Some women may interpret a physiologic increase in cervical mucous production as abnormal. It occurs cyclically prior to ovulation, is typically transparent and colorless, and may be more pronounced in women with an everted cervix. In the clinical examination of the cervix, 3 characteristics have been associated with chlamydial infection: yellow endocervical discharge, easily induced cervical bleeding, and opaque cervical discharge.
Trichomonas vaginalis may cause cervicitis as well as vaginitis. Mycoplasma genitalium has been proposed as an additional possible pathogen. Bacterial vaginosis BV is neither an inflammatory condition nor an STD, but is a shift in vaginal flora from the normal condition in which lactobacilli predominate, to a polymicrobial flora in which gram-positive anaerobes predominate.
In addition to annoying vaginal symptoms, BV is associated with increased risks of more serious conditions such as pelvic inflammatory disease PID , postoperative infections, and pregnancyrelated complications including prematurity. It also increases the likelihood of acquiring HIV in women exposed to the virus. Two principal factors put women at risk for acquiring BV: douching and exposure to a new sexual partner, both of which are thought to disrupt the vaginal ecosystem.
A gold standard test has not been established for BV. A finding of white blood cells in excess of the number of vaginal epithelial cells suggests an inflammatory process SOR: C. The positive and negative predictive values of each compared with the whole group as reference standard is displayed in Table 1. Homogenous discharge. A thin, homogenous, grayish discharge is traditionally associated with BV. Nystatin ,unit vaginal tablet Mycostatin , one tablet per day intravaginally for 14 days.
Tioconazole 6. Terconazole 0. Additional information is available on condom product labelings. Adapted from guidelines for treatment of sexually transmitted diseases. Already a member or subscriber?
Log in. Egan is currently completing a master of medical education degree at the University of Illinois, Chicago. Lipsky received his medical degree from the Medical College of Pennsylvania, Philadelphia, and completed a family medicine residency at the University of California, Irvine, College of Medicine. Address correspondence to Mari E. Egan, M. Chicago Ave. Reprints are not available from the authors. The authors thank Mark Potter, M.
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Diagnosis of Vaginitis
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Geiger AM, Foxman B. Risk factors for vulvovaginal candidiasis: a case-control study among university students. Vulvovaginal candidiasis: epidemiologic, diagnostic, and therapeutic considerations.
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