What are the characteristic features of bacterial vaginosis?
• Approximately 50% of women with bacterial vaginosis (BV) are asymptomatic. • When symptoms are present, BV is characterized by a fishy-smelling vaginal discharge. • Examination may reveal a thin, white, homogeneous discharge coating the walls of the vagina and vestibule. • The characteristic appearance of the discharge is not specific for BV but supports the diagnosis. • If the appearance of the discharge is not characteristic, consider other diagnoses, such as trichomoniasis or candidiasis. • Bacterial vaginosis is not usually associated with soreness, itching, or irritation. • If these symptoms are present, consider other diagnoses, such as trichomoniasis or candidiasis. • The pH of the vaginal fluid is greater than 4.5.
