Sandbox: Reddy
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 | ||||
| Wet mount Microscopy | ||||
| 10% KOH smear | ||||
| Culture | ||||
| Gold Standard diagnostic test |
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 | ✔ | ✔ | ✔ | |||||