home Calculators Probiotic suppositories in gynecology. Methods for restoring vaginal microflora

Probiotic suppositories in gynecology. Methods for restoring vaginal microflora

Doctors call a disease in which the vaginal microflora is disrupted vaginal dysbiosis (dysbiosis). Its symptoms do not cause much concern, but if left untreated, the disease can lead to the development of dangerous infections. In restoring the microflora, candles come to the aid of women. How to use this product correctly?

Types and reasons

Vaginal dysbiosis most often occurs in two types:

gardnerellosis - characterized by a predominance of gardnerella;
candidiasis (thrush) - the predominance of fungi of the Candida type.

There can be many reasons for the occurrence of dysbacteriosis:

excessive hypothermia and weakened immunity;
hormonal imbalances;
climate change during travel;
infectious diseases;
antibiotic therapy;
failure to maintain intimate hygiene;
intestinal dysbiosis.

These are not all the factors that can lead to microflora disruption. If a woman’s immunity is in good condition, dysbacteriosis is not scary. Otherwise, antibiotics and suppositories may be prescribed for treatment to restore the microflora in women.

Symptoms and diagnosis of the disease

Quite often, vaginal dysbiosis occurs without symptoms. In some cases, the following signs of the disease may be observed:

copious yellowish-white discharge;
unpleasant odor;
feeling of dryness, itching and burning in the perineum.

The symptoms themselves are not dangerous, but the bacteria can infect the cervix and vagina.

In order for a doctor to diagnose dysbiosis, the patient will have to undergo several types of tests:

PCR diagnostics for the presence of sexually transmitted infections;
culture for sensitivity to antibacterial drugs;
microflora smear.

Based on the test results, the cause and treatment methods for dysbiosis can be determined.

General strategy

Therapy for dysbiosis can be carried out in three stages:

elimination of pathogenic microorganisms;
restoration of beneficial microflora;
strengthening the immune system.

If thrush and other sexually transmitted infections are detected, suppositories to restore microflora in women can be prescribed only after pathogenic microorganisms have been suppressed. In this case, treatment is carried out with antibiotics and antifungal drugs.

If pathogenic flora has not been detected, but dysbiosis is present, the course of treatment with antibiotics is either not prescribed at all or is reduced to 5 days. In most cases, treatment is carried out with local antiseptics, which are administered using baths and tampons. Such measures are much more effective, since many bacteria are not susceptible to antibiotics.

The general restoration of microflora takes about 3-4 weeks. During this time, the patient also undergoes a course of strengthening her defenses with the help of immunomodulators. This is necessary because decreased immunity of the vaginal wall promotes the proliferation of pathogenic bacteria.

After taking antibiotics, women often develop thrush, which also has to be treated. Only after completing the full course can we talk about restoring the microflora.

How candles work

Vaginal suppositories for restoring microflora are probiotics that contain lactobacilli. Such suppositories are prescribed after treatment with antibiotics for sexually transmitted infections, thrush, or regeneration of microflora in the case of dysbiosis and the absence of pathogenic microorganisms.

However, such remedies will not always be effective, since infections have a detrimental effect on epithelial tissue. That is why manufacturers add substances to the preparations that help restore the epithelium so that lactobacilli can gain a foothold in the vagina.

The principle of action of suppositories for restoring microflora after treatment of thrush is quite simple. They are designed to reduce the pH level to 3.4-4.5. Lactobacilli produce acids. To prevent thrush from developing again due to a decrease in pH levels, special substances in the preparations come into effect.

Bifidobacteria contained in probiotics stimulate the immune system and have an anti-inflammatory effect. It is recommended to drink bifidobacteria while undergoing treatment, as a result of which the risk of recurrent thrush drops sharply.

Preparations for restoring microflora

Vagikal (analogue of Laktogin)

These are phytocandles that effectively and gently restore microflora and suppress pathogenic microorganisms. The drug contains calendula flowers, which are a natural anti-inflammatory agent. Vagical is an excellent antioxidant that promotes healing and restoration of the structure of vaginal epithelial cells. You can use the drug for 10 days.

Gynoflor

These are suppositories with lactobacilli to restore microflora. The composition also includes the hormone estriol. Thanks to the lactose it contains, beneficial bacteria begin to actively multiply. Estriol restores vaginal tissue. Despite the presence of a hormone in the composition, the drug is absolutely harmless to health. It should be used within 6 days, but if necessary, the maximum period can be two weeks. Introduce suppositories before bedtime. After the course of treatment, it can be repeated after a couple of weeks.

Bifidumbacterin (“Lactobacterin”)

Vaginorm S

Due to the high content of ascorbic acid, it successfully normalizes acidity and suppresses pathogenic bacteria. Suppositories are administered before bedtime, the course of treatment is 6 days, but if necessary, it can be extended to several months.

