| Use of L. sporogenes in the
treatment of non-specific vaginitis Non-specific vaginitis is caused by a
variety of pathogens including staphylococci, streptococci, pneumococci and E. coli.
It may also be induced by a variety of causes including chemicals, drugs, surgical
procedures, trauma and foreign bodies. L. sporogenes administration to increase the
vaginal acidity by the action of the lactic acid (produced by Lactobacillus) on
glycogen in the vaginal epithelial tissues was adopted in a clinical trial on 44
patients26. The patients were divided into two groups:
Group 1: Twelve
patients suffering from leucorrhea (white discharge) following cervical surgery.
Group 2 : Thirty
two patients with nonspecific vaginitis without previous therapy. Of these, 26 were in the
reproductive age and 6 were menopausal. The change in vaginal pH following treatment with
MYCONIPÒ (L. sporogenes tablets) over a period of two
weeks is shown in the Figure 5.2:

Most of the
cases showing persistently alkaline pH were post-menopausal, where acid could not be
produced in sufficient amounts due to low substrate glycogen levels. Glycogen levels
depend upon circulating estrogen.
The response to
treatment in both groups is tabulated below:
| Type
of response |
Number of cases |
|
Group
1 |
Group
2 |
Total |
| 1.
Quick response and complete relief |
8
(67%) |
26
(81.25%) |
34
(77.25%) |
| 2.
Delayed response but complete relief |
2
(16.5%) |
4
(12.5%) |
6
(13.60%) |
| 3.
Improvement but not complete relief |
2
(15.5%) |
2
(6.25%) |
2
(9.15%) |
| 4.
No relief |
0 |
0 |
0 |
| Total |
12
(100%) |
32
(100%) |
44
(100%) |
In
comparison with a clinical trial using M.T.P. vaginal pessaries containing broxyquinoline
and brobenzoxeldine where only 26.67% of cases studied were cured. It can be seen that L.
sporogenes therapy is the better alternative in the treatment of non-specific
vaginitis. L. sporogenes therapy provided complete relief to 91% of
the patients and partial relief to the remaining 9%.
|