Vaginal Infections Home Tests Flashcards

1
Q

65% of women experiencing symptoms have 1 of 3 common infections:

A
  • bacterial vaginosis (BV)
  • vulvovaginal candidasis (VV)
  • trichomonasis
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2
Q

Normal vaginal discharge:

A
  • clear
  • white
  • odorless
  • viscous
  • sticky
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3
Q

Normal vaginal pH:

A

< 4.5

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4
Q

Symptoms of VVC or yeast infections:

A
  • itching
  • redness
  • edema
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5
Q

Pathogen for VVC/yeast infections:

A

fungal

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6
Q

Vaginal pH during VVC/yeast infections:

A

< 4.5

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7
Q

Vaginal discharge during VVC/yeast infections:

A
  • thick
  • white
  • cottage cheese like
  • odorless
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8
Q

Vaginal discharge during BV:

A
  • thin
  • watery
  • off white/gray
  • fishy odor
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9
Q

Symptoms of BV:

A

none

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10
Q

Pathogen of BV:

A

bacterial

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11
Q

Vaginal pH during BV:

A

> 4.5

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12
Q

Vaginal discharge during trichomoniasis:

A
  • yellow/green
  • frothy
  • malodorous
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13
Q

Symptoms of trichomoniasis:

A
  • vaginal irritation
  • redness
  • edema
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14
Q

Pathogen of trichomoniasis:

A

parasite

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15
Q

Vaginal pH of trichomoniasis:

A

5 - 6

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16
Q

VVC is also known as:

A

yeast infection

- most common out of the three

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17
Q

What is the most common pathogen of VVC?

A

candida albicans

18
Q

Factors that can cause VVC:

A
  • pregnancy
  • high dose combined oral contraceptives
  • estrogen therapy
  • sexually active
  • tight fitting clothing
19
Q

Treatment goals of VVC:

A
  • relieve symptoms
  • eradicate infection
  • reestablish normal flora
20
Q

Exclusions to self treatment of VVC:

A
  • first yeast infection
  • recurrent infections (3+ in a year)
  • fever/pain in pelvic area
  • pregnant
  • younger than 12 years old
  • reinfection w/in 2 months
  • diabetes
  • HIV/AIDS or immunosuppressed
21
Q

Natural ways to treat VVC:

A
  • nonabsorbent clothing
  • yogurt
  • limiting sucrose and refined carbs
  • discontinue offending agent after consulting PCP
22
Q

Medications to treat VVC:

A
  • imidazoles (first line)
  • part of antifungal pharmacologic class
  • come as tabs, creams, and suppositories
  • miconazole
  • clotrimazole
  • tioconazole
23
Q

T/F: duration of therapy for VVC does correspond to time of resolution of symptoms

A

F, it doesn’t correspond to time of resolution of symptoms

24
Q

Adverse reactions of medications for VVC:

A
  • uncommon
  • usually only occurs in first dose
  • itching
  • irritation
  • vulvovaginal burning
25
Q

Drug interactions with medications for VVC:

A

unlikely b/c limited absorption

26
Q

Counseling points of medications for VVC:

A
  • should apply therapy at bedtime
  • symptoms should improve w/in 2-3 days
  • infection should be revolved in 1 one week
  • can use during menstration
27
Q

Benzocaine products:

A
  • alternative therapy
  • relieves itching, but doesn’t address underlying cause
  • add on therapy for itching
28
Q

UTI symptoms:

A
  • pain/burning when urinating
  • cloudy urine
  • need to urinate but have issues passing urine
  • frequent trips to bathroom
29
Q

Nonpharmacologic treatment of UTIs:

A
  • hydration w/ water
  • urinate after intercourse
  • breatheable underwear
  • avoid irritants
  • cranberry (prevention)
30
Q

Pharmacologic treatment of UTIs:

A
  • refer to PCP for antibacterials

- symptom management only w/ OTC product

31
Q

Phenazopyridine as treatment for UTIs:

A
  • dose: 95mg / 97.5 mg
  • directions: 2 tabs PO TID w/ meals for max of 2 days
  • counseling: drink lots of water and may cause discoloration of urine/mucous membranes orange color
32
Q

T/F: 45% of women may experience but only 25% reach out for treatment of atrophic vaginitis

A

T

33
Q

Atrophic vaginitis:

A
  • inflammation of vagina related to atrophy secondary to decreased estrogen levels
  • vaginal epithelium becomes thin and lubrication declines during menopause, postpartum peroid, and breastfeeding
34
Q

Symptoms of atrophic vaginitis:

A
  • decrease in vaginal lubrication
  • dyspareunia leads to painful intercourse
  • vaginal irritation, dryness, burning, and itchy
  • thin, watery vaginal discharge or spotting may be present
35
Q

Self treatment of atrophic vaginitis:

A
  • for mild/moderate symptoms
  • confined to vaginal area
  • no bleeding
36
Q

Goals of treatment of atrophic vaginitis are…

A
  • reduce symptoms of vaginal dryness

- eliminate dyspareunia

37
Q

Exclusions for self treatment of atrophic vaginitis:

A
  • symptoms of severe vaginal dryness, bleeding, and dyspareunia
  • vaginal dryness/dyspareunia not fixed by lubricants
  • any new post-menopausal bleeding
38
Q

Lubricants as treatment for atrophic vaginitis:

A
  • K-Y jelly, astroglide, replens
  • temporarily relieves symptoms
  • apply as frequently as needed
39
Q

T/F: petroleum jelly can be used as treatment

A

F b/c petroleum jelly is difficult to remove from the vagina

40
Q

T/F: estrogen therapy needs to be prescribed by PCP

A

T

41
Q

Counseling points for treatment of atrophic vaginitis:

A

symptoms typically improve in 1 week