“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 ...
General principles:
The key to diagnosis is clarification of the presenting symptoms.
It is important to distinguish vulvar versus vaginal symptoms.
Onset, timing, severity, duration, an...
Avoid douching and tight-fitting clothing.
Regular use of condoms may help to prevent BV (2).
Asymptomatic, pregnant women generally do not require treatment for BV.
Consider a...
Delay sexual relations until symptoms clear/discomfort resolves.
Use of condoms may reduce recurrence of BV.
Consider suppressive therapy for recurrent infection.
Mo...
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 ...
Most women experience relief of symptoms with therapy chosen without gold standard tests, even when the treatment does not correspond with the underlying infection.
Vaginal pH is underu...
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Vaginal Gram stain showing a true clue cell and abnormal bacteria characteristic of bacterial vaginosis.
Wet mount showing characteristic clue cells. Note that the epithelial cells are so heavily covered by bacteria as to obscure the margins.
Homogeneous discharge of bacterial vaginosis.
Figure 16.2. Wet mount of normal vaginal secretion and secretion from patient with bacterial vaginosis.