Anti-inflammatory drugs used in gynecology. Antibacterial suppositories: application in urology and gynecology

Anti-inflammatory drugs in gynecology are used to treat candidiasis, lesions of the uterine neck, fibroids, inflammatory processes in the appendages and other purely female diseases. This group of drugs is distinguished by a wide range, allowing the specialist to choose the drug that is optimal for each specific case, taking into account the individual characteristics of the patient.

Characteristics of drugs

Anti-inflammatory drugs are a group of drugs whose action is aimed at stopping inflammatory processes with the concomitant elimination of pain, swelling and other characteristic symptoms. Efficiency lies in the ability to suppress the processes of formation and transformation of arachidonic acids, which provoke the development of inflammation.

Anti-inflammatory drugs, according to the international classification, are divided into the following pharmacological groups:

1. Antibiotics.
2. Glucocorticosteroid preparations, which are natural or synthetic hormones of the adrenal cortex (the funds are indicated exclusively for the treatment of hormonal diseases and are not used in the gynecological field).
3. Antimycotics.
4. Non-steroidal anti-inflammatory drugs.
5. Biostimulants.

Anti-inflammatory drugs used in the gynecological field are available in the following forms:

1. Injections.
2. Rectal suppositories.
3. Vaginal suppositories.
4. Pills.

The most popular are rectal and. The choice of a particular drug, its form and dosage are determined by the specialist individually in each case. This takes into account factors such as the age and general health of the patient, the presence or absence of concomitant pathologies, the type of disease, its severity and the form of the course.

Indications for use

Anti-inflammatory drugs are prescribed to patients in the presence of diseases:

1. Colpitis.
2. Candidiasis.
3. Cervical erosion.
4. and fallopian tubes.
5. Vaginal dysbacteriosis.
6. Acute infectious lesions of the female genitourinary system.
7. Bacterial vaginosis.
8. Dysmenorrhea.
9. Gynecological diseases of a viral or fungal nature.
10. Diseases of the pelvic organs in a chronic form.
11. Disorders of sexual function.
12. Reproductive disorders.
13. Endometriosis.
14. Algodysmenorrhea.
15. Inflammation of the ovaries.
16. Dysplasia of the cervix.

Indications for the appointment of anti-inflammatory drugs are:

1. Menstrual disorders.
2. Painful menses.
3. Excessive dryness of the vagina.
4. Postponed surgical interventions in the gynecological field.
5. Pain in the lower abdomen.

Benefits and contraindications for use

In modern medicine, there are a large number of different methods used to combat gynecological diseases. Drug therapy based on the use of anti-inflammatory drugs is widely popular due to its effectiveness and high efficiency. The benefits of these funds include:

1. Elimination of pain associated with a number of gynecological diseases.
2. A high degree of effectiveness in terms of eliminating painful symptoms.
3. Removal and relief of the development of the inflammatory process.

Despite the widespread use of anti-inflammatory drugs in the gynecological field, in some cases it is strictly not recommended to use them, since this can cause serious damage to health. The main contraindications include:

1. Pregnancy.
2. Tendency to allergic reactions.
3. Individual intolerance to certain drugs or their individual components.
4. lactation period.
5. Renal failure.
6. Hepatic pathologies.
7. hemorrhagic stroke.
8. Ulcerative lesions of the stomach or duodenum.
9. The patient is under 16 years of age.
10. Diseases of the cardiovascular system in a chronic form.
11. Bronchial asthma.
12. Mental disorders.
13. Parkinson's disease.
14. epilepsy.
15. thrombocytopenia.
16. Hemorrhagic diathesis.
17. arterial hypertension.

Possible side effects

Today, drugs are characterized by minimal toxic effects, and if the treatment process is carried out under medical supervision, then the danger to the patient's health is very insignificant. But the manifestation of side effects is still possible. The most common may be:

1. Increased risk of intestinal bleeding.
2. Nausea.
3. Attacks of vomiting.
4. Dizziness.
5. Headaches.
6. Painful sensations in the abdomen.
7. Allergic skin rashes.
8. Diarrhea.
9. Violations in the functioning of the gastrointestinal tract.

In order to avoid possible side effects and to prevent health problems, the drug, its dosage and duration of the therapeutic course should be prescribed by a qualified gynecologist. Following medical recommendations will minimize the risks.

Medicines for gynecological diseases

The following types of anti-inflammatory drugs are used for treatment:

1. Suspensions.
2. Non-steroid drugs.
3. Antibiotics.

Suspensions. Rectal and vaginal suppositories are one of the most popular anti-inflammatory drugs used in gynecology. This is due to their effectiveness, rapid action and a minimum of side effects. Most often, suspensions are prescribed for gynecological diseases of a bacterial or fungal nature, inflammatory processes in the uterus, appendages, ovaries and vagina. The most popular and effective in the treatment of female ailments are considered to be drugs:

1. Diclofenac.
2. Voltaren.
3. Movalis.
4. Flamax.
5. Hexicon.
6. Ginalgin.
7. Klion-D.
8. Metronidazole.
9. Mykozhinaks.
10. Terzhinan.

Possible side effects of suspensions include:

1. Flatulence.
2. Nausea.
3. Feeling of itching and burning.
4. Constipation.

The use of rectal suppositories is contraindicated in ulcerative lesions of the gastrointestinal tract, with cracks, inflammation and bleeding of the anus.

