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Bacterial vaginosis - Management
What are the characteristic features of bacterial vaginosis?

  • Approximately 50% of women with bacterial vaginosis (BV) are asymptomatic.
  • When symptoms are present, BV is characterized by a fishy-smelling vaginal discharge.
  • Examination may reveal a thin, white, homogeneous discharge coating the walls of the vagina and vestibule.
    • The characteristic appearance of the discharge is not specific for BV but supports the diagnosis.
    • If the appearance of the discharge is not characteristic, consider other diagnoses, such as trichomoniasis or candidiasis.
  • Bacterial vaginosis is not usually associated with soreness, itching, or irritation.
  • The pH of the vaginal fluid is greater than 4.5.

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