Gardnerellosis - symptoms, treatment, causes, complications, diagnosis, prognosis and prevention. How to treat gardnerellosis

Gardnerellosis is a disease during which disorders occur in the genitourinary system in both women and men. The causative agent of this disease is considered to be an aerobic pathogenic microorganism. Considered in medicine female disease It is called a little differently, namely bacterial vaginosis. But in each individual case, this disease develops differently, affecting various organs of the reproductive system. We will tell you more about this disease below.

Gardnerella is a small microorganism. This organism constantly resides in the female vagina and genitourinary organs. Therefore, the detection of gardnerella in a smear is not considered an indicator for diagnosing gardnerellosis. As a rule, a diagnosis can be made in cases where clinical symptoms.

Gardnerella begins to actively develop after a person goes down local immunity . Typically this happens in the following cases:

• In the presence of a concomitant infectious disease
• During and after taking antibacterial drugs
• After taking medications that lower a person’s immunity, for example, glucocorticosteroids
• With frequent changes of sexual partners
• For diabetes
• If a person is very fond of sweets

Gardnerella can be transmitted during sexual intercourse. But the disease can develop only after a failure of dysbiosis occurs in the genital tract and when it loses beneficial microflora, which loses its own protective function.

Symptoms in women:

Approximately 1/4 of all girls and women are considered carriers of this disease. At the same time, the disease itself may not develop in them, since these carriers have ideal tension immune system.

The remaining part of women experience certain clinical symptoms. The main ones are:

• Periodic discharge from the vagina watery discharge having a grayish-white color
• These secretions have unpleasant smell, which often smells like rotten fish

• During the examination, the doctor may notice how these secretions are distributed in an even layer over the entire surface of the vagina

Gardnerella very often provokes the occurrence of other infectious diseases. These bacteria cause endometritis that develops after childbirth or after an abortion.

Symptoms in men:

The disease is characterized by slightly different symptoms than in women. Bacteria often cause chronic urethritis or chronic prostatitis.

Sometimes these microorganisms can cause balanoposthitis. All these forms of manifestation of the disease have certain symptoms.

• The discharge has an unpleasant fishy odor
• The discharge itself is viscous and sticky
• Head male organ becomes very sensitive, it acquires a reddish tint

With a pronounced failure of the immune system, the disease will certainly begin to progress. It can even lead to organ damage genitourinary system.

Treatment of gardnerellosis in women and men

If carried out timely diagnosis and qualified therapy, there is a chance for complete recovery and preventing complications from occurring. It is possible that a relapse may occur after treatment.

Thanks to therapy, it is possible to eliminate all the causes of the disease and its symptoms. Plus, you can normalize the state of a woman’s vaginal microflora.

• At the initial stage, doctors administer antibacterial therapy. They reduce acid-base levels.
• Depending on the indications, doctors may prescribe an immunomodulator, estrogen, a drug that has antihistamine effect. During unpleasant symptoms, the patient is prescribed an anesthetic.

• The next therapeutic stage of treatment is the restoration of microflora in the vagina. A few days after the antimicrobial treatment ends, the patient is prescribed eubiotics.
• Since the treatment is considered complex, it is strictly forbidden to exclude at least one of the possible stages.

The therapeutic course itself is monitored using laboratories and research. It will end after absolutely all symptoms are eliminated, the patient stops complaining, and his tests show normal values.

Treatment of the disease in men requires integrated approach. During it, measures are taken that destroy the pathogen and enhance the immune system at the same time.

This disease requires immediate treatment, requiring preventive measures of a medical and household nature.

Gardnerellosis treatment: drugs

The main treatment for gardnerellosis is usually carried out with the help of medications that include active substance Metronidazole. The drug can be used topically (gels, suppositories) or orally (using tablets).

• Due to their own effect against strong anaerobic microorganisms, the following drugs are considered the most effective: "Metronidazole" and "Klion".
• In addition, doctors often prescribe medications that contain doxycycline, clindamitacin, levofloxacin, and azithromycin.
• Since antibiotics can often cause fungal infections, then to prevent them it is necessary to use the following medications: “Flucostat”, “Pimafucin”.
• It is recommended that during treatment women use medications that normalize the vaginal microflora. For example, "Vagilak" or "Acilact".

Treatment of pregnant women is practically no different from treatment of ordinary representatives of the fair half. But still there are small differences. For example, metronidazole should not be used in the first three months of pregnancy. In addition, it is advisable to use drugs that have local action, but not orally.

You should know that the human immune system cannot comprehensively fight the disease. Therefore, there is every chance of contracting this disease even during treatment. That is why doctors advise using condoms during therapy or generally abstaining from sex for a while. intimacy.

If a condom breaks during sexual intercourse, you need to perform careful hygiene and use a local antiseptic, for example, Miramistin.

