Gardnerellosis – causes, symptoms, diagnosis,treatment

Sun, Mar 20, 2016

Гарднереллез или бактериальный вагиноз,
is nothing more than a vaginal imbalance
microflora, in which the number of opportunistic
microorganisms contributing to inflammatory processes, and
the number of lactobacilli gradually decreases. Going on
uncontrolled reproduction of the bacterium Gardnerella vaginalis, which
peacefully exists in normal microflora on mucous membranes
vagina most women.

Gardnerellosis – causes

Causes of Gardnerella can be:

* wearing tight-fitting synthetic trousers or
synthetic linen;

* abuse of tampons or panty liners;

* chlorine douching or long-term use
antibiotics that kill beneficial lactic bacteria;

* frequent douching, which women often resort to when
symptoms of bacterial vaginosis – unpleasant
smelling vaginal discharge, linking them to inadequate
hygiene. While such syringing exacerbates

* chronic intestinal diseases causing dysbiosis,
since milk bacteria come from food and live in the intestines;

* improper diet, in which there is a lack
lactic bacteria due to lack of fermented milk products;

* immunodeficiency in which the immune system is not able
cope with violations in the body;

* hormonal disorders associated with puberty,
pregnancy, childbirth, abortion, frequent contraceptive use;

* a large number of sexual partners;

* polyps of the hymen, foreign bodies in the vagina;

* therapy with antibiotics, corticosteroids, cytostatics,
antifungal drugs, radiation therapy;

* use of condoms with lubricant containing
nonoxynol-9 and intrauterine device.

Gardnerellosis – symptoms

The main and most often the only symptom of gardnerella is
are frequent disturbing pains. In addition, it may occur
vaginal secretions – yellowish, greenish, transparent and
white color. With the further development of inflammatory processes
there may be an unpleasant vaginal odor, stinging, burning and itching in
genitals, as well as dryness and pain during sexual intercourse.
Launched Gardnerelle causes inflammation of the vagina and cervix.

Gardnerellosis – diagnosis

An examination of a woman begins with scrupulous questioning and
detailed awareness of the first signs and the beginning

During the examination, attention is paid to the state of the external
genital organs, openings of the urethra, cervix, mucous membrane,
nature of discharge. Which with Gardnerella, as a rule
homogeneous, abundant, with a sharp smell of “stale fish”.

Laboratory method includes vaginal microscopy
smears from the posterior arch, stained by gram. To detect
microorganisms Mobiluncus spp, carried out microscopy of native
wet smears under immersion. Also assessed various
microorganism morphotypes – sticks, vibrios, cocci, filaments, and
also their gram affiliation, white blood cell count and “key”

Гарднереллез – treatment

Общепризнанным treatmentм гарднереллеза — является двухэтапный
method based on the creation of physiologically optimal conditions
vaginal environment and subsequent recovery of the microbiocenosis. On
primary stage, local antibiotic therapy is carried out –
vaginal cream metronidazole, chlorhexidine, etc., to lower the pH
lactic acid, immunocorrectors, estrogens,
prostaglandins, inhibitors and antihistamines. About availability
of burning, itching, and pain, local anesthetics are applied

The second stage – the use of bacterial drugs –
incidentophilic lactobacilli, acylact, bifidine, bifidobacteria

Preventive procedures are reduced to the rejection of
Contraceptives containing nonoxynol-9 and
douching, as well as ensuring healthy sleep, correct
nutrition, lack of stressful situations, hypothermia,
wearing cotton underwear.

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