Differential Diagnosis for White Discharge
Single Most Likely Diagnosis
- Vaginal Yeast Infection (Candidiasis): This is the most common cause of white discharge, characterized by a thick, white, cottage cheese-like discharge, often accompanied by itching and irritation of the vulva and vagina.
Other Likely Diagnoses
- Bacterial Vaginosis (BV): Although BV typically presents with a thin, grayish-white discharge, it can sometimes appear white. It's associated with an imbalance of vaginal bacteria and can cause a fishy odor.
- Trichomoniasis: This sexually transmitted infection can cause a white, yellowish, or greenish discharge with a strong odor. It's often accompanied by itching, burning, and redness of the vagina and vulva.
- Physiological Discharge: A normal, non-pathological discharge that can be white or clear, often seen in response to hormonal changes, particularly during the menstrual cycle or pregnancy.
Do Not Miss Diagnoses
- Gonorrhea: A sexually transmitted infection that can cause a white or cloudy discharge in women, often accompanied by pelvic pain, burning during urination, and other symptoms. Missing this diagnosis can lead to severe complications like pelvic inflammatory disease (PID).
- Chlamydia: Similar to gonorrhea, chlamydia can cause a white discharge and is a common sexually transmitted infection. It can lead to PID and infertility if not treated promptly.
- Cervical Cancer: Although rare, a white discharge can be a symptom of cervical cancer, especially if it's accompanied by other symptoms like abnormal vaginal bleeding. Early detection is crucial for effective treatment.
Rare Diagnoses
- Foreign Body: The presence of a foreign object in the vagina can cause a white discharge, often with a foul odor. This is more common in young girls who may insert objects into their vagina out of curiosity.
- Desquamative Inflammatory Vaginitis (DIV): A rare condition characterized by a thick, white discharge and significant inflammation of the vagina. The exact cause is unknown, but it's thought to be related to an autoimmune response or an allergic reaction.