Bacterial Vaginosis (BV) occurs when the vagina develops an infection. This condition arises from an excess growth of anaerobic bacteria in the vaginal environment and does not spread through sexual contact.
In a healthy state, the vagina hosts a combination of bacteria, including lactobacilli and anaerobic bacteria. In the case of BV, an event triggers the multiplication of anaerobic bacteria and a decrease in lactobacilli, disrupting the natural balance and leading to BV symptoms. Sometimes, it’s possible to identify a specific trigger for this imbalance, but often the cause remains unclear.
Common triggers encompass:
● Engaging in sexual intercourse
● Introducing a new sexual partner
● Experiencing hormonal changes like puberty, menopause or regular menstrual periods
● Using douching techniques for vaginal cleansing
● Smoking
● Using perfumed ‘vaginal deodorants’ or soaps
● Taking bubble baths
● Choosing the copper IUD coil for contraception
BV, while not posing an adverse threat, can be bothersome and may recur for some women. It does not result in long-term complications for women, but addressing its symptoms is essential for comfort and overall well-being.
Bacterial Vaginosis Symptoms
Bacterial vaginosis manifests through various symptoms. Women may observe vaginal discharge, typically appearing white or grey. Further, a distinct odour often likened to a ‘fishy’ smell, is a typical indicator. It’s crucial to note that a considerable number of women, however, may not exhibit any symptoms of BV. Understanding these signs is essential for proactive women’s health management.
How to effectively treat bacterial vaginosis?
Bacterial vaginosis (BV) may resolve on its own. But antibiotics offer a quicker solution. These antibiotics can be administered orally or applied as a gel to the vagina.
Private gynaecologists in London advise patients to refrain from engaging in sexual activity until bacterial vaginosis (BV) has been fully treated. While BV isn’t transmissible to a partner, sexual intercourse can trigger BV in some women. Thus, it’s prudent to wait for the infection to fully resolve before resuming sexual activity.
For those experiencing recurrent BV episodes, minimising the risk involves avoiding vaginal deodorants, potent detergents and bubble baths. Women prone to recurrent BV may find it beneficial to switch from baths to showers. Further, steering clear of douching is advised, as the vagina naturally maintains its cleanliness, and attempts to clean it can upset the natural bacterial balance.
Some women observe an increased occurrence of BV after unprotected sex. To test if this affects BV episodes, consider using condoms during sexual activity.
Remember, for bacterial vaginosis treatment in London, it’s crucial to consult with a healthcare professional to determine the most suitable approach for your individual circumstances.
Bacterial Vaginosis Diagnosis
To diagnose bacterial vaginosis, your doctor will:
- Interrogate your medical history by inquiring about any past vaginal infections or sexually transmitted infections (STIs).
- Conduct a pelvic exam, inspecting your vagina for signs of infection. Subsequently, the doctor will palpate your pelvic organs by inserting two fingers into the vagina while applying pressure to the abdomen.
- Obtain a sample of vaginal discharge for testing “clue cells,” which are vaginal cells enveloped in bacteria—an indicative marker of BV.
- Assess your vaginal pH using a pH strip. By placing the test strip in your vagina, the acidity level is determined. A vaginal pH of 4.5 or higher serves as an indicator of bacterial vaginosis.
For those seeking additional relief, gels or pessaries designed to restore the natural pH and bacterial balance of the vagina can be helpful. These products are readily available, and you can book an appointment with Top Gynaecologists London to provide further guidance.
If the measures prove ineffective, women may be prescribed repeated courses of antibiotics for recurrent BV.
How to Manage Recurrent Bacterial Vaginosis?
Bacterial vaginosis often reoccurs within 3 to 12 months, even with proper treatment. Researchers actively explore solutions for managing recurrent BV. If you experience a return of symptoms shortly after treatment, engage in a discussion with your care team. Extended-use metronidazole therapy may be a viable option for you.
While probiotics show promise, more comprehensive research is essential. In a recent randomised trial, probiotics demonstrated no superior efficacy compared with a placebo in preventing recurrent BV. As a result, gynaecologists don’t recommend to rely on probiotics as a treatment for bacterial vaginosis.
Dealing with recurrent bacterial vaginosis requires ongoing collaboration with your healthcare team to explore suitable management strategies.
My Final Verdict
Bacterial vaginosis (BV) is a common condition in London, affecting a significant portion of the female population. If you suspect you have BV, seeking proper diagnosis and treatment is crucial. Thankfully, effective options are readily available in London.
Expect a doctor’s visit to discuss symptoms, a possible physical examination, and a swab test to confirm the diagnosis. Once confirmed, treatment typically involves antibiotics in tablets, gels, or creams prescribed by a doctor or obtained through sexual health clinics. While the medication effectively combats the imbalance of bacteria causing BV, remember to complete the entire course, even if symptoms disappear early, to ensure complete eradication and prevent recurrence.
