Gynecologic conditions and bacterial vaginosis: implications for the non-pregnant patient

Infect Dis Obstet Gynecol. 2000;8(3-4):184-90. doi: 10.1155/S1064744900000260.

Abstract

Bacterial vaginosis is characterized by a shift from the predominant lactobacillus vaginal flora to an overgrowth of anaerobic bacteria. Bacterial vaginosis is associated with an increased risk of gynecologic complications, including pelvic inflammatory disease, postoperative infection, cervicitis, human immunodeficiency virus (HIV), and possibly cervical intraepithelial neoplasia (CIN). The obstetrical risks associated with bacterial vaginosis include premature rupture of membranes, preterm labor and delivery, chorioamnionitis and postpartum endometritis. Despite the health risks associated with bacterial vaginosis and its high prevalence in women of childbearing age, bacterial vaginosis continues to be largely ignored by clinicians, particularly in asymptomatic women.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cervical Intraepithelial Neoplasia / complications
  • Cervical Intraepithelial Neoplasia / epidemiology
  • Endometritis / epidemiology
  • Endometritis / etiology
  • Female
  • Genital Diseases, Female / complications
  • Genital Diseases, Female / epidemiology
  • Genital Diseases, Female / etiology*
  • HIV Infections / complications
  • HIV Infections / epidemiology
  • HIV Infections / etiology
  • Humans
  • Pelvic Inflammatory Disease / epidemiology
  • Pelvic Inflammatory Disease / etiology
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / etiology
  • Risk Factors
  • Uterine Cervical Neoplasms / complications
  • Uterine Cervical Neoplasms / epidemiology
  • Uterine Cervicitis / drug therapy
  • Uterine Cervicitis / epidemiology
  • Uterine Cervicitis / etiology
  • Vaginosis, Bacterial / complications*
  • Vaginosis, Bacterial / microbiology