Gardnerellosis: suppositories for treatment

Gardnerellosis occurs in women, usually in the following cases:

• after prolonged use of medications, antibiotics
• after frequent douching
• and also among those representatives who use spermicides

Such situations greatly disrupt the vaginal microflora and spread pathogenic bacteria. Very often, when turning to the doctor with a complaint of itching and severe discharge, women describe the medications that they have already used during the treatment of thrush. After all, the symptoms of this disease are very similar to the symptoms of gardnerellosis. However, this disease is more common than candidiasis. And their treatment is different.

During treatment, special tablets are mainly used. But there are also candles that contain the same components.

The required dose and duration of the treatment period for such medications are prescribed only by the attending doctor. You should never carry out treatment yourself. There are situations when after the first course the patient is not completely cured. If this happens, the doctor prescribes a repeat course. At the same time, he corrects it.

The most common suppositories that are prescribed during treatment of the disease are:

• "Metronidazole suppositories"
• "Metrovagin"

During therapy, it is important to consider the following point: these drugs cannot be combined with alcoholic beverages.

Chronic gardnerellosis: treatment

Chronic gardnerellosis – infectious disease, which does not carry with it inflammatory changes, but develops the development of dysbiosis in the vagina. This disease is considered to be the result of a decrease in the number of Dederlein rods. It also develops due to pathogenic microbes.

Chronic gardnerellosis in a woman can develop for several reasons:

• The patient does not take care of her own health
• She does not visit a gynecologist in a timely manner
• The patient hides complaints during a visit to the doctor
• The disease develops and becomes chronic due to improper treatment
• Due to non-compliance with doctor's advice
• The woman’s sexual partner is not involved in treatment

During the treatment of a chronic form of the disease, a combination of several drug options and their administration are used.

• Systemic treatment: the medicine is taken intravenously or through the mouth
• Local treatment: creams or gels containing metronidazole, as well as suppositories are used

After graduation treatment course A smear is taken from the patient to assess the effectiveness of re-therapy. If during such treatment you strictly follow all the doctor’s instructions and take the medications correctly, then the course itself will last no more than 7 days. The doctor may also prescribe an immunomodulator and vitamins that will strengthen the protective qualities of the human body.

Gardnerellosis: treatment with folk remedies

This disease can be cured at home with medicinal herbs and plants. Medicines It's very easy to prepare. After them, a positive result appears quite quickly. If you are affected by this problem, you can use one of our recipes.

First recipe.

• Medicinal chamomile – 200 g
• Sage – 200 g
• Calendula – 200 g

Cooking process:

• Mix all ingredients
• Fill them with water (2 l). Boil over low heat and simmer for 30 minutes
• Cool the finished composition
• Use a douche

Second recipe. For this recipe, stock up on the following ingredients:

• Dry medicinal chamomile– 50 g
• Boiling water – 500 ml

Cooking process:

• Steam chamomile in boiling water
• Set the mixture aside for about an hour.
• Strain
• Use for douching

Recipe three:

• If you have gardnerella, try using oak bark
• To do this, take 100 g of raw material, pour boiling water (500 ml) over it.
• Boil the mixture for about 30 minutes, then strain
• For douching, take 250 ml of product.
• Douche with it 2 times a day

Recipe four. For this recipe, stock up on the following ingredients:

• Elecampane root – 50 g
• Wormwood – 30 g
• Licorice roots – 30 g
• Raspberry leaves – 30 g

Cooking process:

• Mix all ingredients
• Steam them with boiling water (1 l)
• Leave for 9 hours
• Use the resulting composition for douching 2 times a day.

Recipe five. If you want to strengthen your own body and saturate it useful substances, we advise you to use this recipe:

• Take calendula (50 g)
• Fill it with boiling water (500 ml)
• Set the mixture aside until it cools completely
• Drink warm tea throughout the day

Recipe six. For this recipe, stock up on a pinch of these ingredients:

• Chopped bergenia root
• Clover flowers
• Eucalyptus leaves
• Tansy flowers
• Bearberry leaves
• Wintergreen
• Coltsfoot leaves
• Mint
• Yasnotka

Cooking process:

• Mix all ingredients
• Take 1 tbsp of the composition, pour boiling water (500 ml)
• Drink the resulting remedy every day, 1 tbsp. before meals 3 times

Treatment of gardnerellosis with metronidazole

Usually, during the treatment of gardnerellosis, doctors prescribe metronidazole to patients, since this drug is considered the best and most effective. This medicine exists for local use(suppositories or vaginal tablets), and for systemic (tablets or capsules plus suppositories).

If treatment with metronidazole is not carried out on time, then the number of lactobacilli begins to actively decrease. As a result, microorganisms multiply rapidly.

During illness, it usually occurs severe itching in the genital area and an unpleasant burning sensation. This disease can also cause pain during intimacy.

• Metronidazole gel is used for local treatment. The drug must be administered during inner part vagina. Administration is carried out over approximately 5 days, 2 times a day.
• Metronidazole tablets are suitable for systemic therapy diseases. The medicine, 0.5 g, is administered orally for at least 7 days, 2 times a day. Please note that when taking tablets you should not drink alcohol at all.

If we talk about side effects, then, as a rule, there are very few of them during intravaginal use than during systemic use. You should know and understand that no drug provides a complete guarantee of the absence of relapse. Therefore, it is advisable not to refuse preventive visits to your doctor.