Kipferon

The suppositories are aimed at strengthening the immune system and restoring microflora. One course is 10 days. For complete recovery, you need to take 2-3 courses, taking tests between them.

Restoration of microflora during pregnancy

Dysbiosis can also occur during pregnancy due to changes in hormonal levels and weakened immunity. Since the use of antibiotics during this period is impossible, treatment becomes local and is aimed at eliminating the symptoms of the disease and preparing for labor. Local suppositories for restoring vaginal microflora are not as effective, but are harmless to the health of the mother and the unborn child.

Prevention of dysbacteriosis

Strict adherence to the rules of intimate hygiene.
Meals that include fermented milk products, fruits and vegetables.
Antibiotic treatment only under the supervision of a doctor.
Using underwear made from natural fabrics.
Use of condoms during sexual intercourse.
Refusal to use pads and tampons during menstruation if they provoke the development of infection.

Dysbacteriosis can be prevented. To do this, it is enough to take precautions. And although suppositories for restoring microflora are mostly harmless, it is better for women to try to avoid their use in time. But if there is a need for them, then these funds will provide effective assistance, including to pregnant women.

The normal microflora of the vagina consists of 90% lactobacilli, 9% bifidobacteria, and the remaining percentage consists of opportunistic microorganisms. For various reasons, sooner or later every woman encounters dysbiosis or dysbiosis - a violation of the vaginal microflora. This pathology is characterized by sluggish symptoms or does not manifest itself at all. But it has serious health consequences and can cause ascending infections and infertility. Treatment of this condition is mandatory.

Treatment of dysbiosis

If signs of dysbiosis appear (leucorrhoea of different colors and consistency, unpleasant odor, vaginal dryness, pain, itching and burning in the area of the vaginal vestibule and during urination), you should consult a gynecologist.

First you need to find out the causes of the disease. The examination includes:

1. Determination of medical history.
2. Examination on a gynecological chair.
3. Taking smears for bacterial culture, examining microflora for sexually transmitted infections.
4. Blood sampling for hormones.

After identifying the factors contributing to the development of the disease, the following activities are carried out:

elimination of pathogens and associated complications;
colonization of the vagina with beneficial microorganisms;
consolidation of the result with the help of immunostimulating drugs.

Dysbiosis is often observed after treatment for thrush or taking antibiotics.

If dysbiosis is caused by pathogenic organisms (viruses, bacteria) or increased proliferation of opportunistic microflora, for example, a fungus of the genus Candida, then antibacterial therapy is first prescribed.

For factors not related to pathogenic influence, medications are immediately prescribed to restore healthy vaginal flora.

Drugs that help normalize microflora

There are a huge number of medications to maintain optimal vaginal biocenosis. Their principle of action is to populate the mucous membrane with beneficial microorganisms. Most often these are probiotics, including lactobacilli. It is better if the composition of the drug is complex and contains, in addition to lactobacilli, also bifidobacteria. These organisms maintain the acidic environment of the vagina and thus do not allow vaginitis pathogens to multiply.

Medicines must have a healing effect, otherwise the beneficial microflora will not be able to gain a foothold on the affected epithelium and will soon be removed from the body.

There are several dosage forms of medications to restore vaginal microflora;

suppositories;
pills;
capsules;
gels.

Medicines in the form of suppositories

Suppositories are the most popular form of prescribed medication. This is due to:

high efficiency;
rapid onset of therapeutic action;
ease of use.

Vaginal tablets and capsules

Unlike suppositories, these dosage forms are prescribed less frequently, but are no less effective. Frequently prescribed drugs:

Vaginorm-S . The active substance is ascorbic acid. The medicine has an antiseptic effect. The drug lowers the pH of the vagina, thereby suppressing the growth of bacteria and helping to normalize beneficial flora. It is used for bacterial vaginosis, nonspecific vaginitis and for the prevention of disorders of the internal microflora. Has no effect on fungi of the genus Candida. Use 1 tablet vaginally before bedtime for a course of 6 days. The cost is about 660 rubles.

Gynoflor E. Contains lyophilisate of acidophilic bacteria and estriol. It is characterized by a protective and regenerating effect on the vaginal epithelium and helps restore the biocenosis. Indications for use are: bacterial vaginosis, normalization of microflora after chemotherapy and antibiotic treatment, atrophic vaginitis in postmenopause. Apply 1-2 times a day for 6-12 days. The cost is within 900 rubles.

Not used:

with endometrial hyperplasia;
with hypersensitivity;
for malignant tumors dependent on estrogen;
with genital bleeding;
with endometrial hyperplasia;
with hypersensitivity;
in girls who have not started sexual activity.

Ecofemin. The composition contains Lactobacillus acidophilus LaCH-2 in an amount of more than 100 million. The drug maintains the normal balance of vaginal microflora. Approved for use by pregnant and lactating women. Contraindicated if there is candidiasis. Used for the treatment and prevention of disorders of the vaginal biocenosis, 1 capsule 2 times a day for 6 days. The doctor may recommend re-treatment after a break of 10–20 days. The price is about 600 rubles.

