Therapeutic fields / Gynaecology

Normally a well proliferated and matured epithelium and the lactic acid bacteria in the vagina provide a healthy equilibrium. A specific whitish/clear discharge is completely normal. But if the amount increases, the colour changes or an unpleasant fishy odour develops, the vaginal ecosystem is disturbed.

The following symptoms can indicate an infection and call for an examination by a gynaecologist: a copious, grey-coloured discharge, an unpleasant fishy odour, redness, itching or pain in the vaginal area or pain during intercourse or urination.  

Untreated infections not only have a negative impact on well-being, they can also lead to long-term problems. For example, vaginal infections increase the risk of premature birth during pregnancy, or can lead to increased urinary tract infections.

Vaginal infections should be examined and treated by a gynaecologist. Resolving a disturbance of the vaginal ecosystem at an early stage lowers the risk of infection. There are numerous options available for treatment:

• Disturbances of the vaginal ecosystem or mild infections can be treated with lactobacilli products applied vaginally. A combination of lactobacilli with a small amount of estriol (hormone) is effective since this supports the proliferation and maturation of the vaginal epithelium as well as the establishment of healthy vaginal flora.
• Bacterial infections can be treated with various antibacterial substances either applied vaginally or taken orally.
• Yeast infections are usually treated locally with specific anti-mycotic substances (e.g. as vaginal suppositories or cream). In recurrent cases, treatment with tablets for oral intake is an option.
• Viral infections can be treated only conditionally with medications. Anti-viral agents inhibiting viral proliferation are helpful during an infection with genital herpes

On the one hand, the normal vaginal flora is damaged by the infection and, on the other hand, most therapies against infection also have a more or less negative effect on the lactobacilli. After treatment with antibacterial or anti-mycotic preparations the normal, protective vaginal flora must be restored. This usually occurs within the first two weeks after treatment. During this period, however, the chance of recurrence or a secondary infection is the greatest. Following treatment of a vaginal infection, vaginal lactobacilli therapy with the addition of a hormone is recommended to minimise this risk and support the redevelopment of the normal flora with lactobacilli.