nice to meet you here in HCMagic
is the commenest cause of fishy odour
To make a diagnosis of bacterial vaginosis, a swab from inside the vagina should be obtained. These swabs should be tested for:
A characteristic "fishy" odor on wet mount. This test, called the whiff test, is performed by adding a small amount of potassium hydroxide to a microscopic slide containing the vaginal discharge
. A characteristic fishy odor is considered a positive whiff test and is suggestive of bacterial vaginosis.
Loss of acidity. To control bacterial growth
, the vagina is normally slightly acidic with a pH of 3.8–4.2. A swab of the discharge is put onto litmus paper to check its acidity. A pH greater than 4.5 is considered alkaline and is suggestive of bacterial vaginosis.
The presence of clue cells on wet mount. Similar to the whiff test, the test for clue cells is performed by placing a drop of sodium chloride
solution on a slide containing vaginal discharge. If present, clue cells can be visualized under a microscope. They are so-named because they give a clue to the reason behind the discharge. These are epithelial cells
that are coated with bacteria.
either orally or vaginally are effective treatment. However, there is a high rate of recurrence.
The usual medical regimen for treatment is the antibiotic Metronidazole (500 mg twice a day, once every 12 hours) for 7 days. A one-time 2g dose is no longer recommended by the CDC because of low efficacy. Extended release metronidazole is an alternative recommendation.
Alternatively, antibiotics may be applied topically (vaginally).
hope i helped with your query,
with regards dr.surendiran [hcmagic]