Probiotics for female microflora. Violation of the microflora of the vagina. Restoration of the vaginal microflora during pregnancy

Main purpose 40 beneficial bacteria in this organ - the production of lactic acid, which is responsible for maintaining an acidic environment. It is microflora with acidity at the level of 3.8-4.5 pH that protects female body from pathogenic bacteria. Violation of such acidity leads to dysbiosis or bacterial vaginosis. But you can restore acidity with the help of healing traditional medicine.

How can a woman suspect the presence of this ailment? Its symptoms can be discharge, or rather their change. With dysbiosis, they become white-yellow with an unpleasant smell of rotten fish. Also, bacterial vaginosis is itching, pain during urination, intercourse, burning, vaginal dryness. If a woman does not pay attention to such symptoms, then the absence timely treatment will lead to the transition of an acute form of dysbiosis into a chronic one or to the following complications:

Endometritis... Inflammation of the lining of the uterus usually leads to impaired fertility.
Adnexitis(ovarian inflammation).
Colpitis. He is accompanied by purulent discharge, fever, cramps and pain at rest.
Cervicitis. Usually, inflammation of the cervix causes severe pain during intercourse.
Cystitis. An infection of the urinary tract leads to urinary problems.

Home therapy folk remedies is aimed at restoring a healthy microflora of the vagina. This is the use of such treatment options:

Soda + iodine. It is necessary to cool a liter of boiling water, dissolve a tablespoon in it baking soda and 50 drops of iodine. This liquid should be poured into the bath. You need to take such baths for ten days.
Honey + kefir. You can make your own tampons from sterile gauze, or you can buy ready-made hygienic ones for treatment at the pharmacy. They are moistened in a mixture of kefir (it is better to take homemade yogurt, and not a store product) and honey until completely soaked. You need to put such tampons deep into the vagina at night after hygiene procedures... The course of such treatment takes 10 days. The only limitation to the use of this method of microflora restoration is an allergy to bee products.
Sea buckthorn oil. It should be used for therapy in a similar manner. Tampons with a product of high healing power are placed every evening for 10-12 days.
Pharmaceutical camomile. To use a medicinal plant, an infusion is prepared from a tablespoon of dry raw materials and a glass of boiling water. Under the lid, the product is prepared for an hour, filtered. The course of douching with pharmacy chamomile lasts 14 days. This should be done in the evening and in the morning. Such douching is also useful as preventive measures for freezing.
Milk serum. Douching with serum will also bring undoubted benefits for the restoration of the vaginal microflora. It is necessary to take home product, heat it up and dilute it one to one with boiled water. You need to douche every night before bed.
Grass goose cinquefoil. It is necessary to prepare an infusion of two tablespoons of dry raw materials and half a liter of boiling water. The product is prepared for 40 minutes under a lid, filtered, and used in the form of douching.

All of the above activities should be carried out against the background of a general strengthening of the immune system. And onions, garlic, propolis can help with this. They need to be included in the daily menu throughout the course. local treatment... It also needs to be enriched with dairy products and vitamins.

After the restoration of the vaginal microflora, many women are interested in whether the problem can come back again. Yes maybe. And in order to minimize the likelihood of recurrence in the future, every woman needs to take care of herself. This means seeing a good gynecologist every 6 months, even when nothing is bothering you. It is also recommended to use for intimate hygiene special soap containing lactic acid. There are many such funds in the pharmacy chain today. You also need to avoid casual connections, unprotected sex, wearing tight synthetic underwear. In the cold season, women should keep their feet warm, avoiding freezing.

The main purpose of the 40 beneficial bacteria in this organ is to produce lactic acid, which is responsible for maintaining an acidic environment. It is the microflora with acidity at the level of 3.8-4.5 pH that protects the female body from pathogenic bacteria. Violation of such acidity leads to dysbiosis or bacterial vaginosis. But you can restore acidity with the help of healing traditional medicine.

How can a woman suspect the presence of this ailment? Its symptoms can be discharge, or rather their change. With dysbiosis, they become white-yellow with an unpleasant smell of rotten fish. Also, bacterial vaginosis is itching, pain during urination, intercourse, burning, vaginal dryness. If a woman does not pay attention to such symptoms, then the lack of timely treatment will lead to the transition of an acute form of dysbiosis into a chronic one or to the following complications:

Endometritis. Inflammation of the lining of the uterus usually leads to impaired fertility.
Adnexitis (inflammation of the ovaries).
Colpitis. It is accompanied by purulent discharge, fever, cramps and pain at rest.
Cervicitis. Usually, inflammation of the cervix causes severe pain during intercourse.
Cystitis. An infection of the urinary tract leads to urinary problems.

At home, therapy with folk remedies is aimed at restoring the healthy microflora of the vagina. This is the use of such treatment options:

Soda + iodine. It is necessary to cool a liter of boiling water, dissolve a tablespoon of baking soda and 50 drops of iodine in it. This liquid should be poured into the bath. You need to take such baths for ten days.
Honey + kefir. You can make your own tampons from sterile gauze, or you can buy ready-made hygienic ones for treatment at the pharmacy. They are moistened in a mixture of kefir (it is better to take homemade yogurt, and not a store product) and honey until completely soaked. You need to put such tampons deep into the vagina at night after hygiene procedures. The course of such treatment takes 10 days. The only limitation to the use of this method of microflora restoration is an allergy to bee products.
Sea buckthorn oil. It should be used for therapy in a similar manner. Tampons with a product of high healing power are placed every evening for 10-12 days.
Pharmaceutical camomile. To use a medicinal plant, an infusion is prepared from a tablespoon of dry raw materials and a glass of boiling water. Under the lid, the product is prepared for an hour, filtered. The course of douching with pharmacy chamomile lasts 14 days. This should be done in the evening and in the morning. Such douching is also useful as preventive measures for freezing.
Milk serum. Douching with serum will also bring undoubted benefits for the restoration of the vaginal microflora. You need to take a homemade product, warm it up and dilute it one to one with boiled water. You need to douche every night before bed.
Goose cinquefoil herb. It is necessary to prepare an infusion of two tablespoons of dry raw materials and half a liter of boiling water. The product is prepared for 40 minutes under a lid, filtered, and used in the form of douching.

