Bacterial vaginosis: Difference between revisions

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'''For patient information, click [[Bacterial vaginosis (patient information)|here]]'''
'''For patient information, click [[Bacterial vaginosis (patient information)|here]]'''
__NOTOC__
{{Bacterial vaginosis}}
{{CMG}}; {{AE}} {{SaraM}}


{{Infobox_Disease
{{SK}} Anaerobic vaginosis; Nonspecific vaginitis
| Name          = {{PAGENAME}}
| Image          =
| Caption        =
| DiseasesDB    =
| ICD10          = {{ICD10|B|96||b|95}}, {{ICD10|N|76||n|70}}
| ICD9          = {{ICD9|616.1}}
| ICDO          =
| OMIM          =
| MedlinePlus    =
| eMedicineSubj  =
| eMedicineTopic =
| MeshID        = D016585
}}
{{Bacterial vaginosis}}
{{CMG}}


==[[Bacterial vaginosis overview|Overview]]==
==[[Bacterial vaginosis overview|Overview]]==
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==[[Bacterial vaginosis pathophysiology|Pathophysiology]]==
==[[Bacterial vaginosis pathophysiology|Pathophysiology]]==


==[[Bacterial vaginosis epidemiology and demographics|Epidemiology & Demographics]]==


==[[Bacterial vaginosis risk factors|Risk Factors]]==


==[[Bacterial vaginosis screening|Screening]]==
==[[Bacterial vaginosis causes|Causes]]==
 


==[[Bacterial vaginosis causes|Causes]]==


==[[Bacterial vaginosis differential diagnosis|Differentiating Bacterial vaginosis]]==


==[[Bacterial vaginosis natural history|Complications & Prognosis]]==
==[[Bacterial vaginosis differential diagnosis|Differentiating Bacterial vaginosis from other Diseases]]==


==Diagnosis==
==[[Bacterial vaginosis epidemiology and demographics|Epidemiology and Demographics]]==
[[Bacterial vaginosis history and symptoms|History and Symptoms]] | [[Bacterial vaginosis physical examination|Physical Examination]] | [[Bacterial vaginosis laboratory tests|Laboratory tests]] | [[Bacterial vaginosis electrocardiogram|Electrocardiogram]]  | [[Bacterial vaginosis x ray|X Rays]] | [[Bacterial vaginosis CT|CT]] | [[Bacterial vaginosis MRI|MRI]] [[Bacterial vaginosis echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Bacterial vaginosis other imaging findings|Other images]] | [[Bacterial vaginosis other diagnostic studies|Alternative diagnostics]]


==Treatment==
==[[Bacterial vaginosis risk factors|Risk Factors]]==
[[Bacterial vaginosis medical therapy|Medical therapy]] | [[Bacterial vaginosis surgery|Surgical options]] | [[Bacterial vaginosis primary prevention|Primary prevention]]  | [[Bacterial vaginosis secondary prevention|Secondary prevention]] | [[Bacterial vaginosis cost-effectiveness of therapy|Financial costs]] | [[Bacterial vaginosis future or investigational therapies|Future therapies]]


==Treatment==
==[[Bacterial vaginosis screening|Screening]]==
Bacterial vaginosis can be treated with [[antibiotic]]s such as [[metronidazole]] and [[clindamycin]].  However, there is a high rate of recurrence.<ref name="Bradshaw2006"/>


Currently, there are very few [[Over-the-counter drug|over the counter]] products that address bacterial vaginosis.  A vaginal gel product called RepHresh claims to regulate the pH level.  [[Boric acid]] capsules inserted vaginally is considered a home treatment.  Lactobacillus supplements may also be used; Fem-dophilus (Jarrow Formulas) is a lactobacillus product which specifically claims to help maintain healthy vaginal flora.<ref name="titleSpecific probiotic strains are effective for genitourinary infections Townsend Letter for Doctors and Patients - Find Articles">{{cite web |url=http://findarticles.com/p/articles/mi_m0ISW/is_280/ai_n16865224 |title=Specific probiotic strains are effective for genitourinary infections Townsend Letter for Doctors and Patients - Find Articles |accessdate=2007-12-04 |format= |work=}}</ref>
==[[Bacterial vaginosis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


It should be noted that seeking medical attention is often necessary, because none of the over the counter products can claim to treat an active infection.  More importantly, patients often inaccurately diagnose BV as a [[Candidiasis|yeast infection]], and delay proper treatment which may lead to complications.
==Diagnosis==
[[Bacterial vaginosis Amsel criteria|Amsel Criteria]] | [[Bacterial vaginosis history and symptoms|History and Symptoms]] | [[Bacterial vaginosis physical examination|Physical Examination]] | [[Bacterial vaginosis laboratory findings|Laboratory Findings]] | [[Bacterial vaginosis other imaging findings|Other Imaging Findings]] | [[Bacterial vaginosis other diagnostic studies|Other Diagnostic Studies]]


In a [[randomized controlled trial]],<ref name="pmid11127100">{{cite journal |author=Hanson JM, McGregor JA, Hillier SL, ''et al'' |title=Metronidazole for bacterial vaginosis. A comparison of vaginal gel vs. oral therapy |journal=J Reprod Med |volume=45 |issue=11 |pages=889–96 |year=2000 |pmid=11127100 |doi=}}</ref> researchers found the efficacy of 0.75% metronidazole vaginal gel in treating bacterial vaginosis (cure rate 70.7%) was equivalent to that of standard oral metronidazole treatment (cure rate 71%).  Treatment with vaginal metronidazole gel was associated with fewer gastrointestinal complaints.
==Treatment==
[[Bacterial vaginosis medical therapy|Medical Therapy]] | [[Bacterial vaginosis surgery|Surgery]] | [[Bacterial vaginosis primary prevention|Primary Prevention]]  | [[Bacterial vaginosis secondary prevention|Secondary Prevention]] | [[Bacterial vaginosis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Bacterial vaginosis future or investigational therapies|Future or Investigational Therapies]]


==References==
==Case Studies==
{{reflist|2}}
[[Bacterial vaginosis case study one|Case #1]]


[[de:Bakterielle Vaginose]]
[[es:Vaginosis bacteriana]]
[[it:Vaginosi]]
[[sr:Вагиноза]]
[[pl:Bakteryjne zapalenie pochwy]]


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Latest revision as of 20:34, 29 July 2020

For patient information, click here

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Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Bacterial vaginosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Amsel Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Synonyms and keywords: Anaerobic vaginosis; Nonspecific vaginitis

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Bacterial vaginosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Amsel Criteria | History and Symptoms | Physical Examination | Laboratory Findings | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1


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