Obstetrics & gynaecology · UKMLA & AKT
Bacterial vaginosis
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise bacterial vaginosis — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Up to 50% asymptomatic - may be found incidentally
- Thin, homogeneous grey-white discharge - coats vaginal walls
- Fishy odour - worse after intercourse (alkaline semen raises pH) and during menstruation
- No significant itch or soreness - key feature distinguishing BV from candidiasis and trichomoniasis
- Normal cervix - no erythema, no cervical excitation, no strawberry cervix (strawberry cervix = Trichomonas)
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