Therapeutic targets
- Improvement of the symptomatology
- Restoration of normal vaginal flora
Therapy recommendations
- Preferably use metronidazole, orally (also possible in pregnancy) or also with cream containing clindamycin (2% vaginal gel).
- In recurrent (re-occurring) bacterial vaginosis: for prophylaxis, if necessary also therapy probiotics (dietary supplements; see below).
- See also under “Further therapy“.
Supplements (dietary supplements; vital substances)
Suitable supplements for natural defense should contain the following vital substances:
- Vitamins (A, C, E, D3, B1, B2 B3, B5, B6, B12, folic acid, biotin).
- Trace elements (chromium, iron, copper, manganese, molybdenum, selenium, zinc).
- Omega-3 fatty acids (eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA)).
- Secondary plant compounds (eg beta-carotene, flavonoids, lycopene, polyphenols).
- Probiotics
Suitable supplements due tobacterial vaginosis should contain the following vital substances:
- Vitamins (vitamin A (retinol), vitamin D (calciferols), folic acid).
- Other vital substances (probiotics* )
* There are numerous clinical studies on the prophylaxis of recurrences (for more information, see “Microbiological therapy“).In addition, there is limited evidence that probiotics have a beneficial effect in patients suffering from vaginal vaginosis.
The listed vital nutrients are not a substitute for drug therapy. Dietary supplements are intended to supplement the general diet in a given life situation.
