What is difficult to diagnose, difficult to treat, it affects 10 to 15 percent of Australian women – and could become sexually transmissible?
is called bacterial vaginosis – or BV – and at the same time is considered a “women’s issue” there is growing evidence that men can also harbor the infection. Especially if they are uncircumcised, says Associate Professor Catriona Bradshaw, staff specialist of the Center for Sexual Health in Melbourne.
“BV is a neglected disease that imposes a burden on women often fobbed are because BV is so difficult to treat. – In 50 percent of cases, infection becomes within six months of treatment, “says Dr. Bradshaw.
“Recent studies show men can carry the same bacteria found in women with VB, especially under the foreskin in uncircumcised men. While this is the first research, circumcision appears to be linked to a reduction of these bacteria in men. the studies also suggest that women who receive treatment for bacterial vaginosis can have high recurrence rates, as they become infected after having sex with her couple after treatment. ”
BV is distressing for women in many ways. Along with the symptoms – a fishy odor and increased vaginal discharge – BV can double the risk of premature delivery or miscarriage during pregnancy.
is also persistent, with the re-infection with a partner from a single cause. Another is that the bacteria responsible for BV can sometimes outsmart antibiotics.
BV is caused by a group of different microbes with ability to hide in what is called a biofilm – a kind of matrix where bacteria bind – and here deep microbes within biofilm can evade antibiotics and the body’s own immune defenses, Dr. Bradshaw explains. Research is now looking for ways to disrupt this biofilm so that antibiotics can target the bacteria more easily.
Women with BV have also reduced the number of healthy bacteria called lactobacilli that produce an important defense against harmful microbes – lactic acid. Less lactic acid, pH drops of the vagina, allowing BV to flourish, he adds. .
“But we do not know what comes first Is an invasion of bad microbes that reduce the number of lactobacilli – or does something else that causes loss of lactobacilli for bad bugs invade Although there are products on the market that claim to help replace lactobacilli in the vagina, none has been shown conclusively to reduce BV way -. Although more research is underway “
so what would it take for BV to join the ranks of sexually transmitted diseases?
“What we have so far is a theory supported by some data, but to show that the VB sexually transmitted need randomized controlled trials – the gold standard of medical research – for demonstrate that treatment of the woman’s partner reduces BV, “says Bradshaw who is working on a study to see whether treating men with both an antibiotic cream and an oral antibiotic kills bacteria responsible for BV.
“Studies have found that circumcision can substantially reduce the risk of sexually transmitted infections, including herpes, syphilis, HIV, HPV and trichomoniasis,” she says .
“This is information that has only emerged in the last ten years, but it is important information that people need to consider. The fact that circumcision also appears to reduce BV women is more evidence that BV is susceptible to sexually transmitted. “
Meanwhile, if you are a woman against recurrent BV, using condoms with partners after treatment can prevent recurrence, says Dr. Bradshaw – but at this moment a doctor usually does not cure a woman’s partner for bacterial vaginosis because to do so would be outside current guidelines for treatment.
“We need new trials of treatment of the male partner to provide the highest level of evidence that the treatment of male partners reduces the recurrence of bacterial vaginosis in women,” she says .
The Here is a “women’s problem” that men need to know about first appeared in Daily Juice .