Treatment of gardnerellosis during pregnancy

After a disease has been detected in a pregnant woman, the doctor prescribes therapy for her. This is generally a gentle treatment when compared to treatment for a non-pregnant woman. Gardnerellosis cannot be completely eliminated during pregnancy, since the disease can only be cured with antibiotics. And as we know, such medications are strictly prohibited for pregnant women.

Hence, therapeutic measures against of this disease are reduced to the use of local procedures. Complete treatment diseases in the vagina occur only after the woman has given birth to a child.

The main task of the doctor in such an interesting period is the following: he carefully monitors the number of microorganisms in the female body in order to prevent the unexpected appearance of an inflammatory process. During regular inspection With this disease, the doctor examines the woman in a gynecological chair a couple of times a month.

When such an examination is carried out, the woman undergoes flora tests in advance, plus bacterial culture. If signs of inflammation are detected, she is prescribed a certain medicine local purpose, for example, douching, suppositories, and so on. If the disease is detected a couple of weeks before birth, a special preparatory process is carried out.

As a rule, treatment is divided into stages.

• The first stage - the doctor prescribes antimicrobial drugs that eliminate negative microflora
• The second stage - the fermented milk environment of the vagina is restored

Basically, gardnerellosis in pregnant women disappears after preventive measures are taken to cleanse the microflora and douching. This, of course, is possible, but only if the disease arose during pregnancy or in the absence of its complications.

Based on all of the above, we can say with confidence that a disease such as gardnerellosis can be stopped in almost all cases. The main thing here is timely detection of this disease and preventing it from becoming chronic. Numerous reviews of women who have suffered from a similar illness indicate that modern methods Treatments are very effective if you follow all the instructions of your doctor. Take care of yourself!

Video: Treatment of gardnerellosis in women

Gardnerellosis, or bacterial vaginosis, is a disease of the genital tract, which is characterized by a violation normal composition microflora. As a result, this leads to the predominance of anaerobic microorganisms (they do not use oxygen in the process of life), which is not observed normally.

Gardnerellosis most often occurs in women, but it can also occur in men. Its frequency in women reaches 20-30%, and according to some sources, reaches 80%.

What is it?

Gardnerellosis is an inflammatory disease of the genitourinary area caused by an imbalance of the vaginal microflora. The causative agent of the infection is the anaerobic bacterium Gardnerella vaginalis. The vaginal microflora is represented mainly by lactobacilli, which produce lactic acid, which prevents reproduction opportunistic microflora. However, even healthy woman There are also other microorganisms in the vagina - gardnerella, mycoplasma, klebsiella and others.

Reasons for development

The main cause of the imbalance is gardnerella vaginalis, hence the name this state– gardnerellosis. The negative role of Gardnerella is that it forms a favorable background for the development of a large number of other bacteria - yeast-like fungi, mycoplasmas, trichomonas, coccal species. In this case, the vaginal mucosa suffers, many infections enter the woman’s body, and inflammatory diseases of the genitourinary system develop.

There are many reasons that provoke the development of gardnerellosis in women:

1. Failure to comply with intimate hygiene rules.
2. Long-term treatment with antibiotics.
3. A sharp decrease in the immune system.
4. Untimely (not frequent enough) replacement of gaskets. This is especially true during menstruation, when the microflora in the vagina is especially vulnerable and susceptible to various pathogenic microorganisms.
5. Frequent changes of sexual partners (unprotected sexual contact, both men and women).
6. Daily use of thin pads, which creates all the conditions for the spread of infection.
7. A sharp hormonal imbalance (can occur during puberty or pregnancy).

In addition, untreated dysbiosis, frequent adherence to an unbalanced diet, various optional pathologies of the reproductive system, as well as long-term use birth control contraceptives.

Symptoms

The proliferation of Gardnerella bacteria triggers an inflammatory process in the vagina and cervix. The main symptoms of gardnerellosis in women are as follows:

• sticky, foamy vaginal discharge of a white or yellowish-gray hue appears;
• the discharge has a very unpleasant odor, comparable to the smell of rotten fish;
• are intensifying painful sensations in the lower abdomen, which indicates an increase in the inflammatory process;
• there is a feeling of irritation, itching and burning in the vagina, accompanied by frequent urges to urination;
• during sexual intercourse discomfort and the pain intensifies.

The appearance of a persistent unpleasant odor is explained by the breakdown of waste products of gardnerella. This symptom causes significant discomfort to the woman and forces her to perform hygiene frequently. intimate places. But upon contact with the alkaline environment of soap, the situation only worsens and the period of “purity”, that is, absence of odor, becomes shorter and shorter.

Sexual intercourse is accompanied by an exacerbation of painful symptoms and contributes to an increase in the volume of discharge, since the alkaline environment of sperm causes pathogenic microorganisms will multiply even more intensively. Subsequently, urination disorders appear, urine is released in small portions, and the process itself becomes difficult and painful.

