What is the prognosis of complicated bacterial vaginosis (BV)?

Updated: Oct 25, 2018
  • Author: Philippe H Girerd, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

The prognosis for complicated cases of bacterial vaginosis leading to other infections varies depending on the particular infectious process. Note the following:

  • Long-standing or untreated BV may lead to more serious sequelae, such as endometritissalpingitispelvic inflammatory disease, or complications of pregnancy, including premature rupture of membranes, premature labor, chorioamnionitis, and postpartum endometritis.

  • BV leads to an increased risk for acquiring HIV, [6, 12, 13]  and intravaginal practices are an important risk factor for developing BV. [12]

  • Postgynecologic procedure infections, such as vaginal cuff cellulitis (status posthysterectomy) and postabortion infection may also occur.

  • Suspect concomitant infections (such as candida vaginitis) or newer, resistant organisms (Atopobium vaginae) in patients whose symptoms do not resolve after treatment of BV. See Treatment.


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