Bacterial vaginosis natural history, complications and prognosis: Difference between revisions
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==Natural History== | ==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. | 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]], | 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|pelvic inflammatory disease (PID)]], and [[bacteremia]]. | ||
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]], | 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]], [[endometritis|postpartum endometritis]], and [[septic abortion]]. | ||
==Complications== | ==Complications== | ||
Revision as of 14:55, 18 October 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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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.
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]
- Increased risk for infection following surgical procedures such as:
- Increased risk for some complications of pregnancy such as:
- Chorioamnionitis
- Midtrimester miscarriage
- Preterm birth
- Increase a woman's susceptibility to other STDs, such as:
- Increases the risk for HIV transmission to male sex partners
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).
The bacteria that cause BV can sometimes infect the uterus (womb) and fallopian tubes (tubes that carry eggs from the ovaries to the uterus). This type of infection is called pelvic inflammatory disease (PID). PID can cause infertility or damage the fallopian tubes enough to increase the future risk of ectopic pregnancy and infertility. Ectopic pregnancy is a life-threatening condition in which a fertilized egg grows outside the uterus, usually in a fallopian tube which can rupture.
Prognosis
References
- ↑ 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.