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What causes bacterial vaginosis?

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Posted on Wed, 21 May 2014
Question: I am a 70 year old lady and am in excellent health except for AFib which is well controlled.
I have never had a UTI or any kind of urologic infection. I have had a pessary for several years and a couple of weeks ago I have noticed a greenish yellow discharge that seems to be coming from behind the pessary. Could this be a UTI or bladder infection. I have not talked with my gynecology doctor but see her for a pessary cleaning every 3 months and annual gyn exam.
What is your opinion or suggeston as to what these symptoms could be coming from
Thank you very much!
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Answered by Dr. Rakhi Tayal (17 minutes later)
Brief Answer:
Bacterial vaginal infection.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
You are currently suffering from bacterial vaginosis (BV). It is mostly caused by an anaerobic organism, G.vaginalis. It can be associated with other vaginal infection like yeast infection etc.

Metronidazole or same categorical drug (like Tinidazole/ secnidazole) is the treatment of choice to cure BV. It can be taken as 2 gm single dose. In mixed vaginal infection, AFS kit (combination of Azithromycin, Fluconazole & Secnidazole) is quite effective. Local application of 2% clindamycin gel is also helpful. In such cases, your sexual partner also needs complete course of treatment.
In this scenario, you must consult with a gynecologist regarding this for proper guidance through pelvic examination (with or without speculum), relevant investigation (like STD profile, vaginal swab test, complete hormone assay etc). Take suggestive measures with supportive medication accordingly.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13873 Questions

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What causes bacterial vaginosis?

Brief Answer: Bacterial vaginal infection. Detailed Answer: Hello, Thanks for trusting us with your health concern. You are currently suffering from bacterial vaginosis (BV). It is mostly caused by an anaerobic organism, G.vaginalis. It can be associated with other vaginal infection like yeast infection etc. Metronidazole or same categorical drug (like Tinidazole/ secnidazole) is the treatment of choice to cure BV. It can be taken as 2 gm single dose. In mixed vaginal infection, AFS kit (combination of Azithromycin, Fluconazole & Secnidazole) is quite effective. Local application of 2% clindamycin gel is also helpful. In such cases, your sexual partner also needs complete course of treatment. In this scenario, you must consult with a gynecologist regarding this for proper guidance through pelvic examination (with or without speculum), relevant investigation (like STD profile, vaginal swab test, complete hormone assay etc). Take suggestive measures with supportive medication accordingly. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal