The student who experienced burning, itching, and redness of vagina may be diagnosed for vaginitis using clinician's assessment questions like a- Have your periods been regular in the last few months?” and c-“Are you using oral contraceptives?”
Vaginitis occurs when there are changes in the vaginal environment that allow pathogens to grow. If the student answered NO to a. she must be pregnant. If she answered YES to c., then she is having sexual intercourse. Pregnancy, sexual intercourse and use of contraceptives along with antibiotics, stress, and hormones alter the vaginal flora thus allowing pathogens to proliferate causing vaginitis.