A lady presented with creamy white vaginal discharge with fishy odor, drug of choice is:
Ans. is c, i.e. MetronidazoleRef: Shaw 15th/ed, p131; CGDT 10th/ed, p670; William's Gynae 1st/ed, p51Creamy white discharge with fishy odor is characteristic of bacterial vaginosis (M/C cause Gardnerella)Drug of choice for management of bacterial vaginosis/Gardnerella vaginitis is --Metronidazole:Dose - 500mg oral metronidazole is given twice daily for 7 daysAlternatively, metronidazole gel (can be applied once daily for 5 days or clindamycin cream (2%) at bedtime for 5 days.Note: Treatment of male sexual partner is not required in bacterial vaginosisQ.In pregnancy:* Bacterial vaginosis is associated with preterm birth and premature rupture of membranes.* Treatment is reserved for symptomatic women who usually complain of fishy odor.* DOC - Metronidazole (oral) in the 2nd and the 3rd trimester.Unfortunately, treatment does not reduce preterm birth and routine screening is not recommended.
Doxycycline
Ofloxacine
Metronidazole
Clindamycin
Sexually Transmitted Disease in the Female