In some cases, symptoms of gardnerellosis may be mild and persist for many years. Without treatment, the likelihood of developing serious consequences associated with dysfunction of the genitourinary system.

Diagnostics

Basically, diagnosis is based on the clinical manifestation of the disease and a number of certain laboratory research. The first step in the examination is to take a smear from the woman's vagina for microscopic examination, which is the most informative method. Under a microscope, the amount of Gardnerella vaginalis in the microflora is calculated. All other laboratory research methods are uninformative and practically useless.

The next diagnostic method is to determine the pH value of the vagina, since with a large proliferation of Gardnerella and other anaerobic bacteria The pH increases, that is, the environment becomes alkaline. The final method of detection is isonitrile testing, which reveals the presence of large quantities of Gardnerella vaginalis.

Criteria that give the right to establish a clinical diagnosis:

• finding pathological cells (key cells) – anaerobic bacteria are attached to the flat epithelium of the cells;
• alkaline vaginal pH;
• homogeneous vaginal discharge with a rotten odor.

Only when all three criteria are detected can a diagnosis be made, since the presence of only one of them is not an accurate indicator of the disease.

How to treat gardnerellosis in women?

Before treating gardnerellosis, it is necessary to eliminate the causes that contributed to its development:

1. Refusal to frequently change sexual partners or use barrier methods protection (condoms);
2. Use rational antibiotic therapy for others inflammatory diseases which eliminates prolonged and uncontrolled use of antibiotics that suppress lactobacilli;
3. Recovery normal microflora in the intestines - oral probiotics are used (preparations containing live bacteria of normal intestinal microflora) - Bifidumbacterin, Linex;
4. Normalization hormonal levels body – hormonal two- or three-phase contraceptives are used only after consulting a gynecologist;
5. Increasing the activity of the immune system - synthetic (Biomax, Vitrum) or herbal (Echinacea, Eleutherococcus, ginseng) immunomodulators are used;
6. Refusal from frequent douching of the vagina with antiseptic solutions and the use of antibacterial vaginal suppositories.

Main and required method treatment bacterial vaginosis- prescription of antibiotics.

Treatment regimen for gardnerellosis in women:

1. Systemic antibiotics (clindamycin - twice a day, 300 mg; metronidazole - also twice a day, 500 mg). Take the pills for a week. At the same time, local forms of these drugs are used.
2. After antibiotic therapy, it is necessary to restore the vaginal microflora. To do this, probiotics are taken orally and in the form of suppositories. For internal use Lactonorm, Lactobacterin are recommended. They must be consumed for 30 days or more. Lactonorm or Acylact suppositories are used for three weeks.

Therapy with drugs from the penicillin group (Ampicillin) is possible. Gardnerella is resistant to tetracyclines (Doxycycline, Tetracycline), cephalosporins (Claforan, Ceftriaxone), sulfonamides (Septrin, Biseptol), aminoglycosides (Neomycin, Kanamycin).

1. When the disease is diagnosed, her sexual partner is also treated. Often, bacterial vaginosis combined with candidiasis requires simultaneous antifungal therapy. In this case, suppositories for gardnerellosis are prescribed that have a combined antifungal/antibacterial composition (Clomezol, Ginotran); vaginal tablets (Terzhinan, Mikozhinax) are also effective.
2. Treatment of gardnerellosis in women at home does not end with a course of antibiotics and a “clean” re-analysis. To prevent subsequent proliferation of bacteria, it is necessary to restore the vaginal microflora and thereby strengthen the local immune defense.

For this purpose they use medications such as Vagilak (vaginal capsules) and Epigen-intim (gel). The average duration of use is 2 weeks.

Treatment of gardnerellosis during pregnancy

Treatment of gardnerellosis during pregnancy has its own nuances. Everyone knows that during pregnancy it is contraindicated to take almost all medications.

• It is impossible to completely destroy Gardnerella while bearing a child, since this requires taking antibiotics, which are prohibited to the expectant mother. Treatment consists of using local antibacterial drugs, which help reduce the manifestations of the disease and reduce the pathological activity of gardnerella. Complete treatment a woman can go away after childbirth.
• The main task of the gynecologist during pregnancy is to monitor the number of gardnerella in order to prevent the development concomitant diseases organs of the genitourinary system. In order to control the condition of the vaginal mucosa with gardnerellosis, a woman should be examined once a month in a gynecological chair. During this examination, the doctor takes smears for microscopic examination. If symptoms of concomitant infection are detected in urgently Local procedures are prescribed (douching, genital irrigation, sitz baths, etc.). If you have inflammation of the pelvic organs, vaginal suppositories cannot be used.

Just as in the treatment of the disease in non-pregnant women, therapy for gardnerellosis in pregnant women is carried out in two stages: reducing the amount of pathogenic microflora and normalizing lacto and bifidobacteria in the vagina. Positive effect from treatment is observed only if the woman consulted a gynecologist in a timely manner and the disease did not become chronic.

