Most common cause of vaginal discharge was found to be bacterial vaginosis, with almost one-fifth showing positive smear and 19.5% having intermediate score as per Nugent’s scoring. Vulvo-vaginal candidiasis was also a common cause of vaginal discharge (Table 4) (Chart Table). Out of 200 Gram stained smears, 59 (29.5%) showed presence of ≥5 pus cells/ Oil immersion field (1000x magnification). No etiological diagnosis for vaginal discharge could be established in around half of the women. Only 0ne women were HIV positive; one showed VDRL reactivity, though the VDRL titre was low (1:4), she was also reactive by TPHA test. The patients were managed according to their presenting syndromes as per NACO guidelines (vaginal discharge with/without lower abdominal pain).

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