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In the premenopausal woman, vaginal infections may be caused by yeasts, Trichomonas vaginalis, and bacteria (bacterial vaginosis). None of these infections can be diagnosed by
physical examination alone. Yeast vaginitis is diagnosed by microscopic detection
of budding yeasts or pseudohyphae. The most sensitive method for detection of Trichomonas is culture, but the less sensitive microscopic methods are often used. Bacterial
vaginosis is diagnosed by the presence of characteristic signs or by the presence
of an altered vaginal flora as detected by Gram stain.
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© 1989 Elsevier Inc. Published by Elsevier Inc. All rights reserved.