Bacterial vaginosis Flashcards
1
Q
what is it?
A
an imbalance in pH of the vagina
2
Q
pathophysiology?
A
other bacteria overgrow & reduce lactobacilli in vagina (healthy vaginal bacteria that produce lactic acid and keep pH low)
3
Q
presentation?
A
- fishy smelling watery discharge
- dysuria
- high vaginal pH
- clue cells on microscopy
4
Q
Mx?
A
- vaginal swabs
- to exclude other causes
- Metronidazole
- avoid vaginal irrigiation/ cleaning with soaps that may disrupt the natural flora
