Cdr 6 from Vaginal Anomalies 6xcdr boxset "released" on Absence Tapes.
Limited to 10 copies.
What is bacterial vaginosis?
Bacterial vaginosis (BV) is the most common cause of vaginal infection. It is less commonly referred to as vaginal bacteriosis. It is not considered to be a sexually transmitted infection. BV is not transmitted through sexual intercourse but is more common in women who are sexually active. BV is caused by an imbalance of naturally occurring bacterial flora and should not be confused with yeast infection (candidiasis), or infection with Trichomonas vaginalis (trichomoniasis), which are not caused by bacteria.
How is Bacterial vaginosis (BV) diagnosed?
To make a diagnosis of bacterial vaginosis, a speculum examination and subsequent swabs from high in the vagina should be obtained. These swabs should be tested for:
A characteristic "fishy" odor on wet mount. This test, called the whiff test, is performed by adding a small amount of potassium hydroxide to a microscopic slide containing the vaginal discharge. A characteristic fishy odor is considered a positive whiff test and is suggestive of bacterial vaginosis.
Loss of acidity. To control bacterial growth, the vagina is normally slightly acidic with a pH of 3.8–4.2. A swab of the discharge is put onto litmus paper to check its acidity. A pH greater than 4.5 is considered alkaline and is suggestive of bacterial vaginosis.
The presence of clue cells on wet mount. Similar to the whiff test, the test for clue cells is performed by placing a drop of sodium chloride solution on a slide containing vaginal discharge. If present, clue cells can be visualized under a microscope. They are so-named because they give a clue to the reason behind the discharge. These are epithelial cells that are coated with bacteria.
Two positive results in addition to the discharge itself are enough to diagnose BV. If there is no discharge, then all three criteria are needed. A 1990 study demonstrated that the single best test for BV was the test for clue cells on wet mount examination. The best combination of two tests for BV was the test for clue cells and the whiff test.
Differential diagnosis for bacterial vaginosis includes the following:
* Normal discharge.
* Candidiasis (thrush, or a yeast infection).
* Trichomoniasis, an infection caused by Trichomonas vaginalis.