One very common types of nonspecific vaginitis is bacterial vaginosis. This term appeared in the foreign medical literature in the mid 80's and virtually replaced the term "nonspecific vaginitis". This disease gives patients a lot of trouble due to the fact that one of its symptoms is the smell of "rotten fish", who literally has the patients.
Once I came to accept a girl of twenty, well dressed, nice, but with a completely hunted expression. "Doctor! - She said to me in a whisper. - I probably should consult a psychiatrist, I feel like me awful smell! It seems to me that even in the transport of me shy people. " In fact, the patient was completely mentally healthy, it does exude fragrance "herring their prime. The reason for this was disease called "bacterial vaginosis".
Almost every fifth patient is suffering from this disease, and among women with abnormal leucorrhoea, the frequency of bacterial vaginosis was 86.6%. Most cases of BV is due to mixed flora. Most often found gardnerellas, bacteroids peptokokki and other anaerobes (organisms whose livelihoods do not require oxygen). There is another name for bacterial vaginosis, namely gardnerellez, but this is an outdated term.
I have already mentioned that in the vagina of healthy women peacefully coexist a variety of microorganisms including anaerobes.
This is due to factors of immune protection, which, as you already know, provide a constant internal environment. One important factor in respect microbial neutrality is a constant level of pH (acidity) of vaginal environment, constituting 3,8-4,3. When destabilize ecosystems (hormonal disorders, antibiotic therapy, immunological changes, stresses, etc.), a sharp decrease in the number of lactobacilli and an increase in pH of vaginal secretion more than 4,5. This creates the conditions for the mass reproduction of these microbes as gardnerellas, bacteroids, and others. Actively multiplying, they, in turn, further inhibit the growth of lactobacilli and thus, the process is growing like a snowball.
Often, the development of dysbiosis is accompanied by vaginal dysbacteriosis intestine, in which case both of these pathological conditions are components of a single disease and require treatment of the organism as a whole.
Symptoms vaginosis: diagnosis sometimes is quite abundant on the patient's complaints or moderate whites with a specific "fish" smell. At the beginning of the disease whites may be liquid and have a grayish color. Later they become more dense and yellowish-greenish color. Patients often note the itching and irritation of the vulva. Characteristic of this form of nonspecific vaginitis is the lack of pronounced signs of inflammation of the mucous membrane of the vagina. The mucosa has a pink hue, edema, no.
The diagnosis is confirmed by the detection in the smear of so-called "core cells", which represent cells in the vaginal epithelium, covered with small amount of germs rodlike shape, and the lack of lactobacilli in the smear. In blood smears of healthy women are the key cells are absent. In the diagnosis of bacterial vaginosis helps measure vaginal pH in patients, this figure ranges from 5 to 7,5. Also available aminotest - when mixed in equal amounts of content of the vagina and 10% potassium hydroxide intensifies the smell of "rotten fish".
What is the emotional state of patients suffering from the disease! Imagine a business lady, who, instead of expensive perfume fragrance exudes a "pleasant" smell of rotten herring. And privacy is unlikely to decorate. Therefore, the appearance of similar complaints contact still a gynecologist.
Treatment of bacterial vaginosis: you must first restore the normal acidity of the vagina and suppress the multiplication of raging anaerobes. For this reason the introduction of the vagina acidic solutions: a weak solution of potassium permanganate, boric or lactic acid. Used drugs destroy anaerobes, in the form of vaginal suppositories and creams.
Sometimes we have to appoint agents for oral administration. Be sure to use eubiotics - lacto-and bifidobakterina and other similar drugs, both for local use and for oral administration. It is also desirable prescriptions, normalizing immunity, since only the restoration of all levels of protection will help a patient recover.
Vaccination. Due to the fact that we live in an aggressive environmental factors, often working "to wear, erratic and inadequate nourishment, insidious bacterial vaginosis can occur again and again, turning life into a continuous problem. It is impossible not to say that the frequent recurrence of bacterial vaginosis promote casual sex without a condom or other barrier contraceptives. In addition to recurrent bacterial vaginosis bracing and immunostimulatory activities can resort to vaccination.
For this purpose the Salk vaccine-Trihovak, which creates a vagina local immunity against the development of bacterial vaginosis.
The vaccine is introduced three times intramuscularly at intervals of 2 weeks. After a year shows a single repeat vaccination. Such a schedule of vaccination to create a robust protection against infection for 2 years. However, it should warn our patients against the use of unauthorized drugs Salco Trihovak, because there are some contraindications: allergic diseases, acute infections, blood diseases, kidney, immune deficiencies, etc.
If you want to properly cure any disease, including bacterial vaginosis, better to turn to a gynecologist, because there is no universal schemes for treatment, each person is unique and should be treated not the disease, and patient!