Lactozhinal. The active ingredient is lyophilisate of lactobacilli L.casei rhamnosus Doderleini. It is highly effective against a wide range of microorganisms, improves local metabolism, restores immunity, and reduces pH levels. Contraindicated in women under 18 years of age and with symptoms of thrush. Allowed during pregnancy and lactation. Used intravaginally, pre-moistened with water, 1 pc. before bed for a week. It is possible to extend the course of treatment up to two weeks. The cost is around 750 rubles.

Lactonorm. Contains acidophilic microorganisms of at least 100 million CFU. Recommended for acute, chronic vulvitis and vaginitis, bacterial vaginosis after antibiotic treatment, atrophic vaginitis. Contraindicated for thrush. Do not use the drug immediately before sexual intercourse and during menstruation. Apply 2 times a day for 1 week. The cost is about 460 rubles.

Oral medications

There are drugs for restoring the vaginal biocenosis, intended for oral use. These include:

1. Vagilak. It contains probiotics Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14. The drug helps to increase the number of beneficial bacteria in the vagina and increases the immunity of the mucous membrane to the influence of pathogenic microflora. The drug is indicated for bacterial vaginosis, during antibacterial and antiviral therapy, in preparation for childbirth and gynecological operations. Use once a day during meals with water. The cost is about 690 rubles.

2. Ecofemin. This is a dietary supplement (dietary supplement) containing lactic acid bacteria Lactobacillus acidophilus LMG 8151, Lactobacillus crispatus LMG 9479, Lactobacillus brevis LMG 27275. These microorganisms, in the process of their vital activity, restore the intimate flora, reduce the acid-base balance, and produce lactic acid. Take 1 capsule 2 times a day 30 minutes before meals. The course of treatment is 10–15 days. Price about 780 rubles.

Gels

Often, in order to improve the condition of the microflora, drugs in the form of a gel are prescribed:

1. Salvagin gel. The active ingredients are Citrobiotic, Inulin, Lactic acid, Aloe-vera. It is an antiseptic and antibacterial drug. It normalizes the microflora and acidity of the vagina, affects pathogenic microbes and viruses, as well as Candida fungi, promotes the growth of beneficial microorganisms and has a healing effect on the epithelium. Use the medicine before bedtime. While lying on your back, insert the tip of the tube into the vagina. The cost is about 900 rubles.

2. Floragin gel. Contains a mixture of lysates of beneficial bacteria L. Bulgaria, S. Termophilus, B. Biphidus, L. Helveticus. Normalizes microflora and protects against the growth of pathogenic microbes. It has a moisturizing effect, reduces the symptoms of vaginosis, fights discharge and unpleasant odor, and restores the acid-base balance. It is not recommended to use the drug for a long time, as local reactions in the form of burning and increased sensitivity are possible. Allowed for pregnant and lactating women. Used before bedtime. The cost is around 500 rubles.

The main advantage of using local drugs to normalize the normal biocenosis of the vagina is the effect of the medicinal substance directly on the site of the disease. They are easy to use and cause virtually no side effects. Most of them are allowed for pregnant and lactating women. They do not have a negative impact on health and a doctor's prescription is not required to purchase them.

But you should not choose medications on your own. When the first signs of pathology appear, you need to seek qualified help from a female doctor, who, after examination, will prescribe the correct treatment regimen.

Symptoms of the disease manifest themselves differently in women. In general, this condition is characterized by a violation of the ratio of normal microflora of the body and opportunistic microflora.

In adult women, most often with dysbiosis, there is a decrease in lactobacilli in the body and an increase in E. coli and staphylococci.

It is important to know! For successful treatment, it is important to identify this pathology at an early stage of development and prevent its progression. To do this, you should first understand the causes of dysbiosis, and then apply comprehensive treatment of the disease.

Causes of vaginal dysbiosis in gynecology

Large number of sexual partners and lack of contraception or use of hormonal contraceptives.
Hormonal disorders associated with abortion, menstrual disorders, long absence of sexual intercourse, thyroid dysfunction, as well as any disruption of the ovaries.

Dysbacteriosis in gynecology is quite a common phenomenon, it affects about 75% of women

Improper personal hygiene - frequent douching, untimely changing of the tampon, abuse of antimicrobial agents.
Stress, nervous breakdowns, excessive fatigue.
Long-term use of antibiotics.
Climate change, hypothermia.
Chronic vaginal infections.
General decrease in the body's immunity.
Intestinal diseases.
Diabetes.
Smoking, taking drugs, drinking too much alcohol.

Note! This is not a complete list of reasons characterizing dysbiosis. Symptoms of the disease in women manifest themselves differently, depending on the individual characteristics of the body. Therefore, the causes of the disease, according to information from gynecological reference books, may be different.