All of the above activities should be carried out against the background of a general strengthening of the immune system. And onions, garlic, propolis can help with this. They should be included in the daily menu during the course of local treatment. It also needs to be enriched with dairy products and vitamins.

After the restoration of the vaginal microflora, many women are interested in whether the problem can come back again. Yes maybe. And in order to minimize the likelihood of recurrence in the future, every woman needs to take care of herself. This means seeing a good gynecologist every 6 months, even when nothing is bothering you. It is also recommended to use a special soap containing lactic acid for intimate hygiene. There are many such funds in the pharmacy chain today. You also need to avoid casual relationships, unprotected sex, wearing tight synthetic underwear. In the cold season, women should keep their feet warm, avoiding freezing.

Oddly enough, the state of health of that person completely depends on the army of microorganisms. In the case when the mass of beneficial bacteria exceeds the number of pathogens, health will correspond to the norm. But the violation of such a balance is fraught with malfunctions in the body's systems and, inevitably, leads to certain diseases.

The same is the case with the health of the genitals: the microflora corresponding to the norm is a guarantee of sexual health. The presence of such violations in the vagina, inevitably leads to inflammatory processes and infections. And then the question arises, the solution of which depends entirely on the restoration of the vaginal microflora. But first, it is necessary to find signs indicating violations.

Vaginal microflora: determination of the norm

The fulfillment of the functions that are assigned by nature completely depends on the restoration of the vaginal microflora. The main function of this organ is to protect against attacks of pathogens, which is possible only with the formation of an acidic environment.

Only a sufficiently acidic environment contributes to the destruction of spermatozoa, as a result of which only the healthiest and strongest go to their destination. And the enhancement of the synthesis of antibodies and protective protein depends on the lactoflora of the vagina, which increases local immunity.

Signs by which a violation of the vaginal microflora is determined

And although the violation of the state of the microflora in the vagina is not particularly manifested, the treatment that guarantees normalization is extremely important.

The main thing is to prevent problems arising from the multiplication of pathogenic bacteria, the foundation of which can be considered an imbalance in the microflora in the vagina. Here it is necessary to identify the signs accompanying changes in the state of microflora. And the first thing worth paying attention to is the changed discharge and the smell, which cannot be called pleasant.

Methods for restoring the microflora of the vagina

In this matter, you should carefully listen to the doctor's recommendations and carefully use the drugs prescribed in the prescription. An experienced doctor will prescribe medications that can solve three problems:

stop the multiplication of pathogenic bacteria;
restore microflora;
activate the immunity of the vaginal walls.

So, the appointment of antibacterial suppositories, antibiotics, probiotics, as well as local immunomodulators can be considered quite justified and natural. And folk remedies should be resorted to after consulting a doctor.

Folk remedies that restore the microflora of the vagina

A noticeable effect is promised by the use of tampons soaked in kefir or honey for 10 days, which should be inserted into the vagina at night. And the best thing is to alternate kefir and honey. But before resorting to this way treatment, you should make sure that you are not allergic to honey. The restoration of the vaginal microflora is also facilitated by tampons with sea buckthorn oil that you need to use for 10 days.

In folk medicine, the use of chamomile preparations is popular, which have a positive effect on the restoration of the vaginal microflora. Treatment takes place by douching. An infusion is prepared from one spoon of chamomile flowers and two glasses of boiling water. The strained infusion is suitable for douching warm. The procedures should be carried out for 10 days.

Prevention of vaginal microflora disorders

In order to avoid the cost of treating dysbiosis, you should carefully monitor the observance of the preventive rules:

external hygiene of the genitals and the absence of antibacterial agents in the care of intimate places;
a diet containing dairy products and food of vegetable origin;
avoid self-medication with antibiotics and antibacterial drugs;
exclude synthetic underwear, which is especially dangerous in hot weather;
sexual intercourse with the obligatory use of a condom;
refusal of hygienic tampons in case of an allergic reaction to them.

Changes in the quantitative, qualitative composition of microorganisms that populate the vagina are a consequence of infectious and inflammatory diseases. To exclude them in the future, the vaginal microflora is restored. Let's consider the algorithm of the therapeutic process, its features.

Violation of the microflora of the vagina - causes

There are many factors that determine the development of such a situation. In order to determine exactly what exactly is in in this case became the reason, appoint:

sampling of smears;
a blood test for hormones;
examination in the gynecological chair;
collection of anamnesis.

Among the main reasons for the development of a violation:

hypothermia, which provokes a decrease in local immunity;
malfunctioning hormonal system- failure of the cycle (lengthening or shortening of menstruation, volume of discharge), pregnancy, puberty, menopause, postpartum period;
change of conditions environment- travel, moving often provoke dysbiosis;
genital infections - gonorrhea, trichomoniasis, syphilis, etc.;
infectious and inflammatory processes reproductive system;
bowel disease, dysbiosis;
long-term use of antibacterial agents;
violation of the rules of intimate hygiene.

