PREGNANCY-BIRTH Messages for June, 2000: Re: BV question

Re: BV question

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 29 Jun 2000 20:04:52 -0500 (CDT)

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In reply to: Dana: "BV question"

At Wed, 28 Jun 2000, Dana wrote: >
>I am 20.5 weeks pregnant. I had had vaginal discomfort for a few months
>and twice they did a pelvic and the cultures came back neg. But the
>Dr's had said both times there was a lot of discharge inside. A few
>days ago, the vaginal irritability increased dramatically and BV was
>diagnosed. They said my vagina was very red and inflamed, no wonder I
>was in pain. I have been using Flagystatin Vaginal Cream (Metrogel in
>the US?) for 3 days now and the vaginal pain is gone. But I still have
>an intermittent abdominal ache/twinges, esp when lying or sitting down
>(in the center area above my pubic hair). Could this be related to the
>BV

Possibly, It shouldn't be, but there are a fair number of people who think that BV causes some abd. pain.

(ie infection ascended into my uterus

No you would be sicker thatn a dog.

)? Should I call and ask that >the oral version of the drug be prescribed? Or is this a normal symptom
>in pregnancy?

I usually use the oral form of Metronidazole (Flagyl)

And are my chances of preterm labour now greatly increased >because of the BV?

Most likely not. If one checks a population that is high risk for preterm labor, finding BV and treating it decreases the incidence of preterm delivery. Checking a group that is not at high risk and treating those with BV, does not change the incidence of preterm delivery.

RDB

Thanks in advance.

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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