What Is A Bacterial Vaginosis?
It is defined as a disorder in which there is an infection in the vagina. It is also known as the vaginal bacteriosis. It is not transmitted by the sexual function but it is quite common in the women who are active sexually. It is also known as BV. It is caused due to the problem in the balance of natural flora. It must be differentiated from the yeast infection. The other infection can be trichomoniasis which must also be differentiated.
What are the signs and symptoms of Bacterial vaginosis?
It includes the discharge of white material from the vagina. It occurs after sex and has an unpleasant odor. It covers the wall of vagina and may or may not cause pain, irritation or redness. The blood from menses has a special odor and has not a normal consistency. The amount also varies. The normal discharge is clear after 14 days when the period starts.
How Bacterial vaginosis can be diagnosed?
One should do speculum exam and must take swabs from the vagina. The swabs must be looked for a fishy odor which is present on wet mount. It is known as the whiff test. It is done by the addition of small amount of potassium hydroxide to the slide which has a discharge from the vagina. The fishy odor denotes to the positive whiff test. The vagina is little bit acidic and has a ph of nearly 4. The discharge of swab is put on to the litmus paper and the acidity is checked. If the ph is more than 4 it is alkaline and is also known as bacterial vaginosis. The other option is the presence of clue cells on wet mount. It is quite similar to the whiff test. In this case a drop of sodium chloride is placed which has a vaginal discharge. The clue cells can be seen on a microscope. They are named so as they gave an idea about the discharge. Basically, these are epithelial cells which are in link with the bacteria.
How Bacterial vaginosis can be treated?
One can go few antibiotics such as the use of antibiotics such as metronidazole and clindamycin. They must be used orally or vaginally but it has high chances of recurrence. Metronidazole is the most common antibiotic used and is used for a week and is used once for 2 gram dose. The treatment is not recommended mainly. In some studies we come to know that the probiotics are quite helpful in the treatment of this disorder. Some recommend it to be used along with the antibiotics.