A 20-year-old female G2P2 visited with a complaint of a persistent vaginal discharge and also seeking contraceptive advice. She and her husband have been sexually active for 6 months. They use condoms “most of the time,” but she is interested in using something with a lower failure rate for birth control. She has regular menses and no significant past medical or gynecologic history. She describes the discharge as yellowish and also notes mild vulvar irritation. Physical Exam She has normal external female genitalia without lesions or erythema, a gray/yellow discharge on the vaginal walls and pooled in the posterior fornix.
Her cervix is grossly normal but bleeds easily with manipulation. The bimanual exam is unremarkable. Laboratory testing reveals Vaginal fluid pH = 7. What can be the possible diagnosis? Is culture of vaginal discharge essential? What additional screenings are…
