Vaginosis bacteriana

Humans have a group of bacteria and microorganisms , which live in the skin, mucous membranes and body secretions throughout their lives. The colonization or first bacteria that arrive and settle to live in the organism begins as soon as the fetus is extracted or expelled from the maternal womb. These microorganisms that live in symbiosis or almost perfect ecological balance receive several names given by immunology and microbiology. The most common denominations of this ecosystem are: Native flora, indigenous flora, normal bacterial flora, ecological barrier, or human microbiota, an alteration of This ecosystem can give rise to various diseases or pathological changes as in the case of bacterial vaginosis .

The female external genital organs (those that we can see as vagina and vulva) have a number of bacteria and microorganisms that live naturally and in perfect harmony between them since the neonatal period of the woman. An alteration in this delicate balance is the responsible, causative or etiological agent (as it is called the one that causes the alteration in medicine) of bacterial vaginosis.

What is bacterial vaginosis?

Bacterial vaginosis is the alteration produced by the decrease in the amount of microorganisms of the vaginal microbiota , or the amount of the normal bacterial flora, or the bacteria that normally reside in the vagina, in perfect harmony with the health of the woman. This decrease in the resident bacteria of the vagina, allows or favors that other harmful bacteriaare introduced into the vagina, or proliferate in a disorderly manner and cause an alteration of the previously established balance, with various symptoms and various signs which together is called bacterial vaginosis, which causes various discomfort in the woman who suffers from it, with a significant increase of the risk of contracting other diseases, especially those transmitted through sexual intercourse, or sexually transmitted diseases, such as HIV, AIDS, HPV, papillomas or warts, pelvic inflammatory disease, etc.

The bacterial vaginosis is the decrease in the number of lactobacilli (a group of bacteria that normally reside in the vagina and serve as defense mechanism or protection for the vagina) and replacing these by other foreign or foreign bacteria to this such as : Gardnerella vaginalis, Prevotella, Peptostreptococcus and Bacteroides spp, which take advantage of the decrease in lactobacilli to invade the vaginal cavity. It should be noted that these bacteria do not produce an inflammatory response, or inflammation in the area, this being the main reason for being called bacterial vaginosis and non-vaginitis that would imply inflammation.

What is bacterial vaginosis?

Bacterial vaginosis is not considered a sexually transmitted disease and it can appear or be present in women from 14 to 45 years old, even in those who do not have any kind of sexual relationship, since the modifications or alterations in the resident bacteria of the vagina are responsible for this pathology.

During the last two decades, a wide-ranging debate has arisen among various doctors, microbiologists, immunologists, gynecologists and obstetricians, who object to the name of bacterial vaginosis, due in part to the existence of women’s populations, in which up to 40 % of these present this alteration, and they do not receive or seek any type of medical treatment since half of all cases do not present symptoms or are asymptomatic. Likewise, up to 60% of patients treated by allopathic medicine with antibiotics and potent bactericides, due to this disease have relapses, or return to suffer it within a period of 12 months.

The so-called disease or alteration is of little importance to the woman who suffers it, who seeks a solution to the problem, on the contrary it has only created some inconveniences for health insurers not to pay for these treatments.

Symptoms of Bacterial Vaginosis

Up to 50% of women who suffer from this disease may not have or suffer from any symptoms. Being the disease in them detected during a pelvic gynecological examination or when a speculum is introduced into the vagina and whitish liquid is observed .

  • The most characteristic sign and symptom of bacterial vaginosis is the presence of a secretion through the external genitalia that stains the underwear or the daily protector of the woman, of white or grayish color of milky aspect (The whitish vaginal discharge receives the medical name of leucorrhea ) this secretion exhibits a strong smell of amines, which is commonly referred to as fish odor of the secretion and genital area, which intensifies after sexual intercourse especially those sexual relationships in which no methods are used of barrier protection (condoms) and semen makes contact with the vagina.
  • Strong unpleasant odor in the genital area.
  • Itching or burning sensation or burning of the vaginal area (called vaginal itching)
  • Pain in the vaginal area , and pain during sexual intercourse called dyspareunia.

Recommended diet for bacterial vaginosis

The probiotics have been used successfullyto treat alterations in the symbiosis of the vaginal ecosystem, in multiple studies conducted in various world centers, it was found that the consumption of probiotics was beneficial in the restoration of bacterial colonies of the normal flora of the vaginal cavity. The products that contributed the most benefit were those containing Lactobacillus acidophilus, Lactobacillus rhamnosus, Lactobacillus reuteri, Lactobacillus rhamnosus alone, Lactobacillus crispatus, Lactobacillus gasseri, Lactobacillus jensenii. The patients who received probiotics in their diets showed faster recovery and fewer recurrences than the control groups. Likewise, a beneficial effect was observed among the patients who received probiotics for the gastrointestinal tract,

A high quality probiotic is that of ISDIN:   Woman ISDIN – Isadin Oral

Allopathic Medical Treatments of Bacterial Vaginosis

The medical treatment of bacterial vaginosis consists of taking it by mouth in the form of capsules or applying locally a drug capable of destroying the causative bacteria, most of the cases only merit a single type of treatment to achieve the cure of this disease .

The most commonly used medications to treat bacterial vaginosis are:

  • Metronidazole taken orally for 5 to 7 days
  • Secnidazole taken orally only
  • Metronidazole applied in the form of an intravaginal cream for 7 days
  • Clindamycin applied in the form of an intravaginal cream for 7 days
  • Probiotics such as vaginal lactobacilli.