Bacterial Vagnosis

• is this for yourself, would you be more comfortable going to consultation room to talk about this

• what symptoms have you been experiencing,

• how long are the symptoms been present

• have u experienced this before

• have u tried anything to treat this

• do u have any medical conditions

• are u taking any medications or any vitamins or supplements at the moment

• do u have any allergies

• To pick the best treatment for you, is there a possibility that you may be pregnant or breastfeeding?

WHAMMA

• can u describe your discharge?

• is there a cottage cheese appearance

• is their an odour to it?

• is it itchy?

symptom based questions

• do you experience any pain when urinating

• have u experienced a fever?

• have u visited the doctor about this condition before?

• have you experienced any abnormal bleeding?

referral based

• to be able to give you the best treatment, is there a chance you may be sexually active and potentially have more than one sexual partner?

• is there a possibility you may smoking?

• do you use any contraceptive devices like IUD

• do you use any fragrances washed in that area

• how has your diet been

• do you wear any tight fitted clothing?

• have you had your period recently

• have you used any antibiotics recently

• is there any possibility you have a vitamin D deficiency

trigger based questions

• As the doctor mentioned, I believe you have bacterial vaginosis.

• This is a very common condition that results in a disruption of the normal acidic pH of the vagina and an imbalance in the normal bacteria, which causes a film to develop around the vaginal wall

• This is commonly associated with fishy odour, thin and white discharge and typically no pain or itchiness

• This is usually caused by sexual activity regularly, the introduction of the semen which is has a high pH can effect the low pH of the vagina, it can also be caused by smoking, taking antibiotics which can disrupt the normal bacteria or flushing the vagina with lots of chemicals or water, tight underwear, not using condoms, wiping from back to front

• do you have any preferences in how you want to treat this condition?

NELT

• based on preferences - astrodimer sodium gel.

• this will help to break fill which has been created on the vaginal wall, will not disrupt the normal bacteria in the vagina can be used as a lubricant and not systemically absorbed thus safe for pregnancy and breastfeeding

• have they used applicator before, if not - Attach the applicator to the end of the tube of cream & fill, you should lie on their back & draw their knees bent. The applicator should be inserted as deep as is comfortable into the vagina, press on the plunger to release the cream, slowly remove the applicator and discard

• you want to do this once a daily for 7 days, better at bedtime to prevent any leakage that could occur by movement during the day, this will help to reduce the odour and the discharge by the end of treatment

• this is safe for pregnancy or breastfeeding, can be used if your on your period

• well - tolerated, may feel a bit of discomfort when using the applicator but that is normal

• you should visit the doctor, if you experience this more than 4 times a year, if you experience any pain when urinating, a fever, any abnormal bleeding, rashes, no improvement after course

• lifestyle - in the future, i would suggest, reducing smoking if possible to prevent re occurance, suggest other sexual partners to get treatment as well, prevent using any fragrances in the area, or flushing it with water, as it can disrupt the pH and cause more irritation and further issues, using condoms, urinating aftesex, wipe from front to back, loose underwear

• does this treatment work for you?

IDARL

• use of fragrances

• flushing with water

• using an azole to treat

• tightly fitted clothings

• not changing pads regularly

common myths