Vagianal Health Personalized
There are normally over 100,000 colonies of bacteria growing in the vagina, and those that produce BV are only 1%, a slight increase in that 1% of the vaginal bacterial population can cause discomfort and symptoms of infection. Vaginal itching may be one of the early signs of vaginal infections, and it can occur in women of any age including older women and young girls. BV is not a sexually transmitted disease for the most part, it's just an imbalance of normal bacteria. Exactly the cause of the imbalance is unclear in most cases. Traditionally we have said that too frequent sex, too much douching, antibiotic use, and gyno procedures, probably all contribute to most cases BV most commonly has a thin white or grey discharge, and a distinct odor described as fishy. Both yeast infections and bacterial infections are known to both produce vaginal itching and vaginal discharge.However, there is fascinating new research that has also revealed that some women, genetically, are predisposed to various unique types and levels of bacteria in their vagina. This apparently follows ethnic lines as well as the diet and other things that change what vaginal bacteria we have. Your gyno can help you determine if you are one of these women, but the science is first being studied more in depth.
Vaginal culture has potentially limited role in the confirming of the diagnosis of BV. However, there is no signal bacteria that confirms the diagnosis of BV. Many women can harbor some types of bacteria without symptoms at all and it has been shown that for instance the Gardnerella bactacteria G. vaginalis may be positive most women with symptomatic infection, the Gardneralla organism is also detected in up to 50 to 60 percent of healthy asymptomatic women. Mobiluncus organisms are not in a normal healthy, asymptomatic, woman's vagina. If you test positive for these you may need to be treated for a vaginal infection. It is a personalized approach. Your gyno will need to determine if you also have the physical and other clinical signs of infection. to determine if in fact there is reason to treat any particular culture result that they find. What we don't know is whether women with no symptoms and a positive culture are more likely to become symptomatic if we don't treat, but we think that is probably true.