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Gynaecology

Bacterial Vaginosis

Milky vaginal discharge for about 2 weeks with suprapubic pain and backache; examination unremarkable.

ICD-10
—
Source
OPD handbook p.134
Status
Draft

Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.

Symptoms

  • Milky vaginal discharge (2 weeks in the sample)
  • Pain in the suprapubic area
  • Backache

Diagnosis

  • General physical examination unremarkable

Treatment

Step 1 of 4

1. Antibiotics

  • Metronidazole and doxycycline for 7 days

Prescription

MetronidazoleAntiprotozoal / antibacterial
Dose1+1+1
Brand Tab Flagyl 400 mg 7 days
DoxycyclineTetracycline antibiotic
Dose1+1 (morning, evening)
Brand Tab Adoxa 100 mg 7 days
Also sold as Adoxa, Vibramycin
Step 2 of 4

2. Pain relief

Prescription

Dose1+1 as needed for pain
Brand Tab Ponstan Forte 500 mg
Step 3 of 4

3. Vitamin D (backache)

  • Inj D3, one ampoule in milk once a week for 4 weeks (Urdu note)

Prescription

Dose1 ampoule in milk
Brand Inj D3 once a week for 4 weeks
Also sold as D3 (200,000 IU), D3 200,000 IU/mL
Step 4 of 4

4. Counselling

  • Take care of cleanliness / hygiene
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