Case of a Girl with Vaginal Discharge Who Has Sex with Girls


Adolescent women who have sex with women (WSW) and men (WSWM) are a unique group of girls with diverse sexual experiences. Despite having female sexual partners, these girls may be at increased risk for unplanned pregnancies and STIs as many WSW also have sex with men. Sexual histories for these girls should include gender neutral terms, open-ended questions, details of sexual behaviors, and gender of sexual partners. These histories should be conducted in a manner that facilitates honesty and trust while ensuring confidentiality. Heterosexuality should never be assumed. Problematic vaginal discharge from bacterial vaginosis and candida vulvovaginitis may be common complaints among these girls. Adolescent WSW should be offered routine chlamydia screening, HIV testing, and contraception counseling (including LARCs), encouraged to use barrier contraceptive methods, and screened for depression and intimate partner violence. Additionally, referrals to LGBTQ peer support groups may also be helpful in ensuring the wellbeing of these girls.


Women who have sex with women (WSW) Women who have sex with women and men (WSWM) Vaginal discharge Lesbian Bisexual Adolescent girls LGBTQ health 


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Suggested Reading

    CDC Sexually Transmitted Disease Treatment Guidelines 2015—Special Populations: WSW

    1. Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1–137.

    ACOG Committee Opinion 525: Health Care for Lesbians and Bisexual Women

    1. ACOG Committee on Health Care for Underserved Women. ACOG Committee Opinion No. 525: health care for lesbians and bisexual women. Obstet Gynecol. 2012;119(5):1077.

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of PediatricsNYU School of Medicine/Bellevue HospitalNew YorkUSA
  2. 2.Adolescent AIDS ProgramEinstein College of Medicine, Children’s Hospital at MontefioreBronxUSA

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