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Vaginal infections cause frequent distress and discomfort in adult women. Vaginal infections are often accompanied by vaginitis, which is an inflammation (swelling and irritation) of the vagina characterized by discharge, irritation, and/or itching. Not very agreeable to be sure! The cause of vaginitis cannot be adequately determined solely on the basis of symptoms or a physical examination. In addition, these symptoms can mask the presence of a sexually transmitted disease - not cool! Furthermore, mixed or multiple infections are a distinct possibility. Laboratory tests allowing microscopic evaluation of vaginal fluid are required for a correct diagnosis.