Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis

Aim: to assess the effectiveness of combination therapy in reproductive age patients with mixed vaginitis.Materials and Methods. A retrospective analysis of the therapeutic effectiveness for mixed vaginitis in 158 patients aged 18 to 45 years was carried out. For treatment, the drugs Gainomax (stand...

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Main Authors: I. V. Savelieva, E. A. Bukharova, E. G. Galyanskaya, N. V. Nosova, P. V. Davydov
Format: Article
Language:Russian
Published: IRBIS LLC 2025-01-01
Series:Акушерство, гинекология и репродукция
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Online Access:https://www.gynecology.su/jour/article/view/2285
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author I. V. Savelieva
E. A. Bukharova
E. G. Galyanskaya
N. V. Nosova
P. V. Davydov
author_facet I. V. Savelieva
E. A. Bukharova
E. G. Galyanskaya
N. V. Nosova
P. V. Davydov
author_sort I. V. Savelieva
collection DOAJ
description Aim: to assess the effectiveness of combination therapy in reproductive age patients with mixed vaginitis.Materials and Methods. A retrospective analysis of the therapeutic effectiveness for mixed vaginitis in 158 patients aged 18 to 45 years was carried out. For treatment, the drugs Gainomax (standard dose – thioconazole 100 mg, tinidazole 150 mg in the form of a suppository) and Gainomax plus (standard dose – thioconazole 200 mg, tinidazole 300 mg, lidocaine 100 mg in the form of a suppository) were used for 3 days. The criteria for treatment effectiveness were disappearance of clinical symptoms and normalization of laboratory parameters.Results. Clinical and laboratory efficacy of therapy reached 95.6 %. Lack of therapeutic effectiveness presented as persistent complaints from patients was recorded in 7 out of 158 (4.4 %) of patients, at the same time, the normalization of vaginal pH was established (pH = 4.1 ± 0.4), the Lactobacilli count increased up to 107 ± 2.8 CFU/cm3, eradication of other opportunistic bacteria and fungi Candida occurred. No side effects were reported while assessing drug safety and tolerability.Conclusion. Therapy combining thioconazole and tinidazole in treatment of patients with mixed vaginitis demonstrated high effectiveness.
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spelling doaj-art-5d7b1b4f2c8c4542b72192d79db2bc7f2025-08-03T19:55:18ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942025-01-0118680080810.17749/2313-7347/ob.gyn.rep.2024.572934Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasisI. V. Savelieva0E. A. Bukharova1E. G. Galyanskaya2N. V. Nosova3P. V. Davydov4Omsk State Medical University, Health Ministry of Russian FederationOmsk State Medical University, Health Ministry of Russian FederationOmsk State Medical University, Health Ministry of Russian FederationOmsk State Medical University, Health Ministry of Russian FederationOmsk State Medical University, Health Ministry of Russian FederationAim: to assess the effectiveness of combination therapy in reproductive age patients with mixed vaginitis.Materials and Methods. A retrospective analysis of the therapeutic effectiveness for mixed vaginitis in 158 patients aged 18 to 45 years was carried out. For treatment, the drugs Gainomax (standard dose – thioconazole 100 mg, tinidazole 150 mg in the form of a suppository) and Gainomax plus (standard dose – thioconazole 200 mg, tinidazole 300 mg, lidocaine 100 mg in the form of a suppository) were used for 3 days. The criteria for treatment effectiveness were disappearance of clinical symptoms and normalization of laboratory parameters.Results. Clinical and laboratory efficacy of therapy reached 95.6 %. Lack of therapeutic effectiveness presented as persistent complaints from patients was recorded in 7 out of 158 (4.4 %) of patients, at the same time, the normalization of vaginal pH was established (pH = 4.1 ± 0.4), the Lactobacilli count increased up to 107 ± 2.8 CFU/cm3, eradication of other opportunistic bacteria and fungi Candida occurred. No side effects were reported while assessing drug safety and tolerability.Conclusion. Therapy combining thioconazole and tinidazole in treatment of patients with mixed vaginitis demonstrated high effectiveness.https://www.gynecology.su/jour/article/view/2285mixed vaginitis reproductive age thioconazole and tinidazole
spellingShingle I. V. Savelieva
E. A. Bukharova
E. G. Galyanskaya
N. V. Nosova
P. V. Davydov
Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis
Акушерство, гинекология и репродукция
mixed vaginitis
 reproductive age
 thioconazole and tinidazole
title Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis
title_full Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis
title_fullStr Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis
title_full_unstemmed Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis
title_short Opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis
title_sort opportunities of combination therapy in reproductive age patients with bacterial vaginosis combined with vulvovaginal candidiasis
topic mixed vaginitis
 reproductive age
 thioconazole and tinidazole
url https://www.gynecology.su/jour/article/view/2285
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AT eabukharova opportunitiesofcombinationtherapyinreproductiveagepatientswithbacterialvaginosiscombinedwithvulvovaginalcandidiasis
AT eggalyanskaya opportunitiesofcombinationtherapyinreproductiveagepatientswithbacterialvaginosiscombinedwithvulvovaginalcandidiasis
AT nvnosova opportunitiesofcombinationtherapyinreproductiveagepatientswithbacterialvaginosiscombinedwithvulvovaginalcandidiasis
AT pvdavydov opportunitiesofcombinationtherapyinreproductiveagepatientswithbacterialvaginosiscombinedwithvulvovaginalcandidiasis