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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2010, Number 10

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Ginecol Obstet Mex 2010; 78 (10)

Lactic acid and lactoserum in vulvovaginal infections

Bravo ML, Hernández-López LA
Full text How to cite this article

Language: Spanish
References: 8
Page: 540-546
PDF size: 380.05 Kb.


Key words:

vulvovaginal infection, associated symptoms, lactic acid.

ABSTRACT

Background: the discomfort of vaginal infection symptoms is a frequent cause of medical consultation.
Objective: To determine the degree of satisfaction reported by a group of Mexican patients used the combination lactoserum lactic acid and to the relief of vulvovaginal symptoms (odor, itching and burning) or not associated with infection and the safety of that combination when used for external genital hygiene daily.
Patients and method: clinical observational, prospective, multicenter open and made with a group of Mexican women 18-60 years of age, residents in cities across the country with some or vulvovaginal symptoms: foul odor, itching, burning. All participants were told the application, once daily, 2.5 to 5 mL of shampoo, for 14-21 days. The patients rated the presence and severity of vulvar discomfort with visual analogue scale. The data were analyzed with Statistical Analysis System statistical package version 9.1, the quantitative variables by calculating the mean ± standard deviation, categorical variables by calculating percentages.
Results: We included 559 patients who answered the questionnaires before and after treatment. The time-use shampoo study was variable, with less than seven days were 25 patients (4.5%), 8 to 14 days 123 patients (22.0%) of 15 to 21 days, 208 patients (37.3%) and 178 patients (31.9%) used it more than 21 days. The average time elapsed since the start of treatment until the disappearance of vulvar discomfort was 4.3 days, with a SD of 3.1. In symptomatic patients the average was 4.2 days (SD 3.3), while in asymptomatic patients was 4.4 days (SD 3.0), virtually the same between groups. At the time of the final visit, 92.2% of patients reported “feeling of cleanliness” in the genital area, 91.7% “fresh feeling” and 93.9% “general feeling of wellbeing”. 97.2% felt that the product is “user friendly”, 94.9% considered it “soft and gentle to the skin” and 95.2% described it with “pleasing aroma”.
Conclusions: shampoo daily female external genital hygiene, the reason for this study is useful in the disappearance of the symptoms associated with infection or vulvovaginal.


REFERENCES

  1. Valore EV, Park CH, Igreti SL, Ganz T. Antimicrobial components of vaginal fluids. Am J Obstet Gynecol 2002;187:561-568.

  2. Flores R, Rivera R, García E, Arriaga M. Etiología de la infección cérvico-vaginal en pacientes del Hospital Juárez de México. Sal Pub Mex 2003;45:S694-697.

  3. Aroutcheva A, Gariti D, Simon M, Shott S, et al. Defense factors of vaginal Lactobacilli. Am J Obstet Gynaecol 2001;185:375-379.

  4. Melis GB, Ibba MT, Steri B, Kotsonis P, et al. Role of pH as a regulator of vaginal physiological environment. Minerva Ginecol 2000;52:111-121.

  5. Decena DC, Co JT, Manalastas RM Jr, Palaypayon EP, et al. Metronidazole with lactic acid + lactoserum vaginal gel in bacterial vaginosis. J Obstet Gynaecol Res 2006;32:243-251.

  6. Selvaraj K, Bargaje R. Satisfaction survey of combination of lactic acid and lactoserum in treatment of vulvovaginal infections in Indian women. Asian J Obs Gynae Pract 2009;3:7-12.

  7. Nguyen TNP, Nguyen HB, Nguyen QV, Phan XL, et al. Vaginosis bacteriana. Gineco 2007;14:37-45.

  8. Transupasiri A, Puangsricharern A, Itti-arwachakul A, Asavapiriyanont S. Satisfaction and tolerability of combination of lactoserum and lactic acid on the external genitalia in Thai women. J Med Assoc Thai 2005;88:1753-1757.




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Ginecol Obstet Mex. 2010;78