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February 10, 2012

Bacterial Vaginosis Glossary of Terms

The following are health and medical definitions of terms that appear in the Bacterial Vaginosis article.

Abnormal: Not normal. Deviating from the usual structure, position, condition, or behavior. In referring to a growth, abnormal may mean that it is cancerous or premalignant (likely to become cancer).

Amniotic fluid: The fluid bathing the fetus and serving as a shock absorber.

Anaerobic: Not requiring oxygen. Anaerobic bacteria do not need oxygen to grow; in fact, oxygen is usually toxic to them. An anaerobic environment lacks oxygen.

Antibiotic: A drug used to treat infections caused by bacteria and other microorganisms. Originally, an antibiotic was a substance produced by one microorganism that selectively inhibits the growth of another. Synthetic antibiotics, usually chemically related to natural antibiotics, have since been produced that accomplish comparable tasks.
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Asymptomatic: Without symptoms. For example, an asymptomatic infection is an infection with no symptoms.

Bacteria: Single-celled microorganisms which can exist either as independent (free-living) organisms or as parasites (dependent upon another organism for life).
See the entire definition of Bacteria

Bacterial: Of or pertaining to bacteria. For example, a bacterial lung infection.

Bacterial vaginosis: A vaginal condition characterized by an abnormal vaginal discharge due to an overgrowth of normal bacteria in the vagina. Women with bacterial vaginosis have less of the normal vaginal bacteria called lactobacilli. Symptoms are the vaginal discharge and sometimes a fishy odor. A sign under the microscope is an unusual vaginal cell called a clue cell. A metanalysis of 18 separate studies involving over 20,000 women demonstrated that bacterial vaginosis predisposes to preterm pregnancy and the earlier a vaginal infection occurs in pregnancy, the greater is the risk of a preterm delivery. The metanalysis also revealed that bacterial vaginosis increases the risk of a spontaneous abortion nearly 10-fold. Bacterial vaginosis also can lead to infection of the amniotic fluid and of the uterus after delivery. Therefore, screening and treatment for bacterial vaginosis during pregnancy may be done. Treatment options for bacterial vaginosis include vaginal gels and oral antibiotics. The antibiotic treatment is the same in pregnancy as in non-pregnant women.

Candidiasis: Overgrowth of the C. albicans yeast in the gastrointestinal tract, or infection of other body areas with this yeast. Vaginal yeast infections, some forms of diaper rash and other skin rashes that emerge in moist, warm areas of skin, and thrush (a condition characterized by patches of white inside the mouth and/or throat) are all forms of yeast infection. Candidiasis tends to develop when the normal balance of bacteria (flora) in the area is upset, as can occur with antibiotic use. Prevention measures include the use of probiotics and in some cases dietary changes. Treatment is via antifungal medications. Candidiasis is usually a minor and easily addressed problem, but can be more serious for those with immune-system disorders, such as AIDS.

Cell: The basic structural and functional unit in people and all living things. Each cell is a small container of chemicals and water wrapped in a membrane.
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Cervix: The cervix is the lower, narrow part of the uterus (womb). The uterus, a hollow, pear-shaped organ, is located in a woman's lower abdomen, between the bladder and the rectum. The cervix forms a canal that opens into the vagina, which leads to the outside of the body.


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Chlamydia: A type of bacteria one species of which causes an infection very similar to gonorrhea in the way that it is spread, the symptoms it produces, and the long-term consequences.
See the entire definition of Chlamydia

Cure: 1. To heal, to make well, to restore to good health. Cures are easy to claim and, all too often, difficult to confirm.
2. A time without recurrence of a disease so that the risk of recurrence is small, as in the 5-year cure rate for malignant melanoma.
3. Particularly in the past, a course of treatment. For example, take a cure at a spa.
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Diagnosis: 1 The nature of a disease; the identification of an illness. 2 A conclusion or decision reached by diagnosis. The diagnosis is rabies. 3 The identification of any problem. The diagnosis was a plugged IV.
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Discharge: 1.The flow of fluid from part of the body, such as from the nose or vagina.
2. The passing of an action potential, such as through a nerve or muscle fiber.
3. The release of a patient from a course of care. The doctor may then dictate a discharge summary.

