A 28-year-old woman at 14 weeks of gestation presents to the GP with an offensive greyish-white vaginal discharge and fishy odour. She has no itching....

Question

A 28-year-old woman at 14 weeks of gestation presents to the GP with an offensive greyish-white vaginal discharge and fishy odour. She has no itching. Vaginal pH is 5.0 and a whiff test is positive. Which is the single most appropriate treatment?

Accepted Answer

Oral metronidazole 400 mg twice daily for 5-7 days

Answer

Oral fluconazole 150 mg as a single dose

Answer

Intravaginal clindamycin cream for 7 nights

Answer

Oral metronidazole 2 g as a single dose

Answer

No treatment required as BV is harmless in pregnancy

uk-drcog MCQ (SBA): Bacterial Vaginosis in Pregnancy

A 28-year-old woman at 14 weeks of gestation presents to the GP with an offensive greyish-white vaginal discharge and fishy odour. She has no itching. Vaginal pH is 5.0 and a whiff test is positive. Which is the single most appropriate treatment?