Difficulties in therapy of aerobic vaginitis and ways to overcome them

I.V Kuznetsova

doi:10.30841/2708-8731.4.2021.238159

Abstract

Pathological discharge from the genital tract and other signs of discomfort of the external genitalia are a common cause of a visit to the gynecologist. The cause of these disorders in most cases is vulvovaginal infection, accompanied (vaginitis) or not accompanied (vaginosis) by leukocyte reaction. Methods for treating vulvovaginal infection are predominantly local therapy or systemic agents with highly selective antimicrobial activity. Since a significant part of the vaginitis is of mixed polymicrobial origin, treatment should be complex, which determines the possibility of prescribing topical medicines containing several components of a wide spectrum of action. At the same time, the complexity of diagnosis and the time spent on it allow one to talk about the advisability of empirical therapy of vulvovaginitis, accompanied by severe clinical symptoms.

Highlights

Pathological discharge from the genital tract and other signs of discomfort of the external genitalia are a common cause of a visit to the gynecologist
Since a significant part of the vaginitis is of mixed polymicrobial origin, treatment should be complex, which determines the possibility of prescribing topical medicines containing several components of a wide spectrum of action
The complexity of diagnosis and the time spent on it allow one to talk about the advisability of empirical therapy of vulvovaginitis, accompanied by severe clinical symptoms

Summary

Introduction

Pathological discharge from the genital tract and other signs of discomfort of the external genitalia are a common cause of a visit to the gynecologist. Третя – лікарський засіб має бути максимально нейтральним по відношенню до нормальної мікрофлори та епітеліальних клітин піхви, а також безпечним для макроорганізму. Ключовим моментом вибору лікарського засобу для емпіричної терапії вульвовагінітів є його ефекти щодо нормальної і патогенної вагінальної мікрофлори.

Results

Conclusion