Abstract
Aim: to assess the efficacy of the alternative treatment for cervicitis in women of reproductive age and premenopausal women. Patients and Methods: this pilot comparative study included 60 women of reproductive age and premenopausal women (25–45 years) with cervicitis who were divided into two groups. Group 1 women (n=30) received multi-component herbal preparation (Tukofitol cream) once daily for 20 days. Group 1 women were subdivided into two subgroups. In women of subgroup 1A (n=14), opportunistic flora in relevant titers was identified, and these women were prescribed systemic antibacterial treatment. In women of subgroup 1B, no opportunistic flora in relevant titers was identified, and these women were prescribed with multi-component herbal preparation only. Group 2 women (controls, n=30) were also subdivided into two subgroups. In subgroup 2A (n=16), women received systemic antibacterial treatment and Povidone Iodine vaginal to manage opportunistic flora. In subgroup 2B (n=14), no opportunistic flora in relevant titers was identified, and a watchand- wait approach was applied. Before treatment and 30 days, subjective symptoms typical for cervicitis were evaluated, laboratory tests and colposcopy were performed. Results: two women from each group have withdrawn from the study. In group 1, more rapid improvement of cervicitis symptoms vs. group 2 (p<0.05) was reported. Moreover, no growth of opportunistic flora was more commonly seen in group 1 (100%) compared to group 2 (92.85%, p>0.05). Conclusion: the improvement of subjective criteria and laboratory test results has demonstrated that treatment was effective in both groups. In the lack of opportunistic flora in relevant titers, multi-component herbal preparation as monotherapy can be prescribed to reduce symptoms of inflammation. KEYWORDS: cervicitis, inflammation of the cervix, Tukofitol, reproductive age, premenopausal age, treatment, diagnostics, colposcopy, opportunistic microbes, sexually transmitted infections, monotherapy. FOR CITATION: Saprykina L.V., Ibragimova D.M., Narimanova M.R. Cervicitis: potentialities of alternative treatment. Russian Journal of Woman and Child Health. 2021;4(3):225–228 (in Russ.). DOI: 10.32364/2618-8430-2021-4-3-225-228.
Highlights
Aim: to assess the efficacy of the alternative treatment for cervicitis in women of reproductive age and premenopausal women
Проведение антибактериальной терапии до получения результатов исследования возможно у лиц с повышенным риском инфекций, передающихся половым путем (ИППП) [2]
Благодарность Редакция благодарит компанию ООО «Адонис» за оказанную помощь в технической редактуре настоящей публикации
Summary
РЕЗЮМЕ Цель исследования: оценить эффективность альтернативной терапии при лечении цервицита у женщин репродуктивного и пременопаузального возраста. У пациенток подгруппы IA (n=14) выявили условно-патогенную микрофлору (УПМ) в диагностически значимых титрах, в связи с чем женщины получали системную антибактериальную терапию. У пациенток подгруппы IB (n=16) УПМ в диагностически значимых титрах выявлено не было, и женщины получали только многокомпонентное растительное средство. Пациенток из группы II, контрольной (n=30), также разделили на 2 подгруппы. У пациенток подгруппы IIB (n=14) УПМ в диагностически значимых титрах выявлено не было, поэтому применялась выжидательная тактика. А также через 30 дней после начала лечения оценивали субъективные симптомы, характерные для цервицита, выполняли лабораторные исследования и кольпоскопию. При отсутствии УПМ в диагностически значимых титрах возможно применение многокомпонентного растительного средства в качестве монотерапии, что способствует уменьшению симптомов воспаления. ДЛЯ ЦИТИРОВАНИЯ: Сапрыкина Л.В., Ибрагимова Д.М., Нариманова М.Р.
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