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Treatment regimen for gardnerellosis: stages, drugs, recommendations. How to treat gardnerellosis: antibiotics, oral and vaginal medications, traditional medicine

If we talk about the infection of women with gardnerellosis (bacterial vaginosis), then it cannot be unequivocally stated that the disease is transmitted only through unprotected sexual contact. A priori, a man cannot suffer from bacterial vaginosis, but at the same time he is very often a carrier of Gardnerella. That is why treatment of gardnerellosis in women should be based not only on stopping the external manifestations of the disease with antibacterial drugs, but also on combating what caused the inflammation - the pathogen.

The treatment regimen for Gardnerella in women is focused on complex therapy with tablets and vaginal suppositories, which means that all sexual partners must take the appropriate medications at the same time. However, this is not the only special point that distinguishes the treatment of gardnerellosis from the prevention of other bacterial diseases.

Schemes and features of drug administration

The first point in which the treatment regimen for gardnerellosis in women differs from standard methods of fighting infections is the need to urgently populate the vagina with the required amount of bacteria of normal microflora. This balance of microorganisms can be leveled only through the use of antibacterial drugs and suppositories, the active substances of which will reduce the replicative activity of Gardnerella colonies. Against the background of these primary actions, it would not be superfluous to restore the pre-infectious level of immunity of the vaginal mucosa.

No matter how progressive the treatment, gardnerella in women can only be treated with antibiotics. If the patient, for some reason, refuses to take antibiotics, it is recommended to change the treatment regimen and introduce local drugs, antibacterial suppositories and other anti-inflammatory suppositories. However, it is not advisable to give preference to this treatment option for a woman; moreover, any drug can be added to the drug regimen only with the permission of the doctor.

Basic drugs for the treatment of gardnerellosis

An effective treatment for gardnerellosis in women is drugs based on metronidazole and clindamycin, for example, clotrimazole tablets and acylact suppositories. Therapy for infection is a specific regimen that should be implemented in two main stages. It should be taken into account that before treating gardnerellosis in women, it is advisable to conduct laboratory tests designed to identify the sensitivity of the pathogen to a particular medication. The second stage of treatment will be completely ineffective if the first is carried out incorrectly and not in full.

How to treat gardnerella in women?

At the first stage, it is necessary to medicinally suppress the excessive growth of pathogenic microflora, of which gardnerella is part. For this purpose, the woman is prescribed antibacterial drugs, for example, clindamycin and metronidazole. They can be taken either orally or in the form of local treatment - gels, suppositories or vaginal tablets. The course duration of this stage of the treatment regimen is 10-12 days.

The second stage of the scheme for how to cure gardnerella in women is the colonization of the vaginal mucosa with representatives of normal microflora. It is much more difficult than the first one. Before starting to use drugs with lactobacilli, it is recommended to conduct diagnostic tests and determine the effectiveness of the first stage. Also, these tests should exclude the presence of thrush in a woman, which could develop as a result of the massive impact of antibiotics on the body.

Treatment of gardnerellosis in women - suppositories for topical use: lactonorm, acylact, lactobacterin. Oral medications that contain lactobacilli can be prescribed in a comprehensive manner, these are the namesake lactonorm and lactobacterin.

Therapeutic features of the prevention of female gardnerellosis

If the question arises of how to cure gardnerellosis in women, then it is not a bad idea to know about the need for a strict diet that excludes all fried, pickled, salty and spicy foods from a woman’s diet. As well as alcoholic drinks and spices. It is recommended to include foods high in lactic acid bacteria in your menu.

Along with the treatment of bacterial vaginosis, prevention of intestinal dysbiosis should be carried out. When prescribing such treatment for Gardnerella in women, the doctor must select the drugs especially carefully, since not every prebiotic is able to restore normal intestinal microflora. Most often, Linex, bifidumbacterin and normoflorin are included in the drug regimen.

A huge role in the infectious spread of gardnerellosis among women is played by the general weakening of the body's defenses. In order to correct and reduce the level of immunodeficiency, the doctor prescribes immunomodulatory drugs. Gardnerella - how to treat women with a weakened protective background? It is recommended to include multivitamins in the drug regimen, for example, Vitrum, Kvadevit and Biomax, as well as suppositories containing natural immunostimulants: Schisandra and Echinacea.


