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

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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

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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

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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

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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.CS1 maint: Multiple names: authors list (link)
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.CS1 maint: Multiple names: authors list (link)

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