Vaginal discharge during pregnancy

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The discharge can be due to candidiasis, bacterial vaginosis or trichomoniasis. A syndromic diagnosis should be made before treatment. Need to consider possibility of sexually transmitted infections including gonorrhoea and chlamydia (see Sexually Transmitted Infections chapter).

	Medicine	Adult dose	Frequency	Duration
	miconazole pv	200mg	every night	3 days
or	clotrimazole pessary	500mg	every night	3 days
and	metronidazole po	400mg	3 times a day	7 days
or	secnidazole po	2g	once only	Single dose

Clotrimazole cream can also be used

Caution: Avoid metronidazole in 1st trimester.