Gilbert Donders 1,2, Francesca Donders 1, Jente Reumers 1
- Femicare VZW Clinical research Center, Tienen, 2) Dept OB/Gyn, Unversity Antwerp, Belgium
Bacterial vaginosis (BV) is an ecological disaster of the vagina, due to massive overgrowth of diverse species of anaerobic bacteria causing a foul smelling discharge in some, and little or no symptoms in other women.
Since years a debate is ongoing whether BV should be seen as a sexually transmissible infection or not, as there is arguments in favor as well as against. As we will demonstrate, however, more and more of the former accumulate, and more and more questions now arise whether BV has a counterpart in males, and whether and how it should be treated.
Also, if BV exists in males, it should have another name, and like in women, its presence should be studied ad a risk factor for diseases in males, such as penile infection (smell), urethritis (non-Ct, non Ng) , semen infection and infertility.
Gradually we build evidence of penile bacteriosis and semen infection to be a challenge
Conclusion. Males with a partner with recurrent BV, symptomatic for urethritis and suffering from unexplained infertility should be examined for the presence of penile and sperm infection of BV-like bacteria. The different spectrum of male bacteria may require to rethink the treatment regimens in affected males, especially because metronidazole does not seem to have an effect on the recurrence rate of women. Definitely, a bigger interest and greater research interest in this topic are mandatory.
34 IUSTI Congress - European Congres on Sexually transmitted Infections and HIV/AIDS
TAMING THE TIDE of STIs & HIV
Bucharest, September 3-5,