Microflora for women: signs and treatment. Preparations for restoring vaginal flora - video

Restoring the vaginal microflora is possible through the use of probiotics. The correct bacterial flora guarantees protection against the development of intimate infections. The "good" bacteria in the vagina ensure the correct pH. It is necessary to maintain pH within 3.8-4.2. Lactic acid bacteria play a special role in maintaining the acid-base balance.

The bacterial flora of the vagina depends on many factors: endogenous (occurring inside a woman’s body) and exogenous - external.

The organ is most prone to the development of infections; symptoms of bacterial vaginitis and signs of candidiasis appear. The conditions created in it provide an ideal environment for microorganisms (warm and humid).

Violation of the vaginal microflora occurs in the case of:

reducing the level of immunity of the body;
hormonal disorders;
systemic diseases, such as diabetes;
frequent antibiotic therapy;
improper hygiene of intimate areas;
maintaining sexual contacts with a large number of partners;
poor nutrition (diet rich in carbohydrates).

Beneficial bacteria

Lactic acid sticks help restore and maintain the normal bacterial flora of the vagina. They represent a protective barrier against the penetration of pathogenic strains of bacteria. This happens not only because lactic acid bacilli have an effect on maintaining the acidic pH of the vagina, but because they occupy a large area. Therefore, there is no room for pathogens to multiply.

After thrush and other painful conditions, treatment using lactic acid bacilli can be used. Vaginal suppositories with probiotics, which provide the presence of “good” bacteria, are especially effective.

Of course, most often the causes of the inflammatory process in the vagina are microorganisms such as Gardnerella vaginalis, Mycoplasma genitalium, Ureaplasma urealyticum.

The development of normal bacterial flora also depends on the action of estrogens, which stimulate the growth of lactic acid bacilli.

What are probiotics?

Probiotics are live microorganisms that have a beneficial effect on health and help boost immunity (from the Greek "pro bios" - "for health"). Oral preparations contain specially selected bacterial cultures. Most often these are lactic acid bacteria (Lactobacillus). Their use allows you to improve the correct physiological flora of the vagina.

Probiotics are used in gynecology, pediatrics, and gastroenterology. Antibiotic therapy is only one of many preventive indications for the use of probiotics.

Recently, probiotics are more often used for the hygiene of the female urinary tract and urogenital tract, which are subject to unfavorable changes in the biocenosis and pH of the vagina. Gynecological probiotics are divided into oral preparations and vaginal suppositories.

Gynecological probiotics are believed to have positive health effects when supplied in sufficient quantities. Their effectiveness, which has been confirmed by scientific research, also remains important. There are many strains, i.e. subspecies of bacteria, but not all of them work equally effectively.

The most commonly used bacteria in gynecology and obstetrics are bacteria of the genus Lactobacillus (lactic acid rods). These are anaerobic gram-positive bacteria that produce organic acids, including lactic acid.

Effect of pH level

The pH of the vagina is normally between 3.5-4.5. However, certain medications, poor hygiene, compromised immunity, and many other factors can significantly increase pH levels. These conditions lead to colonization of the vagina by pathogenic microorganisms. Higher pH values create an optimal breeding environment for them.

Lactobacilli produce hydrogen peroxide and enzymes. The former are an active form of oxygen and damage pathogens; enzymes destroy the nucleic acids of pathogenic bacteria (destruction of harmful microorganisms), thereby inhibiting their growth and reproduction.

Lactobacillus under normal conditions colonizes in the reproductive tract of women and is divided into several dozen subspecies. The dominant strains in their population are: L. crispatus, L. iners, L. jensenii, L. acidophilus and L. gasseri. When it comes to reducing the number of these beneficial bacteria, an infection, including candidiasis, develops.

Negative effects of antibiotics

One of the factors that most strongly influences the decrease in the number of lactic acid bacteria is the use of antibiotics. The antibiotic does not selectively affect specific bacteria. The most widely used antibiotics are those that have a broad spectrum of action, so they eliminate not only pathogens, but also the necessary beneficial bacterial flora.

Its recovery takes time (sometimes several months), so rapid colonization of the vaginal microflora by pathogenic bacteria, in particular fungi, often occurs. If you must use antibiotic therapy, always remember to restore normal vaginal flora to avoid the development of disease. To do this, take medications in the form of probiotics. They are available without a prescription. But they cannot be taken at the same time as an antibiotic. Some preparations with probiotics should be stored at low temperatures, preferably in the refrigerator.

A half-day break between taking the antibiotic and probiotic will prevent the destruction of lactic acid bacteria in the body. Otherwise, the use of probiotics will be ineffective. It must be remembered that the restoration of the natural bacterial flora of the body lasts up to several months, so it is worth using probiotics as a preventative measure, even after the end of antibiotic therapy.

