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What You Should Know About “BV”Although many women have never heard of it, Bacterial Vaginosis (“BV”) is one of the most common vaginal infections; and can lead to other problems. Here are answers to basic questions about this condition. Women today know more about their health than ever before. As a result, they are able to avoid illness and seek professional care for problems at an early stage when medical treatment is most effective. The growth of women’s health knowledge has been uneven. For instance, yeast infections have been the subject of widespread educational and advertising efforts, but little attention has been paid to a more common form of infection: bacterial vaginosis, (BV). This handout will give you up-to-date medical information on the problem of BV.
What are the symptoms of “BV”?Bacterial Vaginosis (“BV”) is associated with a foul-smelling (“fishy”) vaginal odor, a milky vaginal discharge and vaginal burning or itching. One or more symptoms may be present, or there may be no symptoms.
Beyond the odor and discharge, does “BV” pose other problems for women?Recent research has shown that BV increases the risk of some serious complications. These include pelvic inflammatory disease (“P.I.D.”); infections following pelvic surgery, D & C, or abortion; and complications related to pregnancy, such as preterm labor, premature rupture of membranes, amniotic fluid infection, or post-partum infections.
What causes Bacterial Vaginosis?BV is caused by an overgrowth of certain kinds of bacteria in the vagina. Normally, the vagina contains protective bacteria called lactobacilli. These “good” bacteria help maintain a normal pH level and hold down the growth of harmful microorganisms. Anything that alters the normally acidic pH of the vagina can allow harmful organisms to take hold and flourish.
How many women get “BV”?It is now thought that BV is even more common than yeast infections! Studies show up to 1/3 of asymptomatic women will be found to be carriers of BV.
How do you get “BV”?The cause of BV cannot always be traced. It may be sexually transmitted-----but NOT always! Having multiple partners will increase the probability of getting BV. Many women diagnosed with BV are experiencing no symptoms. This can make BV a serious hidden danger, especially because it could affect fertility and cause pregnancy complications.
What’s the difference between BV and a yeast infection?A vaginal yeast infection is usually caused by Candida albicans, a fungus rather than bacteria. Its symptoms include itching, burning and a "cottage cheese-like" discharge. Yeast infections are usually odorless, and have not been associated with an increased risk of any serious medical complications.
Can I detect “BV” myself?A fishy vaginal odor, burning, and a milky discharge are indicators of BV. These are not always present. If you suspect that you have BV, or some other type of vaginal infection, you should consult your gynecologist or nurse practitioner for proper diagnosis and treatment.
How will the doctor tell if I have “BV”?The first thing that we may do is check the appearance of the vagina and cervix. Women with BV typically have vaginal pH levels higher than 4.5, while normal levels are in the 4.0 range. BV may cause the secretions to have a bad odor, but sometimes this is hard to detect. A drop of potassium hydroxide (KOH) placed on a drop of secretions on a microscope slide will produce a positive “whiff test” if BV is present. An additional test is the examination of the slides under a microscope to rule out the additional presence of yeast or trichomonas.
How does Bacterial Vaginosis affect my sex life?There is no scientific evidence that BV affects sexual relations; but many women say they are bothered by the odor and vaginal burning during, and especially after intercourse.
Is “BV” a sexually transmitted disease?Although BV is more common in women visiting clinics for sexually transmitted diseases, BV has also been reported in young girls and women who are not sexually active.
How is “BV” treated?There are two topical and one oral method to treat BV. Vaginal medicines include: metranidazole gel (“MetroGel”) or clindamycin cream or ovules ("Cleocin”) used at bedtime for 1 to 7 nights, depending on the brand chosen. The oral method is the use of metranidazole (“Flagyl”) tablets given orally for 5 to 7 days.
Once treated, could I get “BV” again?As with most vaginal infections, recurrences of BV are common. Some women have flare-ups of infection when they are on birth control pills or when pregnant
What about sex during the treatment?It is recommended that your partner wear a condom while you are being treated. The male is often not treated.
Center for Women’s
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Last modified: 05/04/08 09:15:45 AM |