Non-steroidal drugs have analgesic, anti-inflammatory, capillary-protective and antiplatelet effects. In gynecology, these drugs are used for painful menstruation, inflammation of the genital organs, urogenital infections, adhesive lesions of the uterus and endometriosis.

Preparations of this pharmacological group are used as an anesthetic when taking a biopsy, treating uterine pathologies and establishing or removing an intrauterine device.

In most cases, gynecologists prescribe the following nonsteroidal drugs to patients:

1. Indomethacin.
2. Meloxicam.
3. diclofenac,
4. Celecoxib;
5. Piroxicam.
6. Nurofen.
7. Rapten.
8. Ketoprofen;
9. Rapid;
10. Novigan.

The use of non-steroidal drugs is contraindicated in peptic ulcer and other pathologies of the gastrointestinal tract. Disturbances in the functioning of the digestive system are among the most common side effects caused by these drugs.

Antibiotics in the gynecological field are used to treat various kinds of inflammatory processes, colpitis, erosive lesions. The drugs are prescribed after surgical interventions of a gynecological nature. Antibiotics are also prescribed for such diagnoses as gonorrhea, endometritis, tuberculosis of the uterine appendages and perimetritis.

The most common include:

1. Biomycin.
2. Penicillin.
3. Cephalosporin.
4. Streptomycin.

Antibiotic therapy has a lot of contraindications and side effects, it is used exclusively as prescribed by a doctor and takes place under his strict control.

Anti-inflammatory drugs in gynecology are characterized by a wide range of applications and have a high degree of effectiveness in the treatment of a number of diseases.

To achieve favorable results of the therapeutic process, the choice of the drug, its dosage and duration of administration should be carried out only by a doctor.

Terzhinan is a vaginal tablet, which includes:

• ternidazole,
• neomycin,
• nystatin,
• sodium metasulfobenzoate,
• prednisolone.

Each component has a certain powerful anti-inflammatory, anti-allergic, as well as anti-exudative action. Such vaginal tablets are prescribed for vaginitis of various nature, for vaginal trichomoniasis, as a prevention of urogenital infections. Apply before bed.

Antifungal suppositories Polygynax are mainly used in the treatment of gynecological pathologies. Combined drug. Has in its composition:

• antibiotic polymyxin B;
• antibiotic neomycin.

The tool destroys microbes, fungal infections, pathogenic microflora. It localizes and paralyzes all the activity of pathogenic microorganisms, while destroying their membrane. The suppositories themselves are light, soft in texture, oval in shape with a beige tint.

Mechanism of action

All candles are united by the mechanism of their action. They consist of an active substance and a fatty base (paraffins, gelatins or glycerols).

At room temperature, candles are characterized by a solid state of aggregation. However, already at the temperature of the human body (at 36ºС), the material that makes up the candle begins to melt.

Some suppositories act exclusively locally, on the mucous membranes. However, since the surface tissues of the vagina and rectum are saturated with small blood vessels, some of the active substances enter the bloodstream and circulate in the pelvic area, while carrying out their therapeutic effect.

Absorption into the blood occurs very quickly - about half of the active component of the suppository enters the blood in half an hour, and the substance becomes completely biologically available after an hour.

At the same time, the active components affect the general blood flow to a very small extent and almost do not reach the liver and kidneys.
.

Another advantage of suppositories over oral dosage forms is that suppositories do not cause allergic reactions characteristic of the gastrointestinal tract.

Gynecological suppositories may have a different type of action. The most commonly used candles with the following effects:

• directed against infection
• anti-inflammatory,
• tissue repair,
• restoring the microflora of the vagina,
• anesthetic.

There are not many drugs that have only one type of action. Typically, suppositories have a complex effect, that is, for example, they can simultaneously affect pathogens and relieve inflammation.

Some anti-inflammatory suppositories contain vitamins necessary for the functioning of tissues, substances that stimulate local immunity, etc.

The components contained in suppositories can be both synthetic and natural substances. The main infectious agents that cause gynecological diseases are viruses, bacteria, fungi and protozoa.

Therefore, suppositories may include antiviral components, antifungal agents, antibiotics and antiseptics.

Antibacterial components of suppositories

They act as various substances that kill bacteria and prevent their reproduction. Antibiotic suppositories used in gynecology usually contain drugs such as chlorhexidine, metronidazole, co-trixomazole, penicillins, macrolides, iodine.

It is important to remember that any type of antibiotic has its indications and contraindications, and improper use of antibacterial drugs, as well as excess dosage, can lead to allergic reactions, as well as inhibition of the normal vaginal microflora that performs protective functions.

Anti-inflammatory drugs in the form of suppositories are prescribed for various diseases of the organs of the female reproductive system. Some gynecological suppositories are used vaginally, others - rectally. But in general, the list of gynecological suppositories is very wide.

Anti-inflammatory drugs in gynecology are always prescribed if an inflammatory process is noted. They are widely used, but at the same time, like other medicines, vaginal and rectal suppositories have certain disadvantages.

Suppositories as a dosage form

suppositories - one of the best medicines that can effectively cure women's diseases. Candles are used for the prevention of female diseases, as well as for their treatment. The composition includes a base, which gives the product the shape of a candle, as well as a medicinal substance. The main feature of such a drug is that its form is preserved at room temperature, and turns into a liquid form when body temperature is noted.

Anti-inflammatory vaginal suppositories prescribed for various diseases of the female reproductive system. Vaginal suppositories are also used to prevent such diseases. In particular, vaginal suppositories are prescribed from inflammation of the ovaries , antiviral suppositories for women, etc.

