A 31-year-old woman presents to the GP with a malodorous, thin, greyish-white vaginal discharge. She is not pregnant. Vaginal pH is 5.0. A whiff test ...

Question

A 31-year-old woman presents to the GP with a malodorous, thin, greyish-white vaginal discharge. She is not pregnant. Vaginal pH is 5.0. A whiff test with potassium hydroxide is positive. She has no itch. She has a penicillin allergy. Which is the single most appropriate treatment?

Accepted Answer

Oral metronidazole 400 mg twice daily for 5-7 days

Answer

Oral fluconazole 150 mg single dose

Answer

Oral doxycycline 100 mg twice daily for 7 days

Answer

Intravaginal clotrimazole 500 mg single dose

Answer

Oral co-amoxiclav 625 mg three times daily for 7 days

uk-drcog MCQ (SBA): BV Treatment - Non-pregnant

A 31-year-old woman presents to the GP with a malodorous, thin, greyish-white vaginal discharge. She is not pregnant. Vaginal pH is 5.0. A whiff test with potassium hydroxide is positive. She has no itch. She has a penicillin allergy. Which is the single most appropriate treatment?