Trichomoniasis / bacterial vaginosis (treat the partner for trichomonas): Secnidazole (national programme choice; not in pregnancy or breastfeeding), Metronidazole (alternative; safe in pregnancy)
Cervicitis (pus at the os, or no speculum exam possible): Ceftriaxone + Doxycycline
Investigations
First visit
Speculum examination — Vaginitis vs cervicitis.
Vaginal pH and KOH whiff test, wet mount — Where available: BV, trichomonas, candida.
HIV and syphilis tests — Offer to every woman with an STI syndrome.
Only if indicated
Gram stain — Recurrent discharge (Nugent score for BV).
NAAT for gonorrhoea and chlamydia — Cervicitis or recurrent infection.
Blood glucose — Recurrent candidiasis.
Pap smear / VIA — Due for screening, or bleeding after sex.
Locked
The adult dose for each drug
Indian brand names for each drug, with a link to buy
ICU Decoded — original critical-care and internal-medicine pathways by
Dr Javed Akhtar, each cited to a current guideline. For education and quick
reference; verify every dose against local protocols before prescribing.