Despite the fact that the list of vaginal suppositories is very large, their names are known to many, and in pharmacies most of these drugs are sold without a prescription, the doctor should tell you individually about which antibacterial or antiviral drugs to use.

It is very important to know how to properly administer suppositories. How to use this form of medicine is indicated in the instructions. But how to put candles may differ, depending on the drug. For example, some suppositories are recommended to be used at bedtime, once a day.

To properly insert candles, you need to take a prone position, wash your hands first. Also, before you enter the medicine, you need to prepare a sanitary napkin.

All candles are usually divided into different types depending on where they are introduced:

The main advantage of using this form of medication is that the active substance enters the bloodstream relatively quickly (about half after half an hour, 100% after an hour). However, it does not enter the gastrointestinal tract and is not destroyed in the liver. Also, vaginal suppositories have not only a general, but also a local effect.

In addition, the application process is very simple and occurs without pain, suppositories very rarely cause allergic manifestations.

Candles for colpitis

Need to know for those who are interested in what it is in gynecology, that this is a disease in which an inflammatory process of the vaginal mucosa occurs. The treatment of colpitis in women depends on which infectious agent provoked the inflammation. So, colpitis (vaginitis) can be like specific (fungal , trichomonas , gonorrheal etc.), and non-specific (streptococcal , staphylococcal , polymicrobial ). It is depending on the type of infections that drugs are selected for the treatment of colpitis, in particular, suppositories from colpitis .

Main features vaginitis - Discomfort in the vulva, a feeling of severe itching and burning. The amount of discharge with an unpleasant odor increases, the temperature may rise, pain occurs in the lower abdomen, problems with urination appear.

In this situation, it is important to use properly selected suppositories for vaginitis, which help not only to get rid of the symptoms, but also to completely cure vaginitis by suppressing the activity of pathogenic microorganisms.

In the first days of the disease, douching should be carried out using antiseptic agents (, Ppotassium germanate , Bicarbonate of soda ). Herbs are also used for this purpose - they douche with chamomile, sage, lemon balm,

In parallel with douching, you can insert suppositories into the vagina. The doctor selects such suppositories that demonstrate activity in relation to the type of pathological microflora that provoked the disease. Therefore, before prescribing treatment, the gynecologist conducts a study to determine which drugs should be taken.

Nonspecific vaginitis

If the patient is diagnosed nonspecific colpitis , she is prescribed broad-spectrum antibacterial vaginal suppositories or antiseptics.

The following suppositories can be prescribed, which cure the inflammatory process in gynecology.

After the first stage of treatment has been completed, and the activity of the fungi has been suppressed, a second stage of therapy must be carried out to restore the normal flora of the vagina. It is important that normal conditions are created for the active reproduction of lactobacilli to occur.

During this period, a woman is prescribed:

• Candles containing . The drug is intended for the normalization of microflora. Bifidumbacterin is used for up to 10 days, 1 supp. in a day.
• (with dried bifidobacteria) you need to use 1 supp every day. within up to 10 days.
• apply within 10 days, 1 supp. Acylact for the night. Candles are also given Vagilak .
• The drug contains lactobacilli, 1 capsule is injected into the vagina. morning and evening, treatment lasts up to 10 days.
• Also in the process of treatment, you can use, Bificol , in ampoules. The contents of the ampoules must be diluted with water and intravaginally injected tampons with this liquid.

Anti-inflammatory suppositories in gynecology

Currently, the list of names of drugs with anti-inflammatory action is very large. Such drugs are used to treat inflammation, as additional funds in the treatment regimen, which also includes tablets, injections, herbs, etc. All names of suppositories for inflammation that are offered in pharmacies should be reported to the doctor so that he prescribes the most effective treatment.

Often, as part of a comprehensive treatment regimen, they are also present in gynecology. Antibacterial drugs effectively complement local drugs in the form of suppositories.

Ichthyol suppositories in gynecology

Despite the simplicity of this drug on a natural basis, reviews of in gynecology are almost always positive, as it acts effectively. The active substance is ichthyol.

These analgesic suppositories are used if the treatment of inflammatory diseases is necessary, as well as to accelerate the healing of injuries and ulcers of the mucous membrane. Medicines containing ichthyol are suitable for both women and men (rectally).

If necessary, they are also used in veterinary medicine - for the treatment of dogs.

Methyluracil suppositories in gynecology

They are used to treat a variety of gynecological diseases. Accelerate the renewal of the epithelium, heal damaged skin, stimulate metabolic processes. They produce an anti-inflammatory effect, are used as an additional tool in the treatment of cervical erosion.

Sea buckthorn suppositories in gynecology

Sea buckthorn suppositories are widely used in gynecology.

They are suitable for use in the treatment mucosal injuries , at dysbacteriosis . Reviews indicate that suppositories with sea buckthorn in gynecology are very effective. Moreover, they can be used at any age - senile or too young age is not a contraindication. Treatment with this drug during pregnancy is also allowed.

Candles with calendula

When choosing antimicrobials, one should not forget about candlelight with calendula . After all, calendula has an antimicrobial, anti-inflammatory, wound-healing effect. The instruction indicates that this dosage form rarely causes side effects.

Vaginal suppositories are used for the treatment of inflammatory processes, atrophic colpitis, cervical erosion.

Indomethacin suppositories in gynecology

This medicine, blocking the synthesis of prostaglandins, anesthetizes, lowers the temperature, relieves inflammation. They are prescribed for, with inflammation of the ovaries, with pain.

