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- Non-STI - bacterial vaginosis, candidiasis
- STI - chlamydia, gonorrhoea, trichomonas
- Non-infective - foreign body in vagina, cervical polyps/ectropion, malignancy
Clinical and Associated Features
- 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.
- 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