The evaluation of bacterial vaginitis begins with a medical history and physical examination, including a pelvic exam.

Physical findings in women with bacterial vaginitis may include:

• Swollen and tender lymph glands in the groin
• Vaginal discharge
• Vaginal redness
• Vaginal sores or ulcers

Tests may be necessary to determine the cause of vaginitis.

Tests that may be used to evaluate bacterial vaginitis include:

• Gonorrhea testing
• Chlamydia testing
• Genital herpes testing
• Human papillomavirus testing
• HIV testing
• Vaginal smear for parasites
• PAP smear
• Tests for parasites:
• Pubic lice
• Trichomonas
• Pinworms