Also Indomethacin suppositories effective in reducing the formation of adhesions.

Candles Betiol

In gynecology, candles, which include belladonna and ichthammol, are used as an antiseptic. They are used rectally, with. But sometimes, during the planning of pregnancy, the doctor prescribes suppositories, which include belladonna, in order to influence the basal temperature.

Synthomycin suppositories

it is used if the pelvic organs are affected by staphylococci, chlamydia, streptococci and other bacteria.

They are assigned at vaginitis and others. Synthomycin has practically no systemic effect on the body. Synthomycin is administered intravaginally twice a day. How long to use the drug, the doctor determines, but, as a rule, the treatment lasts up to 10 days.

Candles Kyzyl-May

The composition includes herbs, sea buckthorn oil, cocoa butter, bentonite, beeswax. Candles improve tissue regeneration, have an anti-inflammatory effect.

Assign when colpitis , cervicitis , erosion . It is necessary to apply rectally 1-2 supp. per day, treatment lasts up to 15 days. Cost - from 600 rubles.

Candles for adnexitis, endometriosis

The instructions for many drugs in the form of suppositories indicate the names of female gynecological diseases. After all, antibiotics for gynecological diseases in the form of tablets, as well as injections, must be supplemented with local remedies.

Treatment should be carried out according to the scheme prescribed by the specialist. It is important that antibiotics for adnexitis are chosen correctly. After all, inflammatory diseases of the reproductive system can provoke specific ( chlamydia , gonorrhea , trichomoniasis ) and non-specific microorganisms.

• Adnexitis - inflammation of the appendages, in which a woman feels pain in the groin area. Pain can be cutting, dull, aching.
• - an inflammatory process of the uterus, in which there are pains of a different nature in the lower abdomen. Most often, this disease develops after intrauterine interventions ( scraping , operational childbirth).

As with adnexitis , as well as endometritis a woman may have a rise in body temperature, other signs of intoxication are noted.

At endometriosis drugs are often used to restore the immune status. How to treat endometriosis - drugs or other methods, the doctor determines after examination and establishing an accurate diagnosis. Treatment of endometriosis involves the use of the drug with interferon and vitamin E and C. Rectal suppositories are used for pain relief - NSAIDs .

For the purpose of resorption of adhesions, a drug is used. Candles Terrilithin and others are prescribed to reduce inflammation. It is also sometimes advisable to take pills - Curantyl and etc.

Treatment of inflammation of the uterus and appendages involves, first of all, antibiotics, suppositories are also used for inflammation of the female organs. The use of suppositories is practiced for different purposes.

Rectal suppositories for inflammation of the appendages with anti-inflammatory action, as a rule, contain NSAIDs. They provide anti-inflammatory, antipyretic, analgesic effect. Drugs that belong to the NSAID group suppress the synthesis of prostaglandins, which are formed in large quantities during inflammatory processes and provoke pain.

The use of rectal suppositories begins at the same time as the patient begins to drink antibiotics. Treatment continues from 7 to 10 days. As a rule, they are assigned Movalis , and etc.

• appoint once, it is necessary to apply in the evening.
• Movalis (active component meloxicam ) apply once at bedtime, 7 days.
• Voltaren apply in the evening and in the morning.
• Diclofenac , Diklovit - once a day.
• Candles with belladonna - 1-3 times a day.
• Flexen , Flamax (active ingredient ketoprofen) is used once, 7 days. There is also the name "Alamaks". However, the correct name for candles is not Alamax, but Flamax.

Modern gynecology offers a fairly wide list of rectal anti-inflammatory suppositories, but any painkillers and anti-inflammatory suppositories should be prescribed by a doctor in the general treatment regimen. If you need additional painkillers in tablets, it should also be selected by a specialist.

Also, anti-inflammatory suppositories for women with endometritis and adnexitis are prescribed intravaginally. Like anti-inflammatory rectal suppositories, they need to be used regularly. The purpose of the use of such drugs is the sanitation of the vagina, the suppression of the anaerobic flora.

Prescribed for such diseases Terzhinan and Fluomizin (active component metronidazole). Terzhinan and Fluomizin should be used up to 10 days, 1-2 supp. everyday.

When the main therapy with anti-inflammatory drugs is completed, it is very important to normalize the vaginal biocenosis. For this purpose, both those preparations that contain bifidobacteria and lactobacilli, and Longidase suppositories are used.

Longidaza provides a proteolytic effect. These are effective prophylactic suppositories, as they prevent the appearance of adhesions, and also dissolve existing ones. Longidaza stabilizes the function of the immune system, also provides an antioxidant and anti-inflammatory effect. This drug is also prescribed for ovarian cysts. Candles should be used rectally, before going to bed. The course of therapy lasts up to 3 weeks.

Candles for cervical erosion

is a very common disease among women. It develops if desquamation of the stratified squamous epithelium occurs in the vaginal part of the cervix. In its place, the cells of the cylindrical epithelium multiply, which lines the cervical canal. Ectopia of the cervix is the correct name for this disease.

For those who are looking for candle names from cervical erosion , it should be noted that the treatment of this disease is carried out as follows: the pathological area is destroyed by electrical, chemical, laser methods. Before and after cauterization, suppositories are prescribed for the treatment of cervical erosion. Before cauterization by laser, radio waves or other methods, anti-inflammatory suppositories should be placed 5-7 days before the procedure to prevent Revitax - phytocandles, which also include. They effectively relieve inflammation and promote healing.

