Atrophic vaginitis: Difference between revisions
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==Screening== | ==Screening== | ||
==Differentiating Atrophic vaginitis from other | ==Differentiating atrophic vaginitis from other diseases== | ||
Atrophic vaginitis must be differentiated from other disease processes that may present with similar symptoms. These can be divided into 3 categories:<ref name="pmid20042564">{{cite journal |vauthors=Mac Bride MB, Rhodes DJ, Shuster LT |title=Vulvovaginal atrophy |journal=Mayo Clin. Proc. |volume=85 |issue=1 |pages=87–94 |year=2010 |pmid=20042564 |pmc=2800285 |doi=10.4065/mcp.2009.0413 |url=}}</ref> | |||
*Vaginal infections: [[Candida]] [[vulvovaginitis]], [[bacterial vaginosis]] and [[trichomoniasis]] | |||
*[[Vulvovaginal]] dermatoses: [[lichen sclerosus]], [[lichen planus]] and [[lichen simplex chronicus]] | |||
*Cancer and precancerous lesions: [[vulvar intraepithelial neoplasia]], [[vulvar cancer]] and [[extramammary Paget disease]] | |||
==Natural History, Complications and Prognosis== | ==Natural History, Complications and Prognosis== | ||
Revision as of 00:40, 24 October 2016
For patient information, click here
| Atrophic vaginitis | |
| ICD-10 | N95.2 |
|---|---|
| ICD-9 | 627.3 |
| DiseasesDB | 32516 |
| MedlinePlus | 000892 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Synonyms and keywords: Atrophic vulvovaginitis; vaginal atrophy; urogenital atrophy; genitourinary syndrome of menopause
Overview
Historical Perspective
Classification
Pathophysiology
Pathogenesis
Genetics
Gross Pathology
Microscopic Pathology
Associated Conditions
Causes
Epidemiology and Demographics
Risk Factors
Screening
Differentiating atrophic vaginitis from other diseases
Atrophic vaginitis must be differentiated from other disease processes that may present with similar symptoms. These can be divided into 3 categories:[1]
- Vaginal infections: Candida vulvovaginitis, bacterial vaginosis and trichomoniasis
- Vulvovaginal dermatoses: lichen sclerosus, lichen planus and lichen simplex chronicus
- Cancer and precancerous lesions: vulvar intraepithelial neoplasia, vulvar cancer and extramammary Paget disease
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Symptoms of atrophic vaginitis can be divided into two categories:[1][2][3]
External Genital Symptoms
- Vaginal dryness
- Vaginal irritation
- Vaginal itching
- Painful sexual intercourse (dyspareunia)
- Postcoital bleeding
Urological Symptoms
- Burning on urination (dysuria)
- Urinary frequency
- Urinary urgency
- Nocturia
- Urge incontinence
- Stress incontinence
- Recurrent urinary tract infections (UTI)
Physical Examination
Laboratory Findings
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Primary Prevention
Secondary Prevention
References
- ↑ 1.0 1.1 Mac Bride MB, Rhodes DJ, Shuster LT (2010). "Vulvovaginal atrophy". Mayo Clin. Proc. 85 (1): 87–94. doi:10.4065/mcp.2009.0413. PMC 2800285. PMID 20042564.
- ↑ Pandit L, Ouslander JG (1997). "Postmenopausal vaginal atrophy and atrophic vaginitis". Am. J. Med. Sci. 314 (4): 228–31. PMID 9332260.
- ↑ Gandhi J, Chen A, Dagur G, Suh Y, Smith N, Cali B, Khan SA (2016). "Genitourinary syndrome of menopause: an overview of clinical manifestations, pathophysiology, etiology, evaluation, and management". Am. J. Obstet. Gynecol. doi:10.1016/j.ajog.2016.07.045. PMID 27472999.