Gardnerella and ureaplasma This insidious ureaplasma - often too late   - A microorganism belonging to the pathogenic microflora. They can live in the mucous membranes of the urinary organs, without causing disease. But may cause inflammation and, particularly if there are simultaneous. Often a large number of gardnerellas and ureaplasma detected in the vagina dysbacteriosis Dysbacteriosis vagina - how to fight?   - Bacterial vaginosis.

Normal and conditionally pathogenic microflora of genitals

On the mucous membranes of the genital organs is a large number of bacteria, which are divided into two types:

• Useful (normal flora) that help to maintain the purity of the genital organs and suppress the growth of microorganisms that could cause disease;
• opportunistic, which under certain conditions (significant reproduction, lowered immunity, violation of the integrity of the mucous membranes, and so on) can cause disease.

Normally, between the two there is a dynamic equilibrium of the microflora, thus useful microflora inhibits proliferation of opportunistic. But in some cases (for example, antibiotics, frequent douching using antiseptic and so on) the volume of the normal microflora is reduced, it can not fully control the proliferation of opportunistic and last expands, breaking the balance - a condition called dysbiosis (dysbiosis).

Gardnerella and ureaplasma - representatives of conditionally pathogenic microflora

Women representatives of conditionally pathogenic, causing vaginal bacteria overgrowth are gardnerelly. Dysbacteriosis vagina is also called bacterial vaginosis. It appears advent of bacterial vaginosis discharge with an unpleasant fishy odor. Bacterial vaginosis can and should be treated as formed in this environment is favorable for the development of inflammatory processes. Inflammation can be caused both by gardnerellami (bacterial vaginosis), and other representatives of conditionally pathogenic microflora, which are activated at the background of bacterial vaginosis. One of these pathogens can be ureaplasma. Therefore, the combination ureaplasmas gardnerelly and the presence of symptoms of bacterial vaginosis should be treated.

Men gardnerella long time to be on the mucous membranes of the genital tract can, more often it dies. But there are other opportunistic pathogens that cause similar diseases in males and activating at the same time other opportunistic pathogens, such as ureaplasma. Finding these bacteria and ureaplasmas a man with no signs of dysbiosis Signs of dysbiosis - depend on the localization process   or inflammation and it is not a reason for treatment.

Symptoms of infectious-inflammatory process caused by a combination of gardnerellas and ureaplasmas

Such inflammatory processes typical for women. Developing the disease or decreased immunity (eg, colds, after acute illness, stress How to beat stress? Create an oasis   and so on), or if it enters the female genital tract ureaplasma in the presence of bacterial vaginosis caused gardnerellami. Or, on the contrary, sluggish inflammation caused ureaplasmas, exacerbated in contact with the genital tract of women gardnerellas (can carry them and a man).

Sometimes there are frequent painful urination, indicating the involvement of the lower urinary tract. In some cases, an acute inflammatory process may be slightly increased body temperature, appear malaise.

If the disease is caused only ureaplasmas, it often goes unnoticed. If the inflammation is caused by both gardnerellami and ureaplasmas not notice it is usually not possible, since it takes more brightly.

Do I need to treat a woman, if she found gardnerelly and ureaplasmas

To do this, a woman must be thoroughly examined and reveal her hidden flowing inflammatory processes. If such processes and phenomena of bacterial vaginosis not revealed no treatment.

In identifying dysbiosis or infectious-inflammatory process is carried out full treatment with antibiotics, which shows the sensitivity of detection microflora. In addition, it is very important after antibiotic treatment to restore the normal microflora of the vagina, which maintains its purity. Held this with probiotics (drugs containing bacterial colonies), which are introduced into the vagina.

Galina Romanenko

In normal uterus must be positioned in the pelvic cavity in a typical place. This is facilitated by the presence of ligaments, as well as the functional state of muscles. Under certain conditions is a change of the normal uterine location where it drops below the anatomical borders. Symptoms of uterine prolapse can be detected during the inspection of a woman on a gynecological chair Gynaecological chair: Take a closer look . At the same time there are special functional tests to confirm the diagnosis.

What causes can lead to the omission

Considered normal position of the uterus in the pelvic cavity, while it should be at an equal distance from the walls of the pelvis between the bladder Urinary bladder - structure and function   and the rectum. As a result, a number of reasons there is a development of the anatomical defect that is the causative agent of omission. These defects develop in the following circumstances:

• injuries during childbirth (operational delivery, forceps, breech delivery), including multiple births
• violation of the innervation
• deep perineal tears of different nature
• shortage of female sex hormones, which develops during menopause

Of great importance is hard physical work, lifting weights, as excessive exercise influence on the state of the muscular system.

In most cases, the value of playing a combination of several predisposing factors. Their influence leads to a significant weakening of the muscular and ligamentous apparatus of the pelvic organs, pelvic floor. The displacement of the uterus beyond the anatomic boundaries of the pelvic floor. In the future, those bodies that have an anatomical connection with the uterus (rectum, bladder) naturally shifted behind the uterus.

Features of clinical disease

Symptoms of uterine prolapse tend to a progressive flow. It is important to start a complex of therapeutic measures at an early stage of the disease, then there is a possibility to get a positive result therapy. In this regard, it should be encouraged to pass the annual examination by a gynecologist, because the first manifestations of the disease are well identified in an objective examination on the gynecological chair Inspection on the gynecological chair: not so scary .

At the initial stage of development of uterine prolapse woman observes the appearance of having a sense of foreign body in the vagina. Can disturb pains pulling or pressing nature in the lower abdomen, as well as in the lumbosacral region. As the disease progresses join urological disorders, the existence of which is recorded in nearly half of all clinical cases. In most cases, these disorders are manifested infectious complications (e.g., pyelonephritis, cystitis), incontinence. When complaints of this kind the woman is often initially drawn to the doctor to the urologist.

Flatus, stool is characteristic proctologic complication that requires treatment by the relevant specialist. If uterine prolapse progresses, the woman can independently detect the presence of the vagina education. In this situation, do not try to own it reduce a, since the choice of treatment strategy depends primarily on the stage of the disease, which is determined in an objective examination of the patient.

Selection of effective treatment

As an effective method of therapeutic and radical surgery is considered. If the degree of uterine prolapse is a significant, ongoing conservative measures have not had a positive result, it is an indication for surgery. Quite often, the omission of the uterus occurs in patients older age group in the period of menopause, so often found contraindications to surgery due to concomitant diseases (eg heart disease in the state of decompensation).

Due to the weakening of the ligaments, muscle tone necessary to carry out special exercises that allow you to strengthen your pelvic floor muscles, the abdominals. You can develop a set of exercises that a woman will be able to perform daily, given her age and physical activity. Such exercises should be done for a long time, as muscle tone requires a constant load. Otherwise, the effectiveness of such treatment would be minimal.

A significant disadvantage when wearing pessaries is the need to change them. If the pessary in the vagina will be constant, there is a risk of pressure ulcers. Every two, maximum three weeks to do break. This feature reduces the practical application of this method of treatment. Patients should explain the presence of this particular woman to conduct thorough hygienic measures that will contribute to the prevention of pressure ulcers.

Implementation of hormone replacement therapy Hormone therapy - is it possible to fool nature?   can also be attributed to one of the treatments in the case where the omission of the uterus due to a deficiency of female sex hormones in menopausal. Estrogen drugs greatly strengthens the ligamentous apparatus. It is recommended to start this type of treatment is still in the period of perimenopause as prophylactic treatment is much more effective. If a woman has started to receive hormone therapy after five years of menopause, its effectiveness will be greatly reduced.

Marina Solovyov