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This version was published on 1 November 2009
Int J STD AIDS 2009;20:778-781
doi:10.1258/ijsa.2009.009193
© 2009 Royal Society of Medicine Press

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Original research articles

Bacterial vaginosis: a cause of infertility?

J Mania-Pramanik PhD * , S C Kerkar BSc * and V S Salvi MD {dagger}

* National Institute for Research in Reproductive Health (Indian Council of Medical Research), JM Street; {dagger} Department of Obstetrics & Gynaecology, Seth G S Medical College & KEM Hospital, Parel, Mumbai 400 012, India

Correspondence to: Dr J Mania-Pramanik Email: jayantimania{at}rediffmail.com

Bacterial vaginosis (BV) is a common disorder of the genital tract in women characterized by an alteration of the normal acidic lactobacilli-predominant vaginal ecosystem to a vaginal environment dominated by Gardnerella vaginalis, mycoplasma species and anaerobes, with an increase in pH. The present study evaluated whether BV is associated with reproductive complications in women. BV was screened with a Gram stain of vaginal smear and interpretation was done using the Nugent score. Wet mount and polymerase chain reaction were used to screen other infections. Among 510 enrolled women, 72 (14.1%) had BV. Statistical analysis between the BV negative and positive population revealed a significant association (P = 0.0001) with infertility. In pregnant women, the infection rate was low (P = 0.01). Multiple infections such as Candida, Chlamydia and human papilloma virus were observed in 4.2%, 15.3% and 8.3% of BV-infected women, respectively. Results suggest that BV infection is associated with infertility and its absence leads to pregnancy, emphasizing its screening and treatment.

Key Words: bacterial vaginosis • infertility • recurrent spontaneous abortion


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