You can buy both expensive drugs and their cheaper counterparts. Candles with reparative properties are used 1 pc. for 10-14 days.

If necessary, tablets and other drugs are also prescribed.

With cystitis

Suffering women use different medicines in this form. Almost every thematic forum informs about this, where women often describe the means used. However, any medications for cystitis should be used after they are prescribed by medical professionals, despite the fact that they can often be bought in pharmacies without a prescription. Suppositories are prescribed as an aid in treatment. As a rule, the doctor prescribes broad-spectrum antibiotics, which are used for infectious diseases.

Most often, with cystitis, suppositories are prescribed. Hexicon (the composition includes chlorhexidine, which is an antiseptic), Betadine , Genferon , Macmirror , Synthomycin suppositories , Candles with Palin and etc.

findings

In modern medicine, there are a large number of drugs in this form. Their use allows you to quickly and efficiently cure various diseases of the female reproductive system. A number of the drugs described above are also used for menopause. But every woman should understand that the most effective and fastest treatment will be if, after the diagnosis is established, a gynecologist prescribes a treatment regimen.

Antibiotics in gynecology are a powerful "weapon" that allows you to cope with infectious and inflammatory diseases of the reproductive system.

Antibacterial drugs are prescribed by a doctor, used in the treatment of various diseases, over a long period of time. The average course of treatment is 7-10 days.

What diseases are treated

In gynecological inflammations, antibacterial drugs of the sector of action are prescribed only if indicated. The reason is that in relation to viruses and fungi, medicines of this class are not effective.

Antibiotics can be prescribed:

1. With inflammation of the ovaries.
2. With inflammation of the fallopian tubes.
3. With inflammation of the body of the uterus.
4. With inflammation of the cervical canal.
5. With inflammation of the labia.
6. With inflammation of the vagina.

Medicines in this class are effective against the following pathogens:

• Staphylococci;
• Streptococci;
• Chlamydia;
• Gonococcus.

Attention! Even one of the oldest venereal diseases, syphilis, is treated with antibacterial drugs. Syphilis is caused by the bacterium Treponema pallidum. The treatment of syphilis is long-term, but if carried out in a timely manner, it ends safely for the patient.

In case of inflammation of the organs of the reproductive system, the antibiotic is selected individually. Before therapy, an analysis is carried out for the sensitivity of strains to the drug (bacterial seeding of microflora for sensitivity). This helps to choose an effective medication and optimize treatment.

Indications for antibiotic therapy:

1. Increase in body temperature.
2. The appearance of secretions from the genital tract.
3. Severe pain syndrome.
4. Signs of intoxication.

Gynecological diseases can be treated by various methods, to carry out:

• monotherapy;
• combination therapy.

Monotherapy is the use of one drug, which is considered the basis of treatment. The action of the drug helps to stop the course of the inflammatory process and get rid of the signs of the disease.

Combination therapy is most effective, it consists of several drugs that enhance the effect of each other.

What drugs can be prescribed

Antibiotics for gynecological diseases are prescribed differently, but their effect is:

1. bactericidal character.
2. bacteriostatic character.

Bactericidal drugs act on pathogenic microflora, they kill bacteria. Their mass death leads to the appearance of intoxication or its intensification, but as the bacteria are removed from the body, the patient's condition improves.

Means of a bacteriostatic nature have a different effect on microorganisms, they block the process of their growth and reproduction. This leads to the death of pathogenic microflora. Simply put, drugs create unfavorable conditions for the growth and reproduction of pathogenic microflora, which allows you to cope with the signs of the disease and recover faster.

Pros and cons of antibiotic therapy

Antibacterial agents have advantages and disadvantages, their use helps:

• stop the inflammatory process at the stage of its development, before the appearance of complications;
• avoid further problems with the reproductive system;
• normal to conceive, endure and give birth to a healthy child.

Important: In gynecological diseases, therapy using antibacterial agents is carried out promptly. This avoids complications and the transition of the inflammatory process into a chronic form of the course.

In the chronic form of the course, the disease is in a latent form, but under adverse circumstances it becomes acute. This is due to the fact that bacteria are constantly in the body, therapy does not help get rid of them, it only reduces the activity of microorganisms.

Disadvantages of antibiotic treatment:

1. After antibiotics there are problems with digestion.
2. Candidiasis appears.
3. Weakens the activity of the immune system.

In the treatment of an inflammatory or infectious disease with antibacterial agents, beneficial bacteria in the body die en masse. This is due to the fact that the drug affects the body as a whole. It kills both beneficial and harmful microorganisms, which is fraught with certain consequences.

At the same time, it will take time to restore the beneficial microflora. For this purpose, several drugs are prescribed that can correct the situation.

What antibiotics are prescribed

For the treatment of infection, gynecology uses drugs of various forms of release. The doctor may prescribe to the patient:

• pills;
• solutions for intramuscular or subcutaneous injections (shots);
• suppositories.

Help: help to cope with various types of bacteria, most often they are prescribed in the form of tablets.

Tablets are taken orally, which is associated with certain risks. Once in the stomach, they destroy beneficial microorganisms and quickly lead to the development of dysbacteriosis and other digestive disorders.

Injections are most effective, they are used mainly in a hospital setting. Injections of a different nature increase the effectiveness of antibacterial agents. Help reduce their negative impact on the digestive tract.

