Non STI Genital Syndromes

Question 1

What would be included in your differential diagnosis of someone presenting with genital symptoms?

Answer 1

Vaginal discharge

• vulvovaginal candidiosis
• bacterial vaginosis
• STI

Penile bumps/skin changes

• balanitis, posthitis
• impetigo
• dermatophyte infection
• fox fordyce spots
• STI

Question 2

What are some anatomical variants and how are they distinguished from STIs?

Answer 2

Diagnosis depends on a characteristic history, examination finding

Possible investigations

• gram stain
• culture