Pathogen resistance and prevention of reinfection

If gardnerella is diagnosed in women, treatment, suppositories and other medications may not help the first time. Therefore, during therapy it is necessary to abstain from sexual intercourse in order to avoid infection of the partner or repeated reinfection. The effectiveness of the treatment regimen can be assessed within a week after the end of the course of therapy. The main evaluation criterion is the woman’s absence of external clinical signs of the disease. Secondary tests should be carried out one and a half to two months after taking the medications.

The transition of the disease to a chronic form is very often associated with the fact that gardnerella is resistant to many types of antibiotic drugs, including suppositories with erythromycin or clarithromycin. Moreover, these types of resistance are completely different and individual for different women. This means that self-treatment of bacterial vaginosis is simply unacceptable, since the drug that worked for the first woman may be completely ineffective against the infection in the second. Therefore, the non-medical choice of medications - tablets and suppositories - can only aggravate the situation and harm the body.

To restore the correct and active biocenosis of the woman’s genital organs after Gardnerella, the doctor will include in the therapeutic treatment regimen the use of local eubiotics, suppositories or vaginal tablets. The action of these drugs is aimed at combating the proliferation of opportunistic bacteria, and they themselves represent a specific dried biomass from living beneficial cultures, which is produced on the basis of strains of lacto and bifidobacteria of different groups.

The development of infection can be caused by the use of local contraceptives and the use of various invasive hygiene procedures, such as douching. During therapy, it is necessary to stop taking contraceptives that contain 9-nonoxynol.

Women's health is the most pressing topic among beautiful ladies. Any pathological changes (pain, discharge, odor) often cause panic in a woman, forcing her to run to the pharmacy and buy advertised products.

However, not a single commercial, not a single friend who “knows exactly how to treat, because she had exactly the same thing,” will make a diagnosis and prescribe the correct treatment. Although some diseases - thrush, gardnerellosis - are not so dangerous (they do not cause), their treatment is mandatory to restore comfortable sensations and prevent undesirable consequences.

Gardnerellosis: what is it?

Almost everyone has heard about the microflora of the vagina: “useful” lactic acid bacteria live here, keeping opportunistic microorganisms (including gardnerella) in a weakened state.

It is the weakening of local immunity that provokes mass reproduction, primarily of fungi, gardnerella and other anaerobes. As a result of an imbalance in the vaginal microflora, a woman develops unpleasant symptoms.

The anaerobic bacterium Gardnerella vaginalis is found in small quantities in the vagina of even a healthy woman. Only a large amount of it and the acquisition of aggressive properties leads to disease - let's look in detail at what it is.

Gardnerellosis is one of the types of vaginal dysbiosis. Statistics: every fifth woman suffers from gardnerellosis (bacterial vaginosis).

Gardnerellosis: causes

Since gardnerellosis is a bacterial infection, it can be contracted through sexual intercourse. However, this disease should not be attributed solely to sexually transmitted infections.

Although the most common route of infection is sexual, other provoking factors should not be ruled out. Gardnerellosis occurs in women for the following reasons:

  • decreased general immunity (chronic infections, stress);
  • massive antibiotic therapy, provoking the death of lactobacilli in the intestines and vagina;
  • hormonal imbalances: pregnancy, ;
  • urinary tract infections;
  • taking hormonal contraceptives and products with 9-nonoxynol (Patentex Oval), antidepressants, corticosteroids;
  • and other endocrine pathologies;
  • insufficient intimate hygiene;
  • frequent douching with antiseptics Chlorhexidine, Miramistin.

Bacterial vaginosis is more common in women who frequently change sexual partners and do not use condoms. In this case, there is a serious risk of simultaneous infection with Gardnerella, gonococcus, ureoplasma and other infectious agents.

The incubation period of gardnerellosis in women is from 4 to 10 days. The first thing the sick person pays attention to:

  • The smell of “rotten fish” from the vagina, causing serious discomfort and forcing you to repeat washing up to 5-6 times a day. However, the alkaline environment of soap only aggravates the situation: the smell becomes more and more pungent, and the periods of “cleanliness” (the absence of an unpleasant odor) become shorter and shorter. The specific odor is caused by the breakdown of amines, a waste product of gardnerella.
  • Slight vaginal discharge that is whitish-gray or.

