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Despite the wide variety of etiologies for vulvovaginal symptoms, women and their providers continue to assume at the onset of itching, burning, dyspareunia and/or change in discharge, that “vaginitis,”(usually yeast or BV), is to blame. Many women, under this assumption, inaccurately self-diagnosis and self-treat.[1] Many clinicians, under this assumption, still treat by telephone diagnosis, an unreliable practice.[2]
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