Bacterial Vaginosis is the most common cause of abnormal vaginal discharge. Normally the vagina is full of good bacteria called Lactobacilli, but in bacterial vaginosis, this bacteria is replaced with a lot of bad bacteria, which include, Gardnerella vaginalis, bacteroids species, peptostrepto-coccus, mycoplasma hominis, and mobiluncus species. They all produce volatile amines and this is what causes the characteristic fishy smell.
Who is at high risk?
Signs and Symptoms
Symptoms often occur after sexual intercourse and menstruation and it is possible that hormonal changes and semen among other factors can change the normal vaginal flora (bacteria)
Fishy smell- Bacterial vaginosis has a characteristic fishy smell when vaginal secretions are mixed with 10% potassium hydroxide.
Vaginal discharge- there may be white milky vaginal discharge, but itchy vulva is not a feature.
Bacterial vaginosis is knows for certain complications like, pelvic infections after surgery, preterm labor, Chorioamnionitis (placenta infection) and peurperal pyrexia (fever after child birth)
Whats seen by a gynecologist is a thin milky white vaginal discharge, it looks like a cup of milk has been poured into the vagina.
Tests that confirm it?
Metronidazole is the drug of choice, treatment of a male partner is usually not needed but a condom should be used while treating a female partner.
General health blog enables you to find useful and interesting facts about many health topics. Written by Dr. Sumaira Khan, this blog is updated regularly and provides reliable information which is made easy to understand for everyone. please feel free to leave any comments or questions.