Benign Disorders of Female Reproductive Tract - 2

Question 1

VULVODYNIA Intro:

Answer 1

Chronic vulvar pain
syndrome

Question 2

VULVODYNIA Risk

Answer 2

18-25 Yrs.
* Multifactorial
* Depression
* IBS

Question 2

VULVODYNIA S/S

Answer 2

Burning, stinging, irritation, or stabbing,
pain

Question 3

VULVODYNIA Rx

Answer 3

Topical
*TCAs
*Hygiene
*Biofeedback
*Psychotherapy
*Dietary change

Question 4

VULVITIS intro

Answer 4

Inflammation of
vulva

Question 5

VULVITIS risk

Answer 5

Dm
* Skin problems
* Poor hygiene
* Irritation

Question 6

VULVITIS S/S

Answer 6

Burning, stinging, irritation, or stabbing,
pain

Question 7

VULVAR DYSTROPHY intro

Answer 7

Dry thickened skin

Question 8

VULVAR DYSTROPHY risk

Answer 8

Benign dystrophies lichen planus
* Lichen simplex chronicus
* Lichen sclerosus
* Squamous cell hyperplasia
* Vulvar vestibulitis

Question 9

VULVAR DYSTROPHY S/S

Answer 9

Whitish papules
* Fissures
* Macules
* Itching

Question 10

VULVAR DYSTROPHY Rx

Answer 10

Biopsy
* Annual follow-up
* Topical steroids-2 to 3 wks.
* Petrolatum jelly
* Lanolin or hydrogenated vegetable
* Sitz baths DONOT overuse
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396768/
B
A

Question 11

Candidiasis (Vulvo-vaginal) Cause

Answer 11

Fungal Or Yeast
(Candida A.)

Question 12

Candidiasis (Vulvo-vaginal) S/s

Answer 12

Pruritis
* White thick
* Cottage cheese like
* Dysuria, Dyspareunia
* Vulvar Irritation or
Excoriation
* Vaginal inflammation

Question 13

Candidiasis (Vulvo-vaginal) DX

Answer 13

Microscopic - spores &
hyphae
* Ph 4-5 or less

Question 14

Candidiasis (Vulvo-vaginal) Rx

Answer 14

Topical
* Miconazole,
Nystatin
* Clotrimazole,
Terazol
Fluconazole – PO (150mg)

Question 15

BV (VAGINITIS) Causes

Answer 15

Anaerobic bacteria &
Gardnerella vaginalis
* An absence of lactobacilli

Question 16

BV (VAGINITIS) S/S

Answer 16

Usually, asymptomatic
* Copious clear, gray or
white color
* Fishlike odor – post-coital
OR during menses
* Vulva Unaffected

Question 17

BV (VAGINITIS) DX

Answer 17

Microscopic - “clue cells.”
* Whiff Test – Fishy (KOH)
* Vaginal Ph >4.7

Question 18

BV (VAGINITIS) Rx

Answer 18

Metronidazole (Flagyl) PO
BID x 1 wk.
* Clindamycin vaginal cream
* No need to treat partner
* Use of condoms

Question 19

Atopic Vaginitis Causes

Answer 19

Lack of
Estrogen
* Glycogen
Deficiency

Question 20

Atopic Vaginitis S/S

Answer 20

Discharge
* Irritation

Question 21

Atopic Vaginitis DX

Answer 21

Alkaline Ph

Question 22

Atopic Vaginitis RX

Answer 22

Vaginal
estrogen
* Relieve
dryness

Question 23

Risk Factors

Answer 23

Allergies
▪ Diabetes, HIV infection
▪ Long-term or repeated antibiotics use
▪ Low estrogen levels
▪ Oral–genital contact (yeast) & GI Tract)
▪ Perimenopause/Menopause
▪ Poor personal hygiene, Frequent douching
▪ Pregnancy
▪ Pre-menarche
▪ Sex with infected partner
▪ Synthetic clothing
▪ Tight undergarments
▪ Use of oral contraceptives

Question 24

Nursing Management: Teach preventive measures