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==Symptoms== | ==Symptoms== | ||
{| class="wikitable" style="border: 2; background: none;" | |||
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! rowspan="2" | Disease | |||
! colspan="6" rowspan="1" | Symptoms | |||
! rowspan="2" | Examination Findings | |||
|- | |||
! rowspan="1" | Discharge || Dysuria || Vaginal odor || Dyspareunia || Genital skin lesion || Genital pruritus | |||
| | |||
|- | |||
| [[Candida Vulvovaginitis]] ||✔ ||✔ ||✔ || ✔ | |||
||✔ ||✔✔ | |||
| | |||
*Vulvar edema, fissures, excoriations | |||
*Thick curdy vaginal discharge | |||
|- | |||
| [[Bacterial Vaginosis]] ||✔||||✔|||| || | |||
| | |||
* Fishy-odor from the [[vagina]] | |||
* Thin, white/gray homogeneous [[vaginal discharge]] | |||
* Lack of significant vulvovaginal inflammation | |||
|- | |||
| [[Trichomoniasis]] ||✔||✔|| ✔ | |||
|| ✔ | |||
|| || ✔ | |||
| | |||
* Strawberry cervix: petechial haemorrhages on the ectocervix, specific to trichomoniasis | |||
* Frothy, mucopurulent, yellow-green or gray vaginal discharge | |||
|- | |||
| [[Atrophic Vaginitis]] ||✔||✔|| ✔ | |||
|| ✔✔ | |||
||✔||✔ | |||
| | |||
*Pale and dry vaginal epithelium | |||
*Increased friability of the epithelium with patchy erythema and petechiae | |||
*Sparsity of pubic hair, fusion of the [[labia minora]], narrow and a shortened vagina | |||
|} | |||
==Diagnosis== | |||
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Revision as of 20:02, 13 January 2017
Vaginitis
Overview
Vulvovaginitis is a common condition for which women seek medical care accounting for approximately 10 million office visits every year. It is defined as symptoms that cause itching, irritation, burning and abnormal vaginal discharge. The three common causes of vaginal discharge in reproductive age group include: most common being Bacterial Vaginosis followed by Candida vulvovaginitis and Trichomoniasis.
Synopsis
Diagnosis
Candida Vulvovaginitis | Bacterial Vaginosis | Trichomoniasis | Atrophic Vaginitis | |
---|---|---|---|---|
Vaginal pH | Normal | Increased | Normal | |
Wet mount Microscopy | Hyphae and pseudohyphae
can be demonstrated |
Clue cells | Motile trichomonads | |
10% KOH smear | Hyphae and pseudohyphae
can be demonstrated |
|||
Gold Standard diagnostic test | Culture | Vaginal maturation
Index |
Treatment
Candida Vulvovaginitis | Bacterial Vaginosis | Trichomoniasis | Atrophic Vaginitis | |
---|---|---|---|---|
Medical Therapy | ||||
Recurrence | ||||
HIV positive individuals | ||||
Treatment for partner | ||||
Pregnant women |
Symptoms
Disease | Symptoms | Examination Findings | |||||
---|---|---|---|---|---|---|---|
Discharge | Dysuria | Vaginal odor | Dyspareunia | Genital skin lesion | Genital pruritus | ||
Candida Vulvovaginitis | ✔ | ✔ | ✔ | ✔ | ✔ | ✔✔ |
|
Bacterial Vaginosis | ✔ | ✔ |
| ||||
Trichomoniasis | ✔ | ✔ | ✔ | ✔ | ✔ |
| |
Atrophic Vaginitis | ✔ | ✔ | ✔ | ✔✔ | ✔ | ✔ |
|
Diagnosis
Disease | Symptoms | Examination Findings | |||||
---|---|---|---|---|---|---|---|
Discharge | Dysuria | Vaginal odor | Dyspareunia | Genital skin lesion | Genital pruritus | ||
Candida Vulvovaginitis | ✔ | ✔ | ✔ | ✔ | ✔ | ✔✔ |
|
Bacterial Vaginosis | ✔ | ✔ |
| ||||
Trichomoniasis | ✔ | ✔ | ✔ | ✔ | ✔ |
| |
Atrophic Vaginitis | ✔ | ✔ | ✔ | ✔✔ | ✔ | ✔ |
|