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Treatment of gardnerellosis (bacterial vaginosis) in men and women

Gardnerellosis, or as it is called bacterial vaginosis, is an urogenital infection, the cause of which is the multiplication of conditionally pathogenic anaerobic microflora. Tetanus is caused by anaerobic bacteria Gardnerella vaginalis or Gardnerella, which begin to multiply in the vagina in violation of the acidity or hormonal disorders.

Multiply, Gardnerella create alkaline conditions in the vagina, in which normal microflora is composed of lactobacilli, not just survives. And dysbacteriosis of the vagina. Gardnerella, which are facultative anaerobes, are present in the vagina of almost every healthy woman. In small numbers they do not bring any harm.

It is known that in most cases cardenales develops in women. However, this disease affects the men, but they have symptoms of gardnerellosis usually remains hidden. In contact with healthy men with a woman who suffers from gardnerellosis, his body bacteria "survive" only 10% of cases.

Sometimes Gardnerella can cause men:

  • urethritis;
  • cystitis.

Often bacterial vaginosis in women and men is a recurrent disease in many urogenital infections (e.g., candidiasis, gonorrhea, Mycoplasma, chlamydia, etc.).


Cardenales often asymptomatic and its presence is evidenced by only a slight vaginal discharge. Without microbiological and cytological analyses to determine the disease is almost impossible. However, characteristic symptoms of bacterial vaginosis should include:

  1. discharge has an unpleasant smell "rotten fish";
  2. selection painted in white-gray or yellowish color;
  3. Beli watery and have a uniform consistency;
  4. may cause itching and burning, which especially intensifies when urinating;
  5. sometimes there is pain in the abdomen.

The stages of treatment

Bacterial vaginosis treatment involves 2 stages:

  • the destruction of pathogenic microflora;
  • "settling" is normal vaginal microflora.

Phase 1

In the first stage of treatment of this disease is antimicrobial therapy. In most cases, doctors prescribe oral preparations of metronidazole or Ornidazole. The latter is characterized by greater efficiency and fewer side effects.

One of the possible schemes of treatment with metronidazole involves a one-time consumption of 2 g or 500 mg per day during the week. Used for the treatment of gardnerellosis and vaginal creamthe basis of metronidazole.

Treatment of gardnerellosis also possible the drug called fluomizin. Used it for 6 days 1 vaginal tablet a day.

Often prescribed treatment regimen clindamycin in tablets or in the form of intravaginal creams or ointment. The use of such drugs may for 10-12 days.

In parallel, the correction of the immune system: the use of immunomodulators (e.g., genferon®) and vitamins.

Stage 2

In the next stage of treatment of bacterial vaginosis, you need to restore the normal microflora of the vagina. For such purposes, use candles or vaginal tablets containing lactobacilli. This stage in most cases is much more difficult than the first, when there is the destruction of pathogenic microflora.

Before you start "settling" of the normal vaginal microflora, representatives of which are lactobacilli, it is necessary to diagnose the absence of Gardnerella. This can be done using microbiological, cytological or PCR studies.

Should also be checked for vaginal candidiasis, which can develop due to abundant use of antibiotics. In the presence of yeast infection you need to treat with antifungal drugs (for example, from yeast-like fungi of the genus Candida, well help vaginal tablets or suppositories with clotrimazole or nystatin).

Next is the "settling" of the vaginal lactobacilli with candles or vaginal tablets that contain live lyophilized culture of Lactobacillus, normally present in the vagina of healthy women. For these purposes, perfect gynoflor, vaginak, Lactobacterin, atsilakt lactosorb and etc. In most cases assigned to the use of such drugs for 10-14 days.

Effective today are the drugs that contain estriol, which allows lactic acid bacteria to "take root" in the vaginal environment. Together with local probiotics can be assigned and oral preparations lactic acid bacteria, which include the course and lactosorb.