The appointment of suppositories is perceived as an adjuvant therapy. In fact, antibiotics in the form of suppositories are quite effective and have a local effect on problems, minimizing the risks associated with such therapy.

Attention! In female gynecology, suppositories are used for vaginal administration. But for the treatment of men, suppositories for rectal administration are used.

Medicines: their classification and action

Antibiotics in gynecology from infections and the inflammatory process use different ones.

The drugs used can have a wide spectrum of action, such drugs are considered universal, they are available in the form of tablets or injections. There are new generation antibiotics, they are less toxic and very effective.

Universal tools include:

1. Ampicillin is a drug well known to many, of semi-synthetic origin, often prescribed by doctors, but has a number of disadvantages.
2. Erythromycin is a drug that is well tolerated and belongs to the class of macrolides, it breaks molecular bonds, which leads to the death of pathogenic microorganisms.
3. Metronidazole is an antiprotozoal and antimicrobial medication available in several forms (injection solution, vaginal gel and tablets).
4. Tetracycline is an inexpensive antibiotic used to treat infectious and inflammatory diseases.
5. - is available as a solution for injection, is well tolerated, but is prescribed only if indicated.

Medicines of the newest generation, list:

• Cefamandol (powder for solution intended for injection) is used in the treatment of diseases of the urinary, genitourinary system and infectious diseases of a gynecological nature.
• Rulid is available in the form of tablets and well overcomes the barrier of the gastric mucosa. Applied once every 12 hours, effective against a large number of pathogenic microorganisms.
• Ceftazidime is a 3rd generation antibiotic. Its bactericidal action is due to the destruction of the cell membrane. It is used in the treatment of infectious and inflammatory diseases of severe course.
• Amoxiclav is an inexpensive, but very effective drug with a wide spectrum of action. Contains penicillin and amoxicillin.
• Unidox Solutab - belongs to the group of tracyclines, due to the action of the components leads to the destruction of the membranes of pathogenic cells and a decrease in protein synthesis. Produced in the form of tablets.

Inflamed organs of the reproductive system can be treated with other drugs, in the form of suppositories.

Suppositories are:

1. With metronidazole - they are used to treat infectious diseases caused by Trichomonas.
2. With bactodin - they have a bactericidal effect, create an unfavorable environment in the vagina for the growth and reproduction of pathogenic microflora.
3. With hexicon - have an anti-inflammatory effect. They are used as a prophylactic agent or a component of complex therapy. When using suppositories of this class, the risk of re-infection is minimized.

Important: The doctor can enhance antibiotic therapy with suppositories, the action of which is aimed at reducing other signs of the disease: reducing the severity of pain, lowering body temperature.

Restorative Therapy

Restoration of microflora in gynecology is carried out after the end of the course of antibiotic treatment. The procedures are aimed at eliminating unpleasant symptoms and eliminating problems with the gastrointestinal tract and vaginal dysbacteriosis.

Restorative therapy is carried out with the help of various drugs, candles are suitable for restoring the microflora of the vagina:

• Ecofemi;
• Vagilak;
• Gynoflor.

The composition of these drugs includes lactobacilli, which help restore the flora and cope with the signs of the disease.

And you can also use:

1. Genecotex (have an anti-inflammatory effect and act as a contraceptive).
2. Acylact (increase the activity of local immunity).
3. Genferon (have a good anti-inflammatory effect, can be part of combination therapy in the treatment of diseases of a gynecological and urological nature)

Names of drugs for the restoration of microflora in the intestine, list:

• Smecta (belongs to sorbents, well absorbs toxins that remain in the body after the death of pathogenic microflora);
• Hilak-forte (a drug that creates a favorable environment in the intestines and stomach for the growth and reproduction of beneficial microorganisms);
• Bifidumbacterin (contains beneficial bacteria that help to cope with digestive problems).

To restore the microflora after the therapy, you will also need to follow a diet. It is recommended to follow certain dietary rules:

1. Include dairy products in your diet.
2. Eat fresh fruits and vegetables.
3. Drink fresh juices and mineral water.

Help: Proper nutrition will help improve the functioning of the immune system and recover faster after illness and toxic therapy.

And you'll also have to:

• play sports or walk in the fresh air;
• take vitamins;
• avoid stress and nervous shocks.

Antibacterial therapy in gynecology is used to treat a large number of diseases. But do not forget that such treatment can lead to certain consequences. Therefore, it is recommended not to engage in the selection of medicines on your own, but to entrust this to the doctor.

Modern medicine has developed many good medicines that help with inflammation of the female organs, from what is often called the “female cold”. These can be both general drugs that enter the body through the gastrointestinal tract, and drugs for topical use. Among the last category of medicines, an important place is occupied by gynecological suppositories (suppositories), designed to be placed in natural body cavities.

Indications for use

The scope of this type of drugs is quite wide. They can be used in the treatment of the following diseases:

• cysts and polycystic
• adnexitis,
• endometritis and
• cervical erosion, endocervitis and exocervitis
• vaginitis of various nature (candidiasis, specific and nonspecific colpitis, atrophic colpitis),
• chlamydia.

In addition, suppositories are prescribed during the recovery period, after gynecological operations or abortions, or for the prevention of infections before operations, childbirth, and the installation of spirals.

Candle Types

From inflammation in gynecology, several types of suppositories are used:

• vaginal,
• rectal (candles in the rectum),
• candles in the form of sticks with a rounded end (for the urethra or cervix).

