According to modern ideas, bacterial vaginosis is Is a disease characterized by a predominant amount of lactobacilli, corynebacteria (gardnerelli, anaerobic bacteria) in the vagina.
Corynebacteria can be present in a small amount in the vagina of a healthy woman. But with favorable conditions (inflammatory processes of female genital organs, extragenital diseases, endocrine disorders, etc.). There is increased reproduction, although it does not cause an intensive inflammatory process, but leads to a change in the consistency and nature of the contents of the vagina. During pregnancy, bacterial vaginosis can cause obstetric complications, such as chorioamneonitis, premature rupture of membranes, endometritis.
The frequency of this pathology among in inflammatory diseases of female genital organs in the reproductive age is 10-35%. The course of bacterial vaginosis may be subacute, chronic, or mild symptomatic.
If the amount of Gardnerella vaginalis is prevalent, the patients complain of heartburn, itching in the external genital area, significant watery discharge from the vagina, often with an unpleasant "fishy" smell. They accumulate in the vaults and at the entrance to the vagina, evenly covering its walls. The chronic stage of the disease often has an asymptomatic course.
The diagnosis is made on the basis of the following signs: the pH of vaginal discharge is more than 4.5 the presence of key cells in the wet slide (more than 20%) the appearance of a "fish" smell after adding 10% potassium hydroxide solution to the precipitates.
Treatment of bacterial vaginosis
For the treatment of bacterial vaginosis antibiotics of the tetracycline group are used. per os and topically, metronidazole 500 mg 2 times a day 7 days Ginalgin 1 vaginal candle per day. Effective use of topical treatment with the drug (2% cream Dalacin). After this, you can apply drugs that restore the lactoflora of the vagina (lactobacillus, bifidumbacterin). Be sure to carry out treatment at the same time as a woman, and a man.