P: Vaginal secretions, pH, microscopy, and cultures - Vulvovaginal
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![](https://vulvovaginaldisorders.org/wp-content/uploads/Figure-F-18.jpg)
Despite the wide variety of etiologies for vulvovaginal symptoms, women and their providers continue to assume at the onset of itching, burning, dyspareunia and/or change in discharge, that “vaginitis,”(usually yeast or BV), is to blame. Many women, under this assumption, inaccurately self-diagnosis and self-treat.[1] Many clinicians, under this assumption, still treat by telephone diagnosis, an unreliable practice.[2]
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Vulvovaginal Disease : An Evidence-Based Approach to Medical Management
![](https://www.researchgate.net/publication/355704487/figure/tbl2/AS:1084001792065539@1635457575217/Diagnostic-performance-of-vaginal-fluid-pH-and-other-tests-in-screening-for-vaginitis-1-3.png)
Diagnostic performance of vaginal fluid pH and other tests in screening
![](https://www.ncbi.nlm.nih.gov/books/NBK572647/bin/annex4f1.jpg)
EVIDENCE-TO-DECISION TABLE: VAGINAL DISCHARGE - Guidelines for the management of symptomatic sexually transmitted infections - NCBI Bookshelf
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Simulated vaginal fluid: Candida resistant strains' biofilm characterization and vapor phase of essential oil effect - ScienceDirect
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![](https://www.aafp.org/content/dam/brand/aafp/pubs/afp/issues/2011/0401/p807-t1.gif)
Vaginitis: Diagnosis and Treatment
![](https://static.wikia.nocookie.net/marveldatabase/images/1/16/James_Howlett_%28Earth-616%29_from_Wolverine_Vol_7_1_Silva_Variant_cover_001.jpg/revision/latest?cb=20191123041154)
Blood Lad (2013): Rating 2/4 – From the Perspective of an Old Soul
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The overgrowth of the Candida albicans fungus causes this issue
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