Taking antibacterial agents always affects the composition of the flora of the reproductive system. In order to determine how to restore the vaginal microflora after antibiotics, you first need to consult a gynecologist. The doctor analyzes the available information, the type of antibiotic, the duration of its use and the dosage. Based on this information, drugs are prescribed that are applied orally and topically. The duration of the recovery course is up to 2-4 months.

Preparations for restoration of vaginal microflora

Faced with a problem, a girl shouldn't accept independent decisions, think about how to restore the vaginal microflora, what to take. Medicines should be prescribed exclusively by a physician. Doctors take into account the state of the flora, the reasons that led to the violation, the severity of the symptoms. Based on this information, a medicinal product is selected, the dosage, duration and frequency of use are established.

Suppositories to restore vaginal microflora

Vaginal suppositories are the most common form of medication for this phenomenon. This is due to the pronounced local effect, the speed of the onset therapeutic action, ease of use. Often, doctors prescribe the following suppositories that restore the vaginal microflora:

Bifidumbacterin. A common drug. Depending on the severity of the violation, 1-2 suppositories are used for 10 days, in the morning.
Lactobacterin. It contains the optimal amount of beneficial bacteria. Take a course of 10 days, 1 suppository daily, at night.
Kipferon. Used in short courses, which are repeated 2-3 times. The duration of one is 10 candles, 1 per day. After a week break, repeat again.

Diversity similar drugs great, each is good in its own way. The task of the gynecologist is to determine the exact cause of the dysbiosis and prescribe the appropriate one. For treatment can still be used:

Gynoflor;
Acylact;
Lacticide.

Vaginal microflora restoration tablets

This form medicines often used to treat dysbiosis. Carrying out the restoration of the vaginal microflora, doctors prescribe:

Laktogin. The medicine normalizes the flora, restoring the balance between beneficial and opportunistic microorganisms. Use 1 tablet, injected at night. The duration is indicated by the gynecologist.
VaginormS. In a short period of time, it brings the pH back to normal, creates conditions for the reproduction of lactobacilli, forming the correct flora. Depending on the severity of the stage of violation, use 1-2 vaginal tablets, 7-10 days.
Ecofemin. By stabilizing the flora, it increases the concentration of lactobacilli, has a detrimental effect on pathogenic microorganisms, preventing their reproduction and development. 1 tablet is administered at night. The length of the course is set individually.

Often, capsules are also prescribed to restore the microflora of the vagina, including:

Lactoginal. Used to restore the environment after prolonged antibiotic therapy, during preparation for gynecological operations and, before childbirth. The course lasts 1 week, 1 capsule daily at night.
Lactonorm. It is prescribed both for diseases accompanied by a change in the state of the environment - vaginitis, vulvitis, and for the purpose of prophylaxis before surgical intervention on the reproductive system. Used in a course of 10 days, 1 per day.

Gel for restoration of vaginal microflora

Often, with dysbiosis, Salvagin is used - a medicine to restore the microflora of the vagina. Possesses pronounced antiseptic, antibacterial properties. Restores acidity, stabilizes the composition of microorganisms in vaginosis of various origins... By its action it slows down growth harmful microorganisms: chlamydia, fungi, Trichomonas, herdnerella, ureaplasma.

Floragin Gel is another drug used to restore the environment. Renders:

moisturizing effect;
reduces the symptoms of vaginosis;
normalizes pH;
eliminates discharge, eliminates bad smell.

Restoration of the vaginal microflora with folk remedies

It is worth consulting with your doctor before using traditional medicine. Soda to restore the microflora of the vagina is often used, is part of different recipes... For example: 1 tablespoon of baking soda is thrown into 1 liter of boiled, cooled water, then 50 drops of iodine are added. The solution is poured into a bath. They take procedures every day for 10 days.

The healing properties of honey are often used to restore the vaginal microflora. Kefir and honey are mixed in equal proportions. The resulting ointment is applied to sterile gauze tampons, injected at bedtime. The course is 10 days. The effect is observed quickly: the number of pathogenic secretions decreases, disappears accompanying symptoms in the form of burning, itching, redness.

Restoration of the vaginal microflora during pregnancy

During the period of gestation, when dysbiosis occurs, probiotics are prescribed to restore the microflora of the vagina:

Vagisan. Contains lactobacilli. Prescribe 1-2 capsules per day, take 2-4 weeks. Assign in complex therapy.
Lactonorm. The drug regulates, maintains and restores normal flora. Assign 2 vaginal capsules per day. It takes 7 days to completely bring the environment back to normal.
Vagilak. The drug is taken orally, 1 capsule 2 times a day with meals, washed down with water. Duration of the course is 2-4 weeks.

The flora of the vagina is an important component of a woman's health. The microflora contains a certain amount of beneficial bacteria, which are represented by lactobacilli, bifidobacteria and other beneficial bacteria. One-ninth of the vagina is inhabited by lactobacilli, and one part is divided between bifidobacteria and opportunistic bacteria, which, in a certain environment, do not bother a person. With hypothermia or a change in pH, a transition is possible opportunistic bacteria into pathogenic.

Responsibility for the well-being of the internal environment in women is borne by lactobacilli, which are responsible for local immunity and prevent the growth of harmful bacteria. Together, beneficial bacteria raise immunity. An imbalance of microorganisms, a change in the quantity and quality of beneficial bacteria causes vaginal dysbiosis.

Symptoms and causes of flora disturbances

Symptoms of microflora changes include:

itching due to vaginal dryness;
unpleasant odor;
a change in discharge from whitish to yellowish;
pain during intercourse.

When the first signs of a disorder appear, it is necessary to visit a gynecologist to clarify the diagnosis and correct treatment... The doctor will prescribe what drugs are needed to restore the microflora. If the cause is an infection, then the doctor prescribes antibacterial drugs, after which a means of normalizing the flora is prescribed intimate area women and strengthening local immunity.

