Microbial Conditions (not STIs)

Question 1

What makes vulvovaginal candidosis more likely to happen?

Answer 1

• Diabetes
• Oral steriods
• Immune suppression including HIV
• Pregnancy
• Reproductive age group

Question 2

What is symptomatic Vulvovaginal Candidosis known as?

Answer 2

Thrush

Question 3

What are the symptoms of thrush?

Answer 3

Itch, discharge: increased amount

Question 4

What organism causes thrush?

Answer 4

Candida albicans

Question 5

What is the treatment of thrush?

Answer 5

clotrimazole: 500mg once. Fluconazole 150mg once

Question 6

What may be found on examination in Vulvovaginal candidiosis?

Answer 6

Fissuring
Erythema with satellite lesions
Characteristic discharge

Question 7

Describe the presentation of bacterial vaginosis.

Answer 7

Asymptomatic in 50%. Watery grey/ yellow ‘fishy’ discharge. May be worse after period or sex. Sometime sore/ itch from dampness.

Question 8

Describe the treatment of bacterial vaginosis.

Answer 8

Abx: metronidazole: oral, vaginal gel.

Question 9

What organisms are involved in bacterial vaginosis?

Answer 9

Enterococcus faecalis and actinomyces neurii.

Question 10

What are the complications of bacterial vaginosis?

Answer 10

Associated with endometritis if uterine instrumentation

/ delivery • Associated with premature labour • Increases risk of HIV acquisition

Question 11

What is used in the diagnosis of bacterial vaginosis?

Answer 11

Characteristic history • Examination findings

• Thin homogenous discharge • pH • Gram stained smear of vaginal discharge

Question 12

What is Vestibulodynia?

Answer 12

A pain syndrome. Provoked intoital tenderness

Question 13

What is Vulvodynia?

Answer 13

A pain syndrome. Persistent burning or itching