International Journal of STD & AIDS > Volume 18, Number 2 > Pp. 140-141

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Case reports

A case of successful management of recurrent bacterial vaginosis of neovagina after male to female gender reassignment surgery

A Jain and C Bradbeer

Department of Genito-Urinary Medicine, Lambeth Wing, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK; Department of Genito-Urinary Medicine, Lambeth Wing, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK

As sex reassignment surgeries become common and advanced, doctors are more likely to encounter cases with 'different' anatomy. Due to variations in examination and management as compared with non-transsexual patients, these cases generally prove challenging to the physicians. We present a case of recurrent bacterial vaginosis (BV) of neovagina in a transsexual patient successfully managed by using metronidazole gel and occasional douching. This case illustrates the difference in the microscopy of vaginal flora and management of BV in transsexual as compared with non-transsexual women.

Key Words: TRANSSEXUAL • BACTERIAL VAGINOSIS • NEOVAGINA • DOUCHING

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