Gram-positive bacterial vaginitis

If you have Gram-positive bacterial vaginitis, it is very difficult to treat. Usually the patient's symptoms are very obvious. The patient will feel that his or her vagina often burns and emits an odor. These are some symptoms caused by vaginitis, so relevant treatment measures must be taken as soon as the disease occurs.

10% to 50% of patients are asymptomatic, while those with symptoms complain of grayish-white leucorrhea with a fishy odor, vaginal burning and itching.

Increased leucorrhea is not a unique symptom of this disease. Gonorrhea, candidal vaginitis, and Trichomonas vaginitis can all present with clinical symptoms of increased leucorrhea. Most patients with this disease are women of childbearing age. The disease has a slow onset and the subjective symptoms are not obvious, with the main manifestation being increased leucorrhea. The examination of vaginal secretions has the following characteristics: ① The pH value reaches 5.0-5.5, which is higher than normal. ② The leucorrhea is gray or gray-green, homogeneous, with a paste-like consistency, and may contain bubbles. ③There is a foul smell like rotten fish. The odor of women becomes worse after menstruation or sexual intercourse, and their sexual partners' genitals may also emit the same odor. ④ Patients with combined Trichomonas or Candida infection may experience vulvar itching, vaginal burning sensation, or pain during sexual intercourse.

This disease can often be combined with other vaginal sexually transmitted diseases, and its clinical manifestations may vary depending on the comorbidities. When combined with gonococcal infection, vaginal discharge will be obviously purulent and urinary tract irritation symptoms such as dysuria and dysuria may occur; when combined with Trichomonas infection, foamy vaginal discharge may appear, and itching may be aggravated and extremely itchy; when combined with Candida infection, vaginal discharge may appear curd-like or tofu-like.

1. Pelvic inflammatory disease

The most commonly isolated bacterial flora in the genital tract secretions of women with pelvic inflammatory disease are consistent with those of BV, including Bacteroides, Streptococcus, and Gardnerella vaginalis.

2. Abnormal uterine bleeding and endometritis

Abnormal uterine bleeding is caused by endometritis. Abnormal uterine bleeding is caused by an abnormal response of the infected endometrium to ovarian hormones or by direct destruction of the endometrium by infection or inflammation.

3. Gynecological postoperative infection

Among women who had surgical termination of pregnancy, the incidence of pelvic inflammatory disease in women with BV was 3.7 times that of women without BV.

4. Cervical cancer

BV, cervical intraepithelial neoplasia and genital human papillomavirus infection have the same epidemiological relationship. The anaerobic metabolism of BV produces ammonia in vaginal secretions and carcinogenic nitrite.

5. HIV infection

Patients with BV may increase the risk of HIV transmission. When the pH is increased, HIV's ability to survive and adhere also increases, potentially making transmission easier.

6. Infertility and miscarriage

The incidence of tubal infertility is increased in BV patients. In assisted reproductive treatment, the embryo implantation rate is similar between BV patients and non-BV patients, but the early pregnancy miscarriage rate is higher in BV patients than in non-BV patients.