Vaginal Examination

Vaginal walls: a mucous discharge is normally present. This has a cleansing and protective function. The amount, colour and consistency of mucous discharge changes during the menstrual cycle and also with use of hormonal contraception. Typically there is a small-moderate amount of whitish discharge normally present. Observe for abnormal discharge, which may be caused by a non-sexually or a sexually acquired infection.


Candida albicans can have a watery or lumpy 'cottage cheese' type appearance and a 'yeasty' smell.There is usually intense itching/soreness, exacerbated by the itch/scratch cycle. In severe cases, this can impact on the activities of living and interfere with sleep. Candida is not a sexually transmitted infection (there is little/no benefit to treating asymptomatic partners), but is caused by an overgrowth of yeast organisms found commensally in the vagina. Diabetic and pregnant women are particularly susceptible; however, most women will experience at least one episode during their lifetimes.

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