TypeEtiologyClinical symptomsClinical signs
DischargePainPruritusVaginaVulva
Bacterial vaginosisGardnerella vaginalis, Mycoplasma hominisMalodorous; homogenous; clear, white, or gray; fishy odorNot primary symptomNot primary symptomNo signs of inflammationUnaffected
Anaerobic bacteria: Prevotella species, Mobiluncus species
TrichomoniasisTrichomonas vaginalisGreen-yellow, frothyPain with sexual intercourse, vaginal soreness, dysuriaNot primary symptomSigns of inflammation, “strawberry cervix”Vestibular erythema may be present
Vulvovaginal candidiasisCandida albicans, Candida krusei, Candida glabrataWhite, thick, lack of odorBurning, dysuria, dyspareuniaFrequentSigns of inflammation, edemaExcoriations
Atrophic vaginitisEstrogen deficiencyYellow, greenish, lack of odorVaginal dryness, pain with sexual intercourseRareVagina mildly erythematous, easily traumatizedVestibule thin and dry; labia majora lose their subcutaneous fat; labia minora irritated and friable
Erosive lichen planusEtiology is unknownYellow or grayIntense pain, dyspareunia, postcoital bleedingIntenseErythema with friable epitheliumErosions, white plaques
Irritant or allergic contact dermatitisContact irritation or allergic reaction with episodic flaresMinimalBurning on acute contact, sorenessMore likely in allergic reactionsVulvar erythema possibleErythema with or without edema; vesicles or bullae rare