Question:easy
A woman, anxious to conceive, complains of profuse white discharge per vaginum, which was non foul smelling and not itchy. Her LMP was 13-15 days back. What is the most probable diagnosis?
A woman, anxious to conceive, complains of profuse white discharge per vaginum, which was non foul smelling and not itchy. Her LMP was 13-15 days back. What is the most probable diagnosis?
Show Hint
Consider the timing relative to the menstrual cycle when evaluating vaginal discharge.
Updated On: Jun 23, 2026
- Candidiasis
- Bacterial Vaginosis
- Physiological
- Trichomoniasis
Show Solution
The Correct Option is C
Solution and Explanation
Key clinical details:
- White, profuse vaginal discharge
- No itching, no foul smell
- LMP: 13-15 days ago (mid-cycle/ovulatory phase)
- Woman wants to conceive
Diagnosis: Physiological leucorrhoea
At ovulation (day 14), rising estrogen causes copious, clear/white, non-offensive, elastic cervical mucus (Spinnbarkeit). This is the body's natural preparation for conception -- the mucus facilitates sperm transport. The discharge is up to 30 times more than post-menstrual phase.
Differentiating features:
- Candidiasis: curdy-white + intense pruritus
- Bacterial vaginosis: fishy odour (amine odour), clue cells on microscopy
- Trichomoniasis: frothy yellow-green + offensive odour + pruritus
Physiological discharge: no odour, no itching, mid-cycle timing -- all confirmed here.
\[\boxed{\text{Physiological}}\]
- White, profuse vaginal discharge
- No itching, no foul smell
- LMP: 13-15 days ago (mid-cycle/ovulatory phase)
- Woman wants to conceive
Diagnosis: Physiological leucorrhoea
At ovulation (day 14), rising estrogen causes copious, clear/white, non-offensive, elastic cervical mucus (Spinnbarkeit). This is the body's natural preparation for conception -- the mucus facilitates sperm transport. The discharge is up to 30 times more than post-menstrual phase.
Differentiating features:
- Candidiasis: curdy-white + intense pruritus
- Bacterial vaginosis: fishy odour (amine odour), clue cells on microscopy
- Trichomoniasis: frothy yellow-green + offensive odour + pruritus
Physiological discharge: no odour, no itching, mid-cycle timing -- all confirmed here.
\[\boxed{\text{Physiological}}\]
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