Bacterial vaginosis

Topic

The Vagina
Vaginal discharge
- Causes of vaginal discharge
- History taking
- Examination and investigation
- Comparative features of vaginal discharge
Bacterial vaginosis
- Symptoms
- Diagnosis
- Amsel’s criteria
- Complications
- Management
- Recommended antibiotic treatment regimens for bacterial vaginosis
- Recurrent bacterial vaginosis
- Bacterial vaginosis in pregnancy
- Resources – Bacterial vaginosis
Vulvovaginal candidiasis
- Acute vulvovaginal candidiasis
- Symptoms
- Diagnosis
- Medical management
- Treatment of non-albicans species
- Recurrent and chronic vulvovaginal candidiasis
- Treatment of recurrent vulvovaginal candidiasis
- Hormonal contraception and vulvovaginal candidiasis
- Vulvovaginal candidiasis in pregnancy
Group B streptococcus (GBS)
Group A streptococcus
Sexually transmissible infections
Bartholin’s cysts
Toxic shock syndrome
- Practical advice on tampon use:
The Vulva
Vulval dermatoses
- History
- Examination and investigation
- Vulval dermatitis
- Clinical presentation of vulval dermatitis
- General management of the vulval skin
Lichen sclerosus
- Presentation
- Diagnosis
- Management
- Maintenance
Lichen planus
- Clinical presentation
- Diagnosis
- Management
Psoriasis
Vitiligo
Vulval pain
- Vulvodynia
- ISSVD Terminology and classification of Persistent Vulval Pain
- Management of vulval pain
- Resources – the vulva
Female genital mutilation/cutting
- Prevalence of FGM/C
- Cause
- Long term complications
- Classification of FGM/C
- Diagnosis
- Management
Female genital cosmetic surgery
- Recommendations for management of patients requesting FGCS or expressing concern about their genitalia
Resources
References

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Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge in women of childbearing age worldwide.⁽¹⁾ It typically occurs in sexually active women, and is associated with douching, early age at first sexual intercourse, inconsistent condom use, higher number of sexual partners, or recent partner change. For women who have sex with women (WSW) bacterial vaginosis is associated with increased numbers of recent and past female partners and with confirmed bacterial vaginosis in a female partner.⁽²⁾ BV is less common when male partners are circumcised.⁽²⁾

Bacterial vaginosis is a polymicrobial condition, characterised by an overgrowth of anaerobic organisms that replace normal lactobacilli, leading to an increase in vaginal pH (≥4.5). This may lead to an increase in vaginal discharge and a change in odour, often described as a fishy or ammonia-like smell. However, up to 50 per cent of women with BV are asymptomatic.⁽³⁾

Gardnerella vaginalis is the most commonly found bacteria in BV. Other organisms associated with BV include Atopobium vaginae, Prevotella species, Mycoplasma hominis and Mobiluncus species. Despite growing understanding of its physiology and sequelae, the precise pathogenesis of BV is controversial and its aetiology, pathology, microbiology and transmission are still poorly understood.⁽⁴⁾ BV ... Buy now