Self-reported Bacterial Vaginosis and Risk of Ultrasound Diagnosed Incident Uterine Fibroid Cases in a Prospective Cohort Study of Young African-American Women

Uterine fibroids, benign smooth muscle cell tumors, are a very common gynecological condition 1 and the leading indication for hysterectomy in the US 2. Though hormonally dependent, the causes of fibroids are unknown. For decades it has been hypothesized that reproductive tract infections (RTIs) play a role in fibroid development 3. However, few studies have been conducted, even for the leading cause of symptomatic vaginal discharge, bacterial vaginosis (BV). BV is characterized by a shift from the dominant flora of Lactobacillus spp.

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