Gold Standard" in the diagnosis of the Bakumaginosis is considered to be developed more than 25 years ago a system of points for estimating the three bacterial morphothips of the vagina. A stroke from the vagina is painted in gram, the morphothypes are calculated under the immersion system of the microscope. Depending on their number, scores are awarded, the sum of which allows you to estimate the presence and degree of babovaginosis.

• Normal microflora: 0-3 points.
• Intermediate microflora: 4-6 points.
• Bacawaginos: 7 or more points.

Bacterial Vaginosis and PCR

PCR is not a mandatory component in the diagnosis of bakvaginosis, since the detection of representatives of the conditionally pathogenic microflora of the vagina does not yet mean the presence of a bitumaging. But this analysis is still recommended to determine the composition of microflora provoking the development of the disease.

Bacterial vaginosis and cytological smear

The cytogram of bacterial vaginosis is necessary only if the uterus pathology is suspected, which joined the infection. In other cases, the analysis is non-informative.

Bacterial vaginosis in men

• Men, in view of the differences in the structure of the genital organs, and the fact that the baquosis does not apply to the STD, the bacterial vaginosis cannot be sick.
• If a partner has a bacterial vaginosis, sex is not prohibited, provided that other infections have not joined the disease. A sexual intercourse with a woman who has a vaginal dysbiosis, is fraught with the falling and pathogenic microorganisms in the urethra, but they often do not show themselves and are out of Urina in a few days.
• In one of the ten cases, a man becomes the carrier of Gardnell, which contributes to a violation of intimate microflora at his genital partner from the risk group. Also, Gardnerells who have fallen in Uretera can provoke urethritis development. Single cases of diseases of pyelonephritis, prostatitis, epididimitis, cystitis, developed against the background of Gardnerella in the men's body, are fixed.
• In the absence of symptoms, the treatment of sexual partners of patients with female women is not required.

Bacterial Vaginosis during pregnancy

Bacawing during pregnancy should be treated after the first trimester. Otherwise, the risk of chorioamniotic, premature generics, intrauterine fetal infection, inflammation of the uterus in the postpartum period and other serious diseases increases significantly.

How to cure bacterial vaginosis

Women suffering from bacterial vaginosis is strongly recommended:

• abandon aggressive intimate hygiene, carrying concrete and underwear of other styles from synthetic materials;
• refuse to use daily gaskets, tampons;
• do not wear tightly tight trousers, especially jeans.

The treatment diagram of bacterial vaginosis includes the disposal of pathogenic microflora and an increase in the number of lactobacilli.

Medicines for rehanging vagina with bacterial vaginosis

• Drugs based on clindamycin (cleindacle, dalacine) orally or vaginally. Do not affect lactobacilli. Use in the first trimester of pregnancy is prohibited. Do not apply to the treatment of bacterial vaginosis in women in large periods of pregnancy, due to the available data on the relationship of the use of clindamycin and raising the risk of premature birth.
• Most often against bacterial vaginosis prescribe medications based on metronidazole, secandases, ornithosis and other derivatives of imidazole (trichopol, clion) orally or vaginally. These drugs are destructive only for anaerobic bacteria and do not reduce the number of lactobacilli. In the first trimester of pregnancy, the above drugs do not apply, at later dates, are usually prescribed in a double dosage reduced.

• Antiseptic vaginally. It is usually prescribed by hexicone candles from bacterial vaginosis (chlorhexidine). The minus of the method is that the active ingredient affects not only pathogenic microorganisms, but also on lactobacilli.

Bacterial Vaginosis - Preparations for Recovery Flora

In the course of research, the effectiveness of the use in the gynecology of probiotics and prebiotics slightly exceeded placebo, therefore the purpose of these group drugs is a recommendatory nature.

• Probiotics. Save the viability after passing the gastrointestinal tract and are able to settle the urogenital zone with useful lactobacteriums, suppressing the growth of pathogenic flora.
  In gynecology is often used by the lactobacterium Ramosus  GR-1 Vagilak in the form of pills for oral administration, gel for local use and means for intimate hygiene.
• Local use of preobotics. These drugs do not contain alien lactobacilli, but contribute to the increase in the number of own lactobacilli. The procedure course lasts about 10 days.
• Preparations containing lactic acid. Used to normalize the hydrogen indicator of the vaginal environment.

