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Bacterial Vaginosis |
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Definition
This is an
infection in the vagina that occurs because there is
an imbalance between "good", normal vaginal bacteria
(i.e., Lactobacillus), and so-called "bad bacteria"
(an overgrowth of the bacteria Gardnerella vaginalis,
Bacteroides, Mycoplasma Hominis, and Mobiluncus).
Causes
It is most common in women of childbearing age, those
with IUD's, those who douche, and those with multiple
sexual partners. It is also seen in sexually inactive
women. The cause is unknown, but it is thought to
stem from the loss of a normal balance of vagina
flora.
Symptoms
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Vaginal discharge with a
bad/fishy odor -- thin, milky-white or gray
discharge
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Vaginal irritation or itching is
sometimes present.
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Redness outside the vagina
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There may be burning during
urination
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There may be no symptoms at all
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There may be an increased chance
of developing pelvic inflammatory disease (PID), or
an increased risk for other sexually transmitted
diseases.
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Women with bacterial vaginosis
who are HIV positive may have a higher chance of
transmitting the virus to their sexual partners (as
well as being infected by a HIV positive partner)
than women without bacterial vaginosis.
Screening and
Diagnostics
Microscopic slide mount shows "clue cells"
Treatment
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Flagyl (Metronidazole) by mouth
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Clindamycin by mouth
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Clindamycin vaginal cream
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Metronidazole gel vaginally
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Use protection (condoms) at all
times
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Do not douche
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