Low vaginal lactobacilli

If female friends go for regular gynecological examinations and find that the number of lactobacilli detected in their vagina is reduced, it is an abnormal reaction. In this case, it is best to do further examinations. Only in this way can a thorough diagnosis be made. Otherwise, it will lead to uterine diseases in the future. Many uterine inflammations or vaginal infections are caused by vaginal lactobacilli.

1. Purpose of treatment BV is characterized by a disordered vaginal ecological environment, in which the normal flora dominated by hydrogen peroxide-producing lactobacilli is replaced by an overgrowth of mixed microorganisms. Therefore, the purpose of treatment is to kill pathogenic microorganisms and restore the normal vaginal ecological environment. Treatment can relieve vaginal symptoms and signs, reduce the risk of BV-related infectious complications during pregnancy, reduce the risk of premature birth or low birth weight, and reduce the risk of infectious complications after miscarriage or hysterectomy. Although treatment can achieve a cure rate of more than 80%, there can be an 80% recurrence rate within 1 year.

2. Treatment methods There are two types of treatments for BV: systemic treatment and local vaginal treatment. Systemic treatment mainly involves oral medications, which are suitable for BV patients who are unwilling to use local medications or have complications. However, the dosage of the medication is large, and the chances of systemic side effects are high and obvious.

Local vaginal treatment is the use of medications inside the vagina to directly kill or inhibit BV-related mixed microorganisms. It is suitable for BV patients who cannot tolerate the adverse reactions of oral drugs and have no complications. It has the advantages of small dosage and mild or unobvious adverse reactions, so local medication is more popular.

3. Treatment precautions: Sexual intercourse or use of condoms should be avoided during BV treatment. Long sitting baths should also be avoided during local treatment. Condoms must still be used within 4 weeks after the end of treatment. The time for local medication should be the interval between two menstruations. Follow-up is required after treatment, generally 1 week, 4 weeks, 3 months, and 9 months after treatment. The cure criterion is that all indicators in the diagnostic criteria return to normal. The recurrence criterion is the reappearance of most or all indicators in the diagnostic criteria after cure.

Anti-anaerobic drugs are mainly metronidazole and clindamycin. Metronidazole inhibits the growth of anaerobic bacteria without affecting the growth of lactobacilli. It is an ideal therapeutic drug, but has poor effect on mycoplasma.