The onset of bacterial vaginosis is similar to the development of other infections. Therefore, when the first pathological changes appear, you should contact a gynecologist.

Symptoms of gardnerellosis in women

The development of the disease leads to the appearance of other symptoms:

  • burning and itching in the perineum;
  • soreness spread over the lower abdomen (indicates the development of an inflammatory process in the vagina);
  • pain/discomfort during sexual intercourse;
  • flow down the walls of the vagina into the perineum;
  • signs of cystitis.

It has been noticed that the symptoms of the disease intensify immediately after sexual intercourse. Sperm, having an alkaline reaction, is an excellent breeding ground for bacteria.

Diagnosing the disease based on the clinical picture is quite difficult. Often the disease develops simultaneously with vaginal candidiasis (thrush), and is often accompanied by infection with gonococcus.

Diagnostics

Before prescribing treatment for gardnerellosis in a woman, the doctor takes into account the symptoms and complaints, and during a gynecological examination, collects vaginal secretions for examination:

  • a smear (in most cases it is sufficient; microscopic examination reveals gardnerella and its quantity is calculated);
  • assessment of vaginal pH (in case of disease, the alkaline environment is fixed, the pH increases);
  • isonitrile test (detects large numbers of bacteria).

Carrying out DIF (direct immunofluorescence) and PCR (DNA diagnostics) studies is impractical. When making a diagnosis, it is not the detection of gardnerella that is important, but its quantity.

The main and mandatory method of treating bacterial vaginosis is antibiotic therapy.

Treatment regimen for gardnerellosis in women:

  • oral medications - Metronidazole (Trichopol, Klion) 250 mg twice a day (incompatible with alcohol!) or Clindamycin 150 mg twice a day, course - 1 week;
  • local treatment - Metronidazole in gel (tampons in the morning/evening) or suppositories, Clindamycin cream once a day, duration of use - 7 days.

In women, treatment with drugs from the penicillin group (Ampicillin) is possible. Gardnerella is resistant to tetracyclines (Doxycycline, Tetracycline), cephalosporins (Claforan, Ceftriaxone), sulfonamides (Septrin, Biseptol), aminoglycosides (Neomycin, Kanamycin).

When the disease is diagnosed, her sexual partner is also treated. Often, bacterial vaginosis combined with candidiasis requires simultaneous antifungal therapy.

In this case, suppositories for gardnerellosis are prescribed that have a combined antifungal/antibacterial composition (Clomezol, Ginotran); vaginal tablets (Terzhinan, Mikozhinax) are also effective.

Treatment of gardnerellosis in women at home does not end with a course of antibiotics and a “clean” re-analysis. To prevent subsequent proliferation of bacteria, it is necessary to restore the vaginal microflora and thereby strengthen the local immune defense.

For this purpose, medications such as Vagilak (vaginal capsules) and Epigen-intim (gel) are used. The average duration of use is 2 weeks.

The unpleasant consequences of gardnerellosis mostly affect pregnant women. Complications of this infection include:

  • pyelonephritis, chronic cystitis;
  • endometritis (including postpartum), inflammation of the appendages;
  • bleeding during pregnancy and premature birth;
  • infection of the fetus during childbirth (pneumonia), low birth weight of the newborn.

Prevention

  • Proper hygiene: timely change of pads and tampons during menstruation, washing twice a day with neutral products, avoidance of intimate deodorants.
  • Clothing hygiene: avoid tight trousers and synthetic underwear.
  • Sexual hygiene: contraception (condoms), long-term relationships.
  • Health hygiene: strengthening the immune system, treating chronic infections and hormonal disorders.
  • Preventive examinations twice a year.
  • Lifestyle hygiene: good nutrition, stress resistance.

Many diseases await us at a time when the immune system is weakened due to some factors. A disease called gardnerella in women occurs as a result of an imbalance in the vaginal microflora. Before prescribing treatment, the cause of the disease must be established. In almost all cases, gardnerella appears due to an insufficient number of lactobacilli, which provide normal microflora in the female vagina. How dangerous is this disease for women, especially during pregnancy, and how to treat it?

What is gardnerella?

