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Sexual Health Centre
Infections and Safer Sex |
Bacterial
Vaginosis
What is it?
A healthy vagina contains many
different types of bacteria.
The presence of each type of bacteria helps keep other bacteria in check.
Sometimes some of the bacteria take over or 'overgrow.' This is called bacterial
vaginosis. This is a very common condition and it is not thought to be sexually-transmitted.
What are the
symptoms?
Often there are none. However,
bacterial vaginosis sometimes causes a grey-white watery
discharge
that has a mild 'fishy' odour.
How is it
diagnosed?
A swab will be used to take a
sample from the wall of the vagina. In a laboratory, the bacteria can be
seen through a microscope.
Are there
any complications?
Bacterial vaginosis does not
usually cause any complications. However, it may be linked to pelvic
inflammatory disease (PID) especially if you have an IUD or after
an abortion.
How is it
treated?
If it doesn't have any symptoms,
it doesn't need to be treated. If you have symptoms, the antibacterial
metronidazole may be used to control the infection.
Talk to your doctor about
whether you should use the drug if you are pregnant or breastfeeding.
Metronidazole should never be combined with alcohol because it
can cause serious side effects. Don't drink for 48 hours after taking
the drug.
Some women use 5cc vinegar or 5cc lemon juice in 1 litre of water as a douche to prevent or control bacterial vaginosis. Lactobacilli capsules inserted into the vagina every day for a week may also help. These capsules can be found in the vitamin or health food section.
For chronic bacterial vaginosis (more than three episodes per year) cream can be prescribed by a physician.
Should my
partner be checked or treated?
Bacterial vaginosis is not usually sexually transmitted, so your partner doesn't need to be checked or treated unless you get this infection repeatedly. If a woman has a female partner, both need to be treated.
How can I
protect myself from bacterial vaginosis?
Approximately
one-third of women have B.V. so you cannot "protect" against it.
It is treated only if it bothers you or if you have an IUD or an abortion.
Douches and
other feminine hygiene products can disturb the natural balance of
bacteria in the vagina and provide a favorable environment for B.V.
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