In the article, we consider drugs and suppositories for the treatment of gardnerella in women.
Gardnerellosis, also called bacterial vaginosis, is a common infectious disease that is localized in the female genital system. According to statistics, every third woman may encounter a similar pathology. There are several areas of therapy, including both taking pills and the use of various local drugs, including vaginal suppositories from gardnerella.
Pathology Description
Gardnerellosis is a disease of the genitourinary system of an inflammatory nature, which is provoked by an imbalance in the vaginal microflora. An anaerobic bacterium, gardnerella vaginalis, acts as the causative agent of the pathology. The basis of the vaginal microflora in the normal state is lactobacilli, which are responsible for the production of lactic acid, which prevents the growth in the number of opportunistic microorganisms. In addition to lactobacilli, mycoplasmas, gardnerella, klebsiella, etc. are represented in insignificant amounts in the healthy reproductive system of women.
Gardnerella is an anaerobic bacterium that is able to survive in a low acid environment. Once in favorable conditions, these microorganisms begin to multiply actively, displacing beneficial lactic acid bacteria. The participation of other harmful bacteria in this process provokes the development of vaginal dysbiosis, which changes the ratio of beneficial microflora. In addition, gardnerella and other pathogens cause an inflammatory process. The active stage of reproduction of the gardnerella occurs against the background of reduced protective qualities of the body.
Preparations and suppositories for the treatment of gardnerella should be selected by the doctor.
Causes
Vaginal dysbacteriosis is a dangerous disease, as it contributes to the infection of the genital tract, which is accompanied by chlamydia, colpitis, vaginitis, and also increases the likelihood of dysplasia, which is characterized as a precancerous condition.
Gardnerellosis can cause a negative result during various gynecological operations, as well as abortions and during childbirth. The main risk factors that provoke the development of gardnerellosis, doctors call the following:
1. Weakening of the immune system against the background of past diseases.
2. Uncontrolled sexual intercourse without the use of barrier methods of contraception.
3. Taking antibacterial drugs without a doctor’s prescription, as well as local anesthetics, which violates the harmony of the vaginal microflora.
4. Taking contraceptives without the permission of a doctor.
5. Imbalance of hormones in the body.
6. Pathology of the organs of the reproductive system of women in chronic form.
7. Malformations and the presence of tumors, cysts or fibroids.
8. Diseases of the endocrine system, including diabetes.
9. A condition characterized as immunodeficiency.
10. Reception of cytostatics or immunosuppressants.
Most often, gardnerellosis is fixed in women who have an excessively active sex life, and also use contraceptive suppositories, and often use douching with various antiseptic solutions. With such a lifestyle, the vaginal microflora undergoes significant changes, against which beneficial bacteria are displaced by pathogenic microorganisms.
Also at risk are women who often change sexual partners without using barrier methods of contraception. In such a situation, in addition to gardnerellosis, the risk of receiving gonococcal infection, as well as trichomonas, chlamydia and other lesions with sexually transmitted pathologies increases.
What candles from gardnerella are most effective, we will tell below.
Symptoms
Active growth in the number of gardnerella provokes the appearance of inflammation in the uterine neck and vagina. The main signs of an infectious lesion are:
1. Foamy, sticky vaginal discharge of white or gray-yellow hue.
2. Unpleasant odor of secretions, reminiscent of rotten fish.
3. Local irritation, burning, and itching in the vagina along with frequent urination.
4. Severe soreness in the lower abdomen.
5. Increased pain and discomfort during intercourse.
An unpleasant odor with a certain resistance arises due to the decay of the vital products of pathogenic bacteria. It is this symptom of the onset of the disease that gives the woman the greatest discomfort and forces to conduct intimate hygiene much more often. However, when using soap, the situation becomes worse, and the period until the smell appears again decreases with each trip to the shower.
During intercourse, exacerbation of existing symptoms also occurs, the volume of secretions increases, since alkali from sperm creates an even more favorable environment for the propagation of gardnerella. In the future, there is a violation of the urination process, in which urine is excreted in small quantities and gives an unpleasant sensation.
Sometimes gardnerellosis can occur in a latent form or be weakly expressed over many years. In this case, if untreated, the risk of severe complications and disorders of the urination system increases.
Candles: indications
Gardnerella suppositories are prescribed to eliminate such female pathologies as bacterial vaginosis or gardnerellosis, as well as ureaplasmosis. The latter is provoked by a bacterium called ureaplasma. The use of suppositories for intravaginal administration allows the treatment of ureaplasmosis at home. The basis of all suppositories intended to eliminate bacterial lesions are antibiotics.
The use of such suppositories for the treatment of gardnerella in women requires a mandatory consultation with a doctor. This is due to a number of restrictions on the use of such medicines. In addition, if we are talking about the treatment of ureaplasma, then suppositories will be needed only in advanced variants of the pathology. In addition, in most cases, the specialist prescribes a comprehensive treatment.
Contraindications
Most often, suppositories intended to eliminate gardnerellosis do not have significant contraindications. Common restrictions for all are individual intolerance to the components on the basis of which candles are made, as well as the first trimester of pregnancy and breastfeeding.
Side effects
As for the undesirable reactions when using antibacterial suppositories for the treatment of gardnerella, local reactions due to hypersensitivity to the components of the drug are most often observed. Adverse reactions are manifested in the form of burning and itching in the vagina. In addition, treatment of gardnellosis with suppositories can cause nausea and vomiting, irritation, headache, depression, sleep disturbance, and loss of appetite.