Suppository drugs

Women of any age suffer from ailments associated with abnormal vaginal microflora. In young women, the main causes of disorders are frequent changes of partners and microtraumas of the epithelium that occur during sexual intercourse. There are days during your menstrual cycle when it is easier to upset the balance between good and bad bacteria. This is the period of menstrual bleeding. The exfoliated uterine epithelium is an excellent breeding ground for bacteria, so the use of gynecological probiotics is recommended especially at this stage of the cycle. Moreover, sex during menstruation may increase the risk of infection. Vaginal suppositories with probiotics have a positive effect on the development of natural bacterial flora, which plays an important role in preventing the growth of bacteria that cause sexually transmitted infections.

Probiotic preparations in the form of suppositories are inserted into the vagina. They act locally, but the concentration of Lactobacillus bacteria in them is much higher, which affects their effectiveness.

Taking probiotics is very easy. The candle is placed deep into the vagina, while observing the rules of hygiene. As a rule, 1-2 suppositories per day should be used. Possible side effects are rare and include itching, burning, and increased vaginal discharge.

Oral administration

They have no contraindications; every woman, regardless of age and possible diseases, can take medications with probiotics. Taken orally, they help restore intestinal microflora and normalize digestive processes. Prevent diarrhea and constipation after antibiotic therapy.

Oral probiotics most often contain several different strains of Lactobacillus bacteria. Usually these are: Lactobacillus rhamnosus, Lactobacillus reuteri, Lactobacillus gasperi. These products contain lactoferrin (a protein that exhibits antimicrobial effects). A sufficient amount of lactic acid bacteria protects against the growth of harmful microorganisms.

In addition to the protective use of probiotics, we must not forget about proper nutrition. Kefir, natural yogurt, pickles or cabbage are products that are welcome in the human diet after antibacterial therapy.

What you need to know during pregnancy?

Another period in a woman’s life in which prophylactic use of probiotics is recommended is pregnancy and the postpartum period. This is due to both anatomical changes occurring in a woman’s body and hormonal balance. The concentration of released hormones causes unfavorable transformations within the epithelium, increasing its dryness and the risk of irritation and abrasions in the intimate area.

In addition, possible infections of the genitourinary system are often dangerous for the developing fetus. During pregnancy and breastfeeding, many medications, including antibiotics, are contraindicated, so it is more difficult for a pregnant woman to cope with even a common cold. Preventive intake of probiotics during this period protects the woman from unnecessary problems.

A large group of patients with diseases of the genitourinary system are women during menopause.

Hormonal changes, mainly a decrease in the concentration of estrogen, lead to atrophy of the vaginal mucosa, a decrease in its hydration, which causes inflammation. Probiotics have a beneficial effect on the restoration of microflora and fight pathogenic microbes. Prevents the occurrence of fungal infections and their complications.

Summing up

How often should you wash your intimate parts? It is very important to wash them at least twice during the day. A big mistake is to use a washcloth, because on its surface there are many microorganisms that can be a source of infection. It is very important that the intimate area is washed properly. Wash the area with your hand, using a front-to-back motion to avoid transferring germs from the rectum to the vagina.

How to choose a gel for intimate hygiene? It is necessary to purchase one that will allow you to maintain the acidic pH of the vagina (this will prevent the development of infections), and does not contain artificial dyes, SLS, or parabens. A good intimate hygiene gel does not contain soap or dyes and is hypoallergenic.

What underwear should I use? To ensure comfort throughout the day, you should choose underwear made from natural material, preferably high-quality cotton. Thanks to this, the skin will “breathe”. Wearing thongs is not recommended because using them is much more likely to transfer bacteria from the anal area to the urethra, which leads to recurrent urinary tract infections.

The use of probiotics to restore vaginal microflora is safe, therefore, among the contraindications we can only list an allergy to the substances contained in the preparations (mannitol, starch, magnesium stearate, sucrose).

Preparations containing probiotics with estrogens should not be used by girls who are still in the process of puberty.

Vaginal flora is an important component of a woman’s health. Microflora contains a certain amount of beneficial bacteria, which are represented by lactobacilli, bifidobacteria and other beneficial bacteria. A ninth part of the vagina is populated by lactobacilli, and one part is divided between bifidobacteria and opportunistic bacteria, which in a certain environment do not bother a person. With hypothermia or a change in pH, the transition of opportunistic bacteria to pathogenic bacteria is possible.

