(Bacterial Vaginosis) means that the
Vaginal is infected with bacteria.
It is one of the most challenging
issue in womens health considering diagnosis
and treatment. It is easily misunderstood
as a "yeast infection" self-diagnose
by women and therefore is prone to
BV, Fungal, Parasite Testing &
Bacterial Vaginosis is
common infection in patient with multiple
sexual partners, so the
presence of STDs must always be considered. We
commonly see patients in our clinic who
complain of vaginal discomfort and
have been using intra vaginal cream
and medicine without effect. They
mostly get self treated for a
yeast infection which does not
effect the bacteria. We also see many
patients complaining of recurring symptoms.
A Doctor must obtain a complete patient history, perform a physical exam, and obtain appropriate samples for testing.
evaluate test and treat patients with bacterial
vaginosis with a high success rate. This
success is based on the fact that we
always do a complete work up and we
pay close attention to the sexual
partners role in symptomatic patients.
We always consider treating both
partners. Multifactorial possibilities for
BV make it challenging to
treat. For example, if you have trichomonas
then it does not mean that you do
not have other bacteria! If you
just get treated for trichomonas you
may feel better but not 100% and you may
still have symptoms if you have
a coinfection with other organisms.
is known as to how women get BV, however,
we do know that those who have never
had sexual intercourse are rarely
affected. So important question is
that if it is a STD? Could your boyfriend
could give you BV if his ex was infected?
If partner needs to get treated if
he does not have any symptom? Further
studies and research may be needed
to answer similar questions.
We do know that you do not get BV from bedding, toilet seats, swimming pools, or from touching objects. It is still not clear what role sexual activity plays in the development of BV.
Symptoms of BV (could be one or more of following)
Burning during urinaion
Or according to CDC “no symptoms at all”
Testing and Diagnosis (learn what makes us really different)
The gold standard testing for Bacterial Vaginosis is direct Microscopic study (Gram Stain / wet mount). Cultures or Pap smears which are routinley performed are not a truly effective diagnostic test for BV. Please refer to CDC guidlines for further information. Direct microscopic study requires special labarotory licensing, quality control, proficient testing, and above all expertise. As a result, not many physicians or clinics are able to perform direct microscopy such as gram stain and they are limited to other methods. We have a variety of options in our center to choose from when it comes to Bacterial Vaginosis evaluations including gold standard microscopic testing.
Complications of BV if Left Untreated
1 - Pelvic Inflammatory Disease with ultimate infertility
2 - Susceptibility to HIV infection
3 - Susceptibility to other STDs, such as Gonorrhea & Chlamydia
Prevention of BV
Limit the number of partners.
Do not douche.
Use all of the medicine prescribed for treatment of BV, although the signs and symptoms may have gone away.
tBV is the effect and not the cause. Effective treatment depends on diagnosis, diagnosis and diagnosis. Not every patient is the same. The right antibiotic and treatment duration with possible life style changes could possibly be recommended by a doctor after the cause is uncovered.
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