Vulvovaginitis Differential Diagnoses

Updated: Dec 07, 2022
  • Author: Jill M Krapf, MD, MEd, FACOG, NCMP, IF; Chief Editor: Christine Isaacs, MD  more...
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Diagnostic Considerations

The focus of this article includes vulvovaginal candidiasis, atrophic vaginitis, contact dermatitis, and vulvar vestibulitis. The complete differential includes the following:

  • Allergic reaction

  • Physiologic leukorrhea

  • Atopic dermatitis

  • Lichen simplex chronicus

  • Lichen sclerosus

  • Paget disease

  • Psoriasis

  • Vulvodynia

In prepubertal girls with vaginal discharge, the following should be considered:

  • Anatomic abnormality

  • Foreign bodies

  • Neoplasm

  • Sexual abuse

  • Hygiene