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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?

Bacterial vaginitis treatments and symptoms - Dr. Jennifer Wu

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.

تفاصيل ال٠نتج

Kent HL. Epidemiology of vaginitis. Am J Obstet Gynecol. McCue JD. An update for primary care practitioners. Arch Intern Med. J Gen Intern Med. Sobel JD. Vulvovaginitis in healthy women. Compr Ther. Haefner HK. Current evaluation and management of vulvovaginitis. Clin Obstet Gynecol. Advances in diagnostic testing for vaginitis and cervicitis.

J Reprod Med. The limited value of symptoms and signs in the diagnosis of vaginal infections. N Engl J Med. Establishing the cause of genitourinary symptoms in women in a family practice. Comparison of clinical examination and comprehensive microbiology. Evolving pathogens in vulvovaginal candidiasis: implications for patient care.

J Clin Pharmacol. Hill GB. The microbiology of bacterial vaginosis. Hay PE.

Diagnosis of Vaginitis

Recurrent bacterial vaginosis. Dermatol Clin. Sobel J. Bacterial vaginosis. Br J Clin Pract Infect.

Nonspecific vaginitis and other genital infections in three clinic populations. Sex Transm Dis. Bacterial vaginosis in virginal and sexually active adolescent females: evidence against exclusive sexual transmission. A follow-up study of methods of contraception, sexual activity, and rates of trichomoniasis, candidiasis, and bacterial vaginosis.

Etiology and Diagnosis of Vaginitis

Bacterial flora of the cervix in women using different methods of contraception. Abnormal bacterial colonisation of the genital tract and subsequent preterm delivery and late miscarriage. Association between bacterial vaginosis and preterm delivery of a low-birth-weight infant. Reduced incidence of preterm delivery with metronidazole and erythromycin in women with bacterial vaginosis.

Monif GR. Classification and pathogenesis of vulvovaginal candidiasis. Value of wet mount and cervical cultures at the time of cervical cytology in asymptomatic women.

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Obstet Gynecol. Observations concerning the microbial etiology of acute salpingitis. Plasma cell endometritis in women with symptomatic bacterial vaginosis. Foxman B. The epidemiology of vulvovaginal candidiasis: risk factors.

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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.

      Vaginitis - Diagnosis and treatment - Mayo Clinic

      The impact of oral contraception on vulvovaginal candidiasis. Effects of recent sexual activity and use of a diaphragm on the vaginal microflora. Clin Infect Dis. A case-controlled study of the sexual health needs of lesbians. Genitourin Med.