What is BACTERIAL VAGINOSIS ? Diagnosis, Treatment


Bacterial vaginosis is not a  bacterial infection, it’s alteration in the normal vaginl bacteria which normally present in the vagina. It’s frequently seen in women undergoing termination of pregnancy and those with an IUCD in situ or with PID and postmenopausal. It is not sexually transmitted, associated with the sexual activities such as occurs with many sexually-transmitted disease.

The bacterial vaginosis is therefore a Polymicrobial condition that can produce vaginal discharge. The vagina of a woman contains many good bacteria and little amount of bad bacteria inside normal vagina. When these bad bacteria grow in excess amount cause to alteration in the normal vaginal flora and result to bacterial vaginosis, It’s harmless and easily treated with antibiotics.


  • Most common complained Amine odor is “whiff” odor

  • Vaginal pH become more then 4.5

  • Discharge Clear is Thin, gray or white, adherent Homogenous

  • Microscopic Clue cells, coccoid Bacteria, No WBC (rarely seen WBC)


The bacterial vaginosis is usually treated with an antibiotic, such as

  • metronidazole

  • clindamycin

  • Ampicillin

  • Cephalosporin

  • Clindamycin 2% cream locally

Author: Dr. vivek saini

1 Comment

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