Vaginal discharge

This is a piano. It is not related to vaginal discharge. See if you can think of things that are unrelated to vaginal discharge!

Epidemiology

Differential Diagnosis

• Non-STI - bacterial vaginosis, candidiasis
• STI - chlamydia, gonorrhoea, trichomonas
• Non-infective - foreign body in vagina, cervical polyps/ectropion, malignancy

Clinical and Associated Features

Infective

• BV - thin, profuse, fishy-smelling discharge, dyspareunia
• Thrush - thick, white, non-offensive, discharge with itch and soreness
• Chlamydia - commonly asymptomatic, purulent discharge, subfertility, causes PID
• Gonorrhoea - commonly asymptomatic, purulent discharge, made worse by PID
• Trichomonas - offensive yellow discharge, profuse and frothy, itch and soreness, dysuria, pelvic pain, superficial dyspareunia.

Non-infective

• Retained foreign body - probably a tampon. foul-smelling blood-stained discharge. (Can lead to toxic shock syndrome.)
• Cervical polyp/ectropion - increased discharge, intermenstrual bleeding
• Cancer - vaginal bleeding, persistent discharge