Which statement best describes bacterial vaginosis symptoms?

Which statement best describes bacterial vaginosis symptoms?

• A. Itching with cottage cheese discharge
• B. Postcoital bleeding
• C. Severe unilateral abdominal pain
• D. Discharge with fishy odor after sex and no pain

Answer: (D)

Bacterial vaginosis occurs when the normal vaginal flora is disrupted, leading to overgrowth of anaerobic bacteria and a typically thin, grayish discharge with a fishy odor—often more noticeable after intercourse. Pain, itching, or burning are usually minimal or absent, which helps distinguish BV from other infections. The description of a discharge with a fishy odor after sex and little or no pain fits BV best. By contrast, cottage cheese discharge points toward candidiasis, postcoital bleeding and severe unilateral abdominal pain suggest other conditions such as cervical pathology or pelvic inflammatory disease, respectively.

Bacterial vaginosis occurs when the normal vaginal flora is disrupted, leading to overgrowth of anaerobic bacteria and a typically thin, grayish discharge with a fishy odor—often more noticeable after intercourse. Pain, itching, or burning are usually minimal or absent, which helps distinguish BV from other infections. The description of a discharge with a fishy odor after sex and little or no pain fits BV best. By contrast, cottage cheese discharge points toward candidiasis, postcoital bleeding and severe unilateral abdominal pain suggest other conditions such as cervical pathology or pelvic inflammatory disease, respectively.