Gardnerella Vaginosis - Causes, Symptoms and Home Treatment of Gardnerella Vaginosis

Bacterial vaginosis (BV) is characterized by the overgrowth of certain bacteria in the vagina, including Gardnerella vaginalis, Gardneralla mobiluncus , and Mycoplasma hominis . Bacterial vaginosis is grossly underdiagnosed because many women assume they have a yeast infection and treat symptoms with over-the-counter medications.

Signs and Symptoms of Gardnerella Vaginosis

A fishy vaginal odor, itching, and irritation are common signs of BV and may be particularly noticeable after intercourse or menses. It may be accompanied by a smooth, sticky white or gray discharge 4 days to 4 weeks following exposure. Elevated vaginal pH level is also a symptom.

Causes and Risk Factors of Gardnerella Vaginosis

BV is caused by a change in the natural balance of bacteria in the vagina. Lacotbacillus , helpful bacteria, metabolizes glycogen to lactic acid in the vagina and maintains normal vaginal pH, which provides a natural defense against unhealthy bacteria proliferation.

When the defense is weakened, other bacteria present in the vagina (e.g., Bacteroides sp, Peptostreptococcus sp, Gardnerella vaginalis, G. mobiluncus, Mycoplasma hominis ) proliferate and cause symptoms. Aboout 50% of women have G. vaginalis in their vaginal flora but do not develop infection.

Broad-spectrum antibiotics may destroy healthy bacteria, disrupt the vagina's normal flora, and promote infection. Douching, overused or retained tampons, intrauterine contraceptive devices (IUDs), diaphragms, contraceptive sponges, and products containing nonoxynol-9 may also disrupt the balance.

Bacterial vaginosis also is associated with having multiple sex partners, a new monogamous sexual relationship, and a history of STDs.

Diagnosis of Gardnerella Vaginosis

A healthcare worker can examine a sample of vaginal fluid under a microscope, either stained or in special lighting, to detect the presence of the organisms associated with BV. They can make a diagnosis based on the absence of lactobacilli, the presence of numerous "clue cells" (cells from the vaginal lining that are coated with BV organisms), a fishy odor, and decreased acidity or change in pH of vaginal fluid.

Treatment of Gardnerella Vaginosis

Antibiotics such as metronidazole and clindamycin are generally prescribed, as oral (pill) or topical (cream) treatments. When used topically, these medications may cause side effects such as stinging, burning, and irritation. Douching should be avoided. Sex partners may require treatment if infection recurs.

Vaginitis

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