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 Vaginosis
bacteriana
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 Vaginosis bacteriana 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 the risk of contracting other
diseases, especially those transmitted by 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 may appear or be
present in women from 14 to 45 years, even in those who do not have any kind of
sexual relationship, as modifications or alterations in resident bacteria the
vagina are responsible for this pathology.
During the Vaginosis
bacteriana
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 powerful bactericides, due
to this disease have recurrences, 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 fluid 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 the alterations in the symbiosis of the
vaginal ecosystem, in multiple studies carried out in several world centers, it
was found that the consumption of probiotics was beneficial in the Vaginosis
bacteriana reestablishment of the 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,
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