ForD istributers

Professionals

1. AL-SENSE | Can the results be understood without a professional reading?

The AL-SENSE test is designed for self-reading by the user. If the indicator strip is stained blue or green, amniotic fluid may be leaking. In this case, the pregnant woman should consult her physician. If the user intends to consult with and show the test result to her physician, she should bring along the indicator strip.

2. AL-SENSE | Is it possible that DPL will respond to elevated pH, even if there is no amniotic fluid leakage?

The DPL (Diagnostic Panty Liner) can return positive results in cases of bacterial or parasitic infections. In such cases it is also very important that the patient will contact her physician for diagnosis and treatment.

3. AL-SENSE | Are there any conditions or limitations to using the device?

It is recommended to delay performing the test if it is less than 12 hours after sexual intercourse or vaginal douching.

4. VA-SENSE | I think such tests should not be performed at home.

The product shows stable results and you can request that your patient bring it to the clinic a few times, until you feel confident with her sampling and result reading.

5. VA-SENSE | I do not treat pregnant women with asymptomatic BV.

Correct - asymptomatic Bacterial Vaginosis should be treated only when the pregnant woman has had a previous pre-term birth.

6. VA-SENSE | As I do not treat, there is no point in screening.

Correct - only pregnant women who had a prior pre-term delivery should be screened.

7. VA-SENSE | I know of studies showing that screening & treating BV does not reduce pre-term delivery occurrence.

All studies addressing pregnant women who had a prior pre-term delivery, and were treated orally by Metronidazole or Clindamycin for BV, up to 24th week of gestation, show repeated pre-term delivery rates of less than 50% from the control group. All other studies tested treatments out of this scope, and many demonstrate controversial results.

8. VA-SENSE | I will start anti-biotic treatment for asymptomatic BV in pregnant women only when an implicit directive is issued by the professional or regulatory authorities.

The most updated CDC guide-lines (from 2006) state: "Treatment of BV in asymptomatic pregnant women at high risk for pre-term delivery (i.e., those who have previously delivered a premature infant) with a recommended oral regimen has reduced pre-term delivery in three of four randomized controlled trials; some specialists recommend screening and oral treatment of these women".

9. VA-SENSE | I know of studies showing anti-biotic treatment increases pre-term delivery.

Correct - all these studies tested treatments outside of the recommended scope (i.e. topical treatments; treating with erythromycin; treating at 25th week of gestation or later).

10. VI-SENSE | Does this test detect only pH elevation?

NO. In addition to detecting pH elevation, it also detects pH parameter which is an indication of watery discharge that can often be caused by bacterial and parasitic infections.

11. VI-SENSE | In which situations is it important to recommend the use of the product before visiting the clinic?

The results of the test can help all diagnoses of abnormal discharge in the clinic. It may reduce cases in which dominant symptoms of Candida ”shadow” other symptoms and prevent reaching a complete diagnosis.

12. VI-SENSE | In which situations is it important to recommend using the product after visiting the clinic?

VI-SENSE will help the physician to monitor the efficacy of treatment over time. In cases of suspected mixed vaginal infections, when the doctor diagnoses the yeast and prescribes treatments accordingly, he can advise the patient that there's a significant chance of a mixed infection. In this case the use of VI-SENSE, will enable the women to self-diagnose bacterial and parasitic infection, and report back with the results to complete the treatment.

13. VI-SENSE | Does the use of the product obviate the need for women to visit their clinic?

Absolutely not. Women who intend to consult with a physician, will bring along the results to the physician. Some women who tend to initially try OTC treatments, will be directed to their doctor in the event of positive test results.

14. VI-SENSE | Which pH ranges are diagnosed by the indicator strip?

pH levels of up to 4.2 do not change the color of the indicator. pH levels between 4.3 and 5.1 changed the indicator strip color according to the buffer capacity of the fluid. pH levels of 5.2 or above change the color of the indicator at any buffer capacity.

15. VI-SENSE | Can it replace culture and laboratory tests?

As laboratory tests are expensive, time consuming, and may require a second visit,
VI-SENSE is much more efficient. The VI-SENSE test is slightly inferior in accuracy but much more efficient as regards time saving and availability.

