Bacterial Vaginosis Flashcards
1
Q
What is BV?
A
Bacterial vaginosis
Disturbance in vaginal flora
2
Q
What is the pathophysiology of BV?
A
Loss of lactobacilli - produce lactic acid
Increase in vaginal pH
Allows growth of anaerobes
3
Q
What is the most common organism in BV?
A
Gardnerella vaginalis
4
Q
What are risk factors for BV?
A
Multiple sexual partners
Excessive vaginal cleaning
Recent abx
IUD
5
Q
What are features of BV?
A
Fishy smelling vaginal discharge
Thin white/grey discharge
6
Q
How is suspected BV investigated?
A
Vaginal pH
- normal = 3.5-4.5
- BV = >4.5
Microscopy
- clue cells
7
Q
How is BV managed?
A
Full STI screen
Metronidazole
