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Bacterial Vaginosis

More Discharge

Step 1: View clinicals

A 33 year old lady complains of a slight vaginal discharge with a fishy odor, which is noticeable after sexual intercourse. There is no itching, dysuria, abdominal pain or fever. She has had a new sexual partner for the last four months, who is asymptomatic. Her medical and gynecological histories are unremarkable.

Step 2: Order all relevant investigations

G. vaginalis Cultures

The cultures are positive.

Wet Mount Microscopy

The wet mount shows squamous epithelial cells with a granular appearance (clue cells) and a stippled cell border. Polymorphonuclear leukocytes are significantly reduced.


Negative for both gonococcus and chlamydia.

Trichomonas Cultures

The cultures are negative

Step 3: Select appropriate management

Treat Partner

Score: ★★☆