Bacterial vaginosis is a disease that can be considered as vaginal dysbacteriosis, in which the quantitative ratio between different types of microorganisms or their species composition is disturbed.
To prevent harmful microorganisms from multiplying in the vagina, there must be an acidic medium (pH 3.8–4.2). Maintain balance called lactobacilli.
They produce lactic acid, which prevents the reproduction of other types of bacteria and is an essential component of the acidic environment. As soon as the amount of lactobacilli decreases or they disappear altogether, the biological medium becomes alkaline and the harmful microorganisms become more active.
With bacterial vaginosis, gardnerella, peptostreptokokki, mycoplasma and other bacteria, which normally live in the vagina only in small quantities begin to predominate.
Bacterial vaginosis can trigger both internal and external factors. Sometimes the disease occurs against the background of hormonal changes, intestinal dysbiosis.
Antibiotics, inflammatory diseases of the urogenital system, hormones, and drugs that suppress immunity often become the cause of trouble. The development of the disease is promoted by the frequent change of sexual partners, deep vaginal spirits and douching.
The most frequent manifestation of the disease are abundant discharge from the vagina with an unpleasant, often “fish” smell. It appears due to excessive reproduction of anaerobic bacteria. Liquid white or with a grayish tinge whites turn yellow with time, and their consistency becomes thicker.
A woman may experience discomfort due to a burning sensation and itching that occurs in the external genital area.
Expectant mothers during the carrying of the baby this analysis will have to pass several times. In many women, bacterial vaginosis is asymptomatic, but during pregnancy it can cause many serious complications.
Vaginosis is not inflammation and not infection, but simply an imbalance of beneficial and harmful microflora. Therefore, his treatment has the main goal – to restore a normal biocenosis in the vagina, or a normal environment for it.
As a rule, it is carried out in 2 stages. The first is prescribed drugs that suppress microbial activity.
During pregnancy, preference is usually given not to tablets, but to dosage forms that are inserted into the vagina — candles and gels. The latter do not enter the bloodstream and have mainly local effects. Hence, the risk of undesirable consequences for the baby from their use is less.
If normal microflora cannot be restored at all or the infection is likely to provoke premature birth, after 20 weeks of carrying the child, antibiotics are prescribed as maintenance therapy.
At the 2nd stage, the genital tract is “colonized” with lactoflora. For these purposes, both vaginal suppositories, creams and gels, as well as tablets and solutions are used.
Such drugs have no contraindications, but they are not recommended to use them without consulting the doctor.