Syndromes

Vaginal Discharge Most of the time, vaginal discharge is normal. The amount and odor can vary Discharge is usually clear to milky white depending on the time of the menstrual cycle

Vaginal Discharge Vaginal discharge is a common complaint Increase is vaginal discharge may be due to Trichomoniasis Genital Herpes Gonorrhea Chlamydia

Vaginal Discharge The three major causes of vaginal discharge during the reproductive years Bacterial vaginosis Candidiasis Trichomoniasis This is the only one that is transferred by sexual activity

Bacterial Vaginosis Bacterial vaginosis is a mild infection of the vagina caused by bacteria An increased likelihood of bacterial infection can be due to Multiple sex partners Douching

Bacterial Vaginosis Symptoms Treatment An excessive grayish white vaginal discharge, unlike normal vaginal discharge. Some women describe the discharge as "yellow.” A bothersome "fishy" odor, which is usually worse after sex (intercourse). Irritation Treatment Antibiotics

Bacterial Vaginosis During Examination Presence of Absence of Vaginal ulceration Erythema Color and consistency of the discharge Appearance of the cervix Mucous may suggest gonorrhea or chlamydia

Bacterial Vaginosis Laboratory Tests Vaginal pH Whiff Test Normally <4.5 Elevated with Vaginosis Whiff Test Potassium Chloride added to vaginal slide = fishy odor

Urethral Discharge Characterized by abnormal purulent or mucoid secretions from the penis, or rarely from the female urethra In males there is also dysuria