Prevention

Preventive measures against gardnerellosis include:

• having one sexual partner, combating sexual promiscuity;
• refusal to use intrauterine devices;
• prevention of inflammatory processes in the genital tract;
• use of antibiotics according to strict indications with subsequent correction of dysbiosis;
• exclusion of too early onset of sexual activity.

Thus, gardnerellosis, for all its apparent frivolity, is very serious pathological process which needs to be treated promptly. The drugs prescribed for this purpose make it possible to normalize the qualitative and quantitative composition of the microflora of the genital tract.

Vaginal dysbiosis is called gardnerellosis or vaginosis. At the first signs of the appearance of gardnerella, treatment at home or on an outpatient basis should be immediate. Unlike many other pathologies of the genitourinary system, gardnerellosis can be cured using traditional medicine, but it is not a bad idea to consult a specialist and familiarize yourself with his recommendations.

Basic methods of treating pathology using traditional medicine

The active proliferation of gardnerella bacteria in the vagina is characterized by extremely unpleasant symptoms. Burning, itching and other signs of discomfort appear. To suppress the activity of bacteria, 2 main methods are used in folk medicine:

• use of infusions medicinal plants inside;
• using them to wash the vagina.

To cure the disease, plants that have a pronounced antibacterial effect are suitable. This could be St. John's wort, chamomile, sage, etc. Actively used herbal teas, which also include healing herbs, which have an anti-inflammatory and calming effect. Regardless of the composition of the collection, the method of making infusions is the same. To prepare a drink for internal consumption at home, you need to take the herbs in equal quantities and mix well.

Then 2 tablespoons of the resulting mixture are poured into 1 liter of boiling water and left for 8-10 hours. During the day, the infusion is consumed 3 times, ½ cup, 15 minutes before meals. If infusions will be used to wash the vagina, you should take an equal amount of well-crushed herbs and mix. 1 tablespoon of the mixture is poured into 1 liter of boiling water and also left for 8-10 hours. The procedure is carried out 2-3 times a day, drawing 1 glass of liquid into a syringe.

In order for the healing process to be more effective, experts recommend combining douching with oral medication. With proper use of medications, complete recovery from bacterial vaginosis occurs within 1-1.5 years. Treatment of gardnerellosis with folk remedies is carried out in courses of 3 months, between which a break of 14 days should be taken. Each course should be carried out using a new herbal mixture.

After 4 months of treatment, it is necessary to undergo an examination and tests that will allow you to draw conclusions about the effectiveness of the therapy.

If there is no improvement in your condition, it makes sense to abandon herbal medicine and switch to taking medications prescribed by a gynecologist.

Herbal preparations for internal and external use

Enough is known large number medicinal fees, which have a good effect in the treatment of genitourinary diseases. The most popular fees are:

• from blueberry and nettle leaves, pine buds, the ground part of lavender, wormwood and sweet clover, marshmallow and leuzea rhizomes;
• from plantain and birch leaves, clover flowers, rhizomes snake mountaineer and dandelion, wormwood, agrimony, flax and yarrow herbs;
• from viburnum bark, rhizomes of Rhodiola rosea, chamomile flowers, motherwort herb, thyme, blackhead, schizonepeta, mint, and shepherd's purse.

In addition, you can use infusions from:

• herbs meadowsweet, knotweed, St. John's wort, wormwood, cornflower and immortelle flowers, lumbago rhizomes, rose hips and coriander;
• marigold flowers, chicory rhizomes, dandelion, angelica and bergenia, thyme herbs, toadflax and knotweed, bearberry leaves, nettles, coltsfoot;
• flowers pharmaceutical chamomile, bird cherry fruits, marshmallow and snakeweed roots, agrimony grass, shepherd's purse and meadowsweet.

To prepare an infusion for douching, a large number of medicinal preparations are used. The main ones should be considered fees from:

• tansy flowers, wintergreen leaves, birch, blueberries and cuffs;
• herbs violet, wormwood, geranium, chamomile flowers and oak bark;
• blueberry leaves, meadowsweet flowers and marigolds, mint and St. John's wort, dandelion and angelica rhizomes;
• eucalyptus and wintergreen leaves, mint and clover herbs.

Other recipes from traditional healers

You can also treat the genitals for gardnerellosis with oil. tea tree. It is used as an antibacterial agent for local therapy and in the form of a general strengthening drug orally. For internal use, 1 drop of oil is mixed with 1 tablespoon of milk and taken 2 times a day. The course of treatment is 21-28 days, then you need to take a break of 1 week and repeat the dose if necessary.

For local therapy, a solution with tea tree oil is used. To prepare the solution, take 1.5 teaspoons or 1 dessert spoon of any vegetable oil, boil it and add 5 drops of tea tree oil. After this, gauze swabs are soaked in the solution and inserted into the vagina before bed. In the morning, the tampons are removed. The procedures should be done in a course of 10-12 times every other day. 2-3 courses are recommended with an interval of 7 days.

It is well known that changes in the acidity of the internal environment of the vagina can destroy harmful microflora. For this, traditional medicine healers suggest using apple cider vinegar, which is used in the form of sitz baths. Before the procedure, 1 tablespoon of vinegar is diluted in 1 glass of warm boiled water. Treatment must be carried out every day for 2 weeks.

