Management of Vulvovaginal Infections in Primary Care Part 2: Bacterial vaginosis and Trichomonas vaginalis

Women’s health specialist Louise Newson continues her feature on the management of vulvovaginal infections in general practice. Dr Louise R Newson GP, Shirley Medical Practice, Solihull, West Midlands CLINICAL CASE   Mrs TH is a 34 year old lady who comes to see her GP as she has a troublesome vaginal discharge which is often very malodorous and she has become very embarrassed about it. She has no vaginal itching or soreness and is otherwise well. She had a copper-bearing intrauterine device inserted a year ago, following the birth of her second child and reports that her symptoms have been