Clinical case review

A young woman with vulvovaginal and urinary symptoms

Melissa Kang



What are the most important steps in helping this young woman with genital symptoms, who recently commenced sexual activity? This article describes an approach to assessment and the role of STI screening in this clinical context.

Article Extract

Case scenario

Nisha, aged 17 years, presents with a mixed picture of vaginal/vulval and urinary symptoms that started two weeks ago. She recently commenced sexual activity with her 18-year-old boyfriend. A dipstick shows leucocytes.

What are the important steps in the assessment of this patient, and what investigations should be considered?