For each disease, a certain type of suppositories is optimal - for some, vaginal ones are more suitable, for others - rectal ones.

Candles for female infections and inflammations can have a different shape. Rectal suppositories are usually cylindrical, bullet-shaped, or cone-shaped. Vaginal - ovoid, round, cylindrical or cone-shaped.

Mechanism of action

All candles are united by the mechanism of their action. They consist of an active substance and a fatty base (paraffins, gelatins or glycerols). At room temperature, candles are characterized by a solid state of aggregation. However, already at the temperature of the human body (at + 36ºС), the material that makes up the candle begins to melt. The substances contained in the candle come out and begin their active action.

Some suppositories act exclusively locally, on the mucous membranes. However, since the surface tissues of the vagina and rectum are saturated with small blood vessels, some of the active substances enter the bloodstream and circulate in the pelvic area, while carrying out their therapeutic effect.

Absorption into the blood occurs very quickly - about half of the active component of the suppository enters the blood in half an hour, and the substance becomes completely biologically available after an hour. At the same time, the active components affect the general blood flow to a very small extent and almost do not reach the liver and kidneys.

Another advantage of suppositories over oral dosage forms is that suppositories do not cause allergic reactions characteristic of the gastrointestinal tract.

Gynecological suppositories may have a different type of action. The most commonly used candles with the following effects:

• directed against infection
• anti-inflammatory,
• tissue repair,
• restoring the microflora of the vagina,
• anesthetic.

There are not many drugs that have only one type of action. Typically, suppositories have a complex effect, that is, for example, they can simultaneously affect pathogens and relieve inflammation. Some anti-inflammatory suppositories contain vitamins necessary for the functioning of tissues, substances that stimulate local immunity, etc.

The components contained in suppositories can be both synthetic and natural substances. The main infectious agents that cause gynecological diseases are viruses, bacteria, fungi and protozoa. Therefore, suppositories may include antiviral components, antifungal agents, antibiotics and antiseptics.

Antibacterial components of suppositories

They act as various substances that kill bacteria and prevent their reproduction. Antibiotic suppositories used in gynecology usually contain drugs such as chlorhexidine, metronidazole, co-trixomazole, penicillins, macrolides, iodine. It is important to remember that any type of antibiotic has its indications and contraindications, and improper use of antibacterial drugs, as well as excess dosage, can lead to allergic reactions, as well as inhibition of the normal vaginal microflora that performs protective functions.

Antifungal Ingredients

This type of substance is active only against pathogenic fungi. Usually, vaginal suppositories are equipped with these components. The most popular antifungal drugs are fluconazole, clotrimazole, pimafucin. As a rule, the course of treatment of fungal diseases of the genital organs takes longer than antibiotic therapy.

Anti-Inflammatory Ingredients

Often, anti-inflammatory suppositories are used in the treatment of diseases. In gynecology, there are many drugs with a similar effect. They are used from what is commonly called "inflammation in a feminine way."

The main type of substances used in the treatment of inflammation of a gynecological nature are non-steroidal anti-inflammatory drugs. Their purpose is to eliminate signs of inflammation - pain and swelling. From a biochemical point of view, the mechanism of anti-inflammatory drugs is based on blocking the synthesis of prostaglandins. These can be components such as diclofenac, ichthyol or indomethacin. In some cases, a doctor may also prescribe suppositories with steroidal anti-inflammatory drugs, such as prednisone.

herbal ingredients

Natural ingredients are also often used in rectal and vaginal anti-inflammatory suppositories. Herbal candles may include extracts of chamomile, sage, belladonna, calendula, conifers, cocoa butter, eucalyptus. Candles containing sea buckthorn oil have gained great popularity. These suppositories can be used in childhood and old age, during pregnancy and lactation.

Features of the use of suppositories for various diseases

Briefly consider the main gynecological diseases and suppositories used in their treatment. In some cases, the use of suppositories is the main method of therapy, in other cases - a secondary one. In addition, in some cases, vaginal suppositories are more effective, in others - rectal.

Photo: Lukasz Siekierski/Shutterstock.com

Vaginitis

The disease is an inflammation of the mucous membrane of the vagina. In fact, this is not one disease, but a whole group of diseases that can be caused by both fungi and bacteria - gonococci, chlamydia, etc. Rarely, viruses are the causative agents. Accordingly, suppositories for the treatment of colpitis may contain various antibacterial agents, for example, metronidazole, antifungal or antiprotozoal drugs.

Nonspecific colpitis

This is the name of colpitis caused by pathogens that were among the microflora of the vagina before the onset of the disease and were not introduced from somewhere outside.

In most cases, nonspecific colpitis is caused by streptococci and staphylococci. There are also polymicrobial forms of the disease.

The main method of treatment for nonspecific colpitis is douching with solutions of disinfectants, including vegetable ones - chlorhexidine, potassium permanganate, decoctions of chamomile, sage, lemon balm. And the use of vaginal suppositories can be an aid.

The following drugs are most popular:

• Terzhinan
• Polygynax
• Mykozhinaks
• Hexicon
• Meratin combi
• Betadine

Candidal colpitis

This disease is caused by fungi of the genus Candida, which inhabit the surface of the vagina. The disease itself does not pose a great danger, but it is not worth running it in any case.

For the treatment of candidiasis, only suppositories with antifungal components are used. Antibacterial drugs in this case will not work.

Among the popular suppositories used in the treatment of candidal colpitis, it is worth noting:

• Ketoconazole
• Itraconazole
• Nystatin.