To increase the functionality of the immune system, traditional medicine recommends drinking infusions of blackcurrant leaves. For cooking medicine you need to brew 2 tablespoons of raw or dry raw materials with 2 cups of boiling water, then leave for 0.5 hours, strain, squeeze thoroughly and take ½ cup 30 minutes before meals 4 times a day. The course of treatment is 60 days.

Besides, tonic, which will help get rid of gardnerellosis in women, can be made by mixing: 300 g of heated honey and 150 g of crushed aloe leaves (the spiky edges of the leaves must be cut off). The mixture is infused for 24 hours, then heated, filtered and consumed every morning, 0.5-1 teaspoon 60 minutes before meals for 30 days.

When starting treatment for bacterial vaginosis with folk remedies, you should remember that this is a rather long and painstaking process. But with proper and careful attention to taking medications, the result will be the most positive.

Many diseases await us at a time when the immune system is weakened due to some factors. A disease called gardnerella in women occurs as a result of an imbalance in the vaginal microflora. Before prescribing treatment, the cause of the disease must be established. In almost all cases, gardnerella appears due to an insufficient number of lactobacilli, which provide normal microflora in the female vagina. How dangerous is this disease for women, especially during pregnancy, and how to treat it?

What is gardnerella?

Bacterial vaginalis or gardnerella is one of the common diseases affecting women. At first it was believed that its transmission was carried out exclusively through sexual contact. But it was soon possible to establish that initially the microflora contained a certain number of pathogenic microbes that could provoke the development of gardnerella in a woman.

The presence of the Gardnerella microorganism in every healthy woman is the norm. Lactobacilli prevent the proliferation of these pathogenic bacteria and ensure the maintenance of the correct internal environment of the vagina by producing lactic acid. Lactoflora acts as a local defense system, helping to suppress the growth of bacteria, preventing the onset of the disease.

The main reasons for the appearance of gardnerella are: sharp decline the number of lactobacilli under certain circumstances and the beginning of active and rapid growth in the number of anaerobic bacteria. As a result, the woman’s vaginal environment becomes alkaline, and there is an excellent opportunity for infections to enter there. various kinds. Therefore, gardnerella in almost all cases is complicated by the appearance of inflammatory diseases associated with the genitourinary system.

Symptoms and signs of the disease

The beginning of the development of gardnerella in women is accompanied by not the most pleasant signs:

• When infected with Gardnerella, copious discharge from the vagina, having a grayish, yellowish or greenish tint. But they can also be completely transparent if the woman was able to notice the development of the disease at the very beginning. Gardnerella discharge has a uniform consistency (foaming or creamy).
• The infection provokes a strong feeling of discomfort in the vagina - itching, burning, and possible painful sensations in the area of ​​the outer labia.
• With Gardnerella, women experience pain in the perineal area.
• The labia may turn red and become swollen.
• During intimacy, in the presence of gardnerella, pain, burning, and itching appear. As a result of sexual intercourse with an infected partner, a man can also become infected.
• Vaginal discharge with gardnerella has a characteristic unpleasant odor, reminiscent of the stench of rotten fish.

Diagnostic methods

If at least one of the above signs of gardnerella is detected, the woman needs to be examined by a gynecologist, especially when planning a pregnancy. To determine the disease, the doctor takes a smear. This is common and most exact method diagnosis of gardnerellosis. Using a microscope, it is easy to examine the cells of the smear, on which there is a thick layer of gardnerella. A method is also used to determine the pH level of the vaginal environment. Normally in the vagina acidic environment, and as a result of the pathological growth of gardnerella, it changes to alkaline.

Thanks to the reaction with isonitrile (this is the substance that gives vaginal discharge characteristic unpleasant smell of rotten fish), definitive confirmation becomes possible correct diagnosis. Sometimes, if gardnerella is suspected, a woman is prescribed a blood test to determine the level of white blood cells, but this is not necessary.

As soon as the presence of the disease is accurately determined, the doctor prescribes the patient to undergo additional tests to determine infections of the genitourinary system that accompany gardnerella. An examination of the mucous membrane of the vagina and cervix is ​​prescribed using a special optical device with a light bulb at the end (colposcopy).

Gardnerella during pregnancy - should I be afraid?

Pregnancy is a great stress for a woman’s entire body, because as a result of a sharp hormonal surge, a decrease in protective forces body. During this period, the risk of developing gardnerella increases several times. Find out what is dangerous and what consequences this disease that appears during pregnancy can lead to from next video:

How to treat gardnerellosis in women

To prevent negative consequences from this disease, it is necessary correct treatment to completely stop the pathological growth of gardnerella in the female body. Therefore, a treatment regimen is prescribed based on antibacterial therapy, which also eliminates ureaplasma (the causative agent of sexually transmitted infections). For more information about the treatment of gardnerellosis in women, see the video below:

Medicines

In almost all methods of treating Gardnerella, the patient takes clindamycin or metronidazole. Conducted local treatment– vaginal suppositories (suppositories), ointments, tablets are sometimes called intravenous injections. The duration of the treatment course is 7-10 days. Only the attending physician determines the right dosage medications, taking into account the obtained test data and the degree of neglect of gardnerella, body weight and age of the patient, individual characteristics female body.

