Question

A woman, anxious to conceive, complains of profuse white discharge per vaginum, which was non foul smelling and not itchy. Her LMP was 13-15 days back. What is the most probable diagnosis?

• A. Candidiasis
• B. Bacterial Vaginosis
• C. Physiological
• D. Trichomoniasis

Answer 1

The Correct Option is C

The scenario presented involves a woman experiencing a profuse white, non-foul smelling, non-itchy vaginal discharge. The timing of her last menstrual period being 13-15 days ago places her in the periovulatory or ovulatory phase of her menstrual cycle. During this phase, it's common for women to experience an increase in vaginal discharge due to elevated estrogen levels, which leads to the production of clear, stretchy cervical mucus facilitating sperm transport. This type of discharge is normal and physiological. Analyzing the symptoms helps to rule out other conditions:

• Candidiasis: Typically presents with white, thick, curd-like discharge, often accompanied by itching.
• Bacterial Vaginosis: Characterized by thin, homogeneous, milky discharge with a fishy odor.
• Trichomoniasis: Produces yellow-green frothy discharge, often associated with vaginal itching and odor.

Given the absence of odor and itching, and the timing within her menstrual cycle, it is most likely a physiological discharge.