Differential Diagnosis for Curdy White Discharge
- Single most likely diagnosis
- Vaginal Candidiasis: This condition, caused by an overgrowth of Candida fungus, is characterized by a curdy white discharge, itching, and irritation of the vulva and vagina. It's a common condition, especially in women of reproductive age, making it the most likely diagnosis for a curdy white discharge.
- Other Likely diagnoses
- Bacterial Vaginosis (BV): Although BV typically presents with a thin, white or gray discharge with a fishy odor, some cases might resemble a curdy discharge, especially if there's a mixed infection.
- Trichomoniasis: This sexually transmitted infection can cause a frothy, yellow-green or gray vaginal discharge, but in some cases, it might appear white and curdy, especially if the infection is mild or if there's a co-infection.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Cervical Cancer: Although rare, advanced cervical cancer can cause abnormal vaginal discharge, which might be described as curdy in some cases. It's crucial to not miss this diagnosis due to its severe implications.
- Gonorrhea or Chlamydia: These sexually transmitted infections can cause abnormal discharge, which might be white or cloudy. Missing these diagnoses can lead to severe complications, including infertility and pelvic inflammatory disease.
- Rare diagnoses
- Lichen Sclerosus: A rare condition that can cause white, patchy skin lesions in the genital area and might be associated with an abnormal discharge.
- Desquamative Inflammatory Vaginitis (DIV): A rare condition characterized by a purulent vaginal discharge, which might appear white or yellow, and is associated with significant inflammation of the vagina.