Candidiasis and BV

Question 1

What is the most common cause of abnormal vaginal discharge?

Answer 1

BV

Question 2

What is the most common causative organism of vaginal candidiasis?

Answer 2

Candida albicans

Question 3

What are the risk factors of candidiasis?

Answer 3

Diabetes
Immune suppresiion
Pregnancy
Reproductive age group

Question 4

What are the features of vaginal candidiasis?

Answer 4

"thrush"
Itch
Thick, cottage cheese discharge
Dyspareunia, dysuria
Erythema, fissuring

Question 5

How is vaginal candidiasis diagnosed?

Answer 5

Characteristic history and exam

Question 6

What is the management of vaginal candidiasis?

Answer 6

Fluconazole PO once

Cotrimazole pessary- if pregnant

Question 7

What causes BV?

Answer 7

Imbalance of bacteria, mainly gardnerella vaginalis

Question 8

What ar the features of BV?

Answer 8

Asymptomatic
Watery grey/uellow fishy discharge, worse after period/sex
Pain
Itch
pH >4.5

Question 9

How is BV diagnosed?

Answer 9

Characteristic history and exam

Vaginal discharge microscopy and pH >4.5 if needed

Question 10

What is the management of BV?

Answer 10

Oral metronidazole for 5-7 days

Vaginal clindamycin during pregnancy

Question 11

What are the complications of BV?

Answer 11

During pregnancy

• pre term labour
• late miscarriage
• low birthweight