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Douching: Using water or a medicated solution to clean the vagina. Vaginal douching has been done for many, many years. However, there is currently concern that it may sometimes cause problems. It may mask, or even worsen, conditions such as bacterial or yeast infection of the vagina. Even more seriously, douching is associated with an increased risk of pelvic inflammatory disease (PID). It is also associated with an increased risk of an ectopic pregnancy (probably due to PID). The American College of Obstetricians and Gynecologists (ACOG) recommends against douching.
See the entire definition of Douching

Fever: Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.).
See the entire definition of Fever

Gonorrhea: A sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoea. Although gonorrhea is known primarily as a sexually transmitted infection (STI), it is not exclusively so, but can also be transmitted to the newborn during the birthing process.
See the entire definition of Gonorrhea

Hydrogen: The most plentiful element in the universe and one present in all organic compounds. Hydrogen is a gas with an atomic number of 1 and the symbol H.
See the entire definition of Hydrogen

Incidence: The frequency with which something, such as a disease, appears in a particular population or area. In disease epidemiology, the incidence is the number of newly diagnosed cases during a specific time period. The incidence is distinct from the prevalence which refers to the number of cases alive on a certain date.

Indicate: In medicine, to make a treatment or procedure advisable because of a particular condition or circumstance. For example, certain medications are indicated for the treatment of hypertension during pregnancy while others are contraindicated.

Infection: The growth of a parasitic organism within the body. (A parasitic organism is one that lives on or in another organism and draws its nourishment therefrom.) A person with an infection has another organism (a "germ") growing within him, drawing its nourishment from the person.
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Intrauterine: In the uterus (the womb). As opposed to extrauterine: outside the uterus.
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Labor: Childbirth, the aptly-named experience of delivering the baby and placenta from the uterus to the vagina to the outside world. There are two stages of labor. During the first stage (called the stage of dilatation), the cervix dilates fully to a diameter of about 10 cm. In the second stage (called the stage of expulsion), the baby moves out through the cervix and vagina to be born.
See the entire definition of Labor

Microscope: An optical instrument that augments the power of the eye to see small objects. The name microscope was coined by Johannes Faber (1574-1629) who in 1628 borrowed from the Greek to combined micro-, small with skopein, to view. Although the first microscopes were simple microscopes, most (if not all) optical microscopes today are compound microscopes.

Oxygen: A colorless, odorless and tasteless gas that makes up about 20% of the air we breathe (and at least half the weight of the entire solid crust of the earth) and which combines with most of the other elements to form oxides. Oxygen is essential to human, animal and plant life.
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Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia. Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors.
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Pelvic: Having to do with the pelvis, the lower part of the abdomen, located between the hip bones.

Pelvic exam: An examination of the organs of the female reproductive system.
See the entire definition of Pelvic exam

Pelvic pain: Pain perceived in the area of the pelvis, the lower part of the abdomen located between the hip bones. The term pelvic pain is most commonly used to refer to pain arising from reproductive organs (uterus, fallopian tubes, ovaries, vagina) in women. In this sense pelvic pain can have numerous causes, including menstrual cramps; pain from a rupture of an ectopic pregnancy, ovarian cyst, or other mass; endometriosis; and pelvic inflammatory disease . Nongynecologic sources of pelvic pain can include urinary tract infections, intestinal obstruction, colitis, tumors, appendicitis, or a number of other conditions.

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Potassium: The major positive ion (cation) found inside of cells. The chemical notation for potassium is K+.
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Predispose: To make more likely or render susceptible. Smoking predisposes to a number of diseases, including esophageal cancer.

Pregnancy: The state of carrying a developing embryo or fetus within the female body. This condition can be indicated by positive results on an over-the-counter urine test, and confirmed through a blood test, ultrasound, detection of fetal heartbeat, or an X-ray. Pregnancy lasts for about nine months, measured from the date of the woman's last menstrual period (LMP). It is conventionally divided into three trimesters, each roughly three months long.
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Pregnant: The state of carrying a developing fetus within the body.
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Premature birth: A birth that takes place before 37 weeks of gestation have passed. Historically, the definition of prematurity was 2500 grams (about 5 1/2 pounds) or less at birth. The current World Health Organization definition of prematurity is a baby born before 37 weeks of gestation, counting from the first day of the Last Menstrual Period (the LMP).
See the entire definition of Premature birth

Recurrence: The return of a sign, symptom or disease after a remission. The reappearance of cancer cells at the same site or in another location is, unfortunately, a familiar form of recurrence.
See the entire definition of Recurrence

Recurrent: Back again. A recurrent fever is a fever that has returned after an intermission: a recrudescent fever.

