Review of current guidelines for the management of women with vaginal discharge

Pustotina O.A., Ostromensky V.V.

Department of Obstetrics and Gynecology with Course of Reproductive Medicine, F.I. Inozemtsev Academy of Medical Education
The paper reviews current Russian and foreign guidelines for the management of women complaining of vaginal discharge, which deal with the diagnosis of recurrent discharge and algorithms for its laboratory examination, treatment, and prevention in women of reproductive and postmenopausal ages. It presents an algorithm for examining women with complaints of vaginal discharge. Anti-adhesive agents that block the adhesion of pathogenic microorganisms to the vaginal epithelium are shown to be effective in preventing dysbiotic and inflammatory diseases. There is evidence that it is necessary to regularly use gel moisturizers that exert protective and regenerative effects on the vaginal mucosa, which is a necessary condition for the restoration and preservation of vaginal biocenosis.


bacterial vaginosis
atrophic vulvovaginitis
vaginal biocenosis
gel moisturizers
anti-adhesive 2QR-complex


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Received 12.04.2019

Accepted 19.04.2019

About the Authors

Pustotina, Olga A., MD, professor of the Department of Obstetrics and Gynecology with a course of reproductive medicine at the Private Educational Institution
оf Additional Postgraduate Education F.I. Inozemtsev Academy of Medical Education.
191186, Russia, St. Petersburg, ul. Millionnaya, 29 «A», 14H. Tel.: +79169267652. Email:
Ostromensky, Vladimir V., PhD, head of the Department of Obstetrics and Gynecology with a course of reproductive medicine at the Private Educational Institution
of Additional Postgraduate Education F.I. Inozemtsev Academy of Medical Education. 1
91186, Russia, St. Petersburg, ul. Millionnaya, 29 «A», 14H. Tel.: +79052680094. E-mail:

For citations: Pustotina O.A., Ostromensky V.V. Review of current guidelines for the management of women with vaginal discharge. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (5): 180-4. (in Russian)

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