Vague vaginal complaints

A 23-year-old female comes to your office with vague vaginal complaints. She reports that sometimes intercourse is uncomfortable, and sometimes she notices a little whitish-clear non-odorous vaginal discharge midway through her cycle. But none of her complaints supports a vaginal infection/STI or other organic pelvic condition diagnosis. You notice this patient has bruising on her back and both arms.

  • Please write the specific questions you will ask this patient in layperson’s terms.
  • What is your plan of care?
  • what physical exam elements you would include
  • what further testing you would want to have performed
  • differential and working diagnosis
  • treatment plan?