The microflora of the vagina

Normally, various anaerobic and aerobic microorganisms settle on the mucous membranes of the vagina, which differ at different ages.

Normal vaginal microflora

Normal vaginal flora of girls is usually populated with lactobacilli, with the onset of sexual activity it changes and is populated with another microflora. The vaginal microflora is not only bifidobacteria and lactobacilli , but also peptostreptococci, clostridia, propionobacteria, mobilunculuses - all this is a conditionally pathogenic microflora that does not cause disease in a healthy woman.

Violation of the vaginal microflora

Normally, in a vaginal smear of a healthy woman find:

• flat epithelium of the walls of the vagina, but there are no atypical cells;
• leukocytes up to 15 cells in the field of view;
• the appearance of Staphylococcus aureus in small quantities;
• lactobacilli, the reaction is acidic;
• sometimes there is a mucus in a small amount;
• during a period of time, red blood cells appear.

With various diseases, the vaginal microflora can be disturbed - leucocytes appear in large numbers, gardnerella, fungi, leptorrhises, mobbels, Trichomonas or gonococcus. The appearance of such pathogenic microflora indicates the presence of sexual infections or other inflammatory diseases. If a woman takes antibiotics for a long time, then the bacterial flora of the vagina perishes and only the fungal remains.

Treatment of violations of the microflora of the vagina

Starting recovery of the vaginal microflora, you need to do a vaginal swab and find out what kind of vaginal dysbiosis in a woman.

1. If leukocytes are found in a smear in a large number, especially 100 or more - then this indicates a high activity of the inflammatory process.
2. If the amount of Staphylococcus aureus increases, then they become the cause of inflammation, and the improvement of the microflora of the vagina begins with the use of broad-spectrum antibiotics.
3. If the gardnerella is found in the smear, it is a sign of bacterial vaginosis, but general antibacterial drugs are not used to restore the vaginal microflora. Use only local treatment - vaginal suppositories and tablets to improve microflora, containing clindamycin, ampicillin, metronidazole, abstaining from sex for the period of treatment.
4. If a gonorrhea is found in the smear, the general treatment of gonorrhea with antibiotics of the penicillin line, gonovaccines is prescribed, and in the case of chronic inflammation, installations of silver nitrate or potassium permanganate are applied.
5. In candidiasis, both general and local antifungal agents are prescribed to restore vaginal microflora containing nystatin, pimafucin, and fluconazole. Local drugs that restore the microflora are vaginal suppositories, with the same drugs that a woman takes orally.
6. If found in a smear Trichomonad is prescribed not only derivatives of imidazole (metronidazole, ornidazole) for general treatment, but also vaginal suppositories with these drugs course up to 7-10 days to improve the microflora of the vagina.

Since in a normal smear, women should be dominated by bifidobacteria and lactobacilli, then tampons and suppositories are often used together with preparations to eliminate pathogenic microflora to restore the vaginal microflora containing a lyophilized mass with a large number of bifido- and lactobacilli (Acilactum, Bifidumbacterin, Lactobacterin).

As a restorative treatment used biostimulants, vitamins. For the prevention of dysbiosis it is necessary to observe both the rules of personal hygiene, and ways of protecting against sexually transmitted infections.