New Perspectives on the Normal Vagina and Noninfectious Causes of Discharge

Anna M. Powell, Paul Nyirjesy

Research output: Contribution to journalReview articlepeer-review


An understanding of how the vaginal flora is influenced by hormonal status is crucial in distinguishing normal from abnormal secretions. New studies exploring the vaginal microbiome with culture-independent techniques have led to the discovery of previously uncultivable bacteria on a species level, and have contributed to a better understanding of disease processes including bacterial vaginosis. It is important to note that not all vaginal discharge is abnormal or infectious in etiology, but a thorough evaluation will help reassure both the patient and the provider. ©

Original languageEnglish (US)
Pages (from-to)453-463
Number of pages11
JournalClinical obstetrics and gynecology
Issue number3
StatePublished - Aug 5 2015
Externally publishedYes


  • cervicitis
  • vaginal discharge
  • vaginal microbiome

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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