Bacterial vaginalis or gardnerella is one of the common diseases affecting women. At first it was believed that its transmission was carried out exclusively through sexual contact. But it was soon possible to establish that initially the microflora contained a certain number of pathogenic microbes that could provoke the development of gardnerella in a woman.

The presence of the Gardnerella microorganism in every healthy woman is the norm. Lactobacilli prevent the proliferation of these pathogenic bacteria and ensure the maintenance of the correct internal environment of the vagina by producing lactic acid. Lactoflora acts as a local defense system, helping to suppress the growth of bacteria, preventing the onset of the disease.

The main reasons for the appearance of Gardnerella are a sharp decrease in the number of lactobacilli under certain circumstances and the beginning of an active and rapid increase in the number of anaerobic bacteria. As a result, the woman’s vaginal environment becomes alkaline, and there is an excellent opportunity for various kinds of infections to penetrate there. Therefore, gardnerella in almost all cases is complicated by the appearance of inflammatory diseases associated with the genitourinary system.

Symptoms and signs of the disease

The beginning of the development of gardnerella in women is accompanied by not the most pleasant signs:

  • When infected with Gardnerella, profuse vaginal discharge appears, having a grayish, yellowish or greenish tint. But they can also be completely transparent if the woman was able to notice the development of the disease at the very beginning. Gardnerella discharge has a uniform consistency (foaming or creamy).
  • The infection provokes a strong feeling of discomfort in the vagina - itching, burning, and possible painful sensations in the area of ​​the outer labia.
  • With Gardnerella, women experience pain in the perineal area.
  • The labia may turn red and become swollen.
  • During intimacy, in the presence of gardnerella, pain, burning, and itching appear. As a result of sexual intercourse with an infected partner, a man can also become infected.
  • Vaginal discharge with gardnerella has a characteristic unpleasant odor, reminiscent of the stench of rotten fish.

Diagnostic methods

If at least one of the above signs of gardnerella is detected, the woman needs to be examined by a gynecologist, especially when planning a pregnancy. To determine the disease, the doctor takes a smear. This is a common and most accurate method for diagnosing gardnerellosis. Using a microscope, it is easy to examine the cells of the smear, on which there is a thick layer of gardnerella. A method is also used to determine the pH level of the vaginal environment. Normally, the vagina has an acidic environment, but as a result of pathological growth of gardnerella, it changes to alkaline.

Thanks to the reaction to isonitrile (this is the substance that gives vaginal discharge the characteristic unpleasant odor of rotten fish), final confirmation of the correct diagnosis becomes possible. Sometimes, if gardnerella is suspected, a woman is prescribed a blood test to determine the level of white blood cells, but this is not necessary.

As soon as the presence of the disease is accurately determined, the doctor prescribes the patient to undergo additional tests to determine infections of the genitourinary system that accompany gardnerella. An examination of the mucous membrane of the vagina and cervix is ​​prescribed using a special optical device with a light bulb at the end (colposcopy).

Gardnerella during pregnancy - should I be afraid?

Pregnancy is a great stress for a woman’s entire body, because as a result of a sharp hormonal surge, the body’s defenses decrease. During this period, the risk of developing gardnerella increases several times. Find out what is dangerous and what consequences this disease that appears during pregnancy can lead to from the following video:

How to treat gardnerellosis in women

To prevent negative consequences from this disease, proper treatment is necessary to completely stop the pathological growth of gardnerella in the female body. Therefore, a treatment regimen is prescribed based on antibacterial therapy, which also eliminates ureaplasma (the causative agent of sexually transmitted infections). For more information about the treatment of gardnerellosis in women, see the video below:

Medications

In almost all methods of treating Gardnerella, the patient takes clindamycin or metronidazole. Local treatment is carried out - vaginal suppositories (suppositories), ointments, tablets are used, sometimes called intravenous injections. The duration of the treatment course is 7-10 days. Only the attending physician determines the required dosage of the medicine, taking into account the test data obtained and the degree of neglect of gardnerella, the patient’s body weight and age, and the individual characteristics of the female body.

