Category: Bacterial vaginosis

Gardnerella

Question: Doctor, I recently felt discomfort when urinating and handed stroke, found gardnerella Bar. As I understand it, gardnerella mainly found in women. But my wife does not feel any discomfort. Tell me please, whether it is also screened, and how I grabbed gardnerella? Could it be that she communicated to me from from the other women with whom I had sexual intercourse 5 months ago, if so, why only now started to feel uncomfortable? Thank you

Answer: According to some experts, the very notion gardnerellez in the diagnosis of diseases of the male can not be applied because gardnerellez – it dysbacteriosis woman's vagina. Nevertheless, gardnerella, pathogens Gardnerella, can cause inflammation in the male body, and from this point of view to speak of Gardnerella men can and should. Gardnerella in the male reproductive system fall exclusively during sexual intercourse, as well as vaginal gardnerella, for obvious reasons, can not be considered "legitimate inhabitants of the" male genital tract. Therefore, in men, unlike women, gardnerellez should be considered as sexual infection. Most gardnerella enters the men and safely removed from it for 2-3 days. Fewer gardnerella chronic carrier state in which it constantly tests positive, but no symptoms of the disease there. In 90% of cases gardnerellez men did not show itself, and dangerous only to those that infect man gardnerella sexual partners without even realizing it. In classical cases Gardnerella men gardnerella, hitting during intercourse in the urethra, causing men creeping inflammatory reaction of the mucosa. It may appear meager greenish discharge from the penis, which are little concerned about the patient. However, sometimes there can be more complex situations. Sometimes pathogens Gardnerella cause urethritis in men, which is manifested by pain and burning sensation when urinating. In this case, treatment of Gardnerella. In other cases, the need for treatment of Gardnerella men is not universally accepted by specialists. However, an increasing number of physicians are inclined to think that gardnerellez a man, relatively safe by itself, can cause contamination of sexual partner, so it should be treated. Typically, the treatment of Gardnerella men enough for only the local treatment and therapies. When detected Gardnerella in male sexual partner are doing analysis on gardnerella PCR and pursues local procedures to control analysis 2 weeks after treatment. Theoretically, the development of Gardnerella men may experience complications, among which gardnerellezny prostatitis, cystitis, epididymitis and pyelonephritis. However, the real risk of complications Gardnerella men is extremely low. Decide whether you want treatment for Gardnerella can only physician in each case individually.

Help cure vaginosis

Question: I now what the problem: more than two years ago I found gardnerella. Twice I was treated, but nothing helped. The last time I prescribed Tsifran CT and Genferon (I was treated 10 days). In gardnerella, I have nothing more to be found. During treatment, sex not involved in and observed exclusively kefir diet. Was tested for sensitivity to antibiotics, he showed sensitivity to all. We partner the infection is not detected, but analysis has shown that he has what it diplococci and leukocytes more than the norm. he treated with and analysis showed that the smear 15-18 leukocytes and nothing more. Symptoms: selection of white sometimes yellowish color with odor. Please Help me get rid of this disease. What treatment do you advise

Answer: Comment absentia purpose other doctors simply unethical and impossible because I do not know you have not seen on admission, and not to make the analysis that I believe are necessary in your situation. Each person is individual and with the same diagnosis often assigns different treatment. In medicine, there can be no standard procedure. Every physician for his long practice of accumulating the most successful, in his view treatment options. Valuable consultation can only be at the reception.

Gardnerelez

Question: After an ectopic pregnancy appeared gardenerez. As the doctor said, it is not terrible, just microflora is disturbed. It will take itself. That's not something that was, but becomes worse. We must to wash several times a day, as the fishy odor, which she felt terribly sick. Husband tries to avoid intimacy. Help, what can get rid of all this magic.

Answer: Treatment of Gardnerella serves several purposes. Necessary, firstly, to reduce the number gardnerella the vagina, secondly, the necessary bacteria to populate the vagina, the representatives of normal microflora, and, finally, thirdly, to restore the immunity of the vagina. Therefore gardnereleza treatment usually begins with the use of antibiotics. However, if antimicrobials is preferable not to use, you can get by with some local procedures. Practice shows that such an option on the effectiveness of treatment is not much inferior to treatment with the antibiotic. Recall that any drug may appoint a doctor after a thorough examination. The fact is that to some antimicrobials gardnerella sensitive to some – are stable. And with different women, these drugs may be different. Therefore, even a drug, well, coming up a friend or neighbor, a specific patient can only hurt. However, the inadmissibility of self-treatment with antibiotic therapy has long been a byword, and there is no need to dwell on this further. One week after completion of therapy as the first control laboratory examination, and repeated – in 4-6 weeks. The settlement of the normal vaginal microflora has always been and remains the most difficult aspect of treatment gardnerella. This parallel antibiotics appointed vitamins, immunostimulants and drugs, normalize the microflora: laktobakterin and bifidobakterin. If necessary to restore the ecological community of the vagina doctor recommends the use of local eubiotics after antibiotic treatment. Typically, these drugs have actions against opportunistic microorganisms and represent a dried biomass of living cultures, which is made from strains of Lactobacillus bifidus and different species. A compulsory component of treatment of Gardnerella must be the restoration of local and general immunity, as a violation of microflora in the vagina is always accompanied by decreasing mucosal immunity in the vagina, and often the general decline of immune protection of organism. An important feature of treatment as dysbacteriosis Gardnerella vagina is that the treatment must take into account the state of the whole microflora, in particular, the intestinal microflora. If in the intestinal microflora found some problems, it must be considered in the treatment of Gardnerella. During treatment Gardnerella encouraged to use barrier methods of contraception to prevent reinfection. As with any sexually transmitted diseases through, as Gardnerella be examined and, if necessary, treatment of all sexual partners of patients. After treatment Gardnerella patient is retested. In this survey at gardnerella using laboratory methods of diagnosis is determined by the effectiveness of treatment Gardnerella. The doctor looks at how much has changed clinical picture of disease, whether all the symptoms of vaginal dysbiosis persists with treatment. This applies to the subjective feelings of the patient, such as pain, burning, discomfort during sexual intercourse, and objective picture obtained through laboratory research.

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