1. Cyclic mastalgia: Answer 30-50 years old Beguinsin luteal phase,subsides with menses,bilateral pain, poorly localized aching. pregnancy test-may be sign mammography- with breast mass or family history cancer. 2. Non cyclic mastalgia: Answer 40's unrelated to menstration, constant or intermittent,unilateral pain, localized sharp/burning pain. 3. Amsel Criteria: Clinical diagnosis of BV is based on the presence of three out of four of the following Amsel Criteria:: Answer Ë White, thin adherent vaginaldischarge Ë pH 4.5 or greater Ë Positive whiff/KOH test Ë Clue cells on microscopic examination (more than 20% of epithelial cells are cluecells) 4. Differences between vaginitis and vaginosis: Answer Vaginitis is an inflammation ofthe vagina characterized by an increased vaginal discharge containing numerouswhite blood cells. In contrast, vaginosis is not associated with an increase in whiteblood cells. 5. Secondary dysmenorrhea: Answer Ï Primary dysmenorrhea is menstrual pain that is caused by myometrial contractions occurring in the absence of pelvic pathology and is associated with ovulatory cycles. Secondary dysmenorrhea is painful mensesthat is associated with underlying pelvic pathology,such as endometriosis or uterinefibroids.