Recurrent bacterial vaginosis

Dermatol Clin. 1998 Oct;16(4):769-73, xii-xiii. doi: 10.1016/s0733-8635(05)70044-9.


Bacterial vaginosis (BV) is a common condition causing an offensive fishy smelling vaginal discharge. Some women have frequent symptomatic recurrences. Our lack of understanding of the trigger factors for the onset and resolution of BV limits our ability to manage these women effectively. Current approaches involve repeated treatment with antibiotics, with or without antifungal agents. Current studies are investigating the value of replacing the vaginal flora with cultured Lactobacillus strains. Control of BV may reduce the incidence of complications including preterm birth and possibly the acquisition of HIV infection.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Antibiosis
  • Antifungal Agents / therapeutic use
  • Female
  • HIV Infections / prevention & control
  • Humans
  • Incidence
  • Lactobacillus / physiology
  • Obstetric Labor, Premature / prevention & control
  • Pregnancy
  • Recurrence
  • Sexually Transmitted Diseases / diagnosis
  • Sexually Transmitted Diseases / drug therapy
  • Vagina / microbiology
  • Vaginal Discharge / diagnosis
  • Vaginal Discharge / drug therapy
  • Vaginal Discharge / microbiology
  • Vaginosis, Bacterial / diagnosis*
  • Vaginosis, Bacterial / drug therapy
  • Vaginosis, Bacterial / microbiology


  • Anti-Bacterial Agents
  • Antifungal Agents