The features of direct microscopic picture vaginosis with a small number of white blood cells, as No infectious agents and inflammatory processes. Therefore, bacterial vaginosis did not become infected, and this condition does not require treatment of a partner. Absent and the external signs of inflammation: redness, swelling and bleeding. That is why this condition is called vaginosis (disease of the vagina), rather than vaginitis (vaginal inflammation).
Normally, the vagina is supported by acidic, oxygen-rich environment favorable for the breeding of dairy bacteria. When changing environmental conditions - the absence of oxygen and alkalization - lactic bacteria are replaced by those for whom these conditions are favorable: gardnerellas and other bacteria, zhivuschimii in an alkaline medium, and do not use oxygen.
The causes of bacterial vaginosis may be:
1. Wearing a close-fitting synthetic clothes, tight synthetic trousers, that is, impeding the penetration of oxygen.
2. Abuse of spacers on each day and tampons - for the same reason.
3. Long-term use of antibiotics, including the killing and dairy bacteria.
4. Malnutrition - lack in the diet of dairy products, which are a source of lactic bacteria in the body.
5. Chronic bowel disease and other conditions that cause dysbiosis - the bacteria come from dairy foods and live in the intestines.
6. Immunodetsifit - inability to cope with the immune system malfunctions in the body.
Symptoms of bacterial vaginosis: a whitish-gray discharge, uniform, sticky, with a sharp unpleasant "fishy" odor.
The diagnosis of bacterial vaginosis is on the basis of complaints, the characteristics of emissions and microscopy (smear flora with Gram stain). PCR (DNA diagnostics, polymerase chain reaction) on gardnerellez conduct should not be: first, gardnerella - is not the only bacterium that multiplies with vaginosis, ie the absence of Gardnerella is not the absence of bacterial vaginosis, and secondly, gardnerella and normally can be present in the vagina, and a positive result of such a highly sensitive method such as PCR, can only speak of her presence, and not the prevalence.
A normal smear picture - sticks Dederlyayna (lactic bacteria). They should be determined in blood smears with epithelial cells (surface layer of exfoliated vaginal walls), and a small amount of white blood cells (up to 20 in view of the microscope).
Bacterial vaginosis is a change of vaginal flora: the predominance of small sticks of normal breast rod bacteria, and the presence of "key" cells - the picture that appears only in bacterial vaginosis: the epithelial cells, "plastered" small stick.
More precisely, bacterial vaginosis, vaginal determined by bacteriological tests (culture). At the same time determine the quantitative ratio of lactic bacteria, gardnerella and other bacteria. This is particularly useful method for monitoring the effectiveness of treatment.
3 Days To Permanent Bacterial Vaginosis Relief: The first step is to suppress the excessive amount of "bad" bacteria, the second - the settlement of the vacant niche "good." Therefore, first used drugs against anaerobic (without oxygen) bacteria: metronidazole or clindamycin medication - mostly locally in the form of suppositories and gels, and sometimes systemically in tablet form. Treat only a woman, because vaginosis - this is not an infection and is not sexually transmitted.
The second stage - the population of vaginal lactic acid bacteria. Assigned to a diet containing them (biokefir, yogurt, sauerkraut), additional drugs lactic bacteria (lactobacterin, atsilakt, "Narine") - interior and local (candles atsilakt "Zhlemik"). Prescriptions of lactic acid bacteria is possible only after retake tests and the belief that there is no vaginal candidiasis (fungal vaginitis, "thrush"), which often develops during treatment vaginosis and progressing well in an acidic environment, together with lactic acid bacteria.