Responsibility for the well-being of the internal environment in women lies with lactobacilli, which are responsible for local immunity and prevent the proliferation of harmful bacteria. Together, beneficial bacteria improve immunity. An imbalance of microorganisms, a change in the quantity and quality of beneficial bacteria causes vaginal dysbiosis.

Symptoms of changes in microflora include:

itching due to vaginal dryness;
unpleasant odor;
change in discharge from whitish to yellowish;
pain during sexual intercourse.

When the first signs of a disorder appear, you must visit a gynecologist to clarify the diagnosis and correct treatment. The doctor will prescribe what medications are needed to restore the microflora. If the cause is infection, then the doctor prescribes antibacterial medications, after which means are prescribed to normalize the flora of the intimate zone of women and strengthen local immunity.

Violation of the flora is possible for all sorts of reasons.

taking antibiotics and antimicrobial agents;
intestinal dysbiosis;
past diseases that are sexually transmitted: chlamydia, mycoplasma, candida, gardnerella;
women after menopause;
violation of personal hygiene;
diseases of the female genital organs;
climate change;
changes in the hormonal environment (menstruation failures, pregnancy);
hypothermia;
stress;
non-compliance with the rules for using tampons and pads.

After treating gynecological diseases with antibacterial agents, it is necessary to restore the internal environment with drugs to restore the microflora. Antibiotics kill both the pathogenic environment and lacto- and bifidobacteria. Having been treated for thrush, and without restoring the flora, an infection may reappear, since there will be no bacteria that boost immunity and protect against pathogens. That is why, if after treatment with antibacterial drugs the vaginal environment is not restored, other gynecological infectious diseases are possible.

Preparations for restoring microflora in gynecology

There are many drugs to restore microflora in women. Available in the form of suppositories - suppositories for vaginal use, and tablets or capsules for oral administration. For the best effect, it is recommended to combine suppositories and tablets.

It is preferable to use suppositories, since their effect is faster and there are no side effects on the liver and other organs.

Medicines to restore vaginal microflora:

Release form	Flora restoration agent	Action	Purpose	Compound
Vaginal suppositories	Bifidumbacterin	Regulates the balance of flora	Recovery after treatment with antibacterial drugs. Anti-inflammatory effect	Bifidobacteria
	Lactobacterin	Restores vaginal flora. Kills pathogenic flora due to antagonism. Bacteria convert glycogen into lactic acid, which maintains normal environmental levels.	Restores immunity and flora.	lactobacilli
	Acylact	Contains lactobacilli, which enhance local immunity and fight pathogenic flora. Produce lactic acid to maintain the vaginal environment.	Normalization of flora	Lactobacillus acidophilus
Vaginal capsules	Lactonorm	Eubiotic. Lactobacilli improve local immunity.	Regulates and supports immunity.	Lactobacillus acidophilus. Capsules, unlike suppositories, do not “flow” as much.
Suppositories	Kipferon	Immunomodulator	Boosts immunity	Interferon and immunoglobulin
Vaginal tablets	Vaginorm S	Vitamin remedy	Reduces the acidic environment of the vagina, reduces the proliferation of pathogenic infections. Restores flora due to the development of beneficial lactobacilli. Used for vaginitis and vaginosis	Vitamin C
Vaginal tablets	Gynoflor E	Estrogen and eubiotic	Restores flora during the postmenopausal period, as it contains the hormone estriol, which decreases with age, and lactobacilli	Hormone estriol and lactobacilli acidophilus. The composition contains lactose, which is necessary for lactobacilli to synthesize lactic acid.
Vaginal capsules	Lactozhinal	A product that regulates the balance of microflora	Restores vaginal flora after vaginosis. Used for the prevention of prenatal and gynecological operations.	Lactobacilli in the form of lyophiliate
Vaginal capsules	Trioginal	Regulates flora and normalizes the level of estrogens and gestagens	Restoration of vaginal flora. Used for atrophic vulvovaginitis, which is associated with hormone deficiency.	Lactobacilli in the form of lyophilisate, estriol, progesterone.
Capsules for oral administration	Ecofemin Florovag	Normalization of a woman’s flora in the intimate area	Increases lactobacilli	Lactobacilli of different strains
Tablets for oral administration	Vagilak	Normalization of vaginal flora	Restores flora	Lactobacilli

The flora recovers for at least a month, or even more. Suppositories are recommended to be used 1 to 2 times a day. If the drug is prescribed once a day, it is preferable at night, after toileting the genitals.

For washing, you cannot use products that contain soap, as the flora is disrupted due to the alkaline environment, which kills beneficial lactobacilli. It is necessary to use specialized products for genital hygiene, such as Epigen intimate gel, Lactacid, Saugella.

