What is the difference between trichomoniasis vaginitis and bacterial vaginosis?

Patient's question:

There is a fishy smell, thin white discharge, always have a smell after menstruation, no pain or itching.

Doctor's answer:

Trichomoniasis vaginitis, caused by Trichomonas vaginalis. Clinically, it is characterized by increased vaginal discharge, a frothy texture, foul odor, and vaginal itching. It is prone to secondary bacterial infections.
Bacterial vaginosis, the typical clinical symptoms include a significant increase in abnormal vaginal discharge, which is thin, homogeneous, or mucous-like, appearing grayish-white, grayish-yellow, or creamy-yellow with a distinctive fishy odor.
Recommendations:
Hello, based on your description, you likely have bacterial vaginosis. 1. Medication treatment: Metronidazole, Vitamin B6. 2. Local therapy: Regular vaginal with vinegar and acidic solutions.

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