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Vaginitis: diagnosis and management.
Postgrad Med. 2010 Nov; 122(6):117-27.PM

Abstract

Vaginitis is one of the most common ambulatory problems to occur in women. It is a disorder responsible for > 10% of visits made to providers of women's health care. Although vaginal infections are the most common cause, other considerations include cervicitis, a normal vaginal discharge, foreign-body vaginitis, contact vaginitis, atrophic vaginitis, and desquamative inflammatory vaginitis. The medical history and examination are an important source of clues to the underlying diagnosis. However, making a definitive diagnosis requires skillful performance of office laboratory procedures, including the vaginal pool wet mount examination, determination of the vaginal pH, and the whiff test. Vaginal and cervical cultures, nucleic acid tests, and point-of-care tests are available and may be required in selected patients. Once a specific diagnosis is made, effective therapy can be prescribed. Candida vaginitis is generally treated with either the vaginal administration of an imidazole or triazole antifungal agent or the prescription of oral fluconazole. Oral nitroimidazole agents, metronidazole or tinidazole, are the only effective treatments for trichomoniasis in the United States. Bacterial vaginosis, which has been linked to important gynecologic and pregnancy complications, can be treated with an available oral or topical agent containing either a nitroimidazole or clindamycin.

Authors+Show Affiliations

David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA. mquan@mednet.ucla.edu

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

21084788

Citation

Quan, Martin. "Vaginitis: Diagnosis and Management." Postgraduate Medicine, vol. 122, no. 6, 2010, pp. 117-27.
Quan M. Vaginitis: diagnosis and management. Postgrad Med. 2010;122(6):117-27.
Quan, M. (2010). Vaginitis: diagnosis and management. Postgraduate Medicine, 122(6), 117-27. https://doi.org/10.3810/pgm.2010.11.2229
Quan M. Vaginitis: Diagnosis and Management. Postgrad Med. 2010;122(6):117-27. PubMed PMID: 21084788.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginitis: diagnosis and management. A1 - Quan,Martin, PY - 2010/11/19/entrez PY - 2010/11/19/pubmed PY - 2011/2/15/medline SP - 117 EP - 27 JF - Postgraduate medicine JO - Postgrad Med VL - 122 IS - 6 N2 - Vaginitis is one of the most common ambulatory problems to occur in women. It is a disorder responsible for > 10% of visits made to providers of women's health care. Although vaginal infections are the most common cause, other considerations include cervicitis, a normal vaginal discharge, foreign-body vaginitis, contact vaginitis, atrophic vaginitis, and desquamative inflammatory vaginitis. The medical history and examination are an important source of clues to the underlying diagnosis. However, making a definitive diagnosis requires skillful performance of office laboratory procedures, including the vaginal pool wet mount examination, determination of the vaginal pH, and the whiff test. Vaginal and cervical cultures, nucleic acid tests, and point-of-care tests are available and may be required in selected patients. Once a specific diagnosis is made, effective therapy can be prescribed. Candida vaginitis is generally treated with either the vaginal administration of an imidazole or triazole antifungal agent or the prescription of oral fluconazole. Oral nitroimidazole agents, metronidazole or tinidazole, are the only effective treatments for trichomoniasis in the United States. Bacterial vaginosis, which has been linked to important gynecologic and pregnancy complications, can be treated with an available oral or topical agent containing either a nitroimidazole or clindamycin. SN - 1941-9260 UR - https://www.unboundmedicine.com/medline/citation/21084788/Vaginitis:_diagnosis_and_management_ L2 - http://www.tandfonline.com/doi/full/10.3810/pgm.2010.11.2229 DB - PRIME DP - Unbound Medicine ER -