A GP guide to treating bacterial vaginosis
Need to know:
- Bacterial vaginosis (BV) is a polymicrobial syndrome characterised by a profound shift in the composition of the vaginal microbiota to favour BV-associated bacteria, resulting in biofilm formation.
- Current treatments may provide symptomatic relief but do not achieve sustained cure.
- The pathogenesis of recurrence may involve persistence or re-emergence of BV organisms/biofilm after treatment.
- There is strong evidence that BV organisms are sexually transmitted between couples.
- Clinical trial evidence is needed to determine whether partner treatment improves sustained cure.
Bacterial Vaginosis (BV) is the most common vaginal condition affecting reproductive-aged women, with accompanying symptoms in at least 50% of women, including a profuse thin milky vaginal discharge and a fishy-odour.
Worldwide, BV affects