Bacterial vaginosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview[edit | edit source]

It is necessary to obtain a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include number and type of sexual partners (new, casual, or regular) and previous history of STDs. 50-75% of women with bacterial vaginosis (BV) are asymptomatic. Common symptoms of bacterial vaginosis include thin, white/gray vaginal discharge and unpleasant vaginal odor, especially after sex.^[1]^[2]

History[edit | edit source]

It is necessary to obtain a detailed and thorough sexual history from the patient. Specific areas of focus when obtaining a history from the patient include:^[1]

Number and type of sexual partners (new, casual, or regular)
Previous history of STDs
Previous history of symptomatic BV in female partner (among women who have sex with women)

Symptoms[edit | edit source]

Most women found to have bacterial vaginosis reported no symptoms (50-75%). Common symptoms of bacterial vaginosis include:^[1]^[2]

Vaginal discharge (thin, white/gray, and homogenous discharge)
Vaginal odor (unpleasant "fishy smell" especially after sex)

Bacterial vaginosis does not cause dysuria, dyspareunia, pruritus, burning, or vaginal inflammation.^[1]

References[edit | edit source]

↑ ^1.0 ^1.1 ^1.2 ^1.3 Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK (1983). "Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations". Am J Med. 74 (1): 14–22. PMID 6600371.
↑ ^2.0 ^2.1 Klebanoff MA, Schwebke JR, Zhang J, Nansel TR, Yu KF, Andrews WW (2004). "Vulvovaginal symptoms in women with bacterial vaginosis". Obstet Gynecol. 104 (2): 267–72. doi:10.1097/01.AOG.0000134783.98382.b0. PMID 15291998.

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[pmid6600371-1] 1.0 ^1.1 ^1.2 ^1.3 Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK (1983). "Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations". Am J Med. 74 (1): 14–22. PMID 6600371.

[pmid15291998-2] 2.0 ^2.1 Klebanoff MA, Schwebke JR, Zhang J, Nansel TR, Yu KF, Andrews WW (2004). "Vulvovaginal symptoms in women with bacterial vaginosis". Obstet Gynecol. 104 (2): 267–72. doi:10.1097/01.AOG.0000134783.98382.b0. PMID 15291998.

[1]

[2]