STD: Sexually transmitted disease.

Trichomoniasis: Infection with trichomonas, in humans with Trichomonas vaginalis.

Uterus: The uterus (womb) is a hollow, pear-shaped organ located in a woman's lower abdomen between the bladder and the rectum. The narrow, lower portion of the uterus is the cervix; the broader, upper part is the corpus. The corpus is made up of two layers of tissue.


See the entire definition of Uterus

Vagina: The muscular canal extending from the cervix to the outside of the body. It is usually six to seven inches in length, and its walls are lined with mucus membrane. It includes two vaultlike structures, the anterior (front) vaginal fornix and the posterior (rear) vaginal fornix. The cervix protrudes slightly into the vagina, and it is through a tiny hole in the cervix (the os) that sperm make their way toward the internal reproductive organs. The vagina also includes numerous tiny glands that make vaginal secretions.
See the entire definition of Vagina

Vaginal discharge: Vaginal discharge is a fluid produced by glands in the vaginal wall and cervix that drains from the opening of the vagina. The amount and appearance of normal vaginal discharge varies throughout the menstrual cycle. An increase in the amount of vaginal discharge, an abnormal odor or consistency of the fluid, or pain that accompanies vaginal discharge can all be signs of infection or other disorders. Such disorders include (this is not an all inclusive list) bacterial vaginosis, yeast vaginitis, and vaginitis.

Vaginitis: Inflammation of the vagina. The vagina is the muscular canal extending from the cervix to the outside of the body. Vaginitis is often caused by a fungus. A woman with this condition may have itching or burning and may notice a discharge. Vaginitis is a common condition. There are factors that predispose a woman to develop vaginitis. For example, women who have diabetes have vaginitis more often than women who do not.

Yeast infection: Overgrowth of yeast can affect the skin (yeast rash), mouth (thrush), digestive tract, esophagus, vagina (vaginitis), and other parts of the body. Yeast infections occur most frequently in moist areas of the body. Although Candida albicans and other Candida yeasts are the most frequent offenders, other yeast groups are known to cause illness, primarily in immunocompromised patients. These include Torulopsis, Cryptococcus, Malassezia, and Trichosporon yeasts. Diagnosis is by observation, and can be confirmed by culturing a stool or mucosa sample, or a scraping from the affected area. Treatment is by topical or oral antifungal medications. Acidophilous, a helpful bacteria that normally helps to keep yeast in check, can also be tried in supplement form or in yogurt with live cultures.
See the entire definition of Yeast infection

Yeast vaginitis: Infection of the vagina by a fungus known as Candida, characteristically causing itching, burning, soreness, pain during intercourse and urination, and vaginal discharge.
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  • Related Diseases & Conditions

