bacterial vaginosis

Question 1

define

Answer 1

Bacterial vaginosis is a bacterial imbalance of the vagina caused by an overgrowth of anaerobic bacteria and a loss of lactobacilli.

Question 2

sx
3

Answer 2

Increased vaginal discharge
Grey-white watery discharge
Characteristic “fishy” smelling discharge, particularly after intercourse

Question 3

do diagnose bacterial vaginosis what is included in the Amstel criteria

Answer 3

Amstel criteria are often used. Three out of four features are needed to confer a diagnosis:

Vaginal pH >4.5
Homogenous grey or milky discharge
Positive whiff test (addition of 10% potassium hydroxide produces fishy odour)
Clue cells present on wet mount

Question 4

Tx

Answer 4

The treatment of choice is usually either Metronidazole or Clindamycin, which can be administered orally or intravaginally.

Question 5

what other STI is increased with this

Answer 5

chlam