Fishy Odor That Worsens in Obstetrics & Gynecology — 52yo Woman | General Gynecology | SMLE Q#1132

SMLE Question #1132

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 52-year-old woman reports 5 days of thin grey vaginal discharge with a fishy odor that worsens after intercourse. She denies vulvar pruritus and dyspareunia. Speculum examination shows thin, homogeneous grey discharge coating the vaginal walls with minimal erythema. Bedside vaginal testing and wet-mount microscopy are performed. What is the most likely diagnosis?

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