Vulvovaginitis
Revision as of 23:58, 7 March 2014 by Rossdonaldson1 (talk | contribs)
Background
- Candidiasis and contact vaginitis may occur in virgins
- Atrophic vaginitis may occur in postmenopausal women
Differential Diagnosis
Trichomonas
Background
- Considered an STI
- A/w preterm birth, PID, cervical cancer, increased transmission of other STIs
Diagnosis
- Yellow, malordorous discharge
- Vaginal erythema or edema
- Wet mount shows mobile trichomonads
Treatment
- Treat sexual partners
- Metronidazole 2gm PO in single dose
- If pregnant d/w OB prior to TX, Flagyl associated with preterm labor
- Metronidazole 500mg PO BID X 7d
Contact Vulvovaginitis
- Due to exposure of vulvar epithelium and vaginal mucosa to chemical irritant or allergen
- Diagnosis of exclusion; rule-out infectious cause first
- Consider tx w/ topical corticosteroids applied BID-TID x2-3d
Source
Tintinalli