VAGINITISTrichomonas vaginitisXCandidal vulvovaginitisBacterial vaginosisSenile vaginitisInfantile vaginitis
16 VAGINITIS ❖Trichomonas vaginitis ❖ Candidal vulvovaginitis ❖Bacterial vaginosis ❖Senile vaginitis ❖Infantile vaginitis
Vaginitis (inflammation of the vagina) is the mostcommon gynecologic condition encounteredin theoffice.It is a diagnosis based on the presence ofsymptoms of abnormal discharge, vulvovaginaldiscomfort, or both. Cervicitis may also cause adischarge and sometimes occurs with vaginitis
17 Vaginitis (inflammation of the vagina) is the most common gynecologic condition encountered in the office. It is a diagnosis based on the presence of symptoms of abnormal discharge, vulvovaginal discomfort, or both. Cervicitis may also cause a discharge and sometimes occurs with vaginitis
Discharge flows from the vagina daily as the body's way ofmaintaining a normal healthy environment.Normal dischargeisusually clear or milky withnomalodor.A change in the amount.color, or smell;irritation; or itching or burning could be dueto animbalance of healthy bacteria in the vagina, leading to vaginitis.The most common causes of vaginitis in symptomatic women arebacterialvaginosis(40-45%),vaginalcandidiasis(20-25%),andtrichomoniasis (15-20%); yet 7-72% of women withvaginitis mayremainundiagnosed
18 Discharge flows from the vagina daily as the body’s way of maintaining a normal healthy environment. Normal discharge is usually clear or milky with no malodor. A change in the amount, color, or smell; irritation; or itching or burning could be due to an imbalance of healthy bacteria in the vagina, leading to vaginitis. The most common causes of vaginitis in symptomatic women are bacterial vaginosis (40-45%), vaginal candidiasis (20-25%), and trichomoniasis (15-20%); yet 7-72% of women with vaginitis may remain undiagnosed
The workup for patients with vaginitis depends on the risk factorsforinfection and the age of the patient.Accurate diagnosis may be elusiveand care must be taken to distinguish vaginitis from other infectiousand noninfectious causes of symptoms.All women presenting withabnormalvaginal discharge should have a careful pelvic examinationCondition-specifictests (ie, colposcopy and cervical biopsies)areindicatedforsuspectedcervicalcancer
19 The workup for patients with vaginitis depends on the risk factors for infection and the age of the patient. Accurate diagnosis may be elusive, and care must be taken to distinguish vaginitis from other infectious and noninfectious causes of symptoms. All women presenting with abnormal vaginal discharge should have a careful pelvic examination. Condition-specific tests (ie, colposcopy and cervical biopsies) are indicated for suspected cervical cancer
Studies that may be performed in cases of suspected vaginitis includesaline wet mount,the so-called whifftest,pH testing, culture,nucleicacid amplificationtesting,and anumber of other second-linetests.Treatment of vaginitis varies by cause and is directed at the relevantpathogen. Inpatient care usually is not indicated, unless seriouspelvic infections arise or evidence of systemic infectionin animmunocompromisedhostispresent(seeTreatment)
20 Studies that may be performed in cases of suspected vaginitis include saline wet mount, the so-called whiff test, pH testing, culture, nucleic acid amplification testing, and a number of other second-line tests . Treatment of vaginitis varies by cause and is directed at the relevant pathogen. Inpatient care usually is not indicated, unless serious pelvic infections arise or evidence of systemic infection in an immunocompromised host is present (see Treatment)