Vaginitis Flashcards
Vaginitis 3 key symptoms
pain, discharge, pruritius
What is vaginitis?
inflammation of the vagina
Vaginitis results from a disruption of normal ____ / ____
ecosystem/flora
Common causes of vaginitis
[1]
[2]
[3]
Menstrual cycle
Sexual Activity
Contraceptive choice
Antibiotics
Hygienic products
3 common types of vaginitis
[1]
[2]
[3]
[1] Bacterial
[2] Trichomoniasis (parasite)
[3] Vaginal Candidiasis (yeast)
This type of vaginitis presents WITHOUT itch
bacterial
This type of vaginitis presents with a FISHY odour
bacterial
This type of vaginitis is odourless & has a cottage cheese discharge
vaginal candidiasis (yeast)
This type of vaginitis has a grey or milky, thin, copious discharge
bacterial
This type of vaginitis has a yellow frothy discharge
trichomoniasis (parasite)
This type of vaginitis has an acidic PH
vaginal candidiasis (yeast)
Non-Pharm vaginal hygiene that should not be recommended:
1)
2)
3)
1) douching
2) genital deodorants
3) tight/synthetic underwear
Non-Pharm vaginal hygiene that should be recommended:
1)
2)
3)
4)
Wash perineal area daily with warm water and mild soap
Genital wash is acceptable
Lubricants
Cotton underwear
Complimentary medicine such as probiotics have insufficient evidence, although may recommend _______
L. acidophilus
Bacterial vaginosis preferred treatment:
Metronidazole (safe in pregnancy/BF) or topical metronidazole
Bacterial vaginosis does not require treatment of sexual partners, T or F?
True
Bacterial vaginosis: treatment is only indicated in _______ patients
symptomatic
Trichomoniasis requires all patients / sexual partners be treated, T or F? (Hint: there is an exception to this)
True, except asymptomatic pregnant women
Trichomoniasis preferred treatment:
Metronidazole 2 g single dose or 500 mg BID x 7d
Uncomplicated vaginal candidiasis criteria =
1.
2.
3.
4.
- <3 episode per year
- mild symptoms
- non pregnant
- probably pathogen c.albicans
Vaginal candidiasis requires treatment of sexual partners, T or F?
False
Oral antifungals are contraindicated in __________ ?
Pregnancy
Vaginal candidiasis can be self-treated unless:
1.
2.
3.
- first infection or <12
- fever/pelvic pain
- less than 2 months since last infection
Preferred treatment for vaginal candidiasis:
- Fluconazole 150 mg po one dose
Clotrimazole oral or topical
Miconazole oral of topical
Teraconazole vaginal cream
Criteria for complicated vaginal candidiasis?
1.
2.
3.
4.
- > 4 episode per year
- severe symptoms
- pathogen c.glabrata
- pregnancy, diabetes aids
Treatment preferred in complicated vaginal candidiasis:
Fluconazole 150 mg x 3 doses
Only topical azole therapies, applied for 7 days, are recommended for use among pregnant women.
