Bacterial Vaginosis (BV)

Bacterial Vaginosis (bv)

What is Bacterial Vaginosis (BV)

Bacterial vaginosis is caused by bacterial vaginitis. Normal flora of women of reproductive age is dominated by lactobacilli (bacteria that cause low vaginal pH / acid). Low pH will cause a hostile environment with bacteria other than lactobacilli. When the number of lactobacilli decreases will lead to increased vaginal pH becomes alkaline and occur from bacterial overgrowth.


Risk Factors and Symptoms Bacterial Vaginosis?
Risk factors for bacterial vaginosis:
1. smoke
2. the use of intrauterine devices
3. etc.

Symptoms of Bacterial Vaginosis :

1. vaginal discharge gray color such as milk
50% of women with bacterial vaginosis have no symptoms.

How to diagnose and treat bacterial vaginosis (Bv)

To diagnose bacterial vaginosis be used Amsel criteria. 4 Amsel criteria:
1. vaginal fluid pH> 4.5
2.on examination under a microscope,> 20% of vaginal epithelial cells are the cells "clue" (cells with no clear boundaries, dotted with bacteria)
3. gray secretions such as milk, homogeneous, viscous secretions / paste
4. Positive whiff test


Recommendations diagnosis of Amsel criteria is 3 of 4 above are met.

Bacterial vaginosis treatment recommended by the CDC (Centers for Disease Control and Prevention), 2006:
The medicine recommended:
Metronidazole oral or Metronidazole gel  0,75% intravaginal or Clindamycin cream 2% intravaginal before sleep a night

The medicine Alternatif:
Clindamycin oral or Clindamycin ovula

Based on research conducted by Sanchez colleagues in the American Journal of Obstetrics and Gynecology (2004),metronidazole (500 mg) / nystatin (100,000 U) the ovule is more effective than metronidazole gel 0.75%.

WHAT EFFECT OF PREGNANCY WITH bacterial vaginosis?

Bacterial vaginosis can causes premature birth, amniotic fluid infection, surgical wound infections in cesarean, etc..

Treatment recommendations for pregnant women:
Metronidazole oral 500 mg 1 day 2x for 7 day
or
Metronidazole oral 250 mg 1 day 3x for 7 day
or
Clindamycin oral 300 mg 1 day 2x for 7 day