Visualization may be aided by irrigation with normal saline
Children <7yo or uncooperative patients may require vaginoscopy in the OR with anesthesia
Plain films sometimes help identify radiopaque objects
Some items may be identifiable on ultrasound or MRI
Vaginal foreign body
Infection
Incarcerated uterus
Bacterial Vaginosis, Trichomonas, chlamydia/gonorrhea infection, Candida Vaginitis
Vaginal trauma
Endometritis, PID, TOA
Atrophic vaginitis
Ob/gyn conditions