BACTERIAL

VAGINOSIS

Definition
Bacterial vaginosis (BV) is
the most prevalent cause of
vaginal symptoms among
reproductive women.

 BV

(nonspecific vaginitis)

produces

symptoms

of

slightly increased quantities

of

malodorous

discharge.

vaginal

Etiology
Gardnerella Vaginalis
Anaerobic Bacteria :
Bacteroides (Provotella,
prophyromonas).
Peptoccocus
(Peptostreptoccocus)
Mobiluncus
(M.curtisii,
M.mulieris)

Diagnosis
Symptoms

alone

are

not

reliable for the diagnosis of

BV.
The clinical diagnosis of BV
on he presence of at least
three of the following four
signs :

 Characteristic homogeneous
white adherent discharge.
Vaginal fluid pH > 4.5.
Release of a fishy amine odor
from vaginal fluid when
mixed with 10% KOH.
Presence of clue cells (at
least 20% vaginal epitelial
cells).

Laboratory Examination

Culture.
Gram-stained smears.

Diagnosis
Metronidazole :
2 gram single dose.
Or
2 x 500 mg/day for 7
days.
Clindamycin : 300 mg/day
for 7 days.

Several

placebo-controlled

trials have demonstrated that

treatment of the male partner(s)
does not improve the clinical
outcome of treatment of BV or
reduce recurrence.

Because

all

controlled

trials

carefully
of

male

partners show no benefit of

treatment

of

male

partner,

treatment do not recommend

routine
partners.

treatment

of

male

Thank you