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Algorithms for Managing Vulvovaginal Symptoms-a Practical Primer.
Curr Infect Dis Rep 2019; 21(10):40CI

Abstract

PURPOSE OF REVIEW

To present a comprehensive systematic approach for diagnosing correctly the cause(s) of bothersome genital symptoms.

RECENT FINDINGS

We searched the PUBMED for practical clinical guidelines, written by a multidisciplinary team of healthcare providers directed for diagnosing bothersome genital symptoms. This search was performed by a professional information specialist using the keywords "vulvovaginal," "vulvar," "multidisciplinary diagnosis," "interdisciplinary consultation," and "vulvology." We found numerous publications defining the criteria for diagnosing specific disorders, but only a few publications presented a multidisciplinary clinical algorithm for diagnosing bothersome vulvovaginal symptoms. The authors, from three different specialities, gathered together (online), in aim to present a comprehensive systematic approach for accurate diagnosing of bothersome vulvovaginal symptoms. Six principles for accurately diagnosing a woman with bothersome genital symptoms were endorsed: (1) locate the discomfort (vulva, clitoris, vestibule, vagina, cervix, pelvis); (2) consider more than one entity; (3) evaluate each symptom separately (it is common to have more than one entity necessitating treatment for each); (4) use pH and wet mount microscopy; (5) obtain a follow-up visit in 2-4 weeks; (6) perform a biopsy for dermatological conditions that are resistant to treatment.

Authors+Show Affiliations

Division of Obstetrics and Gynecology, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel. orna.reich@gmail.com. Division - OBGYN, Shaare Ze[dek Medical Center, Hebrew University Medical School, Jerusalem, Israel. orna.reich@gmail.com.Department of Obstetrics & Gynecology and Surgery (Dermatology), Geisel School of Medicine at Dartmouth, Hanover, NH, USA.Obstetrics Gynecology & Repro. Biology, Beth Israel Deaconess Medical Center, Harvard Vanguard Medical Associates, Burlington, MA, USA.Vulvovaginal Disorders Clinic, Clalit Health Organization, The Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.Wayne State University, Detroit, MI, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31595345

Citation

Reichman, Orna, et al. "Algorithms for Managing Vulvovaginal Symptoms-a Practical Primer." Current Infectious Disease Reports, vol. 21, no. 10, 2019, p. 40.
Reichman O, Margesson LJ, Rasmussen CA, et al. Algorithms for Managing Vulvovaginal Symptoms-a Practical Primer. Curr Infect Dis Rep. 2019;21(10):40.
Reichman, O., Margesson, L. J., Rasmussen, C. A., Lev-Sagie, A., & Sobel, J. D. (2019). Algorithms for Managing Vulvovaginal Symptoms-a Practical Primer. Current Infectious Disease Reports, 21(10), p. 40. doi:10.1007/s11908-019-0693-6.
Reichman O, et al. Algorithms for Managing Vulvovaginal Symptoms-a Practical Primer. Curr Infect Dis Rep. 2019 Oct 8;21(10):40. PubMed PMID: 31595345.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Algorithms for Managing Vulvovaginal Symptoms-a Practical Primer. AU - Reichman,Orna, AU - Margesson,Lynette J, AU - Rasmussen,Cynthia A, AU - Lev-Sagie,Ahinoam, AU - Sobel,Jack D, Y1 - 2019/10/08/ PY - 2019/10/10/entrez PY - 2019/10/9/pubmed PY - 2019/10/9/medline KW - Discharge KW - Dyspareunia KW - Genital pruritus KW - Vaginitis KW - Vulvitis SP - 40 EP - 40 JF - Current infectious disease reports JO - Curr Infect Dis Rep VL - 21 IS - 10 N2 - PURPOSE OF REVIEW: To present a comprehensive systematic approach for diagnosing correctly the cause(s) of bothersome genital symptoms. RECENT FINDINGS: We searched the PUBMED for practical clinical guidelines, written by a multidisciplinary team of healthcare providers directed for diagnosing bothersome genital symptoms. This search was performed by a professional information specialist using the keywords "vulvovaginal," "vulvar," "multidisciplinary diagnosis," "interdisciplinary consultation," and "vulvology." We found numerous publications defining the criteria for diagnosing specific disorders, but only a few publications presented a multidisciplinary clinical algorithm for diagnosing bothersome vulvovaginal symptoms. The authors, from three different specialities, gathered together (online), in aim to present a comprehensive systematic approach for accurate diagnosing of bothersome vulvovaginal symptoms. Six principles for accurately diagnosing a woman with bothersome genital symptoms were endorsed: (1) locate the discomfort (vulva, clitoris, vestibule, vagina, cervix, pelvis); (2) consider more than one entity; (3) evaluate each symptom separately (it is common to have more than one entity necessitating treatment for each); (4) use pH and wet mount microscopy; (5) obtain a follow-up visit in 2-4 weeks; (6) perform a biopsy for dermatological conditions that are resistant to treatment. SN - 1523-3847 UR - https://www.unboundmedicine.com/medline/citation/31595345/Algorithms_for_Managing_Vulvovaginal_Symptoms-a_Practical_Primer L2 - https://dx.doi.org/10.1007/s11908-019-0693-6 DB - PRIME DP - Unbound Medicine ER -