The prevalence of vaginal dysbiosis in women of reproductive age

Abstract

The leading place among diseases of the female reproductive system is occupied by disorders of the vaginal microbiome, which lead to severe obstetric and gynecological pathology.

Background Study and analysis of the frequency of various variants of disorders of the vaginal microbiota.

Materials and methods. The follow-up included 595 patients who complained of copious discharge from the genital tract. The diagnosis was established on the basis of complaints, objective examination data, pH-metry results, microscopic examination, PCR analysis (Femoflor 16) in real time.

Results. Complaints of copious discharge from the genital tract were detected in 595 patients (100%). Unpleasant odor – 470 people (78.99%); discomfort during sexual intercourse – 321 people (53.95%); itching in the area of the external genitalia 195 (32.77%) people; burning, pain during urination 121 (20.33%). Microscopy of Gram-stained smears revealed an increased white blood cell count in 367 people (61.68%), without leukocytosis in 228 people (38.31%); trichomonas were found in 46 people (7.73%), candida in 195 (32.77%).

Conclusions. Thus, when patients complain of copious discharge, a violation of the balance of the vaginal microbiota is revealed. pH-metry indicates the presence of dysbiosis, PCR diagnostics allows you to identify a variant of dysbiosis or the presence of infection, which allows you to start pathogenetic treatment in a timely manner.