Early Sexual Experiences and Risk Factors for Bacterial Vaginosis

Fethers, Katherine A.; Fairley, Christopher K.; Morton, Anna; Hocking, Jane S.; Hopkins, Carol; Kennedy, Lisa J.; Fehler, Glenda; Bradshaw, Catriona S.
December 2009
Journal of Infectious Diseases;12/1/2009, Vol. 200 Issue 11, p1662
Academic Journal
Background. We have undertaken a cross-sectional study that investigates the association between bacterial vaginosis (BV) and sexual practices in sexually experienced and inexperienced women. Methods. Participants were 17-21-year-old females who attend Melbourne University, Australia. Study kits that contained an information and consent form, questionnaire, swab, and slide were distributed. Information regarding demographic characteristics and a broad range of sexual practices were collected. Gram-stained, selfcollected vaginal smears were scored with the Nugent method. Associations between BV and behaviors were examined by univariate and multivariate analysis. Results. BV was diagnosed in 25 (4.7%) of 528 women (95% confidence interval [CI], 3.1%-6.9%). Importantly, BV was not detected in women (n=83) without a history of coital or noncoital sexual contact (0%; 95% CI, 0%-4.3%). BV was detected in 3 (3.8%) of 78 women (95% CI, 0.8%-10.8%) with noncoital sexual experience only and in 22 (6.0%) of 367 women (95% CI, 3.8%-8.9%) who reported penile-vaginal sex. BV was associated with a history of any genital contact with a sexual partner (P=.02). BV was strongly associated with >3 penilevaginal sex partners in the prior year (adjusted odds ratio, 7.1; 95% CI, 2.7-18.4) by multivariable analysis. Conclusions. This study shows a strong association between BV and penile-vaginal sex with multiple partners but found no BV in sexually inexperienced women, once a history of noncoital sexual practices was elicited. Our findings indicate that BV is not present in truly sexually inexperienced women.


Related Articles

  • A novel microscopic method for analyzing Gram-stained vaginal smears in the diagnosis of disorders of vaginal microflora. Nenadić, Dane B.; Pavlović, Miloš D.; Motrenko, Tatjana // Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journ;Aug2015, Vol. 72 Issue 8, p670 

    Background/Aim. The Nugent's score is still the gold standard in the great majority of studies dealing with the assessment of vaginal flora and the diagnosis of bacterial vaginosis (BV). The aim of this study was to show that the analysis of Gram-stained vaginal samples under microscope at the...


    Lichen planus is recognized as an itchy papulosquamous disorder that ususaly affects middle-aged people. Although LP can occur in any age, it is more frequently reported to occur in patients aged 30-60 years. In addition to the cutaneous eruption, LP can involve the mucous membranes, the...

  • Development and Validation of Classification Criteria for Idiopathic Orofacial Pain for Use in Population-based Studies. Aggarwal, Vishal R.; McBeth, John; Lunt, Mark; Zakrzewska, Joanna M.; Macfarlane, Gary J. // Journal of Orofacial Pain;Summer2007, Vol. 21 Issue 3, p203 

    Aim: To develop and validate a questionnaire-based tool which would enable classification of idiopathic orofacial pain in the general population. Methods: A postal questionnaire-based cross-sectional survey was made of 4,200 randomly selected adults who were registered with a general medical...

  • Epidemiological features of gastro-esophageal reflux disease in Iran based on general population. Pourhoseingholi, Asma; Pourhoseingholi, Mohamad Amin; Moghimi-Dehkordi, Bijan; Barzegar, Farnoosh; Safaee, Azadeh; Vahedi, Mohsen; Al Dulaimi, David; Prabhakaran, Sudhakaran // Gastroenterology & Hepatology from Bed to Bench;Jan2012, Vol. 5 Issue 1, p54 

    Aim: The aim of this study was to evaluate the epidemiology of GERD base on population study in Tehran providence. Background: Gastro-esophageal reflux disease (GERD) is a common and chronic problem. Recent reports from developing countries indicate increment in the incidence and prevalence of...

  • Benzodiazepine use among adults residing in the urban settlements of Karachi, Pakistan: A cross sectional study.  // Substance Abuse Treatment, Prevention & Policy;2011, Vol. 6, p19 

    The article presents a research study assesses frequency of benzodiazepine use. It also determines its relation with socio-demographic and clinical characteristics in adults residing in two urban settlements of Karachi, Pakistan. Under the study, a cross sectional study was conducted in Garden...

  • Relation between Gram-stain and clinical criteria for diagnosing bacterial vaginosis with special reference to Gram grade II evaluation. Taylor-Robinson, D.; Morgan, D. J.; Sheehan, M.; Rosenstein, I. J.; Lamont, R. F. // International Journal of STD & AIDS;Jan2003, Vol. 14 Issue 1, p6 

    The aim of this study was to analyse how the results of Gram-staining vaginal smears correlated with the clinical criteria for determining the existence of bacterial vaginosis (BV) and, in particular, how the category defined as 'intermediate' or Gram grade II did so and its significance. Women...

  • Vaginal microbiome in women from Greenland assessed by microscopy and quantitative PCR. Datcu, Raluca; Gesink, Dionne; Mulvad, Gert; Montgomery-Andersen, Ruth; Rink, Elisabeth; Koch, Anders; Ahrens, Peter; Skov Jensen, Jørgen // BMC Infectious Diseases;2013, Vol. 13 Issue 1, p1 

    Background Bacterial vaginosis (BV) is a common condition, although its aetiology remains unexplained. The aim of this study was to analyse the composition of vaginal microbiota in women from Greenland to provide a quantitative description and improve the understanding of BV. Methods...

  • A multiplex real-time PCR assay for routine diagnosis of bacterial vaginosis. Kusters, J.; Reuland, E.; Bouter, S.; Koenig, P.; Dorigo-Zetsma, J. // European Journal of Clinical Microbiology & Infectious Diseases;Sep2015, Vol. 34 Issue 9, p1779 

    A semi-quantitative multiplex PCR assay for the diagnosis of bacterial vaginosis (BV) was evaluated in a prospective study in a population of Dutch women with complaints of abnormal vaginal discharge. The PCR targets Gardnerella vaginalis, Atopobium vaginae, Megasphaera phylotype 1,...

  • Reliability of self-collected versus provider-collected vaginal swabs for the diagnosis of bacterial vaginosis. Kashyap, Bineeta; Singh, Ruchira; Bhalla, Preena; Arora, Raksha; Aggarwal, Abha // International Journal of STD & AIDS;Aug2008, Vol. 19 Issue 8, p510 

    Women reluctant to undergo a per-speculum examination consider self-sampling more acceptable. The aim of this study was to compare self-collected vaginal swabs for detection of bacterial vaginosis (BV), candidiasis and trichomoniasis, with vaginal specimens obtained by the gynaecologist at...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics