Bacterial vaginosis (BV) is an overgrowth of various anaerobic bacteria found normally in the vaginal ecosystem. Organisms include Gardnerella vaginalis,
Mobiluncus species, and Bacteroides species. Women describe a foul, usually "fishy" odor and a thin to milky discharge commonly (32). This odor comes from the release of trimethylamine in the alkaline environment of the vagina (33). Diagnosis is made microscopically by the presence of clue cells and the absence of Lactobacilli. The vaginal pH is elevated to 5 or higher. BV can be treated with either systemic antibiotics or chemotherapeutics, usually metronidazole, or intravaginal clindamycin or metronidazole (20).
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