Recurrent bacterial vaginosis

Bacterial vaginosis (BV) is a common condition causing an offensive fishy smelling vaginal discharge. Some women have frequent symptomatic recurrences. Our lack of understanding of the trigger factors for the onset and resolution of BV limits our ability to manage these women effectively. Current approaches involve repeated treatment with antibiotics, with or without antifungal agents. Current studies are investigating the value of replacing the vaginal flora with cultured Lactobacillus strains. Control of BV may reduce the incidence of complications including preterm birth and possibly the acquisition of HIV infection.