Provoking factors for the occurrence of vaginosis

Gardnerellas

In addition to the main causes of dysbiosis, it is important to determine the provoking factors of the disease. These include bacteria, the type of which will help determine the identified symptoms of the disease in women.
The main types of bacteria that cause vaginosis:

Streptococci and staphylococci;
Gardnerellas;
Mycoplasma and ureaplasma;
The causative agent of thrush is Candida fungus;
Clostridia, Klebsiella, Corynebacteria;
Escherichia coli.

When bacteria are present in small quantities, they are harmful to health, but when they multiply and spread, they cause illness.

The main symptoms of vaginal dysbiosis in women

Vaginosis can occur for a long time without any visible symptoms, however as the disease worsens, the following is observed:

Vaginal dryness– this condition is very clearly noticeable during sexual intercourse and can give a woman very unpleasant sensations. This condition means the transition of dysbiosis to the pelvic organs. These symptoms can lead to irritability and loss of interest in sex.
Discharge. Dysbacteriosis in gynecology is also characterized by symptoms in women such as an increase in clear discharge in the initial stage. As the disease develops, namely an increase in the number of staphylococci and E. coli, they acquire a pungent odor and become greenish.

Symptoms of bacterial vaginosis in women may not appear for a long time. Therefore, it is important to undergo regular gynecological examinations

Itching and burning. If vaginosis is aggravated by thrush, a white coating appears on the walls of the vagina, and itching and burning are possible.
Pain in the lower abdomen. With a long course of dysbacteriosis, pain in the lower back and lower abdomen may appear; in an aggravated form, frequent painful urination is possible.

You should know! With vaginosis at the initial stage, there are no visible signs of the inflammatory process.

Ignoring vaginal dysbiosis for a long time can lead to more serious illnesses and a significant deterioration in overall health.

Symptoms of vaginal dysbiosis in girls

According to the accepted data of modern gynecology, symptoms of vaginal dysbiosis in girls can appear at any age.

The main reasons for the development of the disease in adolescents:

hypothermia;
errors in personal hygiene, most often incorrect use of tampons and gels for intimate hygiene;
weak immunity;
poor nutrition, lack of rest and fresh air, stress;
hormonal imbalance during puberty.

In most cases, until adulthood, the main symptoms of the disease are itching and burning in the groin area. Discharge and a specific odor appear in older girls.

If you suspect the development of this disease in a child, you should consult a doctor to determine the causes and treatment program.

Diagnosis of vaginal dysbiosis

Standard diagnosis of dysbiosis includes:

gynecological examination;
microflora smear;
polymerase chain reaction analysis;
vaginal seeding.

Before taking a smear, it is important to abstain from sexual intercourse, use of vaginal suppositories and douching for several days.

A smear is taken before the start of treatment and at the end of it.

A PRC analysis must be taken to determine the causative agent of the infection and the number of bacteria in the body. In turn, taking a culture helps determine the properties inherent in the pathogen. It is also necessary to determine the body's sensitivity to antimicrobial agents.

Vaginal dysbiosis during pregnancy

Quite often, dysbiosis in gynecology is characterized by the presence of similar symptoms in pregnant women:

discomfort and itching in the vagina;
an abundance of discharge that has an unpleasant, sometimes pungent odor.

Stress caused by worry about the child, excessive fatigue, and poor nutrition can lead to dysbacteriosis. The most common cause is hormonal imbalances, which lead to decreased immunity.

Self-medication is prohibited during pregnancy, all procedures must be agreed with the attending physician so as not to harm the baby.

Comprehensive treatment of vaginal dysbiosis

To achieve a positive result, it is necessary to stop the proliferation of pathogenic microorganisms, after which the presence of beneficial microorganisms in the vagina should be increased.

To consolidate the result, you need to strengthen the body's immunity. Treatment of vaginal dysbiosis consists of taking prescribed medications and therapy to restore normal microflora. Let's look at each stage in more detail.

Drug treatment

Let's highlight Some drugs that help treat vaginal dysbiosis and restore microflora:

Drug, price	Method of administration	Cause
Tiberal (price about 700 rubles)	A week twice a day, 500 ml	Destruction of pathogenic microorganisms
Tinidazole (pack about 45 rubles)	3-4 tablets per day, 6 days	Destruction of pathogenic microorganisms
Clindamycin (approximate price 600 rubles)	Per day from 600 to 1800 mg three times a day, for a week	Against staphylococci and E. coli
Terzhinan (price from 350 rubles)	1 tablet in the evening in the vagina, 10 days	Against staphylococci and E. coli
Essentiale forte (price from 700 rubles)	2 capsules, three times a day	Recovery process

Doctors warn that taking medications that were not prescribed by a specialist can negatively affect the functioning of the body and worsen overall well-being.

Microflora restoration therapy

Violation of the vaginal microflora is directly related to a woman’s immunity, so during treatment it is necessary to pay enough attention to strengthening the immune system.

