Vaginal Discharge - Non-STIs

Question 1

What is the characteristic feature of Bacterial Vaginosis?

Answer 1

Fishy smelling discharge

Question 2

Does patients with bacterial vaginosis present with soreness and itching to the vagina?

Answer 2

No

Question 3

What diagnoses are considered in those with soreness or itching with vaginal discharge?

Answer 3

Trichomoniasis

Candidiasis

Question 4

What are the changes to the bacterial flora in Bacterial Vaginosis?

Answer 4

In bacterial Vaginosis, there is an overgrowth of predominantly anaerobic bacteria and a loss of lactobacilli, leading to an increase in vaginal pH to be >4.5.
Normal vaginal pH is usually acidic.

Question 5

What are the complications of Bacterial Vaginosis? These complications often affect which group of individuals?

Answer 5

Complications of Bacterial Vaginosis often affect pregnant women.

• Late miscarriage
• Preterm labour and birth
• Preterm premature rupture of membrane
• Low birthweight

Question 6

What is the treatment of Bacterial Vaginosis?

Answer 6

Metronidazole 400MG BD PO for 5-7/7.