Bacterial vaginosis history and symptoms: Difference between revisions
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{{Bacterial vaginosis}} | {{Bacterial vaginosis}} | ||
{{CMG}}; {{AE}} {{SaraM}} | |||
==Overview== | ==Overview== | ||
It is necessary to obtain a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include number and type of sexual partners (new, casual, or regular) and previous history of [[STDs]]. | |||
50-75% of women with bacterial vaginosis (BV) are asymptomatic. | |||
Common symptoms of bacterial vaginosis include thin, white/gray vaginal discharge and unpleasant vaginal odor, especially after sex.<ref name="pmid6600371">{{cite journal| author=Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK| title=Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. | journal=Am J Med | year= 1983 | volume= 74 | issue= 1 | pages= 14-22 | pmid=6600371 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6600371 }} </ref><ref name="pmid15291998">{{cite journal| author=Klebanoff MA, Schwebke JR, Zhang J, Nansel TR, Yu KF, Andrews WW| title=Vulvovaginal symptoms in women with bacterial vaginosis. | journal=Obstet Gynecol | year= 2004 | volume= 104 | issue= 2 | pages= 267-72 | pmid=15291998 | doi=10.1097/01.AOG.0000134783.98382.b0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15291998 }} </ref> | |||
==History== | |||
It is necessary to obtain a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include:<ref name="pmid6600371">{{cite journal| author=Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK| title=Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. | journal=Am J Med | year= 1983 | volume= 74 | issue= 1 | pages= 14-22 | pmid=6600371 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6600371 }} </ref> | |||
*Number and type of sexual partners (new, casual, or regular) | |||
*Previous history of [[STDs]] | |||
*Previous history of symptomatic BV in female partner (among women who have sex with women) | |||
==Symptoms== | ==Symptoms== | ||
Most women found to have bacterial vaginosis reported no symptoms (50-75%). | |||
Common symptoms of bacterial vaginosis include:<ref name="pmid6600371">{{cite journal| author=Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK| title=Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. | journal=Am J Med | year= 1983 | volume= 74 | issue= 1 | pages= 14-22 | pmid=6600371 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6600371 }} </ref><ref name="pmid15291998">{{cite journal| author=Klebanoff MA, Schwebke JR, Zhang J, Nansel TR, Yu KF, Andrews WW| title=Vulvovaginal symptoms in women with bacterial vaginosis. | journal=Obstet Gynecol | year= 2004 | volume= 104 | issue= 2 | pages= 267-72 | pmid=15291998 | doi=10.1097/01.AOG.0000134783.98382.b0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15291998 }} </ref> | |||
*Vaginal discharge (thin, white/gray, and homogenous discharge) | |||
*Vaginal odor (unpleasant "fishy smell" especially after sex) | |||
Bacterial vaginosis does not cause [[dysuria]], [[dyspareunia]], [[pruritus]], burning, or vaginal [[inflammation]].<ref name="pmid6600371">{{cite journal| author=Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK| title=Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. | journal=Am J Med | year= 1983 | volume= 74 | issue= 1 | pages= 14-22 | pmid=6600371 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6600371 }} </ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Gynecology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 20:34, 29 July 2020
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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]
Overview
It is necessary to obtain a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include number and type of sexual partners (new, casual, or regular) and previous history of STDs. 50-75% of women with bacterial vaginosis (BV) are asymptomatic. Common symptoms of bacterial vaginosis include thin, white/gray vaginal discharge and unpleasant vaginal odor, especially after sex.[1][2]
History
It is necessary to obtain a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include:[1]
- Number and type of sexual partners (new, casual, or regular)
- Previous history of STDs
- Previous history of symptomatic BV in female partner (among women who have sex with women)
Symptoms
Most women found to have bacterial vaginosis reported no symptoms (50-75%). Common symptoms of bacterial vaginosis include:[1][2]
- Vaginal discharge (thin, white/gray, and homogenous discharge)
- Vaginal odor (unpleasant "fishy smell" especially after sex)
Bacterial vaginosis does not cause dysuria, dyspareunia, pruritus, burning, or vaginal inflammation.[1]
References
- ↑ 1.0 1.1 1.2 1.3 Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK (1983). "Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations". Am J Med. 74 (1): 14–22. PMID 6600371.
- ↑ 2.0 2.1 Klebanoff MA, Schwebke JR, Zhang J, Nansel TR, Yu KF, Andrews WW (2004). "Vulvovaginal symptoms in women with bacterial vaginosis". Obstet Gynecol. 104 (2): 267–72. doi:10.1097/01.AOG.0000134783.98382.b0. PMID 15291998.