Inclusion Criteria:  Female ≥18 years old Able to read, understand and sign an informed consent form At least one of the following: abnormal vaginal discharge, odor, vulvovaginal itch, burning, irritation, dyspareunia, vaginal dryness or pain.  Exclusion Criteria:  Patients under the age of 18 years Patient is unfit to provide an informed consent Patient with vaginal bleeding, including menstruation within past 24 hours21 Patient who used intra vaginal preparations within 72 hours prior to study enrollment (antimicrobials, spermicides, lubricants, diaphragm)22 Uninterpretable sample (e.g. patients who used vaginal creams or lubricants before the visit or insufficient sampling material)