Monday, June 25, 2018

Men are terrible after all

Well, I can understand a woman thinking that if it turns out that it's actually men who give women the unfortunate disease of bacterial vaginosis (which I've posted about twice before):
A Monash University trial is seeking to prove that, unlike other vaginal infections, bacterial vaginosis is actually a sexually-transmitted disease, which can be carried by men, as well as women.

A 2006 Monash study found 50 per cent of women who undergo treatment – an oral or topical antibiotic – for bacterial vaginosis have a recurrence within six months.

"When we looked at the associated factors with bacterial vaginosis coming back, women who were exposed to an ongoing, regular sexual partner had twice the risk," says Dr Catriona Bradshaw, who has been researching the condition for 15 years.

Subsequent studies by the team also suggest this high recurrence rate could be because the infection is sexually transmitted: the biggest risk factor for developing bacterial vaginosis is exposure to a new sexual partner, and a 2008 study of university students found the infection was unable to be detected in women who had never been sexually active.
Bacterial vaginosis is experienced by roughly one in 10 Australian women. It occurs when the vagina's healthy bacteria, known as lactobacilli, are replaced by a variety of different bacteria, resulting in a watery, white discharge and a fishy odour.
Which makes me wonder - if it's a case of bacteria on the penis being re-introduced and outcompeting a woman's normal  healthy bacteria, might not there be a higher risk of it with an uncircumcised penis?

Well, seems my guess is right.  A 2015 article:
Bacterial vaginosis (BV) is a common vaginal bacterial imbalance associated with risk for HIV and poor gynecologic and obstetric outcomes. Male circumcision reduces BV-associated bacteria on the penis and decreases BV in female partners, but the link between penile microbiota and female partner BV is not well understood. We tested the hypothesis that having a female partner with BV increases BV-associated bacteria in uncircumcised men.
Short answer:  it does.

So, for all of the hyperventilating that goes on about circumcision as a cruel practice on boys, women actually do have an incentive to support it.
 
 In fact, Googling on this topic indicates that some have been saying for years that BV should be considered a sexually transmitted disease.  So I'm not sure that the Monash study is all that innovative.  

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