Bacterial Vaginosis Flashcards
What is Bacterial Vaginosis?
A bacterial imbalance of the vagina caused by an overgrowth of anaerobic bacteria and a loss of lactobacilli, which is responsible for maintaining an acidic vaginal pH.
Who is most commonly affected by Bacterial Vaginosis?
Most common in women of childbearing age who are sexually active.
What are the risk factors of Bacterial Vaginosis?
Multiple sexual partners
New sexual partner
Douching
Lack of consistent condom use
Hormonal changes
What are the symptoms of Bacterial Vaginosis?
Increased vaginal discharge
Grey- white watery discharge
Fishy smelling discharge
Vaginal itching or irritation
How is Bacterial Vaginosis diagnosed?
With the Amstel criteria, 3 of the following are needed for diagnosis:
- Vaginal pH >4.5
- Homogenous great or milky discharge
- Positive whiff test
- Clue cells present on wet mount
What is the whiff test?
Used to help diagnose Bacterial Vaginosis.
Addition of 10% potassium hydroxide produces a fishy odour.
What is the treatment of Bacterial Vaginosis?
Either oral or IV Matronidazole or Clindamycin.
How does Bacterial Vaginosis affect pregnancy?
Increased risk of premature birth and low birth weight.
Regular antenatal care should include screening for Bacterial Vaginosis.
