Bacterial vaginosis (BV) is present even when normal conditions rule inside the vaginal cavity. If this bacteria starts to bloom due to stress, loss of natural flora of the vagina, BV will set in. It is an uncomfortable and painful disturbance of the normal vaginal bacterial balance, rather than a typical inflammation process which is a common misconception. Gardnerela vaginalis is the main cause for BV to occur, and as it is blooming, it makes it possible for other anaerobic bacteria species to bloom as well. A specific unpleasant smell of the excretion is caused by these anaerobic bacteria. It’s also considered to be a risk factor for spontaneous abortion as well as premature delivery, some other infections during pregnancy and complications during surgeries.
Common symptoms of BV
BV is recognized with a large amount of white excretion, carrying an unpleasant fishy smell. In some cases irritation during sexual intercourse may occur too. Diagnosis is established with a gynecological test where signs such as redness caused by inflammation, pain or itching usually go unseen. Acidity of the vagina affected with BV is higher than 4.5 in pH. Microscopic tests usually report typical clue cells – vaginal epistle cells covered in a lot of bacterial matter that look like they’ve been sprinkled with dusty sugar. Determining the pH values along with a microscopic test of the vaginal excretion are safe and adequate indicators of the disease.
Causes of BV
Even though it’s not entirely known what causes BV and why are some women more prone towards this condition than others, it’s a well-known fact that this condition occurs due to a reduction of acidity levels inside the vagina. Along with this, a disturbance in bacterial balance follows which is the main problem that causes BV to happen. Count of aerobic bacteria which produce hydrogen peroxide is reduced, while the count of anaerobic bacteria is increased. Leading causes of BV are Gardnerella vaginalis and Prevotella bivia and if they are not present, a mixed bacterial flora is the case. Based on this fact, BV is actually considered to be a disordered state of bacteria ecosystem in the woman’s vagina.
Alternative treatment and prevention methods
Every ingredient which messes up with pH levels or bacterial balance of the vagina may cause an infection. Therefore, it’s highly important to focus on one’s diet, where an increased amount of fermented plant based foods and probiotics is recommended – sauerkraut, yoghurts etc. Same treatment works with easier cases during pregnancy as well as common recidivisms where it’s recommended to increase the acidity levels of the vagina with vitamin C or a direct input of yoghurt creating bacteria into vagina. In case of highly resilient cases of the infection, homeopathic treatment is required, involving ampules of inactive but immune lactobacilli. It’s used in three doses every two weeks and after a year another dose is recommended to increase and keep the effect. Prevention of BV is accomplished by creating oil based on aloe vera, applying it locally.