1. Syndromes

2. 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

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

4. 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

5. 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

6. 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

7. 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

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

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