Bacterial Vaginosis - Picture, Symptom, Cause, Treatment of Bacterial Vaginosis

Bacterial Vaginosis is caused by the Lactobacillus bacteria imbalance in the vagina. Sometimes other bacteria like acteroides, Gardnerella vaginalis, Mobiluncus, Mycoplasma hominis are also present. It is characterized by vaginal discharge, fishy odor, pain, itching, or burning.

BV is not caused by poor hygiene. In fact, excessive washing of the vagina may alter the normal balance of bacteria in the vagina, which may make BV more likely to develop.

Symptoms of Bacterial Vaginosis

In 5 a per cent of women, there are no symptoms. There may be a fishy smelling vaginal discharge. Slight irritation may be the only symptom in men. Risk of bacterial vaginosis increases with menopause, and in women with diabetes, as well as women whose resistance is lowered due to other conditions.

Diagnosis of Bacterial Vaginosis

Vaginal swab. To help clarify the diagnosis, a sample (swab) of the discharge may be sent for testing. Large numbers of various bacteria that occur with BV are seen under the microscope.

Finally, the doctor may perform a "whiff test" with potassium hydroxide (KOH) liquid. When a drop of KOH testing liquid used in the "whiff test" contacts a drop of the discharge from a woman with bacterial vaginosis, a certain fishy odor can result.

Any woman presenting with symptoms of vaginal discharge should be evaluated with a physical examination, wet mount and potassium hydroxide preparation to determine the cause of the discharge so appropriate treatment can be initiated.

Treatment and mangement of Bacterial Vaginosis

Oral antibiotics such as metronidazole for both partners. Intra-vaginal antibiotic creams are also effective. Although your symptoms may disappear before you finish your medication it's important that you complete your medication exactly as directed by your physician.

Drugs like Metronidazole (Flagyl) and Clindamycin are useful in curing Bacterial Vaginosis. A small number of women have repeated episodes of BV, and need repeated courses of antibiotics. Women with BV who are HIV-positive should receive the same treatment as those who are HIV-negative.

Sexually Transmitted Diseases (STDs)