The Burden of Bacterial Vaginosis: Women's Experience of the Physical, Emotional, Sexual and Social Impact of Living with Recurrent Bacterial Vaginosis
The Burden of Bacterial Vaginosis: Women's Experience of the Physical, Emotional, Sexual and Social Impact of Living with Recurrent Bacterial Vaginosis
复制标题
DOI：
10.1371/journal.pone.0074378
复制
发表时间：
2013-09-11
期刊：
影响因子：
3.7
通讯作者：
Bradshaw, Catriona
中科院分区：
文献类型：
--
作者：
Bilardi, Jade E.;Walker, Sandra;Bradshaw, Catriona
背景：细菌性阴道病是一种常见的阴道感染，高达50%的患者会出现异常阴道分泌物和/或异味。推荐治疗后复发是常见的。关于妇女患细菌性阴道病的经历及其对她们的自尊、性关系和生活质量的影响的数据有限。本研究的目的是探讨复发性细菌性阴道病的经验和影响women.Methods：社会建构主义的方法被选为本研究的框架。三十五名妇女与男性和/或女性合作伙伴参加了半结构化的面试面对面或通过电话对他们的经验复发性细菌性vaginosis.Results：复发性细菌性阴道病影响妇女在不同程度上，一些妇女报告它对他们的生活影响不大，但大多数报告它有中度至重度的影响。它对妇女的身体、情感、性和社会影响的程度往往取决于发作的频率和症状的严重程度。妇女普遍报告说，细菌性阴道病的症状使她们感到尴尬，羞愧，“肮脏”，非常担心别人可能会发现她们的恶臭和异常分泌物。复发性细菌性阴道病的最大影响是对妇女的自尊和性生活的影响，妇女经常避免性活动，特别是口交，因为她们对自己的症状感到尴尬和自我意识，而不愿意从事这些活动。妇女经常感到困惑，为什么他们遇到复发性细菌性阴道病和沮丧，在他们缺乏控制recurrent.Conclusion：妇女的经验，复发性细菌性阴道病变化广泛，显着在这项研究中。一些妇女报告说，对她们的生活影响不大，但大多数妇女报告说，主要对她们的自尊和性生活产生了中度至严重的影响。在管理复发性细菌性阴道病的妇女时，需要进一步支持和承认这些影响。
Background: Bacterial vaginosis is a common vaginal infection, causing an abnormal vaginal discharge and/or odour in up to 50% of sufferers. Recurrence is common following recommended treatment. There are limited data on women's experience of bacterial vaginosis, and the impact on their self-esteem, sexual relationships and quality of life. The aim of this study was to explore the experiences and impact of recurrent bacterial vaginosis on women.Methods: A social constructionist approach was chosen as the framework for the study. Thirty five women with male and/or female partners participated in semi-structured interviews face-to-face or by telephone about their experience of recurrent bacterial vaginosis.Results: Recurrent bacterial vaginosis impacted on women to varying degrees, with some women reporting it had little impact on their lives but most reporting it had a moderate to severe impact. The degree to which it impacted on women physically, emotionally, sexually and socially often depended on the frequency of episodes and severity of symptoms. Women commonly reported that symptoms of bacterial vaginosis made them feel embarrassed, ashamed, 'dirty' and very concerned others may detect their malodour and abnormal discharge. The biggest impact of recurrent bacterial vaginosis was on women's self-esteem and sex lives, with women regularly avoiding sexual activity, in particular oral sex, as they were too embarrassed and self-conscious of their symptoms to engage in these activities. Women often felt confused about why they were experiencing recurrent bacterial vaginosis and frustrated at their lack of control over recurrence.Conclusion: Women's experience of recurrent bacterial vaginosis varied broadly and significantly in this study. Some women reported little impact on their lives but most reported a moderate to severe impact, mainly on their self-esteem and sex life. Further support and acknowledgement of these impacts are required when managing women with recurrent bacterial vaginosis.