Gardnerella vaginalis: How to recognize and treat it?

2024-07-11 15:46:23

Contrary to popular belief, Vaginal disease Not a sexually transmitted infection (STI). This is usually caused by poor personal hygiene, such as repeated vaginal douching. A week of simple antibiotic treatment is usually enough to get rid of it.

Definition: What is Gardnerella vaginalis?

Gardnerella vaginalis is a Bacteria that are physically present in the vagina : “This bacterium is moderately pathogenic. In addition, it is one of the microorganisms necessary to protect the vagina from infections (like Candida albicans, which when multiplied can cause mycoses)”, gynecologist Franco Dr. Val Gillibert said.

However, if it happens Vaginal flora imbalanceReproduction of Gardnerella vaginalis: “This bacterium replaces other, increasingly rare bacteria. The subsequent symptom may be a colored and smelly discharge: this is vaginosis,” continues the expert.

What are the symptoms of Gardnerella vaginalis vaginosis?

this Gardnerella vaginalis vaginosis symptoms yes:

of Yellow, green to gray vaginal discharge ; A Strong fishy smell ;sometimes tickle and redness of mucous membranes At the entrance to the vagina; small burning sensation in the vagina.

These symptoms may become worse during menstruation and during sexual intercourse. If you have one or more of these symptoms, it’s best to consult your gynecologist as soon as possible.

How is Gardnerella bacterial vaginosis contracted?

Gardnerella vaginalis vaginosis is the result of an imbalance of vaginal flora: Lactobacilli become rarer in favor of other more pathogenic bacteria, e.g. Gardnerella vaginalis wait Peptostreptococcus. Lactobacilli normally control the pH of the vagina, ensuring that the vaginal mucosa is protected and infection does not occur. This imbalance therefore explains the appearance of the unpleasant symptoms of vaginosis.

Certain factors may explain the occurrence of vaginosis, such as:

of vaginal douching often; the fact is Not replacing your intimate protection regularly (tampons, sanitary napkin, sanitary pads…);L’Using the wrong soap vaginal flora; taking antibiotics orUses of gynecological eggs ;excessive sweating and maceration; the fact is Don’t wear cotton underwear; this string port or jeans too tight ;A Decreased immune defense (Can be explained by certain diseases or taking certain medications).

Is Gardnerella vaginosis a sexually transmitted infection?

Vaginal disease is not considered a sexually transmitted infection (STI). However, sexual intercourse can promote its onset by disrupting the balance of the vaginal microbiota. Dr. François Guillibert, obstetrician and gynecologist.

Please note that a sexually transmitted infection (STI) is a Risk factors for developing bacterial vaginosisconversely, people with bacterial vaginosis are at higher risk of contracting a sexually transmitted infection (STI).

G. Vaginitis and pregnancy: What are the risks?

Experts say: “Complications of vaginal Gardnerella infection are rare because it usually does not affect the upper reproductive tract. But on the other hand, pregnant women may develop certain complications.” In particular, we found:

and premature birth ; A abortion ; Iamniotic fluid infection or chorioamniotic rock Sometimes it can cause serious complications for mother and fetus; A Uterine infection After childbirth or abortion.

If you are pregnant and experiencing vaginal symptoms, it is best to consult a gynecologist as soon as possible.

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Why do bacteria return or persist?

Relapses are common (nearly 80% of patients are affected). However, if symptoms occur or persist despite treatment, it’s best to consult your gynecologist.

Maybe you need to review something Private wellness rituals.

The doctor may also want to know if you have any decrease in immunity (In this case, additional checks may be prescribed).

Finally, medical treatments such as antibiotics can also explain the symptoms, and your doctor can then adjust your treatment plan.

“To avoid recurrence, gynecologists most often prescribe vaginal probiotics, which have been shown to be an effective preventive measure,” says the gynecologist.

How is this vaginal infection diagnosed?

L’Physical examination Call your gynecologist (especially if you have yellow to green discharge and a distinctive fishy odor).

He can confirm the diagnosis by Collect vaginal secretions (Most commonly transmitted to analytical laboratories). this vaginal smear Allows detection of relevant bacteria. In fact, vaginosis can be the result of another type of bacteria like chlamydia (a sexually transmitted infection). Additionally, the sample can be searched for other potentially sexually transmitted infections (gonococci, mycoplasma, etc.).

During the sampling process, the gynecologist can assess the pH of the vagina: if an infection occurs, Increased vaginal pH It’s obvious (so the vagina is more acidic than usual).

Treatment: How is Gardnerella vaginalis treated?

Taking antibiotics is crucial to overcoming the infection. Supplementary treatments can help restore vaginal flora.

It is important to take antibiotics

If Gardnerella vaginalis vaginosis occurs, your doctor will prescribe a antibiotic. Usually, a doctor will prescribe MetronidazoleIt can be taken as a single dose (2 grams per dose) or in divided doses (500 mg twice daily for 6 days). Sometimes the doctor may prescribe medication Secnidazole 2g (One dose per bag of granules) Sometimes repeated following 7 days. In pregnant women, vaginosis can be treated with secnidazole.

Treatment to prevent recurrence

To prevent recurrence (which is very common), doctors can prescribe certain treatments to restore the genital flora.

of topical estrogen (Postmenopausal women only); vaginal probiotics :application Prebiotic Acidified Gel.

It is strongly recommended to reduce sexual activity during treatment. Couples therapy is not recommended.

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