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| {{Infobox_Disease | |||
| | Name = Vaginitis | |||
| | Image = | |||
| | Caption = | |||
| | DiseasesDB = 14017 | |||
| | ICD10 = {{ICD10|N|76|0|n|70}}-{{ICD10|N|76|1|n|70}} | |||
| | ICD9 = {{ICD9|616.1}} | |||
| | ICDO = | |||
| | OMIM = | |||
| | MedlinePlus = | |||
| | eMedicineSubj = med | |||
| | eMedicineTopic = 3369 | |||
| | eMedicine_mult = {{eMedicine2|med|2358}} {{eMedicine2|emerg|631}} {{eMedicine2|emerg|639}} | |||
| | MeshID = | |||
| }} | |||
| '''Vaginitis''' is an ] of the ]l ] and often associated with an irritation or infection of the ] leading to '''vulvovaginitis'''. It is a common problem. | |||
| ==Significance== | |||
| Vaginitis may be asymptomatic, but usually leads to significant vaginal itching and irritation so that the patient self-medicates or seeks professional help. If it is caused by an infectious organism such as ], the infection progress throughout the uterus into the ]s and ] and could lead to ]. An infection via human papillomavirus (]) can eventually increase the risk of ]. | |||
| ==Symptoms== | |||
| A woman with this condition may have ] or ] and may notice a ]. In general, these are symptoms of vaginitis: | |||
| *irritation and/or itching of the genital area | |||
| *inflammation (irritation, redness, and swelling caused by the presence of extra immune cells) of the labia majora, labia minora, or perineal area | |||
| *vaginal discharge | |||
| *foul vaginal odor | |||
| *discomfort or burning when urinating | |||
| *pain/irritation with sexual intercourse | |||
| *excessive sleeping | |||
| ==Causes== | |||
| Vulvovaginitis can affect women of all ages and is very common. | |||
| Specific forms of vaginitis are: | |||
| === Infection=== | |||
| '''Infectious vaginitis''' accounts for 90% of all cases in reproductive age women and is represented by the triad: | |||
| * ]: vaginitis caused by '']'' (a yeast), | |||
| * ]: vaginitis caused by '']'' (a protozoan), | |||
| * ]: vaginitis caused by '']'' (a bacterium). | |||
| Other less common infections are caused by '']'', '']'', '']'', '']'', '']'' and some '']''.<ref>{{cite literature | Women's Encyclopedia of Natural Medicine. Tori Hudson, N.D.}}</ref> | |||
| ===Hormonal=== | |||
| '''Hormonal vaginitis''' includes ] vaginitis usually found in postmenopausal or ] women. Sometimes it can occur in young girls before ]. In these situations the ] support of the vagina is poor. | |||
| ===Irritation/allergy=== | |||
| '''Irritant vaginitis''' can be caused by allergies to condoms, spermicides, soaps, perfumes, douches, lubricants and semen. It can also be caused by hot tubs, abrasion, tissue, tampons or topical medications.<br> | |||
| ===Foreign body=== | |||
| '''Foreign Body Vaginitis''': Foreign bodies (most commonly retained tampons or condoms) cause extremely malodorous vaginal discharges. Treatment consists of removal, for which ring forceps may be useful. Further treatment is generally not necessary. | |||
| ===Role of STI's=== | |||
| ] (STIs) can be a cause of vaginal discharge. ] and ] testing should be done whenever a sexually active adolescent complains of vaginal discharge even when the cervix appears normal. | |||
| ==Discharge== | |||
| The color of the discharge may be predictive of the causative agent. (] codes for causative agents listed below.) | |||
| * ({{ICD10|B|37||b|35}}) Candida Vaginitis '']'' usually causes a watery, white, cottage cheese like vaginal discharge. The discharge is irritating to the vagina and the surrounding skin. | |||
| * ({{ICD10|N|95|2|n|80}}) ] (or "Senile Vaginitis") usually causes scant vaginal discharge with no odour, dry vagina and painful intercourse. These symptoms are usually due to decreased hormones usually occurring during and after ]. | |||
| * ({{ICD10|B|96|3|b|95}}) ] '']'' usually causes a discharge with a fish-like odour. It is associated with itching and irritation, but not pain during intercourse. | |||
| * ({{ICD10|A|59|0|a|50}}) Trichonomas Vaginitis '']'' can cause a profuse discharge with a fish-like odour, pain upon urination, painful intercourse, and inflammation of the external genitals. | |||
| * ({{ICD10|A|60|0|a|50}}) ] usually occurs as ] on the genital region, about one week after infection. There is tenderness, swollen glands, and fever. The water blisters are extremely painful and heal in about three weeks. However, herpes is usually an external infection and does not fall under the category of vaginitis. | |||
| Women who have ] frequently develop vaginitis, often Candida '']'' more often than women who do not. | |||
| ==Diagnosis== | |||
| It may be useful to measure the ] as with infections vaginal pH increases. Diagnosis is made with ] and ] of the discharge after a careful history and physical examination have been completed. | |||
| ==Complications== | |||
| * persistent discomfort | |||
| * superficial skin infection (from scratching) | |||
| * complications of the causative condition (such as gonorrhea and candida infection) | |||
| ==Treatment== | |||
| The cause of the infection determines the appropriate treatment. It may include oral or topical antibiotics and/or antifungal creams, antibacterial creams, or similar medications. A cream containing cortisone may also be used to relieve some of the irritation. If an allergic reaction is involved, an antihistamine may also be prescribed. For women who have irritation and inflammation caused by low levels of estrogen (postmenopausal), a topical estrogen cream might be prescribed. | |||
| ==References== | |||
| * Egan ME: Diagnosis of vaginitis. Am Fam Physician 2000;62:1095. | |||
| * Jaquiery A, Stylianopoulos A, Hogg G, et al: | |||
| * Brook I: Microbiology and management of polymicrobial female genital tract infections in adolescents. J Pediatr Adolesc Gynecol 2002;15(4):217. PMID 12459228. | |||
| * Joesoef MR, Schmid GP, Hillier SL. Bacterial vaginosis: review of treatment options and potential clinical indications for therapy. | |||
| * Reed B, Slatery M, French T. Diet and vaginitis. | |||
| * Rodgers CA, Beardall AJ: Recurrent vulvovaginal candidiasis: Why does it occur? | |||
| ==See also== | |||
| * ] | |||
| * ] | |||
| ==External links== | |||
| * {{eMedicine|emerg|631|Vaginitis}} | |||
| * {{DiseasesDB|14017}} | |||
| * - Overview, Causes, & Risk Factors | Symptoms & Signs | Diagnosis & Tests | Prevention & Expectations | Treatment & Monitoring | |||
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Revision