Section Links

Bacterial Vaginosis

causes and risk factors
signs, symptoms, and diagnosis
pathophysiology
treatments
consequences and course
resources and references

Causes and Risk Factors

Anaerobe overgrowth

Signs, Symptoms, and Diagnosis

Diagnosed with 3/4 of the following:

thin, watery, grey discharge
pH >4.5
fishy odor with 10% KOH (releases amines)
vaginal epithelial cells coated with bacilli (clue cells)

history
physical exam
lab investigations
diagnostic imaging

History

Physical Exam

Lab Investigations

Diagnostic Imaging

return to top

Pathophysiology

return to top

Treatments

Metronidazole or clindamycin can be given orally or vaginally; ampicillin now less recomended

Vaginal douche with 1.5% hydrogen peroxide

return to top

Consequences and Course

All treatments have a recurrence rate of ~20%.

return to top

Resources and References