Your doctor will take a medical history and perform a physical examination including a pelvic exam.

Medical history questions may include:

• When did the changed or abnormal vaginal discharge begin?
• Do you have the same amount and type of vaginal discharge throughout the month?
• What does the discharge look like (color and consistency)?
• Is there an odor?
• Do you have pain, itching, or burning?
• Does your sexual partner have a discharge as well?
• Do you have multiple sexual partners or sexual partners that you do not know very well?
• What type of birth control do you use?
• Do you use condoms?
• Is there anything that relieves the discharge?
• Have you tried over-the-counter creams? Have they helped?
• Do you douche? What kind of douche do you use?
• Do you have any other symptoms like abdominal pain, vaginal itching, fever, vaginal bleeding, rash, genital warts or lesions, or changes in urination like difficulty, pain, or blood?
• What medications do you take?
• Do you have any allergies?
• Have you recently changed the detergents or soaps that you use?
• Do you frequently wear very tight clothing?
• When was your last Pap smear? Have you ever had an abnormal Pap smear?

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Diagnostic tests that may be performed include:

• Cultures of your cervix.
• Examination of vaginal discharge under the microscope.
• A Pap smear.