A 29-year-old woman presents with a 10-day history of thin vaginal discharge with a fishy odour that is worse after intercourse, along with mild vulvar irritation. She has a single long-term partner, uses a combined oral contraceptive, takes no other medications, and has no known drug allergies. Urine hCG is negative. On speculum examination there is a thin, homogeneous, grey-white discharge coating the vaginal walls, with no vaginal or cervical inflammation. Vaginal pH is 5.5 (3.8-4.5), the whiff test is positive, and wet mount shows clue cells with no hyphae or motile trichomonads. Treatment is indicated.
| Heart rate | 72/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 112/70 mm Hg |
Question 1 of 15
Which of the following are the most appropriate treatment options?
Select 3. (0 / 3 selected)
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