7. Vaginal and vulval conditions

Question 1

Types of bacterial vaginal and vulval infections

Answer 1

• Bacterial vaginosis
• Vaginal trochomoniasis (STI caused by parasite)

Question 2

Bacterial vaginosis symptoms and treatment

Answer 2

• Pain, itching, burning in vagina
• Burning when peeing
• Fish-like odour especially after sex
• Greyish-white, thin watery discharge

treatment:
Metronidazole 2g single dose

Question 3

Vaginal trochomoniasis symptoms and treatment

Answer 3

symptoms:
* producing more discharge than normal
* thin, frothy, thick, or yellow-green coloured discharge
* pain or discomfort urinating or during sex

treatment:
- Metronidazole 2g single dose

Question 4

Vaginal and vulval fungal infections and treatment

Answer 4

• Candidal vulvitis
• imidazole creams: e.g miconazole, clotrimazole
• Vaginal candidiasis:
  imidazole pessaries e.g clotrimazole
  oral treatment: e.g fluconazole, itraconazole
• Vulvovaginal thrush IN PREGNANCY:
  topical imidazole (clotrimazole pessary) for 7 days

Question 5

Vaginal atrophy symptoms

Answer 5

Vaginal atrophy is vaginal dryness

• dryness, soring, itching around vagina
• needing to pee often
• Pain or discomfort during sex
• Keep getting urinary tract infections

Question 6

Vaginal atrophy treatment

Answer 6

Topical oestrogens - vaginal tablets, rings, creams, e.g Vagifem

Non-hormonal vaginal moisturisers
e,g Replens MD