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What should you not do when you have BV?

Treatment If you are given a cream to use, do not use tampons. Tampons can absorb the medicine. ... If your doctor prescribes antibiotics, be sure to take ALL of the medicine as instructed. ... DO NOT drink alcohol if you are being treated for BV. ... It is best to not have sex until after you have finished all of your medicine.

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Causes

The exact cause of this overgrowth is not known. It is more common in women who have had sex with more than one person. It is more common in women who use vaginal douches or feminine hygiene products that disrupt the normal bacterial balance in the vagina. Since the causes of BV are not known, there is not a specific way to prevent it. Products that interfere with your vagina’s natural bacteria balance can cause the bacteria to grow irregularly. These products include douches (genital cleansing products) or certain soap products. It is best to avoid using these products. If you do use soap, stay away from products that are scented or colored. Instead, use a mild unscented soap.

Symptoms

Women with BV report a fishy-smelling discharge (fluid) that is white to gray in color. The odor may seem worse around the time of your period, or after having sex. You may notice other symptoms such as itchiness or redness in the genital area. You may have pain when having sex.

Diagnosis

To diagnose BV your doctor will need to test the vaginal discharge. The doctor will use a swab to take a sample the discharge. During the exam the doctor will first examine the outside of the genitalia (the vulva). The doctor may insert the swab into the vagina. Sometimes it is necessary to insert a speculum into the vagina. A speculum is a tool that gently moves the walls of the vagina apart. This allows the doctor to get a better look inside. A swab of the discharge is sent to the lab. It may be looked at under a microscope in the office. This helps the doctor determine if you have BV or any other vaginal infection.

Risks

Bacterial Vaginosis may increase your risk of having a pre-term delivery (a baby born too early). BV can also increase your chances of getting an infection called Pelvic Inflammatory Disease (PID). This is an infection of the uterus, fallopian tubes, or ovaries. These are internal organs that you cannot see. PID can:

Cause chronic pelvic pain (pain in the lower belly area)

Cause difficulty getting pregnant later in life

Increase the risk of having a pregnancy in the fallopian tubes (ectopic pregnancy)

Getting treatment for BV lowers your risk of getting PID.

Treatment

If you have BV your doctor may prescribe either a cream or gel to insert into the vagina. Or your doctor may prescribe oral (taken by mouth) antibiotics. If you are given a cream to use, do not use tampons. Tampons can absorb the medicine. This makes the treatment less effective. If your doctor prescribes antibiotics, be sure to take ALL of the medicine as instructed. This is important for the treatment to work properly. DO NOT drink alcohol if you are being treated for BV. This may cause side effects like nausea and vomiting. It is best to not have sex until after you have finished all of your medicine. Though BV can be treated, it may come back again. If you experience symptoms again, contact your health care provider.

Call the doctor (phone) __________________________ if:

You have increase in pain or discomfort

You have increase in discharge

Symptoms get worse while you are on prescribed medicine

BV symptoms come back after you have finished the medicine

Bacterial Vaginosis (PDF)

HH-I-409 5/16 Copyright 2016, Nationwide Children's Hospital

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Will cranberry juice help with BV?

Anecdotal evidence suggests that cranberry juice may help remedy symptoms. Complete prevention of BV is not possible, however, there are a number of factors to be considered when attempting to reduce the risk of BV.

Bacterial vaginosis (BV) is the most common cause of abnormal discharge in sexually active women between the ages of 15-45 years.1 It is experienced by 10 per cent of women over a lifetime and is a common cause of acute vaginitis.2 It has a significant effect on quality of life and can negatively impact on personal, professional and intimate relationships. Women report feelings of shame or embarrassment, and implement excessive hygiene regimes that can exacerbate the condition.3

Background

Epidemiological studies indicate that the risk of BV is increased in women of African ethnicity.4 In pregnant women, iron deficiency (anaemia) could be a strong predictor of BV.5 It has also been reported that although dietary fat intake is associated with increased risk of BV and severe BV6 in non-pregnant women, an increase in certain nutrients including folic acid and calcium may decrease the risk of severe BV. Other risk factors include low socioeconomic status, smoking, the menopause, early coitarche, and a recent history of multiple sex partners.5 Men do not experience BV and it is not considered to be a sexually transmitted infection (STI), however some studies have revealed BV associations with STIs.1 Please login or register to read the rest of the article and to have access to downloads and comments.

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