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Download Characteristics of Common Vaginal Discharges
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Characteristics of Common Vaginal Discharges Feature Physiologic Discharge Bacterial Vaginosis Trichomoniasis Candida Gonococcal or Chlamydia Lactobacillus Overgrowth Syndrome Color White Gray Grayish Yellow White Greenish Yellow White Amine Odor Consistency Absent Nonhomogeneous Present Homogeneous Absent “Cottage Cheese” Absent Mucopurulent Or Purulent Absent Pasty Presence Dependent Adherent to Walls Adherent to Walls Varies Discharge @ introitus Vulva Rare Adherent to Walls Common Present Purulent, often mixed with bubbles Often pooled in Fornix Common Common Common Common Normal Normal Erythematous Normal Normal Normal Normal pH Presenting Complaints < 4.5 None or Ovulatory Change Micro Findings Squamous epis, lactobacilli, few WBCs Relationship to Menses Increased at midcycle >4.5 Odor & increased discharge Rare WBCs, increased bacteria, esp thin crescent shaped rods, “clue” decreased lactobacilli N/A Normal or Erythematous Normal Friable, pus at os, inflamed N/A Spotting or None Normal Vaginal Mucosa Cervix Edematous Erythematous Usually normal “Strawberry” > 5.2-7 Itching & Burning Erythematous Patches of Discharge < 4.5 Itching & Burning Normal Normal 3.5-4.5 Burning, vulvar dysuria Motile trichomonads WBCs Pseudohyphae Yeast buds WBC Lactobacilli >10 WBCs/HPF Rare WBCs, evidence of cytolysis, increased lactobacilli (rods of varying lengths) Increased during menses Increased before menses w/relief after PID during and after menses Increased during luteal phase Clinical Training Center for Family Planning 2009
