Bacterial vaginosis natural history, complications and prognosis

Revision as of 15:51, 18 October 2016 by Sara Mehrsefat (talk | contribs)
Jump to navigation Jump to search

Sexually transmitted diseases Main Page

Vaginitis Main Page

Bacterial vaginosis Microchapters

Home

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

Bacterial vaginosis natural history, complications and prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Bacterial vaginosis natural history, complications and prognosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Bacterial vaginosis natural history, complications and prognosis

CDC on Bacterial vaginosis natural history, complications and prognosis

Bacterial vaginosis natural history, complications and prognosis in the news

Blogs on Bacterial vaginosis natural history, complications and prognosis

Directions to Hospitals Treating Bacterial vaginosis

Risk calculators and risk factors for Bacterial vaginosis natural history, complications and prognosis

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

Overview

Natural History

Most women found to have bacterial vaginosis (BV) reported no symptoms. Women who have not had vaginal, oral, or anal sex can still be affected by Bacterial vaginosis. In symptomatic patients, bacterial vaginosis may present with thin white/gray malodor vaginal discharge. If left untreated, it may lead to more serious sequelae, such as salpingitis, endometritis, pelvic inflammatory disease (PID), and bacteremia. The bacteria that cause BV can sometimes infect the uterus (womb) and fallopian tubes (tubes that carry eggs from the ovaries to the uterus). If left untreated, pelvic inflammatory disease (PID) may lead to infertility or damage the fallopian tubes enough to increase the future risk of ectopic pregnancy.

Bacterial Vaginosis during Pregnancy

Pregnant women with BV more often have babies who are born premature or with low birth weight (low birth weight is less than 5.5 pounds). Around one third of pregnant women found to have a bacterial vaginosis. if left untreated, in pregnant women bacterial vaginosis may result in complication of pregnancy, including premature rupture of membranes, premature labor, chorioamnionitis, postpartum endometritis, and septic abortion.

Complications

In most cases, BV causes no complications. But there are some serious risks from bacterial vaginosis including:[1][2]

Prognosis

References

  1. Laxmi U, Agrawal S, Raghunandan C, et al. Association of bacterial vaginosis with adverse fetomaternal outcome in women with spontaneous preterm labor: a prospective cohort study. J Matern Fetal Neonatal Med 2012;25:64–7.
  2. Koumans EH, Kendrick JS, CDC Bacterial Vaginosis Working Group (2001). "Preventing adverse sequelae of bacterial vaginosis: a public health program and research agenda". Sex Transm Dis. 28 (5): 292–7. PMID 11354269.
  3. Chaim, W., M. Mazor, and J. R. Leiberman. "The relationship between bacterial vaginosis and preterm birth. A review." Archives of gynecology and obstetrics 259.2 (1997): 51-58.
  4. Faro S, Martens M, Maccato M, Hammill H, Pearlman M (1993). "Vaginal flora and pelvic inflammatory disease". Am J Obstet Gynecol. 169 (2 Pt 2): 470–4. PMID 8357048.
  5. Ralph SG, Rutherford AJ, Wilson JD (1999). "Influence of bacterial vaginosis on conception and miscarriage in the first trimester: cohort study". BMJ. 319 (7204): 220–3. PMC 28171. PMID 10417083.