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Revista Médica Sinergia

2022, Number 07

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Revista Médica Sinergia 2022; 7 (07)

Bacterial vaginosis during pregnancy: last discoveries uptodate

Morelli MI, Gamboa MS

Language: Spanish
References: 19
Page:
PDF size: 159.64 Kb.


ABSTRACT

Bacterial vaginosis is caused by an imbalance in the bacterial populations of the normal vaginal microbiota. Certain conditions in which hormonal variations occur, like pregnancy, can trigger this dysbiosis. This affection is asymptomatic in most cases, but it can manifest as a whitish malodorous vaginal discharge. Regarding its pathophysiology, the virulent factors of the pathogenic bacteria are responsible for the disruption of the vaginal microenvironment. Most of its risk factors are the same as the ones for adquiring a sexual transmited disease, eventhough low vitamin D levels correlate too. Its diagnosis can be made based upon clinical, histopathological or molecular findings, but the latest tools are rapid tests based on enzymes detection. In relation to its treatment, the majority of the time, the consensus favors giving it to pregnant patients with symptoms. It is not the case with the asymptomatic ones, where it is unclear if it helps or not.


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