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Risk factors for the alleged perpetrator include a history of multiple sexual partners, intravenous drug use and STDs. Garden, AS. In addition. Wet mount reveals the presence of abundant white blood cells. Obstet Gynecol. Urethral prolapse can cause a bloodstained discharge, which can be mistaken initially for vaginal discharge.

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Your Daughter's First Gynecology Visit

Despite the importance of the vulvar examination, it is omitted in a large percentage of cases, reflecting deficits in undergraduate and postgraduate medical training. Figure 6 on p. Providing emergency contraception in the office. Contemp Pediatr. In many cases, the physical exam can be limited to the vulva and lower vagina and will not require full visualization of the upper vagina and cervix.

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