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VAGINITIS/TRICHOMONIASIS > Bacterial Vaginosis
What are the signs and symptoms of bacterial vaginosis?
  • a strong fishy smell, especially after sex
  • white or grey discharge
  • watery or foamy discharge
Some cases are so mild that women don't know they have it.



How can I find out if I have bacterial vaginosis?
If you have symptoms of vaginitis, see your health care provider for a correct diagnosis. To help your provider find out what you have:
  • Schedule the exam when you're not having your monthly period.
  • Don't douche 24 hours before your exam.
  • Don't use vaginal sprays 24 hours before your exam.
  • If you have sex less than 24 hours before the exam, use condoms.

Any three of the following may be used to diagnose BV. Other tests may also be available, ask your health care provider for more information.

  • Visual exam by health care provider
  • Fishy odor of discharge before or after the addition of potassium hydroxide (KOH) for "whiff" test
  • Health care provider looks at sample of discharge under microscope looking for "clue cells"
  • Elevated pH of vaginal fluid

Gram stain to examine vaginal flora



What is the treatment for bacterial vaginosis?
Prescription medication, usually antibiotics, depending on the organism causing the infection is used to treat and/or cure BV. Treatments may include:

  • Metronidazole (Flagyl)
  • Clindamycin
In most cases male sex partners do not need to be treated



Pregnancy and bacterial vaginosis
BV may cause babies to be born early or with low birth weight. It can also cause infections in the mother's womb or fallopian tubes. If you think you might be pregnant, talk with your health care provider. Women in the first three months of pregnancy should not take some medicines for BV because they might hurt the baby. Your health care provider can give you another medicine instead.






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