    • Yeast Infection
      • Yeast vaginitis is a yeast infection of the vagina. Symptoms include itching, burning, soreness, pain during intercourse and urination, and vaginal discharge. Yeast infections can be treated with over-the-counter and prescription medications.
    • Pregnancy (Stages - Trimesters of Pregnancy)
      • There are many symptoms involved in the 1st, 2nd and 3rd trimesters of pregnancy. The first early pregnancy symptom is typically a missed period, but others include breast swelling and tenderness, nausea and sometimes vomiting, fatigue and bloating. Second trimester symptoms include backache, weight gain, itching, and possible stretch marks. Third trimester symptoms are additional weight gain, heartburn, hemorrhoids, swelling of the ankles, fingers, and face, breast tenderness, and trouble sleeping. Read more to learn about recommended procedures and tests for each stage of a healthy pregnancy.
    • Sexually Transmitted Diseases in Women (STDs)
      • Sexually transmitted diseases, or STDs, are infections that are transmitted during any type of sexual exposure, including intercourse (vaginal or anal), oral sex, and the sharing of sexual devices, such as vibrators. Women can contract all of the STDs, but may have no symptoms, or have different symptoms than men do.
    • Chlamydia In Women
      • Chlamydia, a type of bacteria that causes an infection, is spread through sexual contact. Most of the time, women with chlamydia have no symptoms. Antibiotics are an effective treatment for chlamydia.
    • Vaginitis
      • Vaginitis is any type of vaginal infection or inflammation. The six most common types of vaginitis are Candida (yeast infections), bacterial vaginosis, trichomoniasis vaginitis, chlamydia vaginitis, viral vaginitis, and noninfectious vaginitis. Symptoms include itching, burning, and abnormal vaginal discharge. Treatment is different for each type of vaginitis.
    • Gonorrhea In Women
      • Gonorrhea is a bacterial infection transmitted during sexual contact. In women, symptoms include a yellow vaginal discharge, burning or frequent urination, and redness, swelling, burning and itching of the vaginal area. Gonorrhea can be treated with injectable (penicillin) or oral medications.
    • Vaginal Pain (Vulvodynia)
      • Vulvodynia or vaginal pain, genital pain is a condition in which women have chronic vulvar pain with no known cause. There are two types of vulvodynia, generalized vulvodynia and vulvar vestibulitis. Researchers are trying to find the causes of vulvodynia, which may include nerve irritation, genetic factors, hypersensitivity to yeast infections, muscle spasms, hormonal changes, and more. The most common symptoms of vaginal pain (vulvodynia) is burning, rawness, itching, stinging, aching, soreness, and throbbing. There are a variety of treatments that can ease the symptoms of vulvodynia (vaginal pain).
    • Trichomoniasis (Vaginal Infection)
      • Trichomoniasis is a sexually transmitted disease (STD) caused by a parasite passed from person to person. Trichomoniasis can be picked up from contact with damp, moist objects like towels, wet clothing, or toilet seat. Symptoms include yellow, green, or gray vaginal discharge with a strong odor, painful intercourse or urination, genital irritation and itching, and lower abdominal pain. Medication is the only treatment for trichomoniasis.
    • Smoking (How to Quit Smoking)
      • Smoking is an addiction. More than 430,000 deaths occur each year in the U.S. from smoking related illnesses. Secondhand smoke or "passive smoke" also harm family members, coworkers, and others around smokers. There are a number of techniques available to assist people who want to quit smoking.
    • Pregnancy Planning
      • Pregnancy planning is important to help prevent exposure of the mother and fetus to potentially harmful medications and substances during the early days, and throughout the pregnancy. Nutritional planning, prevention of birth defects, conditions such as high blood pressure, heart disease, diabetes, and kidney disease need careful monitoring. Gestational diabetes, preeclampsia, and pregnancy induced hypertension are conditions that may arise during pregnancy. Immunizations, inherited disorders, exercise, air travel, intercourse, and birth control are important factors to consider when planning a pregnancy.
    • Vaginal Dryness
      • Vaginal dryness and vaginal atrophy occurs in women during perimenopause, menopause, and postmenopause. With vaginal atrophy, the lining of the vaginal wall becomes thinner, drier, less elastic, and light pink to bluish in color. Symptoms of vaginal atrophy include vaginal dryness, itching, irritation, and/or pain during intercourse. Treatment options for vaginal dryness and vaginal atrophy include hormone treatment and over-the-counter vaginal lubricating and moisturizing products.
    • Sexual Health
      • Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
    • Pregnancy and Drugs (Prescription and OTC)
      • Taking prescription medications or over-the-counter drugs or supplements should be discussed with your doctor. There are some medications that have been found to cause no problems in pregnancy, however, medications such as Accutane for acne, should never be taken during pregnancy.
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Bacterial Vaginosis

What is a pelvic exam?

A pelvic exam is a way for doctors to look for signs of illness in certain organs in a woman's body. The word "pelvic" refers to the pelvis. The exam is used to look at a woman's:

  • Vulva (external genital organs)
  • Uterus (the womb)
  • Cervix (opening from the vagina to the uterus)
  • Fallopian tubes (tubes that carry eggs to the womb)
  • Ovaries (organs that produce eggs)
  • Bladder (the sac that holds urine)
  • Rectum (the chamber that connects the colon to the anus)

When Are Pelvic Exams Done?

Pelvic exams are performed:

  • During a yearly physical exam.
  • When a woman is pregnant.
  • When a doctor is checking for an infection (such as chlamydia, vaginosis, trichomoniasis, and others).
  • When a woman is having pain in her pelvic area or low back.
...

Read the Pelvic Exam article »




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