Tips for treatment with means for restoring microflora in gynecology:

a diet that excludes sweets, yeast, and alcohol. Add more vitamins, vegetables and fruits to your diet;
washing in the morning and evening with lactic acid-based products;
washing with herbal infusions: chamomile, calendula;
insert the candle while lying down. Legs pressed to chest. Wash your hands with soap first.
if the candle was prescribed to be inserted in the morning and evening, then in the morning, after inserting the candle, lie down for 30 minutes. Then put on the gasket;
exclude sexual intercourse.

Means for restoring vaginal microflora using traditional methods

In folk medicine there are many ways to restore the vaginal environment:

douching with infusion of plants: chamomile, calendula, sage;
douching with soda, kefir or furatsilin;
make a tampon from honey and insert it vaginally in the morning. Don't forget about possible allergies to honey. In the evening, insert a tampon soaked in kefir;
moisten a tampon in sea buckthorn oil and insert vaginally for two weeks;
prepare an infusion of cinquefoil herb. Douche at night.

Restoration of vaginal microflora in pregnant women

In pregnant women, the prescription of medication to restore microflora in gynecology is limited to the prescription of suppositories with lactobacilli (acylact, laktonorm) and capsules or tablets (Vagilak). The doctor tells pregnant women how to restore the microflora, so when prescribing medications, you should consult a gynecologist.

Hygienic care is not a contraindication during pregnancy, so washing gels based on lactic acid and herbs are allowed.

Thus, it is important to note that it is necessary to use drugs to restore vaginal flora. After all, the internal environment of the vagina is an important component of women’s health. You should not start treatment, but consult a doctor in time to prescribe medications to restore microflora in the intimate area.

Preparations for restoring vaginal flora - video

Restoration of vaginal microflora is usually carried out using vaginal suppositories. Such drugs are no less effective than tablets and contain the same components (but in lower concentrations). Suppositories for restoring microflora act locally and therefore provide a faster healing effect.

Indications for the use of suppositories to restore microflora

Suppositories are used to restore vaginal flora:

Before carrying out planned gynecological operations;
Before performing a caesarean section;
In pregnant women who are at risk of possible vaginal pathology;
After systemic or local antibacterial treatment using chemotherapy or antimicrobial drugs;
For vaginal dysbacteriosis.

Release form

The most popular suppositories for restoring vaginal flora are “Bifidumbacterin”, “Gynoflor”, “Lactocide”, “Acilact”, “Lactozhinal”, etc.

Suppositories with lactobacilli to normalize microflora

As a preventive measure for gynecological diseases that develop as a result of disturbances in the vaginal microflora, suppositories with lactobacilli are used. These medications have a positive effect on local immunity. Research results have revealed that such suppositories are useful in preventing HIV, as they help activate the protective forces of the cells most vulnerable to this infection, and also normalize the level of vaginal pH.

Suppositories with lactobacilli eliminate itching, discomfort and dryness in the vagina that occurs during pregnancy or as a result of frequent douching. By eliminating pathogenic organisms, they promote rapid recovery.

If a patient has bacterial vaginosis, which has developed as a result of stress, a disorder of the immune system, hormonal imbalance or taking antibiotics, she may be prescribed suppositories with lactobacilli (such as Lactobacterin or Laktonorm). These drugs stabilize the microflora, replenishing the lack of beneficial microorganisms that have died under the negative influence of external irritants.

The properties of suppositories for restoring microflora are considered using the example of the drugs Acylact and Gynoflor.

Pharmacodynamics

Acylact has strong antagonistic activity against opportunistic and pathogenic bacteria - these are Escherichia coli (enteropathogenic), staphylococci, and Proteus. This medicinal effect helps restore bacteriocenosis of the female genitalia.

Pharmacokinetics

After inserting the suppository into the vagina, the effect of estriol and dry bacteria begins. A study on the absorption of estriol from the drug was conducted in postmenopausal women. Upon repeated administration of the suppository, the plasma concentration of estriol was equal to the same level of internal unbound estriol. After 12 days of using Gynoflor (1 suppository per day), the maximum saturation of unbound estriol in the blood plasma was the same as the initial figures. This suggests that there is no systemic absorption of the drug.

The use of these suppositories does not in any way affect the concentration of the sex hormones estradiol and estrone in the blood plasma, since estriol itself is the end product of the metabolic process of these substances.

Using suppositories to restore microflora during pregnancy

An imbalance of the vaginal flora often accompanies pregnant women, and the process of treating this problem in this case must be approached with special care, since many medications cannot be used in this situation. But infectious diseases must be treated quickly, as they can negatively affect pregnancy and the fetus.