The disturbance of the flora is possible for all sorts of reasons.

taking antibiotics and antimicrobial agents;
intestinal dysbiosis;
transferred diseases that are sexually transmitted: chlamydia, mycoplasma, candida, gardnerella;
women after menopause;
violation of personal hygiene;
diseases of the female genital organs;
climate change;
changes in the hormonal environment (disruptions of menstruation, pregnancy);
hypothermia;
stress;
non-compliance with the rules for the use of tampons and pads.

After treatment gynecological diseases antibacterial agents, you need to restore the internal environment with drugs to restore microflora. Antibiotics kill both the pathogenic environment and lacto- and bifidobacteria. After being treated for thrush, and without restoring the flora, infection is again possible, since there will be no bacteria that raise immunity and protect against pathogens. That is why if, after treatment with antibacterial drugs, the vaginal environment is not restored, other gynecological infectious diseases are possible.

Preparations for the restoration of microflora in gynecology

There are many drugs for the restoration of microflora in women. Available in the form of suppositories - suppositories for vaginal use, and tablets or capsules for oral administration. For better effect it is recommended to combine suppositories and tablets.

It is preferable to use candles, since the effect of them is faster, no side effects on the liver and other organs.

Medicines to restore the vaginal microflora:

Release form	Flora restoration tool	Action	Appointment	Composition
Vaginal suppositories	Bifidumbacterin	Regulates the balance of flora	Recovery after treatment with antibacterial drugs. Anti-inflammatory action	Bifidobacteria
	Lactobacterin	Restores vaginal flora. Kills pathogenic flora due to antagonism. Bacteria convert glycogen into lactic acid, which maintains a healthy environment.	Restores immunity and flora.	lactobacillus
	Acylact	As part of lactobacilli, which raise local immunity and fight against pathogenic flora. Produce lactic acid to maintain the vaginal environment.	Normalization of flora	Lactobacillus acidophilus
Vaginal capsules	Lactonorm	Eubiotic. Lactobacilli raise local immunity.	Regulates and maintains the immune system.	Lactobacillus acidophilus. Capsules, unlike suppositories, do not "flow" so much.
Suppositories	Kipferon	Immunomodulator	Boosts immunity	Interferon and immunoglobulin
Vaginal tablets	Vaginorm S	Vitamin remedy	Reduces the acidic environment of the vagina, reduces the reproduction of pathogenic infection. Restores flora due to the development of beneficial lactobacilli. Used for vaginitis and vaginosis	Vitamin C
Vaginal tablets	Gynoflor E	Estrogen and eubiotic	Restores flora in the postmenopausal period, as it contains the hormone estriol, which decreases with age, and lactobacilli	The hormone estriol and acidophilic lactobacilli. The composition contains lactose, which is necessary for lactobacilli for the synthesis of lactic acid
Vaginal capsules	Lactoginal	An agent that regulates the balance of microflora	Restores the flora of the vagina after vaginosis. It is used for the prevention of prenatal and gynecological operations.	Lactobacillus in the form of lyophilized
Vaginal capsules	Trioginal	Regulates flora and normalizes the level of estrogen and progestogen	Restoration of the flora of the vagina. Applied for atrophic vulvovaginitis, which is associated with hormone deficiency.	Lactobacillus in the form of a lyophilisate, estriol, progesterone.
Oral capsules	Ekofemin Florovag	Normalization of the flora of a woman in the intimate area	Increases lactobacilli	Lactobacillus of different strains
Oral tablets	Vagilak	Normalization of the flora of the vagina	Restores flora	Lactobacillus

The flora is restored for at least a month, or even more. Suppositories are recommended to be used 1 to 2 times a day. If the drug is prescribed once a day, then it is preferable at night, after the toilet of the genitals.

For washing, you cannot use products that contain soaps in the composition, since the flora is disturbed due to the alkaline environment, due to which beneficial lactobacilli die. It is necessary to use specialized products for the hygiene of the genital organs, such as Epigen intim gel, Lactacid, Saugella.

Tips for treatment with microflora restoration products in gynecology:

a diet that excludes sweet, yeast, alcohol. Add to the diet more vitamins, vegetables and fruits;
washing in the morning and evening with lactic acid-based products;
washing with herbal infusions: chamomile, calendula;
insert the candle while lying down. The legs are pressed to the chest. Wash your hands with soap and water.
if the candle was appointed to be inserted in the morning and in the evening, then in the morning, after the candle was inserted, lie down for 30 minutes. After putting on the strip;
exclude sexual intercourse.

Means for restoring the microflora of the vagina using folk methods

There are many ways in folk medicine to restore the vaginal environment:

douching with infusion of plants: chamomile, calendula, sage;
douching with soda, kefir or furacilin;
make a honey tampon and insert it vaginally in the morning. Do not forget about possible allergies for honey. In the evening, insert a tampon dipped in kefir;
moisten the tampon in sea buckthorn oil and insert it vaginally for two weeks;
prepare an infusion of Potentilla herb. Do douching at night.

Restoration of vaginal microflora in pregnant women

In pregnant women, the appointment of a medicine for the restoration of microflora in gynecology is limited to the appointment of suppositories with lactobacilli (acylact, lactonorm) and capsules or tablets (Vagilak). How to restore the microflora to pregnant women is indicated by the doctor, therefore, when prescribing drugs, it is necessary to consult a gynecologist.

Hygienic care is not a contraindication during pregnancy, therefore, lactic acid and herbal wash gels are allowed.

