TY - JOUR ID - 7286 TI - A comparison of the efficacy of metronidazole vaginal gel and Myrtus (Myrtus communis) extract combination and metronidazole vaginal gel alone in the treatment of recurrent bacterial vaginosis JO - Avicenna Journal of Phytomedicine JA - AJP LA - en SN - 2228-7930 AU - Masoudi, Mansoure AU - Rafieian, Mahmoud kopaei AU - Miraj, Sepide AD - Medical Plants Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran AD - Medicinal Plants Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran Y1 - 2017 PY - 2017 VL - 7 IS - 2 SP - 129 EP - 136 KW - Myrtus Communis KW - Metronidazole KW - Bacterial vaginosis DO - 10.22038/ajp.2016.7286 N2 - Objective: Due to the high incidence of bacterial vaginosis (BV) and its resistance to chemical medications and considering the anti-bacterial and anti-fungal effects of Myrtus communis, the present study aimed to compare the therapeutic effects of the vaginal gel of M. communis 2% (in metronidazole base) with metronidazole vaginal gel 0.75% alone on BV.Materials and Methods: This research was a random‌ized controlled clinical trial conducted on 80 women of 18-40 years old with BV. Patients were divided into two groups of 40 women. Diagnostic criteria were Amsel's criteria and Gram staining. The first group received vaginal gel of metronidazole plus M. communis 2% and the second group received metronidazole vaginal gel alone for five consecutive nights. Therapeutic effects and Amsel’s criteria were assessed after one week. Finally, the data were analyzed by SPSS 16 using t-test and Chi square tests.Results: There was a significant difference in the therapeutic response between the two groups. The results demonstrated that the combination of metronidazole and M. communis had a higher efficiency (p<0.05). The patients receiving M. communis in metronidazole gel base did not experience any recurrent BV, but 30% of patients taking metronidazole alone faced recurrent BV after three weeks of follow up.Conclusion: Findings of the study suggested that adding M. communis extract to metronidazole increases the efficiency of BV treatment. UR - https://ajp.mums.ac.ir/article_7286.html L1 - https://ajp.mums.ac.ir/article_7286_1bfc4e3f99077ce92b410a986f10a0af.pdf ER -