Guideline for the management of vaginal discharge in ISH September 2024 - Version 1 - management

Sep 27, 2026

Guideline for standardising care for people presenting with uncomplicated vaginal discharge in integrated sexual health (ISH) services. Defines clinical guidelines as systemically developed statements supporting decision-making and documenting justified deviations from a pathway. Sets purpose and scope, excluding management of abdominal pain, bleeding problems, ulcers/lesions, and recurrent discharge, and outlines roles for dissemination, author updates, and escalation of uncertainties to the guideline author or approval group manager.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Background

Guideline Definition

Purpose and scope

Roles and Responsibilities

Introduction

Triage

In-clinic assessment

History taking

Microscopy

Diagnosis

Management

General

Treatment of vaginal discharge

References

List of abbreviations

Appendix

Appendix 1 – flowchart: urinalysis protocol

Appendix 2 – table: clinical features of vaginal discharge

Appendix 3 – table: management of common causes of vaginal discharge

Appendix 4 – flowchart: vaginal discharge management

Guideline for the management of vaginal discharge in Integrated Sexual Health Services | Initiated By | Cwm Taf Morgannwg University Health Board Obstetrics and Gynaecology Directorate | | --- | --- | | Approval Group | Integrated Business, Obstetrics, Gynaecology, Sexual Health & Quality and Safety Group | | Distribution | Midwifery, Medical and Neonatal staff within Cwm Taf Morgannwg University Health Board (via email) | | Archiving | Directorate secretary will be responsible for archiving all versions | | Document Location | Health Board intranet | | Freedom of Information | Open | CHANGE HISTORY | Version | Date | Author Job Title | Reasoning | | --- | --- | --- | --- | | 1.0 | September 2024 | Dr Priya Vansia
ST3 Community Sexual and Reproductive Health | | AUTHORSHIP, RESPONSIBILITY AND REVIEW | Author | Dr Priya Vansia | Ratification Date | | | --- | --- | --- | --- | | Job Title | ST3 Community Sexual and Reproductive Health | Review Date | | | Service Group | Women & Children | Clinical Director | Mr Mohamed Elnasharty | | Service Lead | Mr Adel Abdullah | Directorate Manager | Mrs Hannah Lloyd | Table of Contents BACKGROUND ........................................................................................................................................ 3 Guideline Definition ......................................................................................................................................... 3 Purpose and scope ........................................................................................................................................... 3 Roles and Responsibilities ................................................................................................................................ 3 Training Requirements ..................................................................................................................................... 3 Monitoring of Compliance ................................................................................................................................ 3 Complaints....................................................................................................................................................... 3 INTRODUCTION ...................................................................................................................................... 4 Triage .............................................................................................................................................................. 4 IN-CLINIC ASSESSMENT ........................................................................................................................... 4 History taking................................................................................................................................................... 4 Microscopy ...................................................................................................................................................... 5 Diagnosis ......................................................................................................................................................... 5 Management ......................................................................................................................................... 7 General ............................................................................................................................................................ 7 Treatment of vaginal discharge......................................................................................................................... 7 References .............................................................................................................................................. 8 List of abbreviations .......................................................................................

FAQs

What is the aim and scope of this vaginal discharge guideline?

It aims to standardise care for uncomplicated vaginal discharge in ISH services. It does not cover management of associated abdominal pain, bleeding problems, ulcers/lesions, or recurrent vaginal discharge.

Who is responsible for disseminating and updating the guideline?

The guideline Approval Group is responsible for disseminating it to appropriate staff. The guideline author (or named alternative) is responsible for updating it when amendments are identified or highlighted.

What should clinicians do if they are uncertain or have newer advice?

If there are uncertainties or newly updated advice, responsibility lies with contacting the guideline author or the Approval Group manager so amendments can be made.

Sep 27, 2026

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