Which description is typical of candidiasis discharge?

• A. Thin gray discharge with fishy odor
• B. Yellow-green frothy discharge
• C. No discharge
• D. Thick cottage cheese discharge with itching

Answer: (D)

Candidiasis presents with thick, white, clumpy vaginal discharge that resembles cottage cheese, along with itching and irritation of the vulva. This appearance and the pruritus are classic for a yeast overgrowth, setting it apart from other infections that have different discharge patterns. Bacterial vaginosis tends to cause a thin, gray discharge with a fishy odor, while trichomoniasis often produces a yellow-green frothy discharge and may come with itching and a foul odor. The absence of discharge would not fit candidiasis. So, the thick cottage cheese discharge with itching is the best match.