Recurring Bacterial Vaginosis

Bacterial vaginosis is a gynecological condition that occurs when "bad" bacteria overpopulate in the vagina. Although it often is classified as a sexually transmitted disease, it can result from excessive douching and can be an adverse effect of the implantation of an intrauterine birth-control device. Any action that alters the balance of good and harmful bacteria in the vagina may cause recurring episodes.

Misconceptions

• Recurring bacterial vaginosis cannot be contracted by using public restrooms or swimming pools or by touching common objects. You cannot "catch" it by sharing bed linens.

Symptoms

• Bacterial vaginosis is characterized by a white or gray vaginal discharge that has a fish-like odor. You also may experience vaginal itching and a burning sensation during urination.

Diagnosis

• Diagnosis is made by visual examination of the vagina and by testing samples of vaginal fluid. A definitive diagnosis is made by studying the fluid sample under a microscope.

Treatment

• Recurring bacterial vaginosis can be treated with one of two antibiotics: clindamycin or metronidazole. Complete your antibiotic therapy according to your doctor's instructions to prevent complications.

Complications

• If bacterial vaginosis is not treated appropriately, you may develop pelvic inflammatory disease, which can cause infertility. In pregnant women, premature delivery and low-birth-weight babies are complications associated with bacterial vaginosis.

Prevention/Solution

• To prevent recurring bacterial vaginosis, avoid douching and maintain good personal hygiene. You also should practice safe sex.