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For the Treatment and Prevention
      of Bacterial Vaginosis




          The Vaginal Ecosystem
For the Treatment and Prevention
             of Bacterial Vaginosis


                        The Vaginal Flora

The vaginal flora consists of various species of bacteria
(microorganisms) which form a film called biofilm on the surface of
the vaginal mucosa.

This biofilm acts as a protective barrier which prevents harmful
bacteria from adhering to the surface of the vaginal mucosa.

The vagina is continuously moistened by discharge which helps
maintain a healthy vaginal flora. Normal discharge is usually clear
and without malodor.


                                                                      2

                                                                          2
For the Treatment and Prevention
            of Bacterial Vaginosis




In a healthy vaginal flora, "good" and "bad" bacteria coexist in a state
of natural balance.

Normal vaginal pH is between 3.8 and 4.2; it means that the vaginal
environment is acidic. This acidity maintains bacterial balance and
healthy vaginal ecosystem.

A change occurring in the pH leads to imbalance of vaginal flora and
risk for infection.



                                                                           3

                                                                               3
For the Treatment and Prevention
                  of Bacterial Vaginosis



Composition and balance of vaginal flora may change under the
influence of various physiological or external factors:

 - Age                                         - Sexual activity
 - Stress                                      - Intra-uterine devices
 - Hormonal changes (menstrual                 - Systemic antibiotics
   cycle, pregnancy, menopause)
                                               - Douching
 - Health condition
                                               - Swimming



                                                                         4

                                                                             4
For the Treatment and Prevention
           of Bacterial Vaginosis


            The “Good” and the “Bad” bacteria
 “Good” bacteria (mainly lactobacilli)

    Represent over 95% of all bacteria present in the vagina and
     defend against infections:
       • by producing lactic acid → it helps maintain a healthy
         acidic pH in the vagina;
       • by producing hydrogen peroxide (H2O2) in the genital
         environment→ it provides antimicrobial action.


                                                                    5

                                                                        5
For the Treatment and Prevention
             of Bacterial Vaginosis



 “ Bad “ bacteria - (mainly Gardnerella Vaginalis) :
     are potentially pathogenic, i.e. they have the ability to cause a
      disease or infection;
     proliferate when the vaginal environment becomes alkaline
      under the influence of physiological or external factors as
      described earlier;
     become pathogenic when overgrowth occurs in the vaginal
      ecosystem.




                                                                          6

                                                                              6
For the Treatment and Prevention
           of Bacterial Vaginosis




 When the balance between good and bad bacteria within
  the vaginal ecosystem is disrupted, the bad bacteria take
  over and Bacterial Vaginosis symptoms occur, namely:

     strong abnormal fishy odour;

     more whitish and fluid vaginal discharge.



                                                              7

                                                                  7
For the Treatment and Prevention
             of Bacterial Vaginosis



Prevegyne™ vaginal tablets treat Bacterial Vaginosis and help prevent
frequent recurrence.
 • By gradually releasing the specially formulated vitamin C, they acidify
   the vaginal fluid and restore the vaginal pH back to its physiological
   level (between 3.8 and 4.2).
     The abnormal odour will disappear within few hours following
      insertion of the first tablet.
     Bad bacteria (Gardnerella), which had taken over and disrupted
      the balance of your vaginal flora, will stop proliferating as the
      vaginal regains it normal acidic level.
                                                                        8

                                                                             8
For the Treatment and Prevention
      of Bacterial Vaginosis




 Good bacteria (lactobacilli) will recolonize and
  protect your vaginal ecosystem.

  The balance of your vaginal flora will be restored
               on a sustainable basis.




                                                       9

                                                           9
For the Treatment and Prevention
             of Bacterial Vaginosis




To learn more about Prevegyne™ visit the section Your Prevegyne
Treatment.

You can also visit the FAQ section of this web site; you may find the
information you are looking for.

PrevegyneTM is available at the pharmacy counter. Print this pdf sheet
and bring it to your pharmacist; it will help him/her order Prevegyne™ for
you if it is currently out of stock.

For more information about Bacterial Vaginosis, please visit the other
sections of this web site.
                                                                         10

                                                                              10
For the Treatment and Prevention
        of Bacterial Vaginosis




Our Medical Information Service is available to provide
information and counselling about your Prevegyne™
treatment.

If you have any questions, please feel free to contact us at
1 888 666-0611 or by e-mail medicalinfo@duchesnay.com.