Now the pharmaceutical industry is producing new medications (in the form of suppositories) that help restore vaginal microflora, which are completely safe for both the health of the mother and the health of her baby. Terzhinan, Nystatin, and Polygynax suppositories are suitable for pregnant women. Clindamycin may be prescribed with some precautions. Drugs such as Bifidumbacterin and Lactobacterin help restore the balance of beneficial bacteria.

Contraindications

Candles are contraindicated in the following cases:

In case of individual hypersensitivity to current medications;
For estrogen-dependent malignant tumors in the uterus, breast, vagina or ovaries (already diagnosed, in history, or if they are suspected);
Endometriosis (if suspected or already diagnosed);
With vaginal bleeding of unknown origin;
Girls who have not begun to be sexually active;
For untreated endometrial hyperplasia.

Side effects of suppositories to restore microflora

Suppositories themselves have no side effects, but since each body is different, some people may be allergic to them. Such reactions include redness in the genital area, burning, itching, and copious discharge.

Directions for use and doses

Bifidumbacterin suppositories must be inserted into the vagina 2-3 times a day. The duration of the treatment course depends on how the microflora changes. On average it lasts approximately 7-10 days.

Gynoflor is inserted deep into the vagina from a lying position with legs slightly bent at the knees. It is recommended to perform the procedure before bedtime. To stabilize the vaginal microflora after complex or local use of various antimicrobial drugs or antibiotics, 1-2 suppositories must be administered daily for 6-12 days.

Depositphotos/imagepointfr

According to statistics, every second woman has at least once encountered a disruption in the coordinated work of microbiota, which serve as beneficial microorganisms that make up the microflora of the vaginal environment. This disease is called vaginal dysbiosis.

The insidious disease does not cause obvious anxiety in the patient and does not have pronounced symptoms. Without showing any signs, dysbiosis can cause serious disruptions in the functioning of the entire reproductive system. Studying the causes of the occurrence, based on clinical signs, will help you choose the appropriate method for treating vaginal microflora.

Causes of flora disturbance in women

There can be many causes of dysbacteriosis in gynecology. These include:

a decrease in the body’s general immunity as a result of freezing has a detrimental effect on the vaginal flora;
sexually transmitted infections;
a sharp change in climate often serves as a factor in the acute phase of dysbiosis;
prolonged or uncontrolled use of antibiotics;
non-compliance with the rules for using tampons during menstruation, their careless insertion and unsystematic replacement create a favorable environment for anaerobic dysbiosis in women;
diseases of the gastrointestinal tract;
disruptions in the hormonal sphere due to irregular sexual activity or irregularities in the menstrual cycle, any trimester of gestation and postpartum recovery, termination of pregnancy, menopause;
various infectious and inflammatory processes in the pelvis;
antibiotic therapy;
violations of personal hygiene rules.

All these factors are not always identified as the root cause of dysbiosis of the genital organs. In the case when the immune system has strong antiviral characteristics, the health of the microflora is not threatened, and as soon as any deviations from the norm appear, the strength of a strong organism freely leads to the normalization of the condition. But when a woman is constantly exposed to the factors described above (freezing or does not treat the intestines), then the vaginal flora can be destroyed and a new problem arises: how to restore the vaginal microflora.

Signs of vaginal dysbiosis

Asymptomatic dysbacteriosis is the norm. But still, there are obvious indicators that are worth paying attention to, for example, a change in the amount or composition of secretions released from the vagina. Often women do not pay special attention to this indicator, which is their mistake. Here are some more signs that should alert you and prompt a woman to visit a doctor:

there is an unpleasant odor in the discharge;
a significant increase in the quantitative indicator of vaginal secretion and a pronounced yellow color;
increased dryness, which manifests itself as unpleasant sensations during urination or during sexual intercourse.

This disease is not characterized by other obvious indicators. In the case when additional symptoms are added to the above set, this indicates the beginning of an inflammatory or infectious process. These include:

burning in the perineal area;
problems with urination;
itching of the external genital area and vagina;
increased vaginal dryness.

Failure to treat an ongoing clinical disease leads to the following serious consequences:

endometritis, which begins as a result of infection of the uterine body;
urethritis and cystitis are a projection of a malfunction of the genitourinary system;
adnexitis, provoked by infection of the uterine appendages - tubes and ovaries.

It is better to seek help from a specialist at the first symptoms than to reap the bitter fruits of an irresponsible attitude towards women's health.

How to normalize microflora in women

The topic of how to restore the vaginal microflora is quite relevant, because the female flora is easily susceptible to imbalance, which leads to this kind of consequences. A special recovery program has been developed, which consists of three stages:

Getting rid of painful microbiota that caused vaginal dysbiosis.
Regeneration of the microflora of the vaginal mucosa.
Raising the level of immune protection of the vaginal walls to further maintain healthy microflora.