Regardless of the selected tactics of treatment, the disease recurrences about half of the patients.

Bacterial Vaginosis - treatment with vaccinations

To combat bacterial vaginosis, any degree or prevention of relapses is used to increase the number of chopsticks of DodroDyane salcotrichovak vaccine. The drug requires three-time introduction with an interval of 14 days. Injection should not be carried out during menstruation. The first autoclication of solcotrichovak is carried out a year later, follow-up - every 2 years. The results will be visible after 2-3 weeks after the first injection.

Contraindications for vaccination:

• pregnancy, lactation (there are no clinical studies);
• age under 15 years old;
• syphilis, gonorrhea;
• HIV;
• kidney disease, decompensated heart disease;
• diseases of the hematopoietic system;
• Orz.

Bacterial Vaginosis - Popular Treatment

Drawing from bacterial vaginosis

The method is controversial, in view of the fact that during the douching also useful lactobacillias. The dysfunctions are usually held twice a day in the lying position, and at the end of the procedure it is better to stay in the lying position for another 15-30 minutes. The water jet should not be strong. Before each douching, the fringe or a circle of esmark must be boiled.

If discomfort occurs when the procedure is drew the procedure.

• Oak bark. For the procedure, a 300 ml of oak bark is used in proportion of 1: 5 (1 part of the crust on 5 parts of water). The treatment is carried out before the disappearance of the symptoms of the disease, an average of 7-10 days is enough.
• 2 teaspoons 3 percent solution of hydrogen peroxide bred in 350 ml lukewarm water. Syringing conducted a freshly prepared solution. After a course of treatments is recommended that the local use of probiotics.
• Kefir, yogurt - is what to treat bacterial vaginosis is prohibited, because in addition to the beneficial bacteria may contain a negative influence on the components of the flora in these products.

Medicated swabs from bacterial vaginosis

Ready-made sanitary pads or gauze impregnated with the drug and placed in the vagina for 7-8 hours, optimally - for the night.

• Aloe and vegetable oil. The tampon impregnated mixed in equal proportions aloe juice and oil.
• Sea buckthorn oil. Swab impregnated with one only sea buckthorn oil. The facility has a bright orange color and in contact with underwear and clothing leaves trudnootstiryvaemye spots.

Baths of bacterial vaginosis

In the fight against bakvaginozom no harm will welcome sitz baths with the addition of the water decoction of herbs. The procedure should not last longer than 20 minutes.

• The bathing water can be added infusion obtained by steaming 150 grams of camomile.
• Property treated bakvaginoz have walnut leaves. To prepare the broth will need 250 grams of leaves.
• You can also mix an oak bark, chamomile, walnut leaves, oat straw, juniper berries, add water, put on fire, cover. Boil the mixture for 45 minutes. After drain and add to the water for bathing.

Strengthening the immune system for bacterial vaginosis

Strengthening the body's defenses - an important step in the prevention and fight against bakvaginozom. Folk remedies will fall here as very handy.

• 2 cups of berries cherries, pitted mash, add to it grated unpeeled quinces and two apples, passed through the press 10 cloves of garlic, chopped seedless lemon. The mixture was pour 9 cups of boiling water, cover. Within half an hour the mixture will infuse, then drain it should. The beverage consumed by 100 ml 4 times per day.

• 2 tablespoons dried rowan berries pour 400 ml of water and put on fire. After 15 minutes, add to the broth 2 tablespoons of honey, after a few minutes, turn off the stove. 2 bulb maximum chop, add to broth ostyvshemu. The resultant mixture was use to 4 times a day on a tablespoon.

Output

Bacawaginos is a common sexually transmitted disease. It carries a danger to pregnant women and their future children, so the treatment of future mothers is necessary, but only under the strict control of the doctor.

In the typical course of bacterial vaginosis, the main sign of the disease is the changed nature of the discharge, but this disease can flow and without any subjective or objective symptoms.