Please note that our opening hours are Monday to Friday,
from 8:30 a.m. to 4:30 p.m. (EST). For any emergency, call a
healthcare professional.



                                                               11

                                                                    11

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Vaginal ecosystem-en

  • 1. For the Treatment and Prevention of Bacterial Vaginosis The Vaginal Ecosystem
  • 2. For the Treatment and Prevention of Bacterial Vaginosis The Vaginal Flora The vaginal flora consists of various species of bacteria (microorganisms) which form a film called biofilm on the surface of the vaginal mucosa. This biofilm acts as a protective barrier which prevents harmful bacteria from adhering to the surface of the vaginal mucosa. The vagina is continuously moistened by discharge which helps maintain a healthy vaginal flora. Normal discharge is usually clear and without malodor. 2 2
  • 3. For the Treatment and Prevention of Bacterial Vaginosis In a healthy vaginal flora, "good" and "bad" bacteria coexist in a state of natural balance. Normal vaginal pH is between 3.8 and 4.2; it means that the vaginal environment is acidic. This acidity maintains bacterial balance and healthy vaginal ecosystem. A change occurring in the pH leads to imbalance of vaginal flora and risk for infection. 3 3
  • 4. For the Treatment and Prevention of Bacterial Vaginosis Composition and balance of vaginal flora may change under the influence of various physiological or external factors: - Age - Sexual activity - Stress - Intra-uterine devices - Hormonal changes (menstrual - Systemic antibiotics cycle, pregnancy, menopause) - Douching - Health condition - Swimming 4 4
  • 5. For the Treatment and Prevention of Bacterial Vaginosis The “Good” and the “Bad” bacteria  “Good” bacteria (mainly lactobacilli)  Represent over 95% of all bacteria present in the vagina and defend against infections: • by producing lactic acid → it helps maintain a healthy acidic pH in the vagina; • by producing hydrogen peroxide (H2O2) in the genital environment→ it provides antimicrobial action. 5 5
  • 6. For the Treatment and Prevention of Bacterial Vaginosis  “ Bad “ bacteria - (mainly Gardnerella Vaginalis) :  are potentially pathogenic, i.e. they have the ability to cause a disease or infection;  proliferate when the vaginal environment becomes alkaline under the influence of physiological or external factors as described earlier;  become pathogenic when overgrowth occurs in the vaginal ecosystem. 6 6
  • 7. For the Treatment and Prevention of Bacterial Vaginosis  When the balance between good and bad bacteria within the vaginal ecosystem is disrupted, the bad bacteria take over and Bacterial Vaginosis symptoms occur, namely:  strong abnormal fishy odour;  more whitish and fluid vaginal discharge. 7 7
  • 8. For the Treatment and Prevention of Bacterial Vaginosis Prevegyne™ vaginal tablets treat Bacterial Vaginosis and help prevent frequent recurrence. • By gradually releasing the specially formulated vitamin C, they acidify the vaginal fluid and restore the vaginal pH back to its physiological level (between 3.8 and 4.2).  The abnormal odour will disappear within few hours following insertion of the first tablet.  Bad bacteria (Gardnerella), which had taken over and disrupted the balance of your vaginal flora, will stop proliferating as the vaginal regains it normal acidic level. 8 8
  • 9. For the Treatment and Prevention of Bacterial Vaginosis  Good bacteria (lactobacilli) will recolonize and protect your vaginal ecosystem. The balance of your vaginal flora will be restored on a sustainable basis. 9 9
  • 10. For the Treatment and Prevention of Bacterial Vaginosis To learn more about Prevegyne™ visit the section Your Prevegyne Treatment. You can also visit the FAQ section of this web site; you may find the information you are looking for. PrevegyneTM is available at the pharmacy counter. Print this pdf sheet and bring it to your pharmacist; it will help him/her order Prevegyne™ for you if it is currently out of stock. For more information about Bacterial Vaginosis, please visit the other sections of this web site. 10 10
  • 11. For the Treatment and Prevention of Bacterial Vaginosis Our Medical Information Service is available to provide information and counselling about your Prevegyne™ treatment. If you have any questions, please feel free to contact us at 1 888 666-0611 or by e-mail medicalinfo@duchesnay.com. Please note that our opening hours are Monday to Friday, from 8:30 a.m. to 4:30 p.m. (EST). For any emergency, call a healthcare professional. 11 11