Vaginal flora refers to an environment in which many microorganisms living in the vagina live in harmony. The most important element of healthy vaginal flora is Lactobacilli, i.e. Döderlein bacilli.

Turkey Medicals Co-ordinator, “Apart from lactobacilli, 30 different types of microorganisms exist in different proportions and in equilibrium. Neisseria gonorrhea, which is a factor of gonorrhea, HSV (herpes simplex virus), which is a factor of herpes simplex, HPV (human papilloma virus), which is a factor of warts and cervical cancer, is not an element of the vaginal flora.” was said.

Starting from the newborn period until the menopause period, the elements of the vaginal flora are present in different density and balance.

Lactobacilli play a very important role in maintaining the health of the female genital tract and preventing genitourinary infections. Lactobacilli prevent pathogenic microorganisms from establishing dominance in this vagina in various ways (by producing hydrogen peroxide, lowering the pH, preventing pathogens from adhering to the epithelium). If the number of lactobacilli decreases or the vaginal PH, which is acid, shifts to the basic direction, a condition called “vaginitis” occurs, that is, an infection occurs inside the vagina.

1- Cases where the number of lactobacilli decreases and the vaginal flora deteriorates;

  • Frequent Sexual intercourse 
  • Frequent use of antibiotics 
  • Stress

Washing of the vagina after intercourse, the use of substances containing olnayab chemicals suitable for vaginal pH, such as applied vaginal shower, spray, powder and soap, colored toilet paper

  • Pregnancy and menopause period 
  • Condom use 
  • After menstruation (menstruation) 
  • Leaving the genital area moist and wet 
  • Diabetes mellitus 
  • Very tight and tight, airtight underwear, wearing trousers

2- Complaints in case of vaginal flora deterioration;

  • Vaginal discharge 
  • Vaginal odor 
  • The smell of spoiled fish 
  • Green-yellow vaginal discharge 
  • Intense itching in the vulva and vagina 
  • Burning pain during sexual intercourse 
  • Burning in the urine, frequent desire to urinate 

In case of vaginal infection, it is necessary to review the use of probiotics containing lactobacilli and vaginal hygiene measures aimed at reorganizing the vaginal flora as well as eliminating the infection.

3- Situations that need to be considered to protect the vaginal flora;

  • Cotton underwear should be used and changed daily, never stay damp 
  • Underwear should be double rinsed and ironed. 
  • If you need to use antibiotics, medications that prevent vaginal flora disorder should be used in the presence of frequent recurrent vaginal infections. 
  • When cleaning the genital area, cleaning should be done from front to back. 
  • In case of recurrent vaginal infection, diabetes and urinary tract infections should be investigated. 
  • Probiotic use should be supported by drinking lactobacilli. 
  • Cotton ones that do not contain perfume should be preferred for daily use of pads and pads, changes should be made at 2-hour intervals.

For genital area cleaning, products that do not disrupt the vaginal flora in accordance with the pH value of the vagina recommended by your obstetrician should be preferred.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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