What are the commonest causes of vaginal discharge in women of reproductive age?
• In women of reproductive age complaining of vaginal discharge the commonest cause is physiological, but infective and other causes (e.g., foreign body, cervical ectopy) should be excluded (Good Practice Point). Refer to Table 1, “Causes of vaginal discharge in women of reproductive age” in the original guideline document for additional information. Why is it important to take a clinical history from a woman complaining of vaginal discharge? • A clinical history (to ascertain associated symptoms) and a sexual history (to assess sexually transmitted infection [STI] risk) can guide a clinician in the further management of a woman with vaginal discharge (Grade B). • A clinician should ask a woman: how her discharge has changed; what she is concerned about; whether there is any odour or itch; whether there are any symptoms suggestive of upper reproductive tract infection (i.e., pain, dyspareunia, bleeding) and should assess risk of STIs (Good Practice Point). • Risk factors for STIs to be
