system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A woman complains of an offensive fishy smelling yellowish discharge without pruritus. pH of discharge is >4.5. Gram stained vaginal smear shows a reduced number of lactobacilli with large number of Gardnerella vaginalis. What is the best treatment option for this patient?
assistant
The correct answer is  Ans. is b, i.e. Metronidazole 500mg twice daily x7 daysThis patient has bacterial vaginosis based on following findings:- Offensive fishy smelling vaginal discharge- No pruritis- pH >4.5- Reduced number of lactobacilli- Increased number of GardnerellaMgt = Non pregnant females = 500mg metronidazole twice daily x7 days.Pregnancy-250mg twice a day x7 days.