Bacterial vaginosis


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Risk factors

By Mayo Clinic staff

Risk factors for bacterial vaginosis include:

  • Multiple sex partners or a new sex partner. The link between sexual activity and bacterial vaginosis isn't entirely clear, but bacterial vaginosis occurs more often in women who have multiple sex partners or a new sex partner. Bacterial vaginosis also seems to occur more frequently in women who have sex with women.
  • Douching. The practice of rinsing out your vagina with water or a cleansing agent (douching) upsets the natural balance of your vaginal environment. This can lead to an overgrowth of anaerobic bacteria, which in turn can result in bacterial vaginosis. Since the vagina is self-cleaning, douching isn't necessary.
  • Natural lack of lactobacilli bacteria. If your natural vaginal environment doesn't produce enough of the good lactobacilli bacteria, you're more likely to develop bacterial vaginosis.
References
  1. CDC fact sheet: Bacterial vaginosis fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/std/bv/STDFact-Bacterial-Vaginosis.htm. Accessed March 19, 2013.
  2. Bacterial vaginosis. National Institute of Allergy and Infectious Diseases. http://www.niaid.nih.gov/topics/bacterialvaginosis/pages/default.aspx. Accessed March 19, 2013.
  3. Sexually transmitted diseases (STDs): Bacterial vaginosis (BV). Centers for Disease Control and Prevention. http://www.cdc.gov/std/bv/default.htm. Accessed March 19, 2013.
  4. American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins — Gynecology. ACOG Practice Bulletin No. 72. Vaginitis. Obstetrics and Gynecology. 2006;107:1195. Reaffirmed 2011.
  5. Frequently asked questions. Gynecologic problems FAQ028. Vaginitis. American College of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq028.pdf?dmc=1&ts=20130319T1944039856. Accessed March 19, 2013.
  6. STD treatment guidelines 2010. Centers for Disease Control and Prevention. http://www.cdc.gov/std/treatment/2010/default.htm. Accessed March 19, 2013.
  7. Sobel JD. Bacterial vaginosis. http://www.uptodate.com/home. Accessed March 19, 2013.
  8. Bacterial vaginosis fact sheet. Womenshealth.gov. http://womenshealth.gov/publications/our-publications/fact-sheet/bacterial-vaginosis.cfm. Accessed March 19, 2013.
  9. Flagyl (prescribing information). New York, N.Y.: Pfizer; 2010. http://labeling.pfizer.com/ShowLabeling.aspx?id=570. Accessed March 21, 2013.
  10. Cleocin (prescribing information). New York, N.Y.: Pfizer; 2005. http://labeling.pfizer.com/showlabeling.aspx?id=627. Accessed March 21, 2013.
  11. Tindamax (prescribing information). San Antonio, Texas: Mission Pharma; 2004.http://www.missionpharmacal.com/Global_Content/Package_Inserts/Tindamax.pdf. Accessed March 21, 2013.
  12. Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. March 26, 2013.
  13. Thielen JM (expert opinion). Mayo Clinic, Rochester, Minn. April 6, 2013.
DS01193 April 20, 2013

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