(ID)- Bacterial Vaginosis Flashcards

1
Q

What is bacterial vaginosis?

A

Imbalance in vaginal microbiome
Overgrowth of anaerobic bacteria and loss of lactobacilli

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2
Q

What is the most common anaerobic bacterial overgrowth in bacterial vaginosis?

A

Gardnerella vaginalis

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3
Q

What symptoms are experienced in bacterial vaginosis?

A
  • Increased vaginal discharge
  • Fishy odour, particularly after intercourse
  • Vaginal itching or irritation (less common)
  • Grey-white watery discharge
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4
Q

Who is most commonly affected by bacterial vaginosis?

A

Women of childbearing age
Common in sexually active women

NOT AN STI

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5
Q

How is bacterial vaginosis diagnosed?

A

Amsel criteria
- Elevated vaginal pH > 4.5
- Homogenous grey or milky discharge
- Positive whiff test (add 10% potassium hydroxide to produce fishy odour)
- Clue cells on wet mount

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6
Q

How can bacterial vaginosis be treated?

A

Metronidazole
Clindamycin

Orally or intravaginally

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7
Q

What can increase the risk of bacterial vaginosis?

A
  • Pregnancy
    Due to hormonal changes
    Does not generally cause issues in the majority of pregnancies
  • Multiple sexual partners or new sexual partner
  • Douching
  • Lack of consistent condom use
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8
Q

What are some differential diagnoses for bacterial vaginosis?

A

Vulvovaginal candidiasis
- White, curd-like discharge
- Itching
- Burning
- Dyspareunia

Trichomonas vaginalis infection
- Purulent, frothy, greenish discharge
- Pruritis
- Dyspareunia
- Dysuria

Chlamydia or Gonorrhoea
- Increased vaginal discharge
- Lower abdominal pain

Atrophic vaginitis
- Thin, watery discharge
- Postmenopausal women
- Dryness
- Burning
- Dyspareunia

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9
Q

What are the risks of BV during pregnancy?

A

Premature birth
Low birth weight

Mostly no issues

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