Evidence map›Paper›PMID 27010725›Full record

ArticlePloS one2016

Women's Management of Recurrent Bacterial Vaginosis and Experiences of Clinical Care: A Qualitative Study.

Jade Bilardi, Sandra Walker, Ruth McNair, Julie Mooney-Somers, Meredith Temple-Smith, Clare Bellhouse, Christopher Fairley, Marcus Chen, Catriona Bradshaw

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Comparative phase I randomized open-label pilot clinical trial of GynophilusEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Trial
  4. Accumulative experiences of recurrent vulvovaginal thrush: a qualitative study of primary care navigation from patient and clinician perspectives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  5. International journal of sexual health : official journal of the World Association for Sexual Health · 2026
    Article
  6. Article
  7. Article
  8. Bacterial vaginosis.Nature reviews. Disease primers · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Jade BilardiCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Sandra WalkerCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Ruth McNairDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Julie Mooney-SomersCentre for Values, Ethics and the Law in Medicine, The University of Sydney, Sydney, New South Wales, Australia.
Meredith Temple-SmithDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Clare BellhouseCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Christopher FairleyCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Marcus ChenCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Catriona BradshawCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Melbourne Sexual Health Centre · AUUniversity of Melbourne · AUMonash University · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew data are available on how women manage recurring bacterial vaginosis (BV) and their experiences of the clinical care of this condition. This study aimed to explore women's recurrent BV management approaches and clinical care experiences, with a view to informing and improving the clinical management of BV.

methodsA descriptive, social constructionist approach was chosen as the framework for the study. Thirty-five women of varying sexual orientation who had experienced recurrent BV in the past 5 years took part in semi-structured interviews.

resultsThe majority of women reported frustration and dissatisfaction with current treatment regimens and low levels of satisfaction with the clinical management of BV. Overall, women disliked taking antibiotics regularly, commonly experienced adverse side effects from treatment and felt frustrated at having symptoms recur quite quickly after treatment. Issues in clinical care included inconsistency in advice, misdiagnosis and inappropriate diagnostic approaches and insensitive or dismissive attitudes. Women were more inclined to report positive clinical experiences with sexual health physicians than primary care providers. Women's frustrations led most to try their own self-help remedies and lifestyle modifications in an attempt to treat symptoms and prevent recurrences, including well-known risk practices such as douching.

conclusionIn the face of considerable uncertainty about the cause of BV, high rates of recurrence, unacceptable treatment options and often insensitive and inconsistent clinical management, women are trying their own self-help remedies and lifestyle modifications to prevent recurrences, often with little effect. Clinical management of BV could be improved through the use of standardised diagnostic approaches, increased sensitivity and understanding of the impact of BV, and the provision of evidence based advice about known BV related risk factors.

Indexed as

AdultAnti-Bacterial AgentsDisease ManagementFemaleHumansLife StyleQualitative ResearchRecurrenceRisk FactorsSelf MedicationSexual BehaviorVaginosis, BacterialYoung AdultAnti-Bacterial Agents

Identifiers

PMID27010725
PMCPMC4807032
OpenAlexW2306080296

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.