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2016 ; 11
(3
): e0151794
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gab.com Text
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English Wikipedia
Women s Management of Recurrent Bacterial Vaginosis and Experiences of Clinical
Care: A Qualitative Study
#MMPMID27010725
Bilardi J
; Walker S
; McNair R
; Mooney-Somers J
; Temple-Smith M
; Bellhouse C
; Fairley C
; Chen M
; Bradshaw C
PLoS One
2016[]; 11
(3
): e0151794
PMID27010725
show ga
BACKGROUND: Few data are available on how women manage recurring bacterial
vaginosis (BV) and their experiences of the clinical care of this condition. This
study aimed to explore women's recurrent BV management approaches and clinical
care experiences, with a view to informing and improving the clinical management
of BV. METHODS: A descriptive, social constructionist approach was chosen as the
framework for the study. Thirty-five women of varying sexual orientation who had
experienced recurrent BV in the past 5 years took part in semi-structured
interviews. RESULTS: The majority of women reported frustration and
dissatisfaction with current treatment regimens and low levels of satisfaction
with the clinical management of BV. Overall, women disliked taking antibiotics
regularly, commonly experienced adverse side effects from treatment and felt
frustrated at having symptoms recur quite quickly after treatment. Issues in
clinical care included inconsistency in advice, misdiagnosis and inappropriate
diagnostic approaches and insensitive or dismissive attitudes. Women were more
inclined to report positive clinical experiences with sexual health physicians
than primary care providers. Women's frustrations led most to try their own
self-help remedies and lifestyle modifications in an attempt to treat symptoms
and prevent recurrences, including well-known risk practices such as douching.
CONCLUSION: In the face of considerable uncertainty about the cause of BV, high
rates of recurrence, unacceptable treatment options and often insensitive and
inconsistent clinical management, women are trying their own self-help remedies
and lifestyle modifications to prevent recurrences, often with little effect.
Clinical management of BV could be improved through the use of standardised
diagnostic approaches, increased sensitivity and understanding of the impact of
BV, and the provision of evidence based advice about known BV related risk
factors.
|Adult
[MESH]
|Anti-Bacterial Agents/adverse effects/therapeutic use
[MESH]