• Bad odor
• Discharge
• Worse after sex
• Possible itching

• Itching
• Burning
• Cottege cheese discharge

• Frothy yellow/green discharge
• Bad odor
• Dysuria
• Pruritis

Bacterial Vaginosis

• Non-pregnant
• Pregnant

• Metronidazole
• Metronidazole

Vulvovaginal Candidiasis

• Non-pregnant (Uncomplicated)
• Pregnant (Complicated)

• Azoles: PO/PV
• Azoles PV only X7D

Trickomoniasis vaginitis

• Non-pregnant
• Pregnant

Treat both partners

• Metronidazole (Flagyl) PO
• Metronidazole (Flagyl) PO

Chlamydia Vaginitis

• Non-pregnant
• Pregnant

Treat Both partners

• Azithromycin
• Azithromycin (retest in 3W then in 3M)

• Avoid intercourse for 7 days post treatment
• Take all dose for full treatment
• Metalic taste, Dark urine, avoid ETOH
• NVD
  

• Avoid intercourse X7D post treatment
• Take all doses for full length of treatment
• if symptoms don't improve in 3D seek help
• Avoid alcohol

How does treatment of Bacterial vaginosis differ from treatment of Trichomoniasis Vaginitis?

• Bacterial: Metronidazole 500mg BID
• Trichomoniasis: Metronidazole 2g X1.  Treat both partners
  

• Avoid intercourse X7D post treatment
• Avoid antacids for 2H. 
• Empty stomach
• NVD