MRCEM Notes

Vaginal discharge

Vaginal discharge is a common presenting symptom and is not always pathological

Common causes
  • physiological
  • Candida
  • Trichomonas vaginalis
  • bacterial vaginosis

Less common causes
  • Gonorrhoea
  • Chlamydia can cause a vaginal discharge although this is rarely the presenting symptoms
  • ectropion
  • foreign body
  • cervical cancer

Key features of the common causes are listed below

ConditionKey features
Candida'Cottage cheese' discharge
Vulvitis
Itch
Trichomonas vaginalisOffensive, yellow/green, frothy discharge
Vulvovaginitis
Strawberry cervix
Bacterial vaginosisOffensive, thin, white/grey, 'fishy' discharge
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