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Gardnerella in women: causes, symptoms and treatment

Women's health is the most burning issue among beautiful ladies. Any pathological changes (pain, discharge, smell) often cause panic in a woman, forced to flee to a pharmacy and buy up advertised funds.

However, none of the commercials, no girlfriend, "knowing exactly how to treat, because she had exactly the same", will not be diagnosed and will not prescribe the right treatment. Although some diseases - thrush, gardnerellez - are not so dangerous (do not cause infertility ), their treatment is necessary to restore comfortable sensations and prevent undesirable consequences.

Content

Gardnerellez: what is it?

Gardnerella in women

Virtually everyone has heard about the microflora of the vagina: here live "useful" lactic acid bacteria, which keep opportunistic microorganisms (including gardnerella) in a weakened state.

It is the weakening of local immunity and provokes mass reproduction in the first place of fungi, gardnerella and other anaerobes. As a result of imbalance of the vaginal microflora, the woman has unpleasant symptoms.

The anaerobic bacterium Gardnerella vaginalis is found in small amounts in the vagina of even a healthy woman. Only a large number of it and the acquisition of aggressive properties leads to the disease - let's consider in detail what it is.

Gardnerellez - one of the varieties of vaginal dysbiosis. Statistics: one in five women suffer from gardnerellez (bacterial vaginosis).

Gardnerellez: the causes of

causes of gardnerellosis Since gardnerellez is a bacterial infection, it can be infected by sexual intercourse. However, it is not necessary to attribute this disease exclusively to venereal infections.

Although the most frequent way of infection is still sexual, do not exclude other provoking factors. The emergence of gardnerellosis in women occurs for the following reasons:

  • reduction of general immunity (chronic infections, stresses);
  • massive antibiotic therapy, provoking the death of lactobacilli in the intestine and vagina;
  • hormonal failures: pregnancy, menopause ;
  • urinary tract infections;
  • reception of hormonal contraceptives and drugs with 9-nonoxinol (Patentex Oval), antidepressants, corticosteroids;
  • diabetes mellitus and other endocrine pathologies;
  • insufficient intimate hygiene;
  • frequent syringing with antiseptics Chlorhexidine, Miramistin.

Bacterial vaginosis is more likely to affect women, who often change their sexual partners and do not use condoms. At the same time, there is a serious risk of simultaneous infection with gardnerella, gonococcal, ureoplasm and other pathogens of infections.

The first signs of gardnerellosis in women

The first signs of gardnerellosis in women

Incubation period gardnerelleza in women from 4 to 10 days. The first thing that the patient pays attention to:

  • The smell of "rotten fish" from the vagina, which causes serious discomfort and causes repeated washing up to 5-6 times a day. However, the alkaline environment of soap only exacerbates the situation: the smell becomes more and more sharp, the periods of "cleanliness" (absence of an unpleasant smell) are shorter. The specific odor is caused by the decomposition of amines, the product of the life of the gardnerella.
  • Minor discharge from the vagina is whitish-gray or yellowish in color .

The onset of bacterial vaginosis is similar to the development of other infections. Therefore, with the appearance of the first pathological changes, you should consult a gynecologist.

Symptoms of gardnerelleza in women

The development of the disease leads to the appearance of other symptoms:

  • burning and itching in the perineum;
  • soreness, spilled over the lower abdomen (indicates the development of the inflammatory process in the vagina);
  • pain / discomfort during intercourse;
  • the flow of creamy discharge along the walls of the vagina into the perineum;
  • signs of cystitis.

It is noted: the symptoms of the disease are intensified immediately after sexual intercourse. Sperm, having an alkaline reaction, is an excellent medium for the reproduction of bacteria.

Diagnosing the disease according to the clinical picture is quite difficult. Often the disease develops simultaneously with vaginal candidiasis (thrush), often accompanied by infection with Trichomonas , gonococcus.

Diagnostics

Before appointing treatment gardnerelleza a woman, the doctor takes into account the symptoms and complaints, with a gynecological examination produces a fence of the vaginal secretion for the study:

  • The smear (in most cases it is sufficient, at microscopic research the gardnerella is revealed and its quantity is counted);
  • assessment of the pH of the vagina (with the disease fixed alkaline environment, pH increases);
  • test for isonitrile (detects a large number of bacteria).

Carrying out of researches of PIF (direct immunofluorescence) And PCR (DNA-diagnostics) is inexpedient. When making a diagnosis, it is important not to detect the gardnerella, but its quantity.

Treatment of gardnerellosis

Treatment of gardnerellosis

The main and mandatory method of treating bacterial vaginosis is antibiotic therapy.

The scheme of treatment gardnerelleza in women:

  • oral preparations - Metronidazole (Trichopolum, Clion) 250 mg twice a day (incompatible with alcohol!) or Clindamycin 150 mg twice a day, course - 1 week;
  • Local treatment - Metronidazole in a gel (tampons in the morning / evening) or candles, Clindamycin cream once a day, duration of application - 7 days.

Women can be treated with drugs of the penicillin group (Ampicillin). Gardnerella is resistant to tetracyclines (Doxycycline, Tetracycline), cephalosporins (Claforan, Ceftriaxone), sulfonamides (Septrin, Biseptol), aminoglycosides (Neomycin, Kanamycin).

When diagnosing the disease, her sexual partner is treated at the same time. Often, bacterial vaginosis, combined with candidiasis, requires simultaneous antifungal therapy.

In this case candles from gardnerellez, having a combined antifungal / antibacterial composition (Clomezol, Guinotran) are prescribed, vaginal tablets are also effective (Terzhinan, Mikozhinaks).

Treatment gardnerelleza in women at home on the course of antibiotics and "clean" re-analysis does not end. To exclude the subsequent reproduction of the bacterium, it is necessary to restore the vaginal flora and thereby strengthen the local immune defense.

For this, medicinal agents such as Vagilac (vaginal capsules) and Epigen-intima (gel) are used. The average duration of application is 2 weeks.

Complications of gardnerellosis

Complications of gardnerellosis

Unpleasant consequences of gardnerelleza mostly concern pregnant women. Complications of this infection include:

  • pyelonephritis, chronic cystitis;
  • endometritis (including postpartum), inflammation of the appendages;
  • bleeding during pregnancy and premature birth;
  • infection of the fetus during labor (pneumonia), small weight of the newborn.

Prevention

Prophylaxis of gardnerellez consists of recommendations necessary for compliance to prevent the disease of any venereal pathology.

  • Proper hygiene: timely replacement of pads and tampons with menstruation, washing twice a day with neutral means, refusing intimate deodorants.
  • Hygiene of clothing: the exclusion of tight trousers and synthetic underwear.
  • Sexual hygiene: contraception (condoms), long-term relationships.
  • Health Hygiene: strengthening immunity, treatment of chronic infections and hormonal disorders.
  • Preventive examinations twice a year.
  • Hygiene of lifestyle: full nutrition, stress resistance.
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