29th April 2024

A 26-year-old woman presents with a five-day history of vaginal itching and discomfort.

A 26-year-old woman presents with a five-day history of vaginal itching and discomfort. She also reports a thick, white, “cottage cheese-like” vaginal discharge. There is no history of recent antibiotic use. She is sexually active. On examination, there is erythema of the vulva and vagina, and the discharge is visible. No odour is detected, and the pH of the vaginal secretions is normal.

Which is the most likely diagnosis underlying the clinical presentation?