This clinical diagnosis requires that three of the following four criteria be met: first, a vaginal pH of greater than pH 4. Patient information: See related handout on vaginitis , written by the authors of this article. Types and corresponding changes in discharge are described below. The procedure is not painful, but the speculum may cause discomfort. Dan Ezekiel Dr. Atrophic or inflammatory vaginitis. Christy Sutherland Dr.
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Although Gram stain is considered the diagnostic standard, bacterial vaginosis is traditionally diagnosed using the Amsel criteria Table 3. View DOI: What are the types of vagina? Information from references 9 and Chris Cheung Dr. Diagnosis is made using a combination of symptoms, physical examination findings, and office-based or laboratory testing.