Obstetrics & gynaecology · UKMLA & AKT
Bacterial vaginosis
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
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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