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.

GC+CT NAAT

Negative for both gonococcus and chlamydia.

Trichomonas Cultures

The cultures are negative


Step 3: Select appropriate management

Metronidazole
Treat Partner
Yoghurt
Douching


Score: ★★☆