Topics

Non-Candidal Vaginitis: A Comprehensive Approach to Diagnosis & Management.

08:00 EDT 9th September 2019 | BioPortfolio

Summary of "Non-Candidal Vaginitis: A Comprehensive Approach to Diagnosis & Management."

Vaginitis is one of the most common causes of patient visits to gynecologists, primary care providers, and urgent care centers. However, many women leave without a clear diagnosis or experience recurrent symptoms despite treatment. The three most common etiologies of vaginitis are trichomonas, bacterial vaginosis, and vulvovaginal candidiasis, which account for an estimated 70% of cases. The remaining 30% may be related to other causes of vaginitis, including atrophic vaginitis, desquamative inflammatory vaginitis, and vaginal erosive disease. The purpose of this review is to describe the non-candidal causes of acute and recurrent vaginitis, with the goal of improving the likelihood of accurate diagnosis as well as efficient and effective therapy. We excluded candidal vaginitis from our review, as there was a recently published review on this topic in the American Journal of Obstetrics and Gynecology. The clinical presentation and evaluation of patients with symptoms of vaginitis can be triaged into one of two diagnostic pathways: non-inflammatory and inflammatory vaginitis. The most common non-inflammatory cause is bacterial vaginosis. Features such as irritation, purulent discharge, and the presence of polymorphonuclear neutrophils are more suggestive of an inflammatory process. Trichomoniasis is the most common cause of inflammatory vaginitis. Other well-described forms of inflammatory vaginitis include atrophic vaginitis, desquamative inflammatory vaginitis, and erosive disease. We present a review of the pathogenesis, symptoms, exam findings, diagnostic testing, and treatment for each of these causes of non-candidal vaginitis.

Affiliation

Journal Details

This article was published in the following journal.

Name: American journal of obstetrics and gynecology
ISSN: 1097-6868
Pages:

Links

DeepDyve research library

PubMed Articles [19452 Associated PubMed Articles listed on BioPortfolio]

Multidisciplinary Management of Psoriatic Arthritis: The Benefits of a Comprehensive Approach.

Psoriatic arthritis (PsA) is a lifelong disease associated with extra-articular manifestations and several comorbidities, as well as reduced quality of life and psychosocial burden. Diagnostic delay i...

Combined Anterior Cruciate Ligament and Medial Collateral Ligament Knee Injuries: Anatomy, Diagnosis, Management Recommendations, and Return to Sport.

The diagnosis and management of combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries have been a controversial topic for several decades. No single approach has prov...

A Sonographic approach to the prenatal diagnosis of skeletal dysplasias.

Skeletal dysplasias are a heterogeneous group of conditions, many of which present unexpectedly in the prenatal period with a variety of ultrasound findings. Accurate prenatal diagnosis can now be fac...

Contemporary Approach to the Diagnosis of Malignant Pleural Effusion.

Advanced malignancy is a prevalent cause of exudative pleural effusion. The management of malignant pleural effusion (MPE) has been the subject of several recent randomized controlled trials and excel...

Identification and Management of Lymphedema in Patients With Breast Cancer.

Breast cancer-related lymphedema (BCRL) is a potentially debilitating and often irreversible complication of breast cancer treatment. Risk of BCRL is proportional to the extent of axillary surgery and...

Clinical Trials [8687 Associated Clinical Trials listed on BioPortfolio]

Evaluation of Efficacy and Safety of Gynomax® XL Ovule

Efficacy and safety of Gynomax® XL ovule in the treatment of trichomonal vaginitis, bacterial vaginosis, candidal vulvovaginitis and mixed vaginal infections will be evaluated in this ope...

A Study of the Side Effects of L-743,872 in Men With Candidal Esophagitis

The purpose of this study is to see if it is safe to give L-743,872 to men with candidal esophagitis, an AIDS-related yeast infection in the esophagus.

Assessment of the Efficacy of POLYGYNAX® in the Empirical Treatment of Infectious Vaginitis

POLYGYNAX® is a broad spectrum combination of nystatin, neomycin and polymixin B indicated for the local treatment of vaginitis due to sensitive germs and treatment of non specific vagini...

Effect of PRP Injection in Releiving of Symptoms of Senile Vaginitis

30 postmenopausal females with senile vaginitis will be enrolled with score of

Accuracy and Acceptability of Self-Diagnostic Methods for Vaginitis in Adolescent Females

Symptoms of vaginitis are common among adolescent females, although studies have shown that neither experienced clinicians nor patients can accurately diagnose the cause of vaginitis based...

Medical and Biotech [MESH] Definitions

Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.

Providing for the full range of dental health services for diagnosis, treatment, follow-up, and rehabilitation of patients.

An integrated professional approach to screening, evaluation, control, and reduction of abnormal WEIGHT GAIN.

An integrated nano-scale approach to MEDICINE which involves concurrent diagnosis, drug delivery, therapy, and monitoring of therapeutic response.

A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.

Quick Search


DeepDyve research library

Relevant Topic

Women's Health
Women's Health - key topics include breast cancer, pregnancy, menopause, stroke Follow and track Women's Health News on BioPortfolio: Women's Health News RSS Women'...


Searches Linking to this Article