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Vaginitis and Vaginosis

KrisEmily McCrory, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • “Vaginosis” and “Vaginitis” are broad terms indicating any disease process of the vagina caused by or leading to infection, inflammation, or changes in the normal vaginal flora.

  • The d...

DIAGNOSIS

HISTORY

  • General principles:

    • The key to diagnosis is clarification of the presenting symptoms.

    • Onset, timing, and character of the vaginal symptoms are important questions to ask.

    • Many patients...

TREATMENT

GENERAL MEASURES

  • Avoid douching and tight-fitting clothing.

  • Regular use of condoms may help to prevent BV.

  • Asymptomatic, pregnant women generally do not require treatment for BV.

MEDICATION

Medic...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Delay sexual relations until symptoms clear/discomfort resolves.

  • Use of condoms may reduce recurrence of BV.

  • Consider suppressive therapy for recurrent infection.

  • Mo...

REFERENCES

1
Esber A, Vicetti Miguel RD, Cherpes TL, et al. Risk of bacterial vaginosis among women with herpes simplex virus type 2 infection: a systematic review and meta-analysis. J Infect Dis. ...

ADDITIONAL READING

  • Donders G. Diagnosis and management of bacterial vaginosis and other types of abnormal vaginal bacterial flora: a review. Obstet Gynecol Surv.  2010;65(7):462–473. [View Abstr...

SEE ALSO

Algorithm: Discharge, Vaginal 

CODES

ICD10

  • N76.0 Acute vaginitis

  • B37.3 Candidiasis of vulva and vagina

  • N95.2 Postmenopausal atrophic vaginitis

  • N77.1 Vaginitis, vulvitis and vulvovaginitis in dis classd elswhr

  • N76.1 Subacute and chronic ...

CLINICAL PEARLS

Clinical symptoms, signs, and microscopy have relatively poor performance compared with so-called gold standards such as culture and DNA probe assays, but these more sensitive assays c...

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