Diagnosis Protocol

Increased quantity, abnormal colour/odour. Candida: very itchy thick/lumpy white discharge, red inflamed vulva. Trichomonas: itchy greenish-yellow frothy discharge with offensive smell. Bacterial vaginosis: thin discharge with fishy smell. Gonorrhoea/Chlamydia: cause cervicitis (purulent, thin mucoid, yellow, no smell, non-itchy).

Cancer of the cervix (blood-stained smelly discharge). Intra-vaginal detergents, chemicals, physical agents, herbs, chronic tampon use, allergic vaginitis.

Speculum examination. Pus swab: microscopy, Gram stain, C&S. PH, KOH. Blood: syphilis tests (RPR/VDRL). HIV Testing.