Learn More

Second Nature Care Blog

Bacterial Vaginosis

[fa icon="calendar'] Oct 7, 2016 5:00:00 AM / by Winter Ninivaggi

Are your suffering with Bacterial Vaginosis?

There are over 3 million cases per year in the United States alone of bacterial vaginosis. Take this quiz game to see what you know and earn more.  There is not only a disturbance in the flora, but many individuals who suffer from BV are also very low in vitamin D. It is also associated with excess yeast production and the chances of contracting this increase after menopause.

 

1. True or False. The gold standard laboratory method for the diagnosis of bacterial vaginosis is a Gram stain.

A. True
B. False

2. A Gram stain is used to determine the relative concentration of ___________________.

A. Lactobacilli
B. Gram-negative rods and cocci
C. Gram-variable rods and cocci
D. Curved Gram-negative rods
E. All of the above
 

3. In addition to a fishy odor of vaginal discharge, signs or symptoms of bacterial vaginosis may include which of the following?

A. pH of vaginal fluid of 3.5
B. Clue cells on microscopic examination
C. Heterogeneous, thick, white discharge that coats the vaginal walls
D. A and B
E. B and C

 

4. Which of the following tests are recommended for the diagnosis of bacterial vaginosis?

A. Prolineaminopeptidase card test
B. Culture of G. vaginalis
C. Cervical Pap tests
D. None of the above

5. To reduce the possibility of a disulfiram-like reaction, abstinence from alcohol use should continue for ____ hours after completion of metronidazole and ___ hours after completion of tinidazole.

A. 24 hours; 36 hours
B. 24 hours; 48 hours
C. 24 hours; 72 hours
D. 36 hours; 48 hours

Vaginal ozone treatment can be used to eliminate bacterial vaginosis. Along with vaginal probiotics to regulate the microbiome of the vagina. The Mona Lisa Touch laser is also a wonderful treatment option for women going through menopause.

If BV is contracted it is necessary that you eat properly get enough rest and make sure to take your vitamin D! We have natural suppositories for BV.

Book Today!

The Environmental Vagina Monologues

Prevent Post- Menopausal Vaginal Pain

Do your have a Mona Lisa Smile ?

 

Answer Key :

1. B. True - According to CDC 2015 STD Treatment Guidelines, the gold standard for the diagnosis of bacterial vaginosis is a Gram stain.

For complete information, see:

Centers for Disease Control and Prevention. 2015 STD Treatment Guidelines: Bacterial vaginosis. Centers for Disease Control and Prevention. Updated June 4, 2015. Accessed June 6, 2016.

2. E. All of the Above - According to CDC 2015 STD Treatment Guidelines, a Gram stain is “used to determine the relative concentration of lactobacilli (i.e., long Gram-positive rods), Gram-negative and Gram-variable rods and cocci (i.e., G. vaginalis, Prevotella, Porphyromonas, and peptostreptococci), and curved Gram-negative rods (i.e., Mobiluncus) characteristic of BV.”

For complete information, see:

Centers for Disease Control and Prevention. 2015 STD Treatment Guidelines: Bacterial vaginosis. Centers for Disease Control and Prevention. Updated June 4, 2015. Accessed June 6, 2016.

3. B. Clue cells on microscopic examination - According to CDC 2015 STD Treatment Guidelines, clinical criteria require three of the following symptoms or signs for the diagnosis of bacterial vaginosis:

  • Homogeneous, thin, white discharge “that smoothly coats the vaginal walls”;
  • Clue cells “(e.g., vaginal epithelial cells studded with adherent coccoobacilli) on microscopic examination”;
  • “pH of vaginal fluid >4.5; or
  • A fishy odor of vaginal discharge before or after addition of 10% KOH (i.e., the whiff test).”

For complete information, see:

Centers for Disease Control and Prevention. 2015 STD Treatment Guidelines: Bacterial vaginosis. Centers for Disease Control and Prevention. Updated June 4, 2015. Accessed June 6, 2016.

4. D. None of the Above - Due to low sensitivity and specificity, a prolineaminopeptidase card test is not recommended for the detection of elevated pH and trimethylamine. According to CDC 2015 STD Treatment Guidelines, “[c]ulture of G. vaginalis is not recommended as a diagnostic tool because it is not specific. Cervical Pap tests have no clinical utility for the diagnosis of BV because of their low sensitivity and specificity.”

For complete information, see:

Centers for Disease Control and Prevention. 2015 STD Treatment Guidelines: Bacterial vaginosis. Centers for Disease Control and Prevention. Updated June 4, 2015. Accessed June 6, 2016.

5. C. 24 hours; 72 hours -  To reduce the possibility of a disulfiram-like reaction, abstinence from alcohol use should continue for 24 hours after completion of metronidazole or 72 hours after completion of tinidazole.

For complete information, see:

Centers for Disease Control and Prevention. 2015 STD Treatment Guidelines: Bacterial vaginosis. Centers for Disease Control and Prevention. Updated June 4, 2015. Accessed June 6, 2016.

 

 

 

Topics: Women's Health

Winter Ninivaggi

Written by Winter Ninivaggi

Subscribe to Email Updates

Isadora Guggenheim, ND, RN, MS, CNS LMT, owner of Second Nature Naturopathic Care, LLC
For all appointments: Tel: 845 358-8385 Fax: 845 358-2963 drguggenheim@msn.com