ABSTRACT

Bacterial vaginosis (BV) is a polymicrobial, primarily anaerobic infection associated with a high risk of premature rupture of amniotic membrane and preterm birth. It has been postulated as a possible cause of pelvic inflammatory disease, which could result in infertility. Bacterial vaginosis is the most common type of vaginal infection. Up to 20% of women visiting gynecology clinics, about 15% of pregnant women, and 35% of women visiting sexually transmitted disease clinics are found to have BV [1,2]. The most widely accepted clinical

criteria for diagnosis include three of the following four criteria: a vaginal pH of greater than 4.5, the presence of clue cells (vaginal epithelial cells that are coated with Gardnerella vaginalis or other infective organisms in the vagina) in the vaginal fluid, a milky homogeneous vaginal discharge, and the release of an amine (fishy) odor after the addition of 10% potassium hydroxide to the vaginal fluid [3].