Cocci in a smear should always be normal. Abundant coccal flora in patients of either sex may be a sign of inflammation and infection, although not all of them are dangerous to human health. In such cases, the pH and the level of leucocytes also generally exceeded.
A healthy vaginal flora of women by 95% consists of various types of lactic acid bacteria, which are also called sticks Doderlein. Thus, the rate of cocci in a smear is less than five percent. Single cocci in a smear of men (meaning a smear from a urethra) as is the norm.
Reasons cocci in a smear
Overly active reproduction cocci may be the result of a weakened immune system, infectious diseases, as well as long-term use of antibiotics. Among the infections to a violation of microflora in particular often cause diseases, sexually transmitted diseases. Other possible reasons that appear cocci in a smear on the flora - promiscuity, poor hygiene, frequent douching, use of deodorants for intimate places.
Some experts believe that the cause of the problems with the microflora may be even wearing underwear made of synthetic fabrics - however, this is only a theory, and many women wear a linen without any health effects. In addition, some healthy women, the level of lactobacilli in the microflora is reduced almost constantly, so cocci are able to multiply unchecked.
Cocci in a smear of the child are also quite common, and they occur more often in girls than in boys. The fact that the vaginal flora girls before puberty different from the microflora of adult women and is more sensitive to the effects of factors such as infections and problems with hygiene.
Excessive amounts of cocci, they may even be caused by diseases that do not affect the reproductive organs. However, it should take into account such (in most cases, very small) probability that the symptoms associated with an increased content of cocci in a smear, especially when they reappear after treatment, caused by an STD, that child might get infected through sexual violence. If symptoms are accompanied by symptoms such as depression, hyperexcitability, sleep problems
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If the child is afraid to do what he was not frightened before (for example, to stay home alone, go out, and so on), try to gently talk to him about what has caused this change.
In many cases, cocci in a smear in women and men do not lead to the appearance of pronounced symptoms and disturbance of the microflora is found only in the course of a medical examination. If symptoms occur, the female is usually thick, viscous and heavy vaginal discharge
Sometimes - with a strong, unpleasant odor, itching, or a slight burning sensation in the vagina and, sometimes, in the vulva. In men, symptoms of an imbalance of microflora may be the discomfort when urinating or during sexual intercourse, slight redness and irritation of the skin of the penis.
Gram-positive cocci in a smear (which, in most cases, staphylococci) may, in addition to the above symptoms, lead to the appearance of rashes on the genitals - most often it occurs in women. However, such symptoms occur very rarely - as a rule, women whose immune system is weakened by certain illnesses or medications.
Treatment cocci in a smear
If cocci in a smear is not accompanied by symptoms, causing discomfort to the patient, the treatment is not required. In some cases, for example, when taking antibiotics, microflora may eventually normalized itself, without the aid of special preparations.
Usually, doctors recommend to treat cocci in a smear in pregnancy, if symptoms persist, as well as women, who in the near future, an operation on the reproductive organs, including abortion.
Otherwise cocci may have spread beyond the vagina and cervix, which sometimes leads to serious infections.
The drug of first choice for treatment of cocci in a smear - the antibiotic metronidazole; it can be taken by pregnant or lactating women. Tablets with metronidazole is usually taken within two to seven days, and the gel is used for five days. Recent studies have shown that supplementation with lactobacilli increases the effectiveness of metronidazole.
If the patient has an allergy to metronidazole or the drug was not effective, your doctor may prescribe capsules or clindamycin ointment. Sometimes instead prescribe another antibiotic - tinidazole. To avoid side effects while taking this drug should refrain from drinking alcohol.
Even after successful treatment of cocci in a smear often reappear. To get rid of this problem, sometimes you have to go through several courses of antibiotics, as well as the use of additional tools, such as vaginal suppositories
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, Hip baths, and so on.