Thus, it is important to note that it is necessary to use drugs to restore the flora of the vagina. After all internal environment the vagina is an important component of women's health. You cannot start treatment, but consult a doctor in time to prescribe drugs to restore microflora in the intimate area.

Removal of papillomas with folk remedies at home in adults Cholesterol stones in gallbladder treatment with folk remedies

Vaginal microflora is an important component immune system the body of a woman. Normally, it is an acidic environment that prevents the penetration of pathogenic bacteria. Violation of microflora is called dysbiosis.

Most common reasons external factors become:

Hypothermia;
Inadequate regimen for taking hormonal drugs;
Irregular sex life;
Climate change;

Violation of the rules of personal hygiene;
Intestinal dysbiosis;
Infections and inflammatory processes in the pelvic organs;
Improper use of tampons and pads during menstruation, untimely replacement of personal hygiene products.

Normally, the immune system is able to independently regulate the ratio of bacteria, and the restoration of the vaginal microflora occurs without help. drugs... If a woman is constantly faced with one of the risk factors, the normalization of the vaginal microflora is carried out with special drugs.

Signs

Symptoms of vaginal dysbiosis manifest themselves clearly only in cases where the flora is seriously disturbed and requires complex treatment... Often the same symptoms initial stages almost invisible:

The discharge turns white-yellow;
During intercourse and in a calm state, discomfort and dryness are felt, which are temporarily eliminated by means of hygiene;
The discharge smells unpleasant.

Many women associate these signs with the approach of menstruation, taking medications... If observed additional symptoms, talk about complicated dysbiosis, which led to infectious diseases. Additional symptoms:

Burning and hyperemia of the walls of the vagina;
Redness of the labia;
Dryness in the vagina;
Delayed menstruation;
The discharge takes on a pronounced ammonia or musty odor.

Dangerous complications that cause dysbiosis in the absence of treatment:

Infection cervical canal and uterus leading to endometritis;
The spread of infection to the appendages, adnexitis;
Inflammation Bladder and urethra, cystitis, urethritis.

Complicated forms of any infectious disease are difficult to treat.

Treatment regimen

Since it is difficult to restore the vaginal microflora, especially in case of complications, without identifying the cause of dysbiosis, the treatment regimen is as follows:

Finding the cause of dysbiosis;
Elimination of pathogenic bacteria in the vagina;
Restoration of natural microflora;
Immunostimulating therapy to consolidate the result in the future.

To find the reasons, the gynecologist will prescribe laboratory research urine, blood, smear for microflora. If pathogenic bacteria are suspected, both partners should take a smear.

If the cause is not a pathogenic bacteria, vaginal probiotics are immediately prescribed. Among the forms of drugs there are tablets, ointments, but suppositories are most effective for restoring microflora in women.

If dysbiosis has caused complications, the pathogenic microflora, complications are first eliminated, and only then treatment is started in order to normalize the microflora.

Elimination of pathogenic flora

It is useless to restore the microflora as long as the pathogenic infection continues to destroy it. The most common cause of dysbiosis is thrush.

In this case, such suppositories are prescribed to restore the microflora of the vagina:

Clotrimazole;

Nystatin;

Pimafucin;

Treatment with these suppositories should be prescribed by a doctor after detecting the Candida fungus in a smear on the microflora. The active ingredients can cause itching, redness, and some of the drugs are prohibited during pregnancy and lactation.

If the cause is more serious pathogens: ureaplasma, Trichomonas, chlamydia, a restorative course of complex therapy with antibiotics is carried out. In this case, according to doctors, the use of lactobacilli can only aggravate the situation, creating a favorable environment for the multiplication of infections and viruses.

Recovery phase

After eliminating the root cause, a smear is repeated for the microflora. If pathogenic microorganisms are not found, the restoration of microflora in gynecology begins.

Are used the following drugs to restore microflora:

If the problem lies in reducing acidity, treatment is carried out using suppositories with lactic acid:

The drugs are prescribed taking into account the age, weight of the patient, her susceptibility to the components of the drug, taking into account the state of pregnancy, puberty, menopause, lactation.

Using suppositories

Most often, treatment is carried out with local preparations; suppositories with lactobacilli and hormones are popular.

Vagikal - suppositories for the normalization of microflora and suppression of the reproduction of pathogenic microorganisms, have a mild anti-inflammatory effect, the treatment lasts ten days.
Gynoflor - due to the content of lactobacilli, contribute to the reproduction of natural microflora with the necessary acidity, produced in the form of vaginal tablets.
Estriol - restore the epithelium damaged by the fungus with a mild wound-healing effect. The duration of treatment is 7 days, the suppository is injected into the vagina once a day before bedtime.

Kipferon - strengthens both local and systemic immunity, the course of treatment is ten days, then a break of 5 days and again the course. For full treatment, repeat two or three courses.
Bifidumbacterin - suppositories that are used to restore vaginal microflora, and for the treatment of intestinal dysbiosis. Candles are placed twice a day for ten days, the effect of the drug is quite mild, therefore it is not prohibited during pregnancy.
Vaginorm - normalizes the acidity of the vagina and suppresses the reproduction of pathogens, the duration of treatment is no more than a week.

If dysbiosis and candidiasis have developed in the background long-term intake antibiotics, it is necessary to use drugs that restore and intestinal microflora: yoghurt in capsules, Linex, natural homemade yoghurts with pharmacy starter cultures.

Treatment with folk remedies

Folk ways to restore microflora can be a good addition to drug therapy, enhancing its effect. To do this, you need to contact a gynecologist and choose such a method of traditional medicine that would be combined with the active ingredient of the drugs used.