During pregnancy, gardnerellosis is diagnosed in every fifth woman. Pathology is a danger not only to the expectant mother, but also to her unborn child, due to the possibility of penetration of the gardnerella through the interplacental barrier and infection of the fetus. Such a situation can lead to water discharge and interruption of gestation.
The following candles from gardnerella are most often prescribed to pregnant women:
1. “Trichopol”.
2. "Metrogil."
3. "Metronidazole".
4. "Klion."
5. “Ornidazole”.
The main advantage of these drugs is the absence of a detrimental effect on the fetal development. However, even these drugs are allowed to be used only from the second trimester of pregnancy. Suppositories for the treatment of gardnerella for women are prescribed from the 20th week of gestation.
Composition and properties
The therapeutic properties of suppositories from ureaplasma and gardnerella can be considered on the example of such a modern popular drug as “Terzhinan”.
This drug has a combined composition and is often prescribed in gynecological practice. "Terzhinan" has a pronounced anti-inflammatory and antiprotozoal effect. The drug helps to restore the integrity of the mucous membrane of the vagina, as well as the acid-base balance.
The basis of the composition of these candles from gardnerella are immediately three active components, including neomycin, ternidazole and nystatin. In addition, the composition of "Terzhinan" supplemented with prednisone. Ternidazole has a powerful antibacterial effect, effectively eliminating fungal infections, and also shows a high degree of activity against gardnerella.
Neomycin is a broad-spectrum antibacterial substance. This component is active both to gram-negative and gram-positive bacteria. Nystatin is part of antifungal substances, the main direction of action of which is candida, which causes thrush.
Almost all suppositories with antibacterial properties do not have a systemic effect on the body, since they have for the most part a local effect with a low absorption.
How to use candles from gardnerella in women?
Instruction manual
The dosage is selected depending on the nature of the disease and the drug that is preferred. Most often, suppositories are administered one per day. The procedure should be done before going to bed, since after the introduction of the candle it is necessary to maintain a horizontal position for some time.
The duration of the use of suppositories also depends on the condition of the patient and the chosen drug. Sometimes a weekly course is required, in some situations this period can be doubled. There were no cases of overdose of vaginal suppositories.
As for the combination of suppositories for the treatment of ureaplasmosis and gardnerellosis with other drugs, it depends on the active substances that are part of a particular drug. For example, Terzhinan can be used with any other drugs, while Dalacin cannot be used simultaneously with muscle relaxants. When using Metrovita with drugs that include lansoprazole, the likelihood of glossitis or stomatitis increases.
Suppositories for the treatment of gardnerellosis
It is important to understand that therapy of gardnerellosis should be carried out in two stages. Moreover, treatment is interconnected, and one without the other will not give the expected effect.
At the initial stage, the doctor prescribes candles against gardnerella, which have a pronounced antibacterial and antiseptic effect. Thus, it is possible to eliminate the causative agent of the pathological process. Then it is necessary to restore the destroyed vaginal microflora by using drugs based on lactobacilli.
Why candles? Treating gardnerella with candles is most convenient and effective.
To eliminate the pathology, the following suppository options are used:
1. "Macmirror." As an active component of these candles is nifuratel. The drug has an intense antimicrobial, antiprotozoal and antifungal effect. For the treatment of bacterial vaginosis, one suppository is prescribed three times a day for one week. Contraindications for the use of suppositories are intolerance to the substances that make up the drug, as well as pregnancy. Adverse reactions are rare and are characterized by nausea, headache and allergies.
2. "Metrovit". This drug is based on a substance called metronidazole. It is often prescribed for the treatment of candidiasis, however, it also shows no less activity against gardnerella. Suppositories are used in a dosage of 500 mg, one per day at bedtime. In this case, the duration of the course of treatment is determined by the doctor depending on the condition of the patient and the nature of the disease. The drug can not be prescribed during pregnancy, liver disorders, lesions of the nervous system of an organic nature, as well as against a background of hematological pathologies. The most common adverse reactions to the use of Metrovit are nausea and vomiting, an unpleasant aftertaste in the mouth, loss of appetite, leukopenia, allergies, irritability, burning sensation during urination, pain in the head, etc.
When the pathogenic microflora is completely destroyed, the doctor prescribes drugs in the form of suppositories, the action of which is aimed at restoring the natural balance of the vagina. Most often, these drugs are:
1. "Lactonorm." These are capsules for intravaginal administration that contain live lactobacilli. Microorganisms contribute to the restoration of normal microflora after antibacterial treatment of gardnerellosis. The drug is used one suppository in the morning and in the evening. The duration of the course of treatment is from one to two weeks.
2. “Acylact”. These candles contain acidophilic type lactobacilli. Candles are applied in a course of up to ten days, one per day.
Gardnerella Candle Reviews
Reviews about these candles are most often positive. Especially people are quite a drug "Macmirror." It is effective, quickly eliminates infection, rarely causes adverse reactions.
In the reviews, patients report that you can not leave the symptoms of gardnerellosis without attention. Lack of treatment can lead to serious complications and consequences, including pathologies of the reproductive system, such as infertility and urethral balanoposthitis.
We examined drugs and suppositories for the treatment of gardnerella in women.