Normal vaginal discharge is usually white, Curdy, odorless. It does not cause itching, burning, or other discomfort. It consists of cervical and vaginal secretions, epithelial cells, water, electrolytes and normal vaginal bacteria such as lactobacilli, G. Vaginalis, bacteroides.
The possible causes, diagnosis and treatment of abnormal vaginal discharge are
CANDIDIASIS
Itching
Yeasty smell of discharge
White, curdy discharge
pH < 4.5
Confirmed by microscopy and culture
BACTERIAL VAGINOSIS
No itching
Non-offensive, but whitish or yellow discharge
pH 4.5 - 7.0
Confirmed by microscopy
TRICHOMONIASIS
Itching present
Discharge may be offensive
Discharge is thin and homogeneous
pH 4.5 - 7.0
Confirmed by microscopy and culture
CERVICITIS
No itching
No smell
Discharge is clear, but mucoid
pH < 4.5
Confirmed by microscopy
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