You can make healing tampons on your own. To do this, a decoction of chamomile is brewed according to the prescription on the pharmacy packaging for collecting chamomile medicinal. Then the tampon is dipped into the broth, squeezed slightly and inserted into the vagina.
You can use a tampon purchased, or make it yourself from sterile cotton wool and gauze.
They also use tampons with kefir and honey. Make sure that there is no allergic reactions on honey - a drop of honey is applied to the wrist, rubbed into the skin, and the reaction is observed for six hours.

To prepare a tampon, you need to soak it in honey and insert it into the vagina in the morning. In the evening, a tampon with kefir is introduced - it is better to purchase biokefir or prepare it yourself using pharmacy bacterial starters.
You can also moisten a tampon with sea buckthorn oil by putting it on for several hours.
Among douching procedures, douching with chamomile with calendula, kefir is popular. The doctor can prescribe douching in parallel medicinal solutions, for example, Furacilin.

Tampons should not be kept longer than four hours. Before douching, a doctor's consultation is required, since the procedure is prohibited during pregnancy, endometritis, fibroids.

Prophylaxis

V preventive purposes personal hygiene products should be reviewed, excluding cheap products with dyes, fragrances, allergens.

To strengthen the immune system, the doctor may prescribe vitamin and mineral complexes:

Kvadevit.

It is necessary to visit a gynecologist every three months in order to recognize the manifestation of dysbiosis in time, and to prevent a chronic violation of the vaginal microflora. If no relapse has occurred within a year, you can visit the gynecologist once every six months.

WITH early adolescence the woman's body is sensitive to the effects of various external and internal factors... During puberty, as well as after the onset sexual life, the fair sex is often faced with various pathologies reproductive system. One of the most common of these is considered to be vaginal dysbiosis. Every woman has encountered this condition at least once in her life, but not everyone knows what it can lead to and how important it is for the body to restore the vaginal microflora. In some cases, the pathological process does not manifest itself clinically, and the woman may not heed the recommendations of the gynecologist to start active treatment.

This attitude towards your health can lead to development severe complications, therefore, at the first manifestations of discomfort in the vaginal area, you should consult a doctor, be examined and, if necessary, start treatment.

The normal microflora of the vagina is 90% lactobacilli. Dysbacteriosis is a condition in which lactobacilli are replaced by opportunistic anaerobic microorganisms. In medicine, this condition is called "bacterial vaginosis". Dysbacteriosis of the vagina is not a consequence of infection with genital infections, but it is considered a good background for the development of infectious processes.

The main pathogen found in bacterial vaginosis, is an Gardnerella vaginalis... Violation of the balance of microflora in the vagina leads to a change in its pH in alkaline side(from 4.5 to 7.0-7.5). In such an environment, anaerobic organisms form in a large number volatile amines that smell like rotten fish (one of the leading symptoms). Also, due to a change in the acid-base balance, the function of natural biological barriers in the vagina is disrupted, which contributes to the inflammatory processes of the reproductive organs.

There are many factors that can trigger vaginal dysbiosis. These include:

Failure to comply with the rules of intimate hygiene: to maintain normal state the external genitals and vagina should be washed at least once a day. For intimate hygiene, it is advisable to use special means Many contain lactic acid, which helps maintain normal vaginal flora. When neglected hygienic care behind the genitals, the risk of penetration of pathogenic microorganisms into the vagina increases with further development dysbiosis;
Improper use of tampons: often the cause of vaginal discomfort and microflora disturbances is the untimely replacement of tampons during menstruation. In the early days of appearance menstrual bleeding it is advisable to change the tampon every 3 hours, and when the discharge becomes less profuse - every 6 hours. Remember, the longer the tampon is in the vagina, the more Better conditions for the development of infection;
Infectious diseases of the genitourinary sphere: bacterial vaginosis can be provoked not only by genital infections, but also by inflammatory diseases of the urethra and bladder. When introducing pathogenic microorganism in the women's reproductive system v mandatory violation occurs normal microflora vagina. This is due to the release of toxic substances and waste products by pathogens. Candidiasis is the most common pathology, accompanied by changes in the vaginal microflora. Therefore, the question of how to restore the microflora of the vagina after thrush is considered very relevant;
Pathology gastrointestinal tract: many diseases digestive system lead to disturbances in the normal intestinal microflora. Such changes can significantly affect and lead to bacterial vaginosis. Therefore, in the presence of symptoms of indigestion, it is necessary to restore the microflora not only of the vagina, but also of the intestine;
Antibiotic therapy: great amount pathological processes in our body are treated with antibiotics. The mechanism of their action not only eliminates pathogenic bacteria, but also adversely affects the natural microflora of the vagina and intestines. Self-medication with this group of drugs is categorically contraindicated due to the appearance of this side effect. Restoration of the vaginal microflora after antibiotics is a long process that must be supervised by a doctor;
Hypothermia and chronic colds lead to disruption of local mechanisms immune defense in the vagina and the appearance of bacterial vaginosis;
In some cases, vaginal dysbiosis develops after an acute psycho-emotional shock;

Clinical manifestations

Often, violations of the vaginal microflora proceed unnoticed for a woman and are discovered by chance. In other cases clinical picture of this pathological condition comprises:

Appearances profuse discharge from the vagina. The discharge has a pungent unpleasant odor and a grayish-white tint;
Feeling of itching and burning in the vagina;
Discomfort during intercourse;

If dysbiosis is provoked by a urogenital infection, then the clinical picture also includes characteristic symptoms infectious disease.

Diagnostics and treatment

Bacterial vaginosis is detected during gynecological examination... To confirm the diagnosis, be sure to take a smear on the flora from the vagina. Also produce bacterial inoculation on nutrient media to identify the causative agent of infection and determine its sensitivity to antibacterial drugs. If necessary, use ELISA and PCR methods.

