History and physical examination generally provide sufficient information to diagnose vaginal atrophy. Vaginal pH, if performed, generally is 6-7. A wet mount often shows white blood cells and a paucity of Lactobacillus. Culture and a KOH preparation are usually unrewarding.
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Cite this: Bradley Schwartz, Michel E. Rivlin. Fast Five Quiz: Painful Sexual Intercourse - Medscape - May 21, 2021.