Most often, restoration of microflora takes no more than 1 month. After completing the course, a re-examination by a specialist is required. If the disease is not in an advanced state, the use of immunomodulators is sufficient for treatment.

In more complex cases, for example, to restore microflora after thrush, it is necessary to take products containing lactobacilli and a component that restores epithelium.

Drugs that help restore the normal vaginal environment:

A drug	Mode of application
Gynoflor	For a week, one tablet into the vagina before bedtime
Laktogin	For women over 18 years old, one capsule, 10 days
Ecofemin	1 capsule twice a day. Take from two weeks to a month
Lactobacterin	Ten days, one vaginal suppository before bed

A rehabilitation course of medication should be discussed with your doctor.

Possible complications of vaginal dysbiosis

If the disease is not treated for a long time, complications are possible, which include:

endometritis– inflammation of the uterine cavity;
vaginitis– inflammation of the vaginal walls;
cervicitis- development of the inflammatory process of the uterus;

development of cystitis as a result of bladder infection;
adnexitis- inflammation of the appendages.

Most often, the first signs of the onset of the development of such diseases are caused by the appearance of burning and itching, as well as an increase in the amount of discharge.

Traditional recipes for the treatment of vaginal dysbiosis

Dysbacteriosis in gynecology. The use of traditional recipes to treat identified symptoms in women
Name	Ingredients	Recipe	Reception
Douching - no more than 15 minutes. Normalization of the body's condition	1. Chamomile and plantain	1 tbsp. spoons of herbs, pour a liter of boiling water, leave for half an hour, strain	In the morning and before bed
	2.Oak bark	1 tbsp. spoon, pour 200 ml of boiling water, leave for three hours, strain, cool	During the week at night
	3. Bird cherry	1 tbsp. spoon per 400 ml of water, boil, cook for 20 minutes over low heat, strain and cool	Once a day for a week
Therapeutic sitz baths (waist-deep) – have a calming effect and relieve inflammation	1.Oak bark	250 gr. leave the collection in cold water for four hours, boil, add to the bath	Daily for 20 minutes
	2.Flower honey	2 tbsp. dilute spoons of honey with 500 ml of hot water and add the mixture to the bath	20 minutes every two days
Tinctures to strengthen the immune system	1.Quince, cherry, garlic, lemon and apples	Mash the cherries, grate the quinces and apples, finely chop the lemon, squeeze out the garlic. Mix all the ingredients, pour in 1.5 liters of water, close and let it brew for 30 minutes, then strain	Four times a day, 100 ml
Tinctures to strengthen the immune system	2. Dried rowan, honey, onion	Pour 2 tablespoons of berries into 400 ml of water, cook for 25 minutes, add 2 tablespoons of honey and grated onion	One spoon 4 times a day
	3. Purslane leaves, egg white	Grind leaves and mix with egg white	Drink three times a day, course 15 days

One should not neglect the fact that to improve the effect of treatment, in addition to the above methods, fresh fruits, vegetables and dairy products should be introduced into the daily diet.

You should take vitamins E and C, which have a positive effect on the balance of microflora.

When using traditional methods of treatment, one should not neglect the consultation of a qualified specialist. This will help you get better treatment.

According to modern gynecology, dysbacteriosis, regardless of the identified symptoms in women, is not transmitted during sexual intercourse and is not classified as a venereal disease. However, it must be treated immediately when the first symptoms are detected.

Useful videos about vaginal dysbiosis from doctors

Dysbacteriosis in gynecology. Symptoms in women:

Bacterial vaginosis, its consequences and treatment:

Suppositories for restoring microflora in gynecology are prescribed to women who have been diagnosed with dysbiosis or are suspected of developing it. The danger of this condition is that it occurs without severe symptoms, but the consequences are much more serious.

For example, some patients experience infertility, and when pregnancy occurs, it is difficult. To normalize the condition, doctors prescribe suppositories to restore vaginal microflora. These drugs have a mild effect, which allows them to be used not only in therapy, but also as a preventive measure.

Initially, if a woman feels her condition is worsening, she should go to an appointment with a gynecologist. The doctor will have to conduct an examination and also prescribe tests that will help identify the cause of the development of the pathological process. Only after this will he be able to prescribe suitable suppositories for vaginal microflora.

When dysbiosis is detected, treatment must be comprehensive, since it is initially necessary to get rid of pathogenic microflora. Antibiotics do an excellent job of this task; they kill fungus and other types of pathogens located on the walls of the genital organs.

To normalize the microflora in gynecology, suppositories are also indicated for such a common problem as thrush (vaginal candidiasis occurs in every second woman on the planet at different ages). This dosage form is more preferable than, for example, tablets or injections, because it has fewer negative effects on the body. In this way, you can achieve a better therapeutic effect with minimal intervention.