After 10 days, the next stage of treatment is carried out, which is based on settling beneficial microflora(bifidobacteria and lactobacilli) of the vagina. For this purpose, not only oral probiotics are prescribed, but also local use of vaginal suppositories. Before treatment, a control examination of the vagina will be carried out, during which it will be confirmed that the growth of gardnerella has stopped (by this time their number should drop to the normal limit).

Folk remedies

Treatment of gardnerella is carried out using agents that have antibacterial effect. In folk medicine, a large number of medicinal plants are widely used for this purpose. Here are a few effective ways:

• Douching using infusions of St. John's wort, chamomile, and sage. Brew dry raw materials (2 tablespoons) in a glass of boiling water.
• Internal intake of infusion from pine buds. Pour boiling water (500 g) into a thermos and add crushed and dried pine buds(1 tbsp), leave overnight. In the morning, pass the mixture through a sieve and take 0.5 cups warm 4 times during the day (half an hour before the start of the meal). The full course of treatment lasts exactly 14 days.
• Tea tree oil can not only be taken orally, but also applied topically. Dissolve 1 drop of oil in a tablespoon of milk and take it 2 times throughout the day. The full course of treatment lasts 3 weeks.
• For local application Make a solution of tea tree oil: dissolve 5 drops of oil in 10 g of any boiled vegetable oil. We moisten clean tampons in the resulting mixture, insert them into the vagina, leave them overnight, and remove them in the morning. Such medical procedures should be done every other day (10-11 procedures).

Prevention of disease

It is necessary to strengthen the immune system, because its weakening provokes the onset of the development of gardnerella in a woman. First of all, this relates to maintaining the correct and healthy image life. It is necessary to completely eliminate alcohol consumption, quit smoking, avoid stressful situations, eat right, learn to alternate work and rest.

Regular walks are great for strengthening your immune system. fresh air, playing sports, it is recommended to start tempering. It is important to avoid severe hypothermia and remember to intimate hygiene. Particular attention should be paid to the prevention of not only gardnerella, but also various venereal diseases, sexually transmitted infections.

Frequent change sexual partner, promiscuity can lead to the development of gardnerella in both women and men. Douching should not be used constantly, especially as a personal hygiene measure. This can lead to disruption of the normal vaginal microflora, a decrease in local protective function mucous membrane, which promotes the proliferation of gardnerella. You should not abuse antibiotics, because due to uncontrolled use, the balance of harmful and beneficial microorganisms in the intestines and vagina is disrupted.

Gardnerellosis is a disease that develops when it enters the human body pathogenic bacteria. The causative agent is Gardnerella, which is easily transmitted sexually. The risk group includes men and women who are active sex life, and do not have a permanent partner.

If a person suspects the progression of bacterial vaginosis, a consultation and examination by a doctor who treats sexually transmitted diseases is needed. Particular attention should be paid to the choice of medications. If neglected, the course of the disease may be aggravated by the occurrence and development of complications. When answering patients’ questions about how to treat gardnerellosis, doctors are of the same opinion: local therapy can defeat the bacterium. It is enough to correctly use ointment, capsules, tablets, gel or suppositories prescribed by a specialist.

Please note

Self-medication can have a detrimental effect on the general condition of the body and reduce the effectiveness of therapy.

The final diagnosis is made after studying the patient's test results. The pharmaceutical industry offers a wide range of medications to treat the disease. The drug Trichopolum for gardnerellosis is considered one of the effective ones. Vaginal tablets prescribed for use once a day with a dosage of 500 milligrams for 1–1.5 weeks.

Treatment with Metronidazole gel at a concentration of 0.75% (injection into the vagina) is no less effective, and the course of treatment does not exceed 5 days (if the procedure is performed twice a day).

Of the oral medications, Tinidazole is most often prescribed for gardnerellosis that has been progressing for a long time in the body. The dosage and course of therapy are determined by the attending physician, which is due to the presence side effects at the medicine. If Clindamycin has been prescribed, it should be taken for a week at a dosage of 300 milligrams.

Bacterial vaginosis is also diagnosed in women during pregnancy. Most of them avoid therapy, fearing harm to the fetus and convincing themselves that the bacteria will leave the body on their own. Unfortunately, this statement is not true, and the microflora is not capable of independent recovery.

A leading gynecologist will tell you exactly how to treat gardnerellosis during pregnancy. Doctors also note that during pregnancy and correct selection medications, the disease is easily treatable, but the exception is antibacterial therapy.

If there is a sharp increase in the number of gardnerella, the doctor may prescribe antibiotics. If a dilemma arises regarding how to treat gardnerellosis in pregnant women, then suppositories or the drug Klion are better suited. Traditional medicine methods are no less effective in treating pregnant women, but only after approval by a doctor.

