<prompt> A lady presented with creamy white vaginal discharge with fishy odor, drug of choice is:DoxycyclineOfloxacineMetronidazoleClindamycin  <response>: Ans. is c, i.e. MetronidazoleRef: Shaw 15thed, p131; CGDT 10thed, p670; Williams Gynae 1sted, p51Creamy white discharge with fishy odor is characteristic of bacterial vaginosis MC cause GardnerellaDrug of choice for management of bacterial vaginosisGardnerella vaginitis is --Metronidazole:Dose - 500mg oral metronidazole is given twice daily for 7 daysAlternatively, metronidazole gel can be applied once daily for 5 days or clindamycin cream 2 at bedtime for 5 days.Note: Treatment of male sexual partner is not required in bacterial vaginosisQ.In pregnancy: Bacterial vaginosis is associated with preterm birth and premature rupture of membranes. Treatment is reserved for symptomatic women who usually complain of fishy odor. DOC - Metronidazole oral in the 2nd and the 3rd trimester.Unfortunately, treatment does not reduce preterm birth and routine screening is not recommended. 