Vaginal Gardnerella in women: symptoms, causes and treatment
First gardnerella vaginal was considered the causative agent of STDs. However, recent studies show that it is a component of normal vaginal microflora.
Nevertheless, like any opportunistic pathogenmicroorganism, it is capable of causing inconvenience. This is mainly due to vaginal dysbiosis, when for some reason useful lactobacilli becomes small. And they form lactic acid, which suppresses reproduction of the opportunistic pathogenic flora.
Under such conditions, the number of gardnerella and other microorganisms, such as mobilinus, mycoplasmas, is actively increasing. This condition is called bacterial vaginosis.
So, the reasons why the gardnerella in women can significantly increase its number against the background of a decrease in the number of lactobacilli are the following:
- taking antibiotics;
- a large number of partners or its recent shift;
- the use of condoms with lubrication or contraceptives with 9-nonoxinol;
- use of vaginal suppositories, tablets with a wide spectrum of action;
- douching with antiseptics.
Today gynecologists have serious doubts aboutthe useful effect of douching. During this procedure, a normal microflora is washed out, the place of which comes conditionally pathogenic. In addition, syringing contributes to the occurrence of ectopic pregnancy and inflammation of the appendages.
If the vagina greatly increased its number of gardnerella, the symptoms in women are as follows:
- appearance of badly smelling secretions (smell of rotten fish), they are grayish-white, watery, homogeneous, uninvigorated;
- possibly the presence of unpleasant sensations, burning, itching, especially during sex.
In addition, this microorganism creates conditionsfor the reproduction of other bacteria and fungi. As a rule, the women's gardnerella is found only in the vagina and cervical canal, and therefore it can not cause endometritis and salpingo-oophoritis. However, it facilitates penetration of more serious infections into the genital tract, including STDs.
Gardnerella in women is detected with the help ofa special smear. In addition, the presence of the disease is indicated by the definition in the analysis of the flora of "key" cells - the epithelium covered with data and other bacteria.
Very informative analysis is the planting of pathogenic microflora. He gives an idea of all the bacteria in the vagina and their number.
If a microorganism is found ina large titer is made antibioticogram, that is, selected drugs to which he is sensitive. During this analysis, the amount of lactobacilli is also determined. The presence of problems is indicated by their low titer.
In modern laboratories, a definition isThe presence of gardnerella in the vagina with PCR. However, it has a high sensitivity, so it is rarely used to diagnose this disease. PCR will give a positive result even if there is a very small amount of bacteria in the vagina, which can be there in the norm.
To treat this disease useantibacterial drugs, including locally. After its termination in two weeks carry out control researches. During therapy, sex in the vagina is not recommended.
So, gardnerella in women is the norm, howeverit is important in what quantity it is present and whether it causes any problems. Usually its brown growth is due to a decrease in the number of lactobacilli. The main symptom of the disease is an unpleasant odor of discharge. Quite often, women first encounter gardnerellez during pregnancy.