Vaginal Discharge

Vaginal discharge is a common presenting complaint in adolescent females. A thorough and accurate history on sexual behaviors and practices, menstrual cycle, vaginal hygiene practices, along with appropriate physical exam and laboratory tests ensure rapid diagnosis and treatment. Vulvovaginal candidiasis, bacterial vaginosis, and trichomoniasis are common causes of vaginitis. Chlamydia and gonorrhea are the most commonly reported sexually-transmitted infections among adolescents. If left untreated, these infections can have serious sequelae, such as pelvic inflammatory disease, and long-term consequences, such as infertility. Genital herpes is a common cause of genital ulcers. Infection is chronic with recurrences. It is sexually transmitted and can be acquired from partners who may be clinically asymptomatic. Adolescents with multiple sexual partners who may use condoms inconsistently are at particular risk and would benefit from appropriate treatment and responsible reproductive health counseling by providers.