What is the prognosis of vaginitis?

Updated: Dec 04, 2018
  • Author: Hetal B Gor, MD, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Overall, the prognosis is very good: most of those infected are cured. However, recurrent vaginal infections can lead to chronic irritation, excoriation, and scarring. These, in turn, can lead to sexual dysfunction. Psychosocial and emotional stresses are not uncommon.

Although treatment of bacterial vaginosis has not been documented to prevent HIV, bacterial vaginosis and sexually transmitted infections, including trichomoniasis, are considered to be risk factors for HIV. Chronic vaginal infection can facilitate the transmission of various STDs, including HIV.

Complications of bacterial vaginosis include endometritis and pelvic inflammatory disease (PID). Untreated bacterial vaginosis may result in complications (eg, vaginal wound infections) after gynecologic surgical procedures.

In pregnancy, Trichomonas infection and bacterial vaginosis are associated with an increased risk of adverse pregnancy outcomes, including preterm labor, premature rupture of membranes, preterm delivery, low birth weight, and postpartum endometritis. [5]


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