Now in more detail about all the stages. Treatment of the disease directly depends on eliminating the root cause that provoked such a pathological process. We have already talked about possible reasons.

First of all, it is necessary to undergo tests, and both partners must undergo a clinical trial. This is one of the necessary measures to identify the main cause of dysbiosis. If the main factor is a sexually transmitted disease, both infected partners will be subject to treatment.

The infection, which has become a decisive factor, must be eliminated, and as a result, dysbiosis will recede. Most likely, a course of antibiotic therapy will be prescribed. The following drugs are considered the most effective: Flagyl, Amoxicillin, Summed, Unidox Solutab, etc.

If a sexually transmitted infection is not detected, taking antibiotics is not a necessary measure; a short five-day course can be chosen.

Afterwards, the doctor prescribes topical procedures that are most effective. At home, medicinal tampons are introduced and special baths are made. Such an integrated approach will help not only suppress the pathogenic focus in the microflora, but also restore its health by boosting immunity. In this case, it would be appropriate to use antiseptic drugs.

After identifying and eliminating the cause of dysfunction of the vaginal microflora, the time comes to regenerate the natural flora.

How to restore vaginal microflora

First of all, it is worth understanding that this stage consists exclusively of immunomodulatory medications. The consequence of the resulting disruptions in flora indicators is an underestimation of the immunity of the mucous walls of the vagina. It is this part of the woman’s reproductive system that is responsible for regulating the vaginal microflora. It turns out that the regenerative reconstruction of the immune characteristics of the vaginal walls has one of the most significant roles in all therapy.

Ailments that do not have complications are easily treated with immunomodulatory drugs. The launched version requires a complex arrangement of various circuits. In most cases, the therapeutic course starts with taking immunostimulants, and then antibacterial therapy is added.

Restoring microflora after thrush is also not an easy task. This disease, in most of the diagnosed cases, is a consequence of taking strong antibiotics, including uncontrolled or frequent use of such drugs. After thrush, you will also have to undergo a course of antibiotics, then treatment for their consequences and, finally, rehabilitation therapy.

The course of treatment lasts from 3 to 4 weeks. Then the patient is examined and control laboratory tests are done to ensure correct treatment. Good results provide a reason to stop treatment. It remains to follow preventive measures to maintain a healthy balance of microflora.

Preparations for normalizing vaginal microflora

The pharmacy market is filled with many high-quality drugs that are used in the treatment of this problem. It is worth remembering one thing that only a specialist will be able to select the necessary therapy, because the treatment of this disease is not limited to taking one drug, and it is unlikely that you will be able to create a comprehensive medicinal approach on your own.

Suppositories for improving vaginal microflora that contain lactobacilli have proven their effectiveness. The thing is that the infection affects the surface cells of the epithelium of the vaginal mucosa, as a result of which they die and are rejected, so there is simply nothing for the beneficial microbiota to cling to, and after a week they die. Standard probiotics will not give the expected results. Double-acting drugs are used here. They build up the epithelial layer and at the same time populate it with vital bacteria. In this way, the microflora is restored.

The most effective are the following tablet preparations: Ecomfemin Floravag, Folio, Gynoflor E. After completing the course, 7 days are expected and if the symptoms do not recur, then the doctor prescribes Bifidumbacterin suppositories. They will help balance the pH of the vaginal environment, which is an integral part of the restoration process of healthy microflora. Duration of use - 10 days.

The drug “Tantum rose” also showed good results. It is produced in powder form. A solution for vaginal use is prepared on its basis.

Oral medications may also be prescribed, for example, Normoflorin-B and L. For one month, sachets are taken morning and evening.

A prerequisite for treatment is adherence to a diet. Fatty and smoked foods, as well as sweets and carbonated drinks are excluded from the diet. Fermented milk products are introduced; they enhance the effect of suppositories and probiotics.

The results of bacteriological culture can provide reliable information about the correctness of the treatment.

Traditional medicine

There are also alternative medicine methods that are also designed to restore vaginal flora. But you should not make a decision on your own; consult your doctor first. The doctor will be able to advise on the effectiveness or, conversely, the uselessness of the measures used. Some of the most popular methods that traditional medicine offers:

Tampons with sea buckthorn oil. A tampon soaked in oil is inserted at night and removed in the morning. This method is very effective, because sea buckthorn concentrate has a pronounced bactericidal and wound-healing effect. The treatment course lasts at least 10 days.
Cotton swabs with an acidic medium and honey panacea. After melting 1 tbsp. honey, moisten a cotton-gauze swab in the prepared solution. The next day, a tampon with kefir liquid is inserted. The method is suitable only for people who do not have allergic reactions to honey. The course of treatment is 10 days.
Syringe from a decoction of string. Prepare the decoction of the string, filter and cool. Use it warm for daily douching. The course of treatment is unlimited - until all symptoms are eliminated.