The restoration of the normal microflora of the vagina begins with the elimination of the factor that led to the onset of this condition. After detecting the causative agent of the infection bacterial etiology prescribe a course of antibiotic therapy. In the case of fungal infections of the genital organs, I use antimycotic drugs for systemic and local effects.

When gardnerella is detected, a course of therapy with metronidazole, ornidazole or clindamycin (for oral or intravaginal administration) is prescribed.

The next step is to restore the balance of the natural vaginal microflora. The most popular method is considered to be the use of local funds against dysbiosis. Candles are very effective and easy to use to restore the microflora of the vagina. They contain cultures of bifidobacteria and lactobacilli. Some drugs also include extracts medicinal plants which enhance the local immune defense mechanism. Duration and frequency of use vaginal suppositories determined exclusively by the gynecologist. A good result is noted after the application of "Bifidumbacterin", "Lactobacterin". Another remedy local action are vaginal tablets ("Vagilak", "Vaginorm S").

It is imperative to normalize the intestinal microflora. For this, eubiotics are prescribed for oral administration... In addition to the preparations for restoring the vaginal microflora, various vitamin complexes to restore and strengthen the immune system.

Normalization of the normal microflora of the vagina occurs 3-4 weeks after the start of treatment and elimination of the cause of the disease. During treatment, it is advisable to avoid hypothermia, unprotected sexual intercourse and carefully monitor intimate hygiene.

Prophylaxis

TO preventive measures that prevent the development of bacterial vaginosis include:

Maintaining the normal state of the immune system: it is important to adhere to a diet rich in vitamins and minerals, avoid alcohol abuse, smoking;
Observe the rules of personal hygiene, timely replace tampons during menstruation;
Avoid unprotected sex;
When prescribing antibiotics, it is imperative to use eubiotics;
Timely contact a gynecologist at the first signs of diseases of the reproductive system;
Disorders of the digestive system should not be ignored;

The restoration of vaginal microflora should be comprehensive and under the supervision of a gynecologist. It is not recommended to self-medicate, since first of all it is necessary to eliminate not the symptoms, but the cause of the disease.

The normal microflora of the vagina consists of 90% of lactobacilli, 9% of bifidobacteria, the remaining percentage is opportunistic microorganisms. By virtue of various reasons sooner or later every woman is faced with dysbiosis or dysbiosis - a violation of the vaginal microflora. This pathology is characterized by sluggish symptoms or does not manifest itself at all. But it has serious health consequences and can cause ascending infections and infertility. Treatment of this condition is imperative.

Dysbiosis treatment

When signs of dysbiosis appear (leucorrhoea different colors and consistency, unpleasant odor, vaginal dryness, pain, itching and burning in the vaginal vestibule and during urination), you should consult a gynecologist.

First you need to find out the causes of the disease. The survey includes:

1. Definition of anamnesis.
2. Examination on a gynecological chair.
3. Taking smears for bacterial culture, research of microflora for sexually transmitted infections.
4. Blood sampling for hormones.

After establishing the factors contributing to the development of the disease, the following measures are taken:

elimination of pathogens and related complications;
colonization of the vagina with beneficial microorganisms;
consolidation of the result with the help of immunostimulating drugs.

Dysbiosis is often observed after treatment for thrush or taking antibiotics.

If the dysbiosis is caused by pathogenic organisms (viruses, bacteria) or increased reproduction of opportunistic microflora, for example, a fungus of the genus Candida, then antibacterial therapy is prescribed first.

With factors not related to pathogenic influence, medications are immediately prescribed to restore a healthy flora of the vagina.

Preparations that contribute to the normalization of microflora

There are many medications available to maintain optimal vaginal biocenosis. Their principle of action is to populate the mucous membrane with beneficial microorganisms. Most often these are probiotics, which include lactobacilli. It is better if the composition of the drug is complex and contains, in addition to lactobacilli, also bifidobacteria. These organisms maintain the acidic environment of the vagina and thus prevent the proliferation of vaginitis pathogens.

Medicines must have a healing effect, otherwise the beneficial microflora will not be able to gain a foothold on the affected epithelium and will soon be removed from the body.

There are several dosage forms of medicines to restore the microflora of the vagina;

suppositories;
pills;
capsules;
gels.

Medications in the form of candles

Suppositories are the most commonly prescribed form of medication. This is due to:

high efficiency;
rapid onset of therapeutic action;
ease of use.

1. Bifidumbacterin. Contains 10 million CFU of Bifidobacterium bifidum. It is characterized by high efficiency in the field of restoration of the vaginal flora. Available simultaneous reception with antimicrobial, antiviral drugs and immunostimulants. Contraindications include: age up to 3 years and drug sensitivity. One candle contains 1 dose of bifidobacteria. Applied for 1-2 suppositories for 5-10 days. The cost is about 80 rubles.
2. Lactobacterin. Contains Lactobacillus acidophilus 10 million CFU. They are highly active against staphylococci, proteins and Escherichia coli... In the process of vital activity, lactobacilli produce lactic acid, which prevents the reproduction of pathogenic and opportunistic microbes. In addition, they support acid-base balance within the range of 3.8-4.2. The drug is used to treat dysbiosis, as well as to prevent infection before childbirth and surgery in gynecology. It is used 2 times a day for 1 suppository for 5-10 days. Contraindications are childhood, hypersensitivity and untreated candidiasis. Approved for chemotherapy and antibacterial treatment... The price is 160-210 rubles.
3. Kipferon. Contains plasma protein and interferon alpha. It is an immunobiological drug. Provides immunostimulating, antiviral and antimicrobial action... It is not used in case of hypersensitivity to the constituent components. It is injected deep into the vagina 1-2 times a day for a course of 10 days. In the absence of a result, the doctor may prescribe re-treatment... The cost is about 620 rubles.
4. Acylact. Contains over 10 million CFU of acidophilic lactobacilli. It has a detrimental effect on pathogenic and opportunistic microbes. It is used for nonspecific colpitis and bacterial vaginosis, before gynecological manipulations and childbirth, for the prevention of dysbiosis after antibacterial therapy... Should not be used when vulvovaginal candidiasis... Method of application: 1 candle 1-2 times a day for 5-10 days. A second course is possible in 10–20 days. The price is about 140 rubles.

