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Information about Bacterial Vaginosis | Print |  E-mail
Vaginal discharge in women can be a perfectly normal 'physiological' occurrence or caused by infections. Not all infections are sexually transmitted. If you are unsure it is important to have a check-up.
Bacterial Vaginosis is a very common vaginal infection. It is caused by an overgrowth of bacteria that normally exist in the vagina. It cannot be passed to a man.

What are the signs and symptoms of Bacterial Vaginosis?

There may be none. However, there may be a change in your vaginal discharge - it may increase, become thin and watery, change colour and/or develop a strong fishy smell.

How does Bacterial Vaginosis develop?

It occurs when the acidity of the vagina changes. This can be caused by

* Semen entering vagina during unprotected sex
* Douching and washing out the vagina
* Using too much soap/bubble bath/vaginal deodorants

What are the tests for Bacterial Vaginosis?

This involves a genital examination by a doctor. Swabs are taken from the vagina and the acidity can be measured using pH paper. The test is not normally painful.

Diagnosis and Treatment

The diagnosis is made by looking at a specimen of discharge under the microscope in our laboratory. The result is usually available immediately.

Treatment is easy - antibiotic tablets or a cream to put inside the vagina will be prescribed from our pharmacy. The tablets are called 'Metronidazole' (trade name Flagyl) and the cream is called 'Clindamycin' (trade name Dalacin).

If it is possible that you are pregnant it is important to tell the doctor. Bacterial Vaginosis is a possible cause of miscarriage.
It is important to finish the course of treatment
It is possible to have a sexually transmitted infection in addition to Bacterial Vaginosis - this why it is important to have an examination and full range of tests

The evidence linking bacterial vaginosis with early miscarriage is limited, nevertheless common sense dictates that treatment of 'BV' under these circumstances is advisable. It is important to note that the standard course of treatment: Metronidazole antibiotics at a dose of 400mg twice daily has not been shown to be harmful to unborn babies. As always, anyone taking Metronidazole must not consume alcohol until 48 hours after the treatment is finished.