Gardnerellosis

This is a type of colpitis caused by a special type of bacteria - gardnerella. Thus, the main purpose of the suppositories used for this disease is the destruction of these bacteria. Candles are inserted directly into the vaginal cavity.

The most popular suppositories for colpitis caused by gardnerella:

• Macmirror,
• Terzhinan,
• Candles with metronidazole.

Cystitis

Cystitis is an inflammation of the bladder, a disease characterized by unpleasant and painful symptoms for a woman. Signs of cystitis are burning and pain when urinating, and an increased urge to urinate.

Anti-inflammatory therapy for cystitis may include the use of vaginal suppositories. Candles from cystitis have analgesic, decongestant, antibacterial and anti-inflammatory effects. With cystitis, Palin suppositories and suppositories with synthomycin are often used.

Candles with herbal ingredients are also effective for cystitis - belladonna, oak bark, celandine. As a rule, they are prescribed if the disease has not yet passed into a severe stage.

Adnexitis

Adnexitis or inflammation of the appendages is a common gynecological disease. Most often caused by hypothermia of the body, and not by infectious causes. The disease is characterized by attacks of pain - aching, dull or cutting. The disease is often accompanied by fever, weakness, lack of appetite, which indicates a general intoxication of the body.

For the treatment of this disease, rectal rather than vaginal suppositories are more often used. The fact is that from the rectum it is easier for the active ingredients to enter the bloodstream in the pelvic area and reach the appendages than from the vagina. Most often, with this disease, anti-inflammatory suppositories and suppositories with analgesic effects are used.

• Rectal suppositories with belladonna,
• Fluomizin,
• indomethacin,
• diclofenac,
• Meratin combi,
• Mykozhinaks.

Cervical erosion

Cervical erosion is a serious disease that is treated only surgically or minimally invasively (using electrical, chemical and laser methods). Suppositories alone cannot cure it. However, suppositories can be used as an aid in facilitating tissue healing and preventing infections. They can be prescribed both before and after surgery.

Popular suppositories used in the treatment of cervical erosion:

• Depantol,
• hexicon,
• Polygynax.

Dysbacteriosis

Antibiotic treatment, no matter how it is done, whether in the form of tablets or the use of topical antibacterial agents, is usually accompanied by the suppression of beneficial microflora. This applies, in particular, to the microflora that inhabits the surface of the vagina.

To eliminate this problem, suppositories with probiotic components are designed. They contain the necessary bacteria that could quickly populate the vaginal mucosa and restore its protective microflora.

The most popular suppositories for the treatment of bacterial dysbacteriosis:

• Acylact,
• Bifidumbacterin,
• Vagilak.

endometritis and endometriosis

Endometritis is a disease caused by inflammation of a special epithelial layer of the uterus - the endometrium. The disease can often occur after caesarean section and abortion. It may cause an increase in temperature.

Endometriosis is a disease caused by abnormal growth of the endometrium. The etiology of the disease is not exactly clear.

With these diseases, anti-inflammatory vaginal suppositories are not the main method of treatment. This is due to the fact that they often have strong menstrual and intermenstrual bleeding, which wash out medicinal substances from the vaginal cavity. However, a doctor may prescribe suppositories for uncomplicated endometriosis, when the disease has not yet reached a serious stage.

For severe bleeding, rectal suppositories may be used. Their main task is to relieve inflammation and pain.

The most commonly used suppositories for endometriosis are Voltaren (the active ingredient is diclofenac), Polygynax and Indomethacin. Homeopathic suppositories for women Endometrin with herbal ingredients are also very popular for endometritis and endometriosis.

Method of application of suppositories

In order to properly use the suppository, you must follow the instructions that are provided with any drug. However, there are general rules for their application.

In most cases, anti-inflammatory suppositories are best administered in the evening, before bedtime. Before the procedure, you should take a shower or wash. It must be remembered that abundant discharge from the genitals in many cases can reduce the effect of drugs. If you intend to enter a rectal suppository, you must first empty the intestines. An enema can be used for this purpose.

Hands during this procedure should also be clean, it is recommended to wash them with soap or rinse with an antiseptic.

Any candles must be administered in the supine position. The suppository must be completely inserted into the cavity of the rectum or vagina. After the introduction, it is necessary to lie down for about 15 minutes to give the candle time to dissolve.

Some suppositories must be moistened with water before administration. This question is best clarified in the instructions for the drug.

Simultaneously with the introduction of suppositories, sanitary pads or tampons should not be used. The entrance to the vagina must be completely open so that there are no obstacles for the release of secretions.

It is not recommended to use vaginal suppositories during menstruation (although some preparations allow such use). It should also be noted that self-medication with suppositories is unacceptable. The fact is that many candles have contraindications for certain concomitant diseases, and their use can only bring harm. Also, not all suppositories can be used during pregnancy and in childhood.

The use of suppositories during pregnancy

Choosing the right suppositories during pregnancy is not an easy task. What is better to use in this case, only a gynecologist can tell. After all, many antibiotics contained in suppositories are able to penetrate the placental barrier, and can also be dangerous for women's health during this period. However, some drugs, especially those of natural origin, are allowed during pregnancy.

For example, during pregnancy, you can use candles based on royal jelly. These suppositories have a wound-healing effect and protect female organs from infection. They can also be used during the recovery period after childbirth. Candles based on sea buckthorn oil are also popular.

List of vaginal suppositories, indications and active substance