Suppositories for restoring flora in gynecology after antibiotics are prescribed without fail. The fact is that the main disadvantage of drugs of this medicinal group is the destruction of not only foreign, but also one’s own microorganisms present in the genitals.

Suppositories can have an effect directly on the pathological focus, they are convenient to use, and due to the minimal list of side effects, they can be prescribed to women during pregnancy. Suppositories for microflora in gynecology are considered one of the safest medicines, which allows them to be purchased without a prescription from a doctor.

But at the same time, women need to take a responsible approach to treatment and not use the medicine without prescription and consultation with a gynecologist. The doctor must determine the type of infection, which will allow him to diagnose the disease as accurately as possible. Suppositories will only help if the patient initially takes antibiotics and then starts using vaginal suppositories for flora.

Operating principle

Vaginal suppositories with bacteria contain lacto and bifid organisms; the concentration level of these components is always different, so before purchasing it is necessary to select the correct dosage of the medicine, based on how much of them is contained in the woman’s body.

Actually, it is for this that the girl will need to go to the doctor, who will take a smear from the vagina, and then send it to the laboratory for study. Let's take a closer look at how vaginal suppositories work to restore flora:

After the suppository has been introduced, it gradually dissolves in the vagina under the influence of body temperature;
Next, active medicinal components begin to be released, which are gradually absorbed by the mucous membrane of the genital organs;
If we turn to anatomy, we will know that a woman’s vagina contains a lot of blood vessels, which is why after a quarter of an hour the medication is found in the blood and begins to destroy pathogenic microorganisms.

Suppositories for improving microflora in gynecology are known for their local effect. Due to the fact that they have the ability to convert the alkaline environment of the organ into an acidic one, fungal microorganisms do not survive in it at all.

What to choose

Thanks to the rapid progress of pharmacology, each pharmacy offers a wide range of medications that will help cope with dysbiosis, in particular, there are suppositories for normalizing vaginal microflora. Thanks to these medications, it is possible to normalize the balance of the necessary microorganisms that inhabit the mucous membrane of the genital organs.

As mentioned earlier, any drug, including vaginal suppositories Lacto or Bifido, should be prescribed by a gynecologist, since each clinical case is individual, as well as the degree of neglect of the pathological process and the severity of its progression. In most cases, doctors prescribe probiotics that contain lactobacilli.

If a woman has a pathology that is accompanied by an inflammatory process or infection, then the upper epithelial layer of the organ is damaged. In view of this, all the active and beneficial substances that vaginal suppositories with lactobacilli contain will be eliminated after a week, and the therapeutic effect will be lost.

To prevent this from happening, therapy must be comprehensive. Accordingly, medications are needed that will prevent the upper epithelial layer from being destroyed. Due to the fact that the shell is intact, lactobacilli will be able to securely attach to its surface and will not leave the body; accordingly, the microflora will be restored.

With lactobacilli

Initially, we will consider suppositories for restoring microflora in gynecology (preparations containing lactobacilli). But do not forget that dysbiosis can only be eliminated by a complex effect on the body, so that the epithelium has protection from destruction, and microorganisms remain inside.

Taking into account all the factors, you can use suppositories to restore microflora in gynecology, the names of which are presented below:

Gynoflor (contains the hormone estriol);
Laktogin;
Ecofemin;
Vagilak.

It is important to understand that the chosen drug may not always provide the necessary therapeutic effect. If a woman has completed a week-long course of treatment, but the symptoms of dysbiosis have not gone away, then the doctor may prescribe suppositories with lactobacilli to restore microflora in gynecology, which are called Vaginorm C (containing ascorbic acid).

It is thanks to this component that the acid-base balance is normalized, which helps to increase the colonies of beneficial bacteria. The minimum period for using suppositories is 7 days, and if it is necessary to enhance the effect on the body, a specialist can prescribe Bifidumbacterin or Lactobacterin suppositories, which are placed for ten days.

With lactic acid

Vaginal suppositories for dysbiosis may contain a component such as lactic acid. In addition to restoring microflora, suppositories also help improve the patient’s local immunity. Depending on the composition of the medication, as well as the identified disease, they must be administered in the morning or evening.

To minimize the likelihood of the pathology returning, that is, to exclude a relapse, gynecologists advise additionally drinking a concentrate of bifidobacteria. Thanks to this, the likelihood of getting sick again is reduced by more than ten times.

If vaginal dysbiosis has been diagnosed, the following suppositories can be used:

Vaginorm S. Helps restore the acidity of the vaginal environment. It contains ascorbic acid, which destroys pathogenic microflora. The average course of treatment is 6-7 days, with one suppository administered every night.
Femilex. Another vaginal suppository for dysbiosis, which helps get rid of pathogenic and opportunistic microflora. The main active substance is lactic acid, which creates an acidic reserve that does not allow fungi to develop if the environment is alkaline.
Lactobacterin. Doctors prescribe this remedy to restore the acid-base balance of the vagina after thrush has been treated. Suppositories also improve local immunity and metabolism.