After 10 days, the next stage of treatment is carried out, which is based on the colonization of the vagina with beneficial microflora (bifidobacteria and lactobacilli). For this purpose, not only oral probiotics are prescribed, but also local use of vaginal suppositories. Before treatment, a control examination of the vagina will be carried out, during which it will be confirmed that the growth of gardnerella has stopped (by this time their number should drop to the normal limit).

Folk remedies

Treatment of gardnerella is carried out using agents that have an antibacterial effect. In folk medicine, a large number of medicinal plants are widely used for this purpose. Here are some effective ways:

  • Douching using infusions of St. John's wort, chamomile, and sage. Brew dry raw materials (2 tablespoons) in a glass of boiling water.
  • Internal intake of infusion from pine buds. Pour boiling water (500 g) into a thermos and add crushed and dried pine buds (1 tablespoon), leave overnight. In the morning, pass the mixture through a sieve and take 0.5 cups warm 4 times during the day (half an hour before the start of the meal). The full course of treatment lasts exactly 14 days.
  • Tea tree oil can not only be taken orally, but also applied topically. Dissolve 1 drop of oil in a tablespoon of milk and take it 2 times throughout the day. The full course of treatment lasts 3 weeks.
  • For topical use of tea tree oil, make a solution: dissolve 5 drops of oil in 10 g of any boiled vegetable oil. We moisten clean tampons in the resulting mixture, insert them into the vagina, leave them overnight, and remove them in the morning. Such treatment procedures should be carried out every other day (10-11 procedures).

Disease prevention

It is necessary to strengthen the immune system, because its weakening provokes the onset of the development of gardnerella in a woman. First of all, this applies to maintaining a correct and healthy lifestyle. It is necessary to completely eliminate alcohol consumption, quit smoking, avoid stressful situations, eat right, and learn to alternate work and rest.

Regular walks in the fresh air and playing sports perfectly strengthen the immune system; it is recommended to start tempering yourself. It is important to avoid severe hypothermia and not to forget intimate hygiene. Particular attention should be paid to the prevention of not only gardnerella, but also a variety of sexually transmitted diseases and sexually transmitted infections.

Frequent changes of sexual partners and promiscuous relationships can lead to the development of gardnerella in both women and men. Douching should not be used constantly, especially as a personal hygiene measure. This can lead to disruption of the normal microflora of the vagina, reducing the local protective function of the mucous membrane, which contributes to the proliferation of gardnerella. You should not abuse antibiotics, because due to uncontrolled use, the balance of harmful and beneficial microorganisms in the intestines and vagina is disrupted.

Gardnerellosis (bacterial vaginosis) morphologically refers to those pathologies that occur very often in medical practice. The main provocateur of the disease is an excessive amount of Gardnerella vaginalis bacteria found in a regular smear or PCR test. Normally, they form part of the healthy microflora of the urogenital tract, but their increased concentration indicates dysbiosis.

Treatment of gardnerellosis is not difficult for any doctor, but the final result of therapy depends on the patient’s clinical picture. Most often, the doctor prescribes local medications, douching, and in rare cases, strong antibiotics.

Suppositories for gardnerellosis

How is gardnerellosis treated? In the treatment of gardnerellosis, vaginal suppositories, which pharmaceutical companies also call capsules, tablets, and suppositories, have proven themselves to be effective.

The main advantage of vaginal suppositories is the absence of side effects and various types of toxicity, since their active ingredients do not penetrate the circulatory system, but act locally.

According to clinical trials and the results of gynecological practice, the following vaginal suppositories work well against gardnerellosis:

  • Terzhinan;
  • Hexicon;
  • Polygynax.

Suppositories are used exclusively in a lying position intravaginally. The most suitable times for use are before bed and after urination.

Terzhinan

Terzhinan vaginal suppositories for gardnerellosis are a universal remedy for the treatment of bacterial ailments of various etymologies.
The manufacturer of the drug clearly stated that its active ingredients block reproduction and pathogenic effects:

  • gram-negative bacteria;
  • gram-positive bacteria;
  • gardnerella and other anaerobes.

This fact already indicates that Terzhinan reduces the concentration of gardnerella. The beneficial microflora is not affected in any way.

The drug has no side effects except for individual intolerance and an allergic reaction.

