Bacterial Vaginosis Flashcards

1
Q

Define bacterial vaginosis.

A

pH of the vagina is disrupted and Lactobacillus is replaced with anaerobic bacteria causing infection of the vagina.

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2
Q

What is the aetiology of bacterial vaginosis?

A

Unknown transmission

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3
Q

What are the risk factors for bacterial vaginosis?

A

Multiple sexual partners

New sexual partner

Using feminine products e.g. Femfresh which changes the pH of the vagina

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4
Q

Summarise the epidemiology of bacterial vaginosis.

A

Very common i.e. estimated ~30% of women in US

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5
Q

What are symptoms of bacterial vaginosis? What are the signs of bacterial vaginosis?

A

Asymptomatic

Strong smelling vaginal discharge, especially after sex

Change to consistency and colour of discharge

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6
Q

What investigations should be performed for bacterial vaginosis?

A

High vaginal swab

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7
Q

What is the management for bacterial vaginosis?

A

Metronidazole (first line)

Clindamycin if allergic to metronidazole

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8
Q

What complications are associated with bacterial vaginosis? What is the prognosis for bacterial vaginosis.

A

BV can cause problems in pregnancy even though it is not serious otherwise:

Miscarriage

Preterm labour

IUGR

Postnatal infection

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