Bacterial vaginosis - vaginal secretions problem dysbiosis

Bacterial vaginosis - vaginal secretions problem dysbiosis
Why is there

bacterial vaginosis Due to wide spread of diseases of reproductive sphere, a high frequency of complications, not only during pregnancy and after childbirth become more deeply study the problem of inflammatory diseases. Bacterial vaginosis is a group of diseases of the vagina noninflammatory nature, thus far experts are studying the place and role of vaginosis in the structure of gynecological diseases.

On the prevalence of the disease in the population

According to the epidemiological data we can talk about the high frequency propagation of bacterial vaginosis. Frequency varies from 30% to 80%, as determined by the clinical form of the disease. In most cases vaginosis are asymptomatic, detected only by the methods of laboratory diagnostics. If examined in healthy non-pregnant women, the diagnosis of bacterial vaginosis can be put almost 25% of cases.

When handling complaints of women with pathological discharge detection rate changes are inflammatory increases and reaches more than 85%. Recently there has been an increased incidence of combined forms of vaginitis, such as fungal infection or other microorganisms. In the presence of such features to look for when examining women.

There is a trend to increase the frequency of the disease in pregnant women. This contributes to the development of the natural state of immunodeficiency that develops during pregnancy. In such circumstances, opportunistic microorganisms begin to predominate over lactic acid bacteria that is the cause of dysbiotic violations. To prevent the development of complications of pregnancy, is shown holding a therapy by drugs that are safe in terms of impact on the fetus.

The diagnostic criteria for the disease

To confirm or exclude the diagnosis of bacterial vaginosis allows the combination of characteristic clinical symptoms and results of laboratory and instrumental diagnostic methods. The most common complaint is the presence of secretions or cables Beli: origin and types Whose number increases significantly. Beli have a peculiar smell, they are amplified in the days of menstruation or after intercourse after using ordinary soap for cleaning the resembles a fishy odor or a rotten, rotten fish. Sometimes a woman goes to a doctor only because of odor discharges, as in the rest of her state of health is not affected.

Thick, white discharge uniformly cover all the walls of the vagina, which can be clearly seen during physical examination of women. In the long vaginosis discharge may become stringy and sticky, but they are easily removed with a cotton swab. Highlight color is also changed from gray to yellowish-green coloring. Given that the disease is not severe clinical picture, the focus is on laboratory diagnosis.

There are basic laboratory criteria for confirming the diagnosis of bacterial vaginosis:

detection by the method of smear "key cells"
Positive amino Test. When mixed in equal proportions, vaginal discharge and 10% KOH solution, then there is a characteristic fishy smell. This test is characterized by a high specificity

If the smear found the "key cells" carrying amino-test yields positive results, this allows you to identify bacterial vaginosis in virtually 100% of cases. The culture method for diagnosis is not widely used for the diagnosis of non-inflammatory processes. It can be recommended only in combination with other kinds of vaginosis infections or for scientific research.

Stages during treatment

Treatment of inflammatory diseases of the vagina not be carried out in two stages. The purpose of the first (or primary) stage is the removal of pathogenic anaerobic bacterial strains to create the optimal physiological conditions of the environment of the vagina. For this purpose it is possible to use drugs which have anti-anaerobic activity. The best-known drug is "metronidazole". There are many regimens using it can be recommended to use a dose of 500 mg twice a day for a week.

The drug has severe side effects, some patients can not tolerate it. In this connection, preference is given to a shorter prescribing scheme. Bacterial vaginosis is prescribed "ornidazol" course of five days, or drug "seknidoks", designed for a single dose. It is sure to be carried out in the form of local therapy of vaginal suppositories, tablets or cream treatments with anti-anaerobic activity. Duration of treatment is determined by the dynamics of the clinical picture, on average, it can take up to two weeks.

Evaluate the effectiveness of the elimination of pathogens can be ten days after therapy is discontinued. If, based on repeated laboratory research will be no signs of the disease, it is possible to start the second stage of therapeutic measures. This step is aimed at restoration of the normal microflora in the vagina after suffering vaginosis. Appointment eubiotics to normalize the bacterial flora and the ratio of lactic acid bacteria. The only limitation to their use may be the presence of Candida vaginal lesions. Eubiotics can only be used in the absence of the dominant fungal flora in the vagina. After the second phase is estimated to be large, the efficiency of therapy. It must recover normobiotsenoz vagina, so follow-up studies are done in one month.