16. VI-SENSE | Can women use the product during menstruation?

Preferably not. It is recommended to delay use of the product during menstruation since the vaginal pH level is higher and may cause false positive results.

17. VI-SENSE | Are there any conditions or limitations to using the test?

It is recommended to delay performing the test if:

  1. It is less than one day before or after the patient’s menstruation, or if she has any signs of menstruation or vaginal bleeding
  2. If it is less than 12 hours after sexual intercourse or vaginal douching
  3. If her discharge is very slow due to menopause (without hormonal therapy)

18. VI-SENSE | Should I recommend that patients use the DPL before or after her visit to clinic?

As the results can aid your diagnosis, it is recommended that the patient use the
VI-SENSE test prior to her visit. The test is efficient in detecting BV combined with Candida and for monitoring BV and parasitic treatments.

19. VI-SENSE | Can the results be understood without a professional reading?

The VI-SENSE test is designed for self-reading by the user, and accountability has been proven in our clinical study. If the user intends to consult with and show the test result to her physician, she should bring along the indicator strip. If the user is pregnant and the indicator strip stained blue or green (indicating a possible amniotic fluid leak), it is important to consult with the physician.

20. VI-SENSE | Is it possible that the DPL will respond to elevated pH, while there are no infections?

Since VI-SENSE contains a strip of pH indicator (color indicator) that is sensitive to the pH level, it is possible that in some cases where women have outstanding pH levels on a regular basis, the indicator strip will change color and give a positive result. Therefore this device may not be relevant for these women, but the existence of this unique acidity feature can easily be determined after using just one test.

21. VI-SENSE | How does the DPL react with Candida?

In the event of Candida infection, the pH level of the vaginal discharge will remain normal. Therefore the indicator strip doesn’t react with Candida infected vaginal discharge, and in this case the indicator strip will not change color.

22. VI-SENSE | How can I use the DPL results in my diagnosis?

Positive results will aid you in detecting BV or Trichomonas. In the case of mixed vaginal infections, the test will help overcome the dominant symptoms of Candida. At the conclusion of treatment, you will also be able to examine the efficacy of the BV or Trichomonas treatments.

23. VI-SENSE | Do I have to give my patient a prescription?

NO. VI-SENSE is certified for OTC sale.

24. VI-SENSE | Is the product suitable for pregnant women?

YES. However, as a positive result can indicate amniotic fluid leak, it is recommended that pregnant women consult their physician before and after using the test, as interpreting test results during pregnancy requires professional knowledge.

25. VS-SENSE OTC | How does VS-SENSE react with Candida?

In the event of Candida infection, the pH level of the vaginal discharge will remain normal. Therefore the indicator strip will not change color.

26. VS-SENSE OTC | How can I use the VS-SENSE results in my diagnosis?

Positive results of the VS-SENSE can help you detect BV or Trichomonas. In case of mixed vaginal infections, the test offers great help in overcoming the dominant symptoms of Candida. At the conclusion of treatment, you will also be able to examine the efficiency of the BV or Trichomonas treatments.

27. VS-SENSE OTC| Do I have to give my patient a prescription?

NO. The VS-SENSE OTC version is certified for OTC sale.

28. VS-SENSE OTC | Are there any conditions or limitations to using the test?


It is recommended to delay the test if:

  1. it is less is than one day before or 5 days after the patient’s menstruation
  2. if she has any signs of menstruation or vaginal bleeding
  3. it is less than 12 hours after sexual intercourse or vaginal douching
  4. if her discharge is very slow due to menopause (without hormonal therapy)

29. VS-SENSE OTC | Can the results of the test be understood without a professional reading?

The VS-SENSE OTC swab is designed for self-reading by the user, and accountability has been proven in our clinical study. If the user is pregnant and the indicator strip stained blue or green (indicating a possible amniotic fluid leak), it is important to consult with the physician.

