Bacterial Vaginosis Flashcards
What are 4 symptoms of bacterial vaginosis?
- Sore/burning
- Painful urination
- Watery, grey/white/yellow discharge
- Strong fishy smell (particularly after sex)
Does bacterial vaginosis require a counselling room?
Yes
What are 11 red flags for referral with bacterial vaginosis?
- Recurrent episodes (≥4 cases per year)
- Diabetics or HIV patients
- OTC treatment failure (1 course)
- Women under 16 and over 60 years of age
- First-time symptoms
- Abnormal vaginal bleeding
- Pelvic or abdominal pain
- Systemic symptoms
- Suspected STI
- Recent IUD insertion
- Pregnancy
Does bacterial vaginosis have a PSA self-care card?
No
What is the preferred treatment option for bacterial vaginosis?
Astodrimer Sodium 1% w/w (Fleurstat BVgel)
What are the directions for Astodrimer Sodium 1% w/w (Fleurstat BVgel) in bacterial vaginosis?
Adults and children over 18 years: Adults and children over Onset of puberty: Apply 1 applicatorful into the vagina ONCE daily, preferably at bedtime for 7 days.
Is Astodrimer Sodium 1% w/w (Fleurstat BVgel) safe in pregnancy?
Yes
Is Astodrimer Sodium 1% w/w (Fleurstat BVgel) safe in breastfeeding?
Yes
What is the age range for Astodrimer Sodium 1% w/w (Fleurstat BVgel)?
Safe in adults and children after the onset of puberty.
What are 11 pieces of non-pharmacological advice for bacterial vaginosis?
- Use a pH balanced soap substitute, rather than soap, to clean the genital area.
- Dry the genital area gently but thoroughly after showering or bathing.
- Wear loose-fitting cotton underwear.
- Avoid wearing pantyhose, tight pants or tight underwear.
- Avoid having intercourse during an episode of bacterial vaginosis.
- Avoid local irritants for example, perfumed soaps, bath oils etc.
- Avoid using tampons, powders or deodorants during episodes of bacterial vaginosis.
- If treatment coincides with a menstrual period, use sanitary pads instead of tampons during therapy.
- Wipe from front to back when going to the toilet.
- Ensure any underlying medical conditions (for example, diabetes) are well controlled
- For topical treatments, wear sanitary pads as the creams may leak out
How should you advise patients to insert vaginal applicators?
When using applicators, do not push against resistance (especially in pregnancy)
What time of the day are vaginal creams and pessaries best used?
At night, just before going to bed