Any traditional method can be repeated after a break of 7 days. Menstruation is a contraindication for procedures.

To restore the vaginal microflora, they become necessary when the body itself cannot regulate the ratio of bacteria. The causes of this condition may be previous infectious diseases, poor hygiene, hypothermia or changes in climatic conditions.

Female dysbiosis, or a violation of the female microflora, leads to the fact that the vaginal flora, which normally should help the immune system fight harmful bacteria, viruses and fungi, ceases to cope with its functions. This leads to decreased immunity, frequent diseases of the genitourinary system, and unpleasant sensations in the genitals - burning, itching, pain, dryness, irritation.

Now there are a large number of vaginal suppositories that will help cope with the problem.

Vagical

Vagikal are women's suppositories, the active substance of which is of plant origin. Thanks to calendula, which is part of the drug, the suppositories act as an anti-inflammatory and bactericidal agent. Women's suppositories promote rapid regeneration of the vaginal mucosa, and also increase the body's protective function from external irritants.

The composition of medicinal calendula includes acids: salicylic and pentadecyl. Thanks to their action, streptococcus and staphylococcus bacteria stop multiplying and die. But at the same time, calendula does not act on the female body as aggressively as antibiotics; it restores dead mucosal cells and prevents scars from forming.

Women's suppositories improve blood circulation in the pelvic organs, so inflammation goes away faster. The drug is able to heal erosions of the genital tract.

The female drug Vagikal improves the quality of life of women who are in menopause. Thanks to calendula extract, rich in plant mucilage and polysaccharides, the drug fights dryness, irritation and itching.

Before insertion into the vagina, a woman should moisten the suppository with warm boiled water. The candle quickly dissolves. The daily dose of the medication is prescribed by the attending physician, in most cases it is 2 suppositories per day. The course of treatment lasts about a week.

Vagical is prescribed in the following cases

Side effects include an allergic reaction to the composition of the drug. It can manifest as itching and vaginal dryness.

Suppositories for improving female microflora have no contraindications. During pregnancy and breastfeeding, a woman should consult a doctor before using suppositories.

Women's Vakigal candles are produced in Poland, available in packs of 10 pcs. Approximate price - 110 rubles.

Analogues of the product:

Vagilak;
Tsifran;
Labilact.

Gynoflor

Gynoflor - women's tablets for the treatment of vaginal dysbiosis, normalization of microflora. They contain beneficial lactobacilli and the synthetic hormone estriol.

Lactobacilli, settling in the vagina, normalize the microflora, create acidity, which prevents harmful microorganisms from multiplying. A sufficient amount of lactic acid is produced to regenerate and protect the mucous membrane of the genital tract.

During the activity of lactobacilli, which are included in women's pills, bacteriocins are produced. They have an inhibitory effect on pathogenic microorganisms.

Estriol is an analogue of estrogen produced by the ovaries. This substance is necessary in the preparation in order to stimulate the growth of mucosal cells for speedy regeneration. This improves the condition of the vaginal walls. Estriol helps fight unpleasant symptoms during menopause.

Gynoflor increases the ability of the female body to resist external irritants due to the barrier function of the vaginal mucosa.

Women's pills are effective for the following conditions:

after treatment with antibiotics;
after chemotherapy;
during menopause;
with nonspecific discharge;
for the treatment of candidiasis (as an adjuvant);
with vaginitis.

Before use, female tablets are moistened with water and inserted into the vagina. The doctor prescribes 1–2 tablets per day. The course of treatment lasts from 7 to 14 days.

During the course of treatment you should abstain from sexual intercourse.

Side effects occur in case of intolerance to the substances that are included in the drug. This may cause swelling of the mucous membrane, burning and itching. In this case, it is better to stop treatment and consult a doctor.

Gynoflor is contraindicated:

with bleeding;
in the presence of tumors of the reproductive system or breast;
with endometriosis.
It is not recommended for use by women who have not reached puberty.

The country of origin of the product for improving female microflora is Switzerland. The medication is available in 12 tablets per package. Approximate price - 950 rubles.

Analogues of the product:

Hexicon;
Venro Kit;
Gynekit;

Bifidumbacterin

Bifidumbacterin is a product that is available in the form of rectal-vaginal suppositories. It contains anaerobic bifidobacteria. They kill harmful microflora, maintain the necessary acidity in the female body, and increase the barrier protective function.

