ABSTRACT
The secretion from Bartholin’s gland, which is thin and mucoid, may be copious under sexual excitement, but under normal conditions it is scanty, and so does not contribute significantly to vaginal discharge. Normally, the amount of mixed vaginal discharge should do no more than just moisten the vaginal orifice; however, it may be increased with the presence of an ectropion, where there is eversion of the columnar epithelium towards the vagina. In young girls presenting with vaginal discharge, the most common diagnosis is a foreign body that may necessitate imaging by either ultrasound scanning or occasionally X-ray of the pelvis, and sometimes may require an examination under anaesthetic. Vaginal discharge in women of reproductive age is most likely to be caused by infection. Women typically present with vaginal discharge which is homogenous, grey/white, thin, watery, copious, and with an oftensive fishy smell.