Vaginal tablets and capsules

Unlike candles, these dosage forms are prescribed less often, but at the same time they are no less effective. Commonly prescribed drugs:

Vaginorm-S . The active substance is vitamin C... The medicine has an antiseptic effect. The drug lowers the pH of the vagina, thereby inhibiting the growth of bacteria and contributes to the normalization of beneficial flora. It is used for bacterial vaginosis, nonspecific vaginitis and for the prevention of disorders of the internal microflora. Does not affect fungi of the genus Candida. It is used 1 tablet vaginally before bedtime, a course of 6 days. The cost is about 660 rubles.

Gynoflor E. Contains a lyophilisate of acidophilic bacteria and estriol. It is characterized by a protective and regenerating effect on the vaginal epithelium and helps to restore the biocenosis. Indications for use are: bacterial vaginosis, normalization of microflora after chemotherapy and antibiotic treatment, atrophic vaginitis in postmenopausal women. It is applied 1-2 times a day for 6-12 days. The cost is within 900 rubles.

Not used:

with endometrial hyperplasia;
with hypersensitivity;
at malignant tumors estrogen dependent;
with genital bleeding;
with endometrial hyperplasia;
with hypersensitivity;
in girls who have not begun sexual activity.

Ecofemin. The composition contains more than 100 million Lactobacillus acidophilus LaCH-2. The drug maintains the normal balance of the vaginal microflora. Approved for use by pregnant and lactating women. Contraindicated if candidiasis is present. It is used for the treatment and prevention of disorders of the vaginal biocenosis, 1 capsule 2 times a day for 6 days. The doctor may recommend re-treatment after an interval of 10–20 days. The price is about 600 rubles.

Lactoginal. Active ingredient is a lyophilisate of lactobacilli L. casei rhamnosus Doderleini. It is highly effective against wide range microorganisms, improves local metabolism, restores immunity, lowers the pH level. Contraindicated in women under 18 years of age and with symptoms of thrush. Allowed during pregnancy and lactation. Used intravaginally, after moistening with water, 1 pc. before going to bed for a week. It is possible to extend the course of treatment up to two weeks. The cost is around 750 rubles.

Lactonorm. Contains acidophilic microorganisms of at least 100 million CFU. Recommended for acute, chronic vulvitis and vaginitis, bacterial vaginosis after antibiotic treatment, atrophic vaginitis. Contraindicated in thrush. You can not use the device immediately before sexual intercourse and during menstruation. It is applied 2 times a day for 1 week. The cost is about 460 rubles.

Oral medications

There are preparations for the restoration of the vaginal biocenosis, intended for oral administration. These include:

1. Vagilak. It contains probiotics Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14. The drug helps to increase the number of beneficial bacteria in the vagina and increases the immunity of the mucous membrane to the influence of pathogenic microflora. The drug is indicated for bacterial vaginosis, during antibacterial and antiviral therapy, in preparation for childbirth and gynecological operations. Apply 1 time per day during meals with water. The cost is about 690 rubles.

2. Ecofemin. It is a dietary supplement (biologically active additive), containing lactic acid bacteria Lactobacillus acidophilus LMG 8151, Lactobacillus crispatus LMG 9479, Lactobacillus brevis LMG 27275. These microorganisms restore intimate flora, reduce acid-base balance, and produce lactic acid. Apply 1 capsule 2 times a day 30 minutes before eating. The course of treatment is 10-15 days. The price is about 780 rubles.

Gels

Often, in order to improve the state of the microflora, preparations are prescribed in the form of a gel:

1. Salvagin gel. Active substances are Citrobiotic, Inulin, Lactic acid, Aloe-vera. It is antiseptic and antibacterial drug... It normalizes the microflora and acidity of the vagina, affects pathogenic microbes and viruses, as well as fungi of the genus Candida, promotes growth beneficial microorganisms and has a healing effect on the epithelium. Apply the drug at bedtime. In the supine position, the tip of the tube is inserted into the vagina. The cost is about 900 rubles.

2. Floragin gel. Contains a mixture of lysates of beneficial bacteria L. Bulgaria, S. Termophilus, B. Biphidus, L. Helveticus. Normalizes microflora and protects against the growth of pathogenic microbes. It has a moisturizing effect, reduces the symptoms of vaginosis, fights against secretions and unpleasant odors, restores the acid-base balance. It is not recommended to use the drug for a long time, since local reactions in the form of burning sensation and increased sensitivity are possible. Allowed for pregnant and lactating women. Used before bedtime. The cost is around 500 rubles.

The main advantage of using local drugs to normalize the normal biocenosis of the vagina is the effect of the medicinal substance directly on the focus of the disease. They are easy to use and practically do not cause side effects... Most of them are allowed for pregnant and lactating women. They do not render negative influence on health and when buying them does not require a doctor's prescription.

But you should not deal with the choice of medicines on your own. When the first signs of pathology appear, you need to seek qualified help from a female doctor, who, after examination, will prescribe correct scheme treatment.