Hexicon

Hexicon for gardnerellosis - vaginal suppositories, which are also the strongest antiseptics.
Their scope of action includes not only gram-negative and gram-positive bacteria, but also the herpes virus and anaerobes. Gardnerella are representatives of facultative anaerobes, so the administration of Hexicon is an effective solution. Vaginal suppositories cure the disease even in the presence of bleeding and purulent discharge, so there are no special contraindications for use.

The drug is absolutely harmless for pregnant and lactating women, because its main active ingredient is chlorhexidine. Contrary to all beliefs, it does not flush lactobacilli from the vagina, but blocks pathogenic infections.

Polygynax

Polygynax for gardnerellosis is an antimicrobial suppository that affects all types of bacteria, including gardnerella.
The drug contains the antibiotic nystatin, as well as neomycin sulfate. This means that it is completely contraindicated in pregnant and breastfeeding women, as it has a strong antibacterial effect. The drug is not interfered with by menstruation and various spotting, so it is not advisable to take a break from treatment.

Polygynax is usually taken within a strictly limited time frame, since with long-term use, gardnerella becomes resistant or is detected in very large quantities.

Antibiotics

Antibiotics for gardnerellosis are a last resort measure of treatment. Minor strains of Gardnerella vaginalis line the healthy microflora of the vagina and urethra. There is no need to destroy it simply because it exists. Antibacterial drugs have a detrimental effect not only on the condition of the intestines, but also on the bacterial status of the urogenital tract. The doctor prescribes antibiotics only in the following situations:

  1. Gardnerella is detected in the largest possible numbers.
  2. Treatment with local drugs and antimicrobial agents does not bring results.
  3. Gardnerellosis was accompanied by a secondary infection.

Only in the above cases is it advisable to use antibiotics, but in other situations, gardnerellosis can be treated forever. Taking into account the specifics of the pathology, doctors most often prescribe the following drugs:

  • Vilprafen;
  • Amoxiclav;
  • Azithromycin.

Antibiotics are prescribed only after a laboratory test of sensitivity to their spectrum. Gardnerella may not be resistant to a certain group of antibiotics, so treatment “blindly” leads to dangerous consequences.

Vilprafen

Vilprafen for gardnerellosis is a macrolide antibiotic that is effective against gram-negative and gram-positive bacteria, as well as anaerobes, including Gardnerella vaginalis. The drug is used in cases where gardnerellosis occurs against the background of a specific infection (chlamydia, gonorrhea, trichomoniasis) or other inflammatory diseases.

Before use, it is advisable to consult a doctor, since the composition of Vilprofen is relatively toxic. However, in most cases it is well tolerated.

Amoxiclav

Amoxiclav for gardnerellosis is a potent antibiotic from the penicillin group. It is prescribed only in cases where gardnerellosis occurs in conjunction with inflammatory diseases of the urinary tract and pelvic organs. In clinical practice, the drug is also used in very advanced situations when gardnerellosis has become chronic.

The active components of Amoxiclav affect almost all pathogenic bacteria. Gardnerella is no exception, as it is included in the list of infectious strains that the antibiotic copes well with.

Azithromycin

Azithromycin for gardnerellosis, according to its pharmacological group, is an amizolid antibiotic that kills strains of gram-negative bacteria, as well as gardnerella. It is ineffective against certain infectious agents, but gardnerellosis cures quickly.

Side effects are rare, but the drug should not be taken by people suffering from kidney and liver pathologies. During pregnancy and lactation, Azithromycin is not recommended for treatment. The only exceptions are severe cases.

The dosage and regimen of taking antibiotics is determined only by a doctor. The patient's complete medical history and laboratory screening results are taken into account.

Douching (washing)

Douching for gardnerellosis should be carried out with extreme caution, as there is a risk of clearing out the healthy microflora of the urogenital tract. This means that it is advisable to irrigate the vagina and urethra 1-2 times a day without much fanaticism. After completing all the manipulations, you should refrain from sexual intercourse or urination for 2-3 hours.

When identifying gardnerellosis, it is most effective to prepare a solution from the following components:

  • hydrogen peroxide;
  • furatsilin;
  • herbs (calendula, chamomile).

Hydrogen peroxide for gardnerellosis

A solution of hydrogen peroxide restores the acidic environment of the urogenital tract, which has a beneficial effect on the microflora. For douching, you need to use 3% peroxide, but it is dangerous to use in its pure form, so the irrigation liquid must first be diluted. For these purposes, 2 tablespoons of peroxide are mixed with 1 liter of boiled water at room temperature.