The product removes toxins from the body. Bifidobacteria stimulate the production of lactic acid, vitamins B and K, and strengthen local immunity.

The drug can be prescribed as an additional drug in the treatment of chlamydia, gonorrhea, and genital herpes.

Bifidumbacterin has an anti-inflammatory effect, helps with colpitis, vaginitis, and urethritis.

Prescribed by a doctor after undergoing operations on the genitourinary system, to prevent complications. During menopause, the drug helps combat excessive vaginal dryness or excessive discharge.

Suppositories treat dysbacteriosis after long-term use of antibiotics and bring female microflora back to normal.

Approved for use in pediatrics, pregnant women and nursing mothers.

The doctor prescribes 1–2 suppositories per day. The course of treatment ranges from 7 to 12 days.

When taken simultaneously with antibiotics, Bifidumbacterin can reduce the effectiveness of the latter.

Increases the effect of vitamin-containing products.

Available in a package of 10 pieces, the manufacturer of the drug is Russia. Approximate price - 390 rubles.

Vaginorm

Vaginorm-S is an antimicrobial and antiseptic agent that improves female microflora. The main active ingredient is ascorbic acid. Its content in 1 suppository is 250 mg.

The product can increase the acidity of the vagina, which prevents further proliferation of pathogens.

At the same time, lactobacilli and bifidobacteria continue their vital activity. In this way, the microflora inside the genital organs is normalized.

Women's pills increase immunity and act as an anti-inflammatory agent.

The doctor prescribes the drug for the following diseases:

colpitis;
vaginitis;
dysbiosis.

It is not recommended to use for candidal colpitis, since increasing the pH can aggravate the situation. There is no need to stop taking Vaginorm during menstruation and infectious diseases. The drug reduces the effectiveness of anticoagulants. You can use women's tablets to normalize microflora during pregnancy and lactation.

The doctor prescribes 1 tablet in the evening for a week.

Side effects may occur in the form of:

The manufacturer of the tablets is Germany, there are 6 pieces in one package. Approximate price - 620 rubles.

Analogues of the drug:

Lactonorm;
Lactobacterin;
Acylact;
Vagilak.

Kipferon

Kipferon is available in the form of rectal and vaginal suppositories. It includes:

interferon;
immunoglobulin complex;
Excipients.

Suppositories have an antiviral effect and an antibacterial effect against chlamydia.

The drug fights inflammation and intoxication of the body as a result of the activity of harmful bacteria. Kipferon promotes rapid healing of the mucous membrane, prevents the formation of scar tissue, and improves female microflora.

Suppositories increase local and general immunity of the body. Kipferon helps with cervical erosion. Improves blood circulation in the pelvic organs. Prevents the occurrence of vaginal dysbiosis.

The drug is prescribed by a doctor in the following cases:

Used before surgery to reduce the risk of post-operative infections.

Can be used in the second and third trimesters of pregnancy as prescribed by a doctor. Prescribed in the form of rectal suppositories for children under one year of age.

The drug has no contraindications. No side effects were observed.

Kipferon is available in 5 and 10 pcs. packaged. Manufacturer of the product - Russia. Approximate price - 600 rubles.

Analogues of the drug:

Giaferon;
Altevir;
Laifferon;
Viferon.

Estriol

Estriol is a vaginal suppository for women, the active ingredient of which is exogenous estriol. Most often, the drug is prescribed to women who feel a lack of the hormone estrogen. This condition causes dryness and burning in the vagina, disruption in the regeneration of the mucosa and its atrophic changes.

Suppositories restore microflora, help in the division of mucosal cells, and normalize acidity.

Thanks to the action of the female remedy Estriol, local immunity increases, chronic diseases worsen less frequently.

Doctors prescribe female suppositories:

The drug is contraindicated:

if there is a tendency to allergic reactions to components;
when blood clots form;
for cancer;
with uterine bleeding;
with liver failure;
with hyperplasia of the endometrial walls;
with atherosclerosis;
after recently suffering a heart attack.

Prohibited for use by pregnant and lactating women.

Side effects include:

The doctor prescribes 1 suppository at night. The course of treatment ranges from 7–14 days.

Estriol enhances the effect of glucocorticosteroids and also changes the effect of anticoagulants and beta-blockers.

The manufacturer of the drug is the Republic of Moldova. The drug is available in packages of 15 pcs. Approximate price - 230 rubles.

Analogs of women's suppositories Estriol are:

Ovestin;
Estrocad;
Esterlan;
Klymen;
Menostar.