Table 2

List of investigations and results

Vaginal ultrasound scanNormal uterus and ovaries
Vaginal swabNegative
Bacterial and fungal culture/stainNegative
Phase contrast microscopy of vaginal fluidIncreased no of WCCs, small epithelial cells without lactobacillus species.
Sexually transmitted infection

  • Chlamydia trachomatis

  • Neisseria gonorrhoeae

  • Trichomonas vaginalis

  • Mycoplasma genitalium

Negative
Cervical cytology screeningNormal cells
Vaginal biopsySpongiosis, mixed neutrophilic, lymphocytic, and eosinophilic inflammation and focal erosions, covered by fibrin and granulocytes.
Special stains for spirochaetes, fungi and viruses are negative.
PCR-analysis for

  • Varicella Zoster virus, cytomegalovirus, Epstein-Barr virus, herpes simplex virus−1 and −2, human herpesvirus)−6 to –7 and −8.

Negative

  • WCC, white cell count.