Bacterial vaginosis differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Differential Diagnosis

Bacterial vaginosis diagnosis is unlikely In the absence of microscopy,

• A lack of fishy odor (negative whiff test) makes the diagnosis of bacterial vaginosis (BV) unlikely.
• Normal vaginal PH (<4.5). Other causes of increased pH include
• Presents of dysuria
• signs of inflammation in vagina

Disease	Findings
Trichomoniasis	Presents with dyspareunia or signs of vaginal inflammation
Atrophic vaginitis	Presents with dyspareunia or signs of vaginal inflammation
Desquamative inflammatory vaginitis	Presents with dyspareunia or signs of vaginal inflammation
Vaginal Candidiasis
Cervicitis

References

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