From possible options baths and douching are excluded, and only washing with antiseptic solutions prepared with herbs is practiced. After delivery, the woman must undergo full course treatment of the disease. When a doctor diagnoses gardnerellosis, it is almost impossible to do without antibiotics. Drugs in this group are indicated to combat the disease, which occurs in acute or chronic form.

When a patient comes to the clinic in a timely manner, the first thing he is prescribed is tablets (they are effective in the initial stage of the disease). The next stage is restorative, aimed at increasing the number of lactobacilli. Depending on the rate of reduction of bacteria causing harm to the body, the duration of the course of treatment will be determined. When the number of microorganisms is reduced to a minimum, the antibiotics will be completed.

In every clinical case How to cure gardnerellosis will be determined by the doctor based on the general condition of the patient and after studying the tests. This approach will protect against drug intolerance in patients with hypersensitivity to certain components. To consolidate the result, immunotherapy and procedures to restore the natural microflora are performed. To protect the body from re-infection, you should adjust your diet and lifestyle.

You can find out exactly how gardnerellosis is treated from the list below:

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• Azithromycin - tablets wide range actions. Long-term use leads to accumulation active ingredient in the blood with its subsequent activation in the lesion.
• Tiberal is an antimicrobial and anti-inflammatory drug, released in tablet form.
• Ornidazole is effective in the fight against anaerobic microbes and is produced in the form of tablets, capsules and injection solution.
• Imidazole is an effective antimicrobial medication, available in the form of cream, injection solution and vaginal tablets.
• Metronidazole is an antiprotozoal drug with antibacterial activity, produced in the form of tablets with a dosage of 250 milligrams.

When treating a disease, a diet aimed at balanced diet. So that the body receives everything necessary elements and was recovering, he needed: fermented milk products, poultry and fish. No need to neglect fresh fruit and vegetables. Cereals, nuts, beans, oils (linseed, olive, corn) are very useful.

Please note

To preserve all the components in the right form, it is better to give preference to steaming or practice a raw food diet.

It was also said that the disease is treatable traditional medicine. The basis of therapy is oral administration of tinctures, installation of medicinal tampons and baths. The given recipes are suitable for treating men and women.

Suitable for decoctions: sweet clover, marshmallow root, pine and birch buds, nettle, mint, St. John's wort and eucalyptus leaves. Prepare according to the directions on the package and take half an hour before meals three times a day. The recommended single dose is 100 milliliters.

Tampons are made from a mixture apple cider vinegar(1 teaspoon) and carrot juice. The resulting solution is applied to gauze folded into a tampon and inserted into the vagina for 20 minutes. It is not recommended to do the procedure more than once a day. The second version of the mixture includes aloe juice and sea buckthorn oil in equal proportions. It is recommended to leave this tampon overnight. Baths made from oak bark, chamomile and walnut leaves will help relieve unpleasant symptoms (pain, itching, burning). Treatment of gardnerellosis in men is prescribed by a doctor after a thorough examination of patients and study of test results.

As with female representatives, in the absence of complications, local therapy is sufficient. The duration of treatment is 14–21 days (the drug is determined by the doctor). When clearly severe symptoms Doxycycline or Tricaside are prescribed and taken until complete cure. A man must follow a diet: no spicy, fatty, spicy and salty foods, as well as alcohol. Sexual contact and prolonged exposure to the sun are also prohibited. Hilak, Laktovit or Bifilakt are indicated as immunotherapy.

Suppositories for gardnerellosis: treatment regimen and duration

The medical name for the well-known thrush is gardnerellosis. Candles are best suited to combat it. They differ from tablets in that they have a targeted effect, which means they cope better with the disease.

Below are suppositories for gardnerellosis, which are often prescribed by doctors:

• McMiror;
• Terzhinan;
• Clindamycin;
• Suppositories with metronidazole;
• Betadine.

With their help, an optimal environment is created in the vagina, and pathogenic microorganisms gradually die. Vaginal suppositories for gardnellosis, they are approved for use by women during pregnancy. This way the cleaning is done birth canal in the third trimester.

High efficiency for gardnellosis, suppositories with metronidazole or tinidazole are used. They are recommended to be administered once a day, in the morning or evening for three hours. The duration of therapy is at least 7 days, depending on the patient's condition.

It is recommended to start treatment no earlier than 2 days after the end of menstruation. On the forum, patients who were treated for gardnerellosis with suppositories leave only positive reviews about the drug. To prevent sexually transmitted infections, doctors recommend always using protection when contacting a new partner. Also, not the last role in preventing the disease is assigned to the control of the immune system, because strong body infections do not occur. You should beware of hypothermia, because any inflammation of the genitourinary system will provoke dysbacteriosis, and against its background gardnerellosis will progress.

An integral part of prevention is genital hygiene. If a man or woman suspects the development of thrush, or gardnerellosis, you should immediately consult a doctor. The disease is easily transmitted sexually, so it is very important to protect yourself from promiscuity. The effectiveness of therapy largely depends on the patient’s approach to following medical recommendations.