Bacterial vaginosis

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Vaginal flora is changed from Lactobacillus species to anaerobes. Not sexually transmitted. Affects 10–40% of
premenopausal women—about half are asymptomatic. Associated with:
• Increase risk of preterm delivery (and decrease risk if treated)
• Development of PID and endometritis following abortion or birth
• Infection post-hysterectomy

Presentation Grey/white, thin, fishy-smelling, offensive discharge with no vulval soreness. On examination, the cervix looks normal; pH of secretions is >4.5. HVS for M,C&S may confirm diagnosis but treat without swab if no examination is carried out, or pH is >4.5 and typical clinical picture.

Management: Without treatment, 50% remit spontaneously. Cure rate with all methods is 785%. There is no benefit from treating the woman’s partner. Treatment:
• Metronidazole
• Clindamycin 2% cream
• Recurrent infection—X suppressive therapy using metronidazole to cover each period.

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Hello! I am Dukagjin Zeqiraj from Kosovo. I have finished Medical Faculty in Prishtina ( capital city of Kosovo). Now I live in Pristina and I work in QKMF Podujeve (family medicine center). Tel: +38344311154