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What is A woman complains of an offensive fishy smelling yellowish discharge without pruritus. pH of discharge is >4.5. Gram stained vaginal smear shows a reduced number of lactobacilli with large number of Gardnerella vaginalis. What is the best treatment option for this patient? and explain in detail?
Ans. is b, i.e. Metronidazole 500mg twice daily x7 daysThis patient has bacterial vaginosis based on following findings:- Offensive fishy smelling vaginal discharge- No pruritis- pH >4.5- Reduced number of lactobacilli- Increased number of GardnerellaMgt = Non pregnant females = 500mg metronidazole twice daily x7 days.Pregnancy-250mg twice a day x7 days.