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Bacterial Vaginosis + IUD's

Hello Everyone!

I was just diagnosed with BV and my dr said that although it's not necessary for me to seek treatment (antibiotics), she suggests I do due to my IUD. Why is this? Will it increase my chances of getting PID? I've been considering not taking the antibiotics because I'm not a big fan of antib's in general, but I'm worried because I think I've had BV for about a month to a month and a half now. What are the risks/concerns surrounding IUD's and BV?

Thanks!

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( 11 comments — Leave a comment )
birthingway
Mar. 12th, 2009 01:34 am (UTC)
I also have an IUD (have had the Mirena for about a year now) and have gotten BV for the first time in my life this year.

Having an IUD is a risk factor for BV, and I suspect that it's less likely to go away on its own without the meds. Having said that, there are several non-antibiotic routes you might want to try.

Have a look at http://www.vaginapagina.com for some good information.

(And if you do decide to get the meds, go for the vaginal gel, not the systemic pills--a lot easier on your system.)
ladycontent
Mar. 12th, 2009 02:00 am (UTC)
Thanks for your response. You mentioned that having an IUD is a risk factor for BV and I was just wondering what exactly the risks are.
birthingway
Mar. 12th, 2009 02:28 am (UTC)
I don't think that there are risks to having BV when you have an IUD; rather, my understanding is that having an IUD predisposes you to being more susceptible to BV.

Perhaps your Doc's reasoning is that this heightened susceptibility translates to a reduced ability to clear the infection without meds.

It's just an educated guess. :-)
dealatedwren
Mar. 12th, 2009 01:46 am (UTC)
make boric acid capsules to treat your BV! it works so well for me. there is lots of info about it on vaginapagina
ladycontent
Mar. 12th, 2009 02:00 am (UTC)
Interesting! How is this done?
ladycontent
Mar. 12th, 2009 10:09 pm (UTC)
haha sorry! I just re-read your post and saw that you fully told me that there was info about it on vaginapagina. I was having one of those days yesterday! Thanks for your help!
h0rsegurrrl
Mar. 12th, 2009 04:23 pm (UTC)
I brought up my BV concerns with my gyno, and she said that it's really not likely for PID to be caused by BV. The vast majority of PID cases, according to her, are caused by STD's and not BV. In theory it's still possible, yes, but not terribly likely. The IUD isn't relevant in the equation because it doesn't increase your risk of PID after the first month of use, regardless of the presence of BV.

I don't know why having an IUD would predispose one to BV. I've read that from sources all tracing back to the CDC (holy acronyms in this comment), but neither the ParaGard nor the Mirena sites mention an increased risk, so I really question its validity. Sexually active women are more predisposed to BV, maybe it's because IUD users don't hold back sexually. :-P That's just my speculation.

You should still treat it, however, because BV can cause unpleasant sexual side-effects if that is a concern to you, even without symptoms. I recommend boric acid or peroxide treatments, or Yeast Arrest (which works on BV too), they're much gentler on the system than antibiotics and are more effective, in my experience.
cherrypencil
Mar. 13th, 2009 06:02 pm (UTC)
I agree that I have only heard of this risk anecdotally and not on many medically certified :) websites. However, one risk factor MIGHT be the presence of a foreign object (string) in the upper vagina. There have been studies conducted over the biofilms on the IUD and the string, and the consensus is that both are colonized by human bacteria pretty early after insertion. This is most usually normal, healthy, human bacteria of course, but I could see increased potential for overgrowth by having a foreign body in the vagina. I could be totally wrong though...overgrowth sure does happen with or without the string :)
be_awake
Jun. 20th, 2010 05:46 am (UTC)
You may have seen my other post re: yeast infections and Mirena. I've been wondering if the hard little strings have been a contributor, causing chronic irritation and SOME sort of response in the vagina.

I have never had BV in my life, ever, before I got Mirena and I have now had BV or a yeast infection, most of the time both, for, oh, four years now. So add me to the anecdotal evidence!
headlesschikun
Apr. 5th, 2012 11:04 pm (UTC)
The US National Library of Medicine agrees! Hydrogen peroxide is LEGIT:

http://www.ncbi.nlm.nih.gov/pubmed/14676737
( 11 comments — Leave a comment )

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