Gardnerellosis In Women: The Nature Of The Disease, How And What To Treat

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Gardnerellosis In Women: The Nature Of The Disease, How And What To Treat
Gardnerellosis In Women: The Nature Of The Disease, How And What To Treat

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Last updated 3 July 2019 at 16:30

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Gardnerellosis or bacterial vaginosis is a gynecological disease characterized by changes in the vaginal microflora. Also, to denote this pathology in medicine, the term vaginal dysbiosis is used.

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


  • 1 Causes of bacterial vaginosis
  • 2 Symptoms and manifestations of vaginal dysbiosis
  • 3 Medical diagnosis of gardnerellosis
  • 4 Features of therapy for vaginal dysbiosis
  • 5 Treatment scheme for bacterial vaginosis
  • 6 McMiror Complex
  • 7 Vaginal suppositories Geksikon
  • 8 Antibiotic - the key to recovery or provocation of relapse?
  • 9 Active ingredient Metronidazole
  • 10 Active ingredient Clindamycin
  • 11 Active ingredient Ornidazole
  • 12 Active ingredient Doxycycline
  • 13 Prevention of vaginal dysbiosis

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The causes of bacterial vaginosis


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

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

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

  1. puberty in adolescents;
  2. decreased immunity in general;
  3. endocrine system diseases;
  4. stress instability;
  5. intestinal dysbiosis;
  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. long-term use of intrauterine contraception;
  12. pregnancy and childbirth;
  13. artificial termination of pregnancy;
  14. various surgical procedures;
  15. chemotherapy;
  16. aggravation of chronic ailments;
  17. climate change and changes in diet.

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

Symptoms and manifestations of vaginal dysbiosis


Female symptoms of the disease are simple and straightforward. They are observed on an ongoing basis in the form of profuse white, grayish or yellowish discharge from the genital tract. On visual inspection, you can often find a foamy structure of secretions, which can be easily eliminated with a cotton swab.

Other manifestations may include redness and itching of the external genital organs, burning during urination, and discomfort during intercourse.

Medical diagnosis of gardnerellosis


If you suspect bacterial vaginosis, it is not recommended to start troubleshooting the problem yourself. This ailment can occur along with other infections, so it requires proper diagnosis and therapy under the supervision of a specialist.

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

When bacterial vaginosis is detected, additional tests are carried out for possible concomitant pathologies, as well as for the sensitivity of pathogens to various drugs, after which, based on the results and the general condition of the patient's body, a suitable treatment for gardnerellosis is prescribed.

Features of therapy for vaginal dysbiosis


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 disease. Any woman who is faced with such an unpleasant pathology must know how to treat the pathogenic microorganism gardnerella.

Gardnerellosis is not included in the category of sexually transmitted diseases that are strictly sexually transmitted, but in order to avoid the transmission of harmful bacteria between partners, it is worth refraining from sexual intercourse for the period of therapy. In addition, both partners must undergo treatment, otherwise the exacerbation of the disease will arise again.

Bacterial vaginosis therapy regimen


To eliminate bacterial vaginosis in women, various forms of drug release are used: vaginal suppositories, suppositories, gels and ointments for local or external treatment, as well as tablets and capsules for oral administration.

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

The primary goal of therapy for the disease is the elimination of all, including the harmful microorganisms found along with gardnerella. For this, antibiotics and antiseptic agents 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 the rehabilitation therapy of the vaginal microflora, which contributes to the restoration of the normal amount of lactic acid bacteria in the genitourinary system. During such a period, the intestine especially needs bifidobacteria, and to smooth the load on the liver due to antibiotics taken, doctors attribute hepatoprotectors.

Regarding which specific drugs should be introduced into the treatment of gardnerellosis is out of the question. Even the simultaneous treatment of two partners often requires different drugs from each other. For this reason, self-medication based on information obtained outside of medical advice is strongly discouraged.

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

Macmiror Complex


Geksikon - female helper to avoid gynecological infections. In case of unprotected sexual intercourse with a casual partner, it is recommended to use the medication no later than two hours after its completion.

It is an antibacterial agent that is used for both prophylactic and therapeutic purposes. Geksikon effectively fights against the causative agents of vaginal dysbiosis, without causing harm to 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 provocation of relapse?


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

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 the harmful microorganisms are destroyed, the shorter the course of treatment.

Active ingredient Metronidazole


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

The medicine has serious contraindications. It is forbidden to use medications containing Metronidazole during breastfeeding and during pregnancy until the second trimester. In addition, even the smallest dose of alcohol during the use of the substance can lead to antabuse-like syndrome, which is characterized by a sharp deterioration in the general condition of the body and the formation of aversion to alcoholic beverages.

The most popular trade names for Metronidazole drugs are:

  1. Trichopolus;
  2. Metrogyl;
  3. Flagil;
  4. Klion;
  5. Batsimex.

Active ingredient Clindamycin


Many modern experts give their preference to Ornidazole. Usually, in cases of advanced bacterial vaginosis, tests also recognize the causative agents of such ailments as chlamydia, trichomoniasis and many others.

Due to its broad spectrum of action, Ornidazole is able to replace a complex of several different drugs, while affecting even such infections that may not have been detected during research.

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

Antibiotics for the treatment of vaginal dysbiosis containing Ornidazole:

  • Meratin;
  • Dazolic;
  • Tiberal;
  • Orgil;
  • Lornisol.

Active ingredient Doxycycline


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

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

Trade names of medicines that contain Doxycycline:

  • Unidox Solutab;
  • Vibramycin;
  • Doxilan.

Prevention of vaginal dysbiosis


Unfortunately, it is impossible to protect yourself 100% from such an unpleasant ailment as dysbiosis of the vaginal microflora, but taking a number of preventive measures can significantly reduce the risk of contracting gynecological infections in the future.

You just need:

  • lead a healthy lifestyle, strengthen immunity;
  • do not self-medicate;
  • use condoms if you frequently change 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 if you feel great, visit the gynecologist's office.

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

It is important to remember that health is an invaluable treasure that must be protected.

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