The resulting solution is poured into a container with a volume of 200-250 ml, and then douched. To irrigate the vagina and urethra, it is permissible to use a tampon, gauze, or a regular syringe. Some doctors recommend immediately buying hydrogen peroxide (1%) so as not to mix it with water and immediately carry out hygienic procedures.

Furacilin

Furacilin is an antiseptic that is very convenient to use at home. To douche the vagina and urethra, it is enough to crush 1-2 tablets of the medicine in a container filled with boiled water (200-250 ml). The final stage is irrigation of the genital tract. The course of treatment is usually 3-5 days.

Other antiseptics (miramistin, chlorhexidine) are useless for gardnerellosis, since their main action is aimed at specific infections (chlamydia, gonorrhea, trichomoniasis), as well as inflammatory diseases of the urethra and vagina.

Herbs (chamomile, calendula)

Chamomile and calendula are natural antiseptics that are most effective in treating bacterial vaginosis. Pharmacies sell ready-made tinctures, flowers, and leaves of medicinal plants. Chamomile or calendula tincture (1-½ teaspoon) is mixed with 200-250 ml of boiled water. Subsequently, the genital tract is irrigated using a regular syringe, gauze, or tampon.

Particularly popular in the treatment of gardnerellosis is a decoction of chamomile flowers, leaves, and calendula. The recipe for such a solution is quite simple:

  1. 1-2 tablespoons of chamomile/calendula are poured into 1 liter of boiling water.
  2. The resulting contents are infused for 1 hour.
  3. The broth is filtered through cheesecloth or a sieve, and then poured into a 200 ml container.

The best medicines for gardnerellosis

What drugs are used to treat gardnerellosis? When bacterial vaginosis is detected, doctors often prescribe antimicrobial or antiprotozoal drugs, which have repeatedly proven their effectiveness:

  1. Metronidazole for gardnerellosis, it is both an antiprotozoal and antimicrobial drug that fights numerous strains of bacteria, including Gardnerella vaginalis. Its international name is Trichopolum. It is available in the form of tablets, which are taken for 5 to 12 days under strict medical supervision.
  2. Tinidazole for gardnerellosis, it is an antiprotozoal agent with an antibacterial effect, which is achieved due to the active substance of the same name (tinadazole). The drug copes well with gardnerella, but is contraindicated in children under 12 years of age, as well as pregnant and lactating women.
  3. Ornidazole for gardnerellosis, it is similarly an antiprotozoal and antimicrobial medicine. Its pharmacological action is aimed at Gardnerella vaginalis, as well as a number of gram-negative bacteria and some anaerobes. Ornidazole is not recommended for use during the 1st trimester of pregnancy, breastfeeding, or the manifestation of central nervous system diseases.
  4. McMiror for gardnerellosis - antiprotozoal tablets with antimicrobial action. The drug is relatively safe to use as it causes minimal side effects. Ideal for the treatment of gardnerellosis occurring against the background of other infections.
  5. Tiberal for gardnerellosis, it is an analogue of Ornidazole due to the identical active ingredient. The only difference is that Tiberal takes longer to be eliminated from the body, which means that the drug has a stronger effect on Gardnerella vaginalis and other bacteria.
  6. If gardnerellosis occurs together with thrush, then the best treatment would be tablets, cream or vaginal suppositories Pimafucin with gardnerellosis. The medicine is available in different forms, and the most convenient method of administration is chosen by the doctor together with the patient.
  7. The drug has a good reputation in the treatment of gardnerellosis Clotrimazole with gardnerellosis. It is available in the form of ointment, cream, solution, and vaginal tablets. This is a universal remedy that kills all pathogenic bacteria and fungi. Gardnerella vaginalis is included in the list of its pharmacological actions, which is reflected in the results of numerous tests.

It turns out that gardnerellosis has many treatment options, because the pharmaceutical market is rich in variety. An important nuance is the clinical picture and individual characteristics of the patient.

Video

In this video you will find out whether gardnerellosis can go away without treatment. As well as a description of antibiotics for gardnerellosis.