A 23 year old women, gravida 0 para 0 comes to office because of 2 day hx of inc vaginal discharge and vulvar itching. She has noticed some discomfort during intercourse. She is sexually active with new partner for 3 months. They do no use condoms regularly because she is taking oral contraceptive pills. her last menstrual period was 3 weeks ago. She ahd an ear infection a week ago and has just finished her course of presribed medication. Speculum exam shows mucosal hyperemia of hte vagina, and thick, white discharge. Ph is 4.2. Micrscopic exam shows pseudohypaie. 1. The symptoms of vaginal intchign and thick white discharge are consistent with what diagnosis? 2. The low pH is due to what?

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The development of the reproductive system begins with the formation of undifferentiated gonads and the paired mesonephric and paramesonephric ducts.


1. A 23 year old women, gravida 0 para 0 comes to office because of 2 day hx of inc vaginal discharge and vulvar itching. She has noticed some discomfort during intercourse. She is sexually active with new partner for 3 months. They do no use condoms regularly because she is taking oral contraceptive pills. her last menstrual period was 3 weeks ago. She ahd an ear infection a week ago and has just finished her course of presribed medication. Speculum exam shows mucosal hyperemia of hte vagina, and thick, white discharge. Ph is 4.2. Micrscopic exam shows pseudohypaie. 1. The symptoms of vaginal intchign and thick white discharge are consistent with what diagnosis? 2. The low pH is due to what?