Clue cells = gardnerella = grayish discharge and does change pH (>4.5)

Others

• Ferning = pregnancy / rupture of membranes, but she does not have male partners, so less likely

• Budding yeast = candida = grayish, but does not change the vaginal pH (<4.5)

• leukocyte sheets = ? Maybe erosive lichen planus / lichenoid vaginitis ?

• Trich = green discharge, does change pH (>4.5)

https://vulvovaginaldisorders.com/the-four-pillars-of-vulvovaginal-diagnosis/table-elevated-ph/#prettyPhoto[6]/0/

Bacterial vaginosis is also very common in women/people with vaginas who have sex with women/people with vaginas, and more common in that population vs gen pop.

One 2005 study of 12K vagina-owners found 45% prevalence in folx who'd had at least one partner with a vagina, vs 29% rest of study population.

(Sorry no link, just sharing from "Lesbian Health" by Dibble & Robertson.)