Table 1. Vaginal health index (Bachmann et al. [22]).

Score	Overall elasticity*	Fluid secretion type and consistency	pH	Epithelial mucosa	Moisture
1	None	None	6.1	Petechiae noted before contact	None, mucosa inflamed
2	Poor	Scant, thin yellow	5.6–6.0	Bleeds with light contact	None, mucosa not inflamed
3	Fair	Superficial, thin white	5.1–5.5	Bleeds with scraping	Minimal
4	Good	Moderate, thin white	4.7–5.0	Not friable, thin mucosa	Moderate
5	Excellent	Normal (white flocculent)	≤4.6	Not friable, normal mucosa	Normal

*Lower score corresponds to greater urogenital atrophy.