Almost all suppositories for restoring microflora in gynecology are cheap, and one package is enough to complete a full treatment course. Accordingly, if a woman needs therapy of this type, it will not be expensive.

Bifidobacterin

After bifidobacteria enter the mucous membrane, they constantly multiply, and they slowly, but quite confidently, displace foreign microorganisms. Vaginal suppositories for improving the microflora Bifidobacterin have a sufficient amount of these elements in their composition. Thanks to this, the previously alkaline environment becomes acidic, which helps the immune system cope with pathology.

This remedy is ideal for combating the effects of thrush, however, like most medications, it should be used only according to strict medical indications, and in accordance with the recommendations of a specialist regarding the daily dosage and duration of therapy.

If the patient is self-medicating, and the pathology did not arise under the influence of Candida fungi, but vaginal suppositories are used to improve the Bifidobacterin microflora, there is a high probability that she will be diagnosed with gardnerellosis or bacterial vaginosis.

With nystatin

Before vaginal suppositories that contain nystatin are used to normalize the flora, a woman must undergo a bacteriological culture from the vagina. This procedure is necessary to determine how resistant pathogenic microorganisms are to the active component.

When women use suppositories to restore microflora in gynecology, reviews of medications with nystatin are not always positive. Some indicate that the therapy was just a waste of time and did not bring any results. This happens if the sensitivity of the fungi to the active substance has not been previously determined.

The suppositories in question have a mild effect, so they are not capable of destroying pathogenic microflora, but can only relieve the consequences of the disease. However, this allows the use of suppositories to restore flora in gynecology as not so much a therapeutic measure as a preventative one, if a woman often suffers from vaginal dysbiosis.

It is not recommended to use the medicine for women during pregnancy or breastfeeding. Also, suppositories for flora in gynecology are not prescribed to patients who are allergic to the components of the medicine. Doctors advise starting treatment after the end of menstrual bleeding, and the therapy itself lasts about 14 days. It is necessary to administer two suppositories per day (in the morning and evening).

As you can see, there are many suppositories that can help restore the vaginal microflora, but self-medication is not recommended, as this will negatively affect the healing process.

Doctor's opinion (video)

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The microflora in a woman’s vaginal area is a very important ecosystem. It is designed to protect the reproductive organs from infectious, inflammatory, and fungal diseases. In order for it to perform its function, it must be in the correct balance, in which all microorganisms (even conditionally pathogenic ones) perform only positive functions. However, for some reasons this balance is disturbed, which can lead to certain problems. Therefore, it is urgent to take measures aimed at improvement of microflora and its restoration.

Why do you need to restore microflora?

The vaginal microflora is represented by a collection of microorganisms, some of which are beneficial, and the other part are conditionally pathogenic. The latter, under appropriate conditions, begin to multiply excessively, as a result of which there are too many of them, they suppress the activity of beneficial microorganisms. As a result, the balance of microflora is disrupted.

Normally, the vaginal environment contains approximately 95% lactobacilli. These microorganisms produce lactic acid, which maintains an acidic environment in the vaginal area. This protects the woman’s reproductive organs from possible infection. The remaining 5% of bacteria are rods, cocci, and enterobacteria.

With dysbacteriosis, the number of lactobacilli decreases, so the acidity of the vagina decreases, and the environment becomes alkaline. As a result:

local immunity decreases;
the vagina becomes susceptible to various diseases;
possible irritation of the labia.

Moreover, if certain pathological processes are not treated in a timely manner, a woman may develop infertility. To prevent all these consequences, it is urgent to restore the vaginal microflora.

Phased restoration of microflora

How to restore flora in the vaginal area? This process is quite lengthy and does not take place in a couple of days. It usually requires several steps.

Elimination of pathogenic microflora

To improve the microflora in the uterus, it is first necessary to get rid of pathogenic microorganisms. In particular, if dysbiosis is caused by sexually transmitted infections, the pathology must be urgently treated, otherwise there is a risk of very serious complications. Therapy consists of taking antibiotic drugs. At the same time, a number of therapeutic measures are additionally carried out.

If vaginal dysbiosis is not caused by a sexually transmitted disease, it is not necessary to take antibiotics. After all, such drugs cause disruption of the intestinal microflora. Typically, a short course is used for therapeutic purposes - no more than 3 days. In addition, it is possible to use local antibiotics and antiseptics. Due to this, the suppression of pathogenic microflora occurs much faster and more efficiently. Usually the following drugs are used for this purpose: antibiotics - Trichopolum, Sumamed, antiseptics - Miramistin and other drugs.

Miramistin

Restoration of vaginal flora

It is imperative that after removing pathogenic microorganisms, it is necessary to restore the number of lactobacilli. For this purpose, favorable conditions are created in the area of the reproductive organs that are necessary for the engraftment and normal functioning of beneficial flora. In order to restore the flora, eubiotics containing live bacteria are used. There are drugs of general and local action.

Before the flora is restored, it is necessary to kill pathogenic bacteria. Otherwise, the use of eubiotics alone will be completely useless.

Maintaining healthy vaginal microflora

To consolidate the results of treatment and maintain healthy vaginal microflora, it is necessary to restore local immunity. For this purpose, local immunostimulants - Cycloferon and other drugs - are usually used. In addition, it is advisable to take probiotics containing lactobacilli - Linex, Lactobacterin and others.

To maintain healthy vaginal microflora, it is necessary to adjust your diet. The diet must include fermented milk products: sour cream, kefir, full-fat cottage cheese, various types of cheeses.

If the case is very advanced, it may take about 3 weeks to restore local immunity using the drugs described above. After completing the therapeutic course, you should definitely undergo a final examination by a gynecologist. The doctor may also prescribe a follow-up test to confirm complete cure.

To maintain the balance of flora, vaginal suppositories containing lactic bacteria are prescribed. During pregnancy, it is imperative to monitor the condition of the reproductive organs. Vaginal dysbiosis can provoke premature birth, as well as cause some infectious diseases in the child.

Drugs for therapy

How to improve the microflora in the reproductive organs? If any symptoms of dysbiosis appear, you must immediately undergo examination by a doctor. Self-medication is prohibited, and only the treating gynecologist can prescribe any medications. Medicines against dysbiosis are divided into several main groups.

Antibacterial agents

To restore vaginal microflora, complex therapy is required. Moreover, the medications must be quite effective and correspond to the degree of the disease. The duration of therapy depends on the severity of dysbiosis, but should not exceed 7 days. The drugs can be used topically (in the form of suppositories, tablets, vaginal ointments) or in general form (in the form of capsules and tablets). The following medications may be prescribed to treat dysbiosis:

Clindamycin. This is a drug that destroys a large number of varieties of microorganisms. The medicine is available in capsule form. The permissible dosage is no more than 4 capsules per day.
Terzhinan is a local antibiotic produced in the form of tablets for the vagina. Use once a day before bedtime. Before insertion, the tablet should be moistened in warm water so that it becomes slippery and does not injure the vaginal mucosa. After this, do not stand up for at least 15 minutes until the tablet is completely dissolved. The medicine can be used even during menstruation, but with caution.
Trichopolum. Use 2 times a day, 1 tablet. The course of treatment is 5-7 days. The drug is very effective and quickly eliminates the infection. Very effective for sexually transmitted diseases. However, Trichopolum often leads to side effects, in particular, causing dyspeptic disorders.

Only the attending physician can prescribe any antibiotic. Moreover, to treat dysbiosis, it is necessary to combine their use with other drugs in order to achieve a good effect.

Tampons and baths to restore vaginal microflora

To improve microflora in the vaginal area and uterus tampons are used, soaked in special compounds that you can prepare yourself at home. For dysbacteriosis, the following recipes are used:

Propolis (2 tbsp) is melted with 200 g of butter in a water bath until a homogeneous consistency is formed. The resulting product is well moistened with a tampon and inserted into the vagina for several hours. Usually, 3-4 procedures are enough to treat dysbiosis, but more advanced cases require long-term treatment - up to 10 days.
Moisten the tampon in natural sea buckthorn oil. Before its introduction, it is necessary to douche the vagina to clear it of mucus. Typically, a tampon is inserted at night, and the vagina is washed with warm water in the morning.
Take 1 tsp. honey and castor oil, 2 tsp. aloe juice and mix all ingredients well. Thoroughly soak the tampon with the resulting mixture and place it in the vagina overnight. In the morning, take it out and wash the vagina with warm water.

Vaginal baths are also effective. Rinsing can be done with boiled water or tincture of chamomile, linden, nettle, lavender and other medicinal herbs.

Vaginal tablets and suppositories

Vaginal tablets and candles for restoration of vaginal microflora. They are considered the most effective because they have a local effect. Typically, the following drugs are used during therapy:

Neo-Penotran

Neo-Penotran. These are candles that have an antibacterial effect. 1 suppository is inserted into the vagina before bedtime for 14 days. At the discretion of the attending physician, the dosage and duration of treatment may be changed.
Flagyl. These are suppositories that are usually combined with metronidazole treatment. They are inserted into the vagina before bed for a week. Long-term therapy can lead to overdose.
Gynolact. It comes in tablets and capsules that contain lactobacilli. After their use, the proliferation of pathogenic microorganisms is inhibited and local immunity is restored. The duration of treatment is no more than 6 days.
Acylact. These are tablets that contain live lactic bacteria. Administered intravaginally, 1 tablet per day for 5-10 days.

Thus, vaginal dysbiosis can be successfully treated. However, any medications must be prescribed by your doctor. Self-medication can lead to very serious complications, including infertility.

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