30. VS-SENSE OTC | Should I recommend that patients use the swab before or after her visit to the clinic?

As the results can be helpful for your diagnosis it is preferable to use the VS-SENSE swab before the visit. However, performing the test after the visit is still efficient in detecting BV combined with Candida (mixed infections) and for monitoring the effectiveness of BV and Trichomonas treatments.

31. VS-SENSE OTC | When is it important to recommend using the product after the visit to the clinic?

The VS-SENSE test will help the physician to monitor the efficacy of treatment over time. In cases of suspected mixed vaginal infections, when the doctor diagnoses yeast and prescribes treatments accordingly, he can advise the patient that there's a significant chance of a mixed infection. In this case the use of VS-SENSE will enable the women to self-diagnose bacterial and parasitic infection, and then report the results to complete the treatment.

32. VS-SENSE OTC | When is it important to recommend the use of the product before a visit to the clinic?

The results of the test can help all diagnosis of abnormal discharge in the clinic. It may reduce cases in which dominant symptoms of Candida ”shadow” other symptoms and prevent reaching a complete diagnosis.

33. VS-SENSE OTC | Will the use of the product prevent women from going to the clinic?

Absolutely not. Women, who intend to see a physician, will report the results to their physician. Some women who tend to try OTC treatments first, will be directed to the doctor when they get a positive test result.

34. VS-SENSE OTC | Which pH ranges are diagnosed by VS-SENSE?

In pH levels = 4.7 the VS-SENSE does not change the color of the indicator tip. pH levels > 4.7 change the indicator tip color.

35. VS-SENSE OTC | Can women use the product during menstruation?

It is recommended to delay the use of the product during menstruation since the vaginal pH level is higher and may cause false positive results.

36. VS-SENSE OTC | Is the product suitable for pregnant women?

YES. But as positive color can indicate an amniotic fluid leak, it is recommended that pregnant women consult their physician before using the test, as interpreting test results during pregnancy requires professional knowledge.

37. VS-SENSE OTC | Can the VS-SENSE kit replace culture and laboratory tests?

Laboratory tests are expensive, time consuming, and may require a second visit to the clinic. The VS-SENSE is slightly inferior in accuracy but much more efficient in time, cost and availability parameters.

38. VS-SENSE PRO | How does VS-SENSE react with Candida?

In the event of Candida infection, the pH level of the vaginal discharge will remain normal. Therefore the indicator strip will not change color.

39. VS-SENSE PRO | Can the VS-SENSE kit replace culture and laboratory tests?

Laboratory tests are expensive, time consuming, and may require a second visit to the clinic. The VS-SENSE is slightly inferior in accuracy but much more efficient in time, cost and availability parameters.

40. VS-SENSE PRO | Which pH ranges are diagnosed by the VS-SENSE?

In pH levels = 4.7 the VS-SENSE does not change the color of the indicator tip. pH levels > 4.7 change the indicator tip color.

41. VS-SENSE PRO | Do I need a color scale for reading the results?

No, the results are simply YES or NO.

42. VS-SENSE PRO | Are there any conditions or limitations to using the test?

It is recommended to delay the test if:

  1. it is less is than one day before or 5 days after the patient’s menstruation
  2. if she has any signs of menstruation or any vaginal bleeding
  3. it is less than 12 hours after sexual intercourse or vaginal douching
  4. if her discharge is very slow due to menopause (without hormonal therapy).

43. VS-SENSE PRO | Is the product suitable for pregnant women?

Yes, but it should be noted that positive color can be a result of amniotic fluid leak.

44. VS-SENSE PRO | Can I test patients during their menstruation period?

It is recommended to delay the use of the product during menstruation since the vaginal pH level is higher and may cause false positive results.

45. VS-SENSE PRO | How can I use the VS-SENSE results in my diagnosis?

Positive results of the VS-SENSE can help you detect BV or Trichomonas. In case of mixed vaginal infections, the test offers great help in overcoming the dominant symptoms of Candida. At the conclusion of treatment, you will also be able to examine the efficiency of the BV or Trichomonas treatments.
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For further details about Common Sense products in the USA, please contact:
Mr. Amir Karp
Common Sense Marketing
100 Herricks Road
Mineola, NY, 11501, USA
Tel: 516-640-3951