Bacterial Vaginosis/ Urinary Tract Infection: Case Study

Bacterial Vaginosis Definition: Bacterial vaginosis (BV) is the most common vaginal infection, and is caused when normal, commensal or opportunistic bacteria overgrow, resulting in dysbiosis1.

Symptoms include:

  • Thin, vaginal discharge that may be gray, white or green
  • Foul-smelling, "fishy" vaginal odor
  • Vaginal itching
  • Burning during urination

* Many people with bacterial vaginosis have no symptoms.

Urinary Tract Infection (UTI) Definition: UTI is the most common outpatient condition, and is experienced by 50-60% of women in their lifetime2. UTI refers to an infection of the bladder, urethra, ureters and/or kidneys.  Bacteria, especially E. coli, are the most common cause of UTIs.

Symptoms include:

  • Pain or burning when urinating
  • Blood in the urine (also called hematuria)
  • Cloudy or smelly urine
  • Frequent and urgent need to urinate
  • Flank pain
  • Fever and/or chills
  • Malaise and/or fatigue

Patient Data: A 26 y/o female with recurring UTIs and BV. 

Case History: Patient reports consistent recurrence of both BV and UTI  over the last 6 years. She presented with pruritus, increased frequency of urination, dysuria and tenderness when wiping. At time of first visit, infections were occurring at least once per month, after intercourse. Complex hygiene ritual after sex includes boric acid suppositories, metrogel vaginally and nitrofurantoin antibiotic for prevention, which does not usually prevent symptoms. She completed a 7 day round of Clindamycin gel for BV and Macrobid for a UTI, with persisting symptoms.

Protocol: Patient was prescribed the Bioclear Microbiome Detox Program, including Biocidin LSF, Proflora and GI Detox for four months. Additionally, Biocidin capsules were used as a vaginal suppository for two weeks, 6 nights per week, followed by a vaginal pH balancing salve for 2 weeks.This suppository/salve protocol was repeated for a total of 2 months. Her partner used Biocidin LSF internally and topically before intercourse. Olivirex was added, two capsules two times per day, at the six week time point in the protocol.

Outcome: Six weeks into the protocol, the UTI and BV cultures were negative. At four months, cultures remained negative. During the protocol, symptoms resolved, with the exception of mild symptoms prior to menses, which resolved once period started. 

 

  1. https://www.cdc.gov/bacterial-vaginosis/about/index.html
  2.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502976/