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What are the important techniques in the assessment of this patient, and what investigations should be considered?. A woman with vulvovaginal and urinary symptoms What are the most crucial steps in assisting this young woman with genital symptoms, who commenced sex recently? A strategy is described by This article to assessment and the role of STI screening in this clinical context. Case scenario Nisha, aged 17 years, presents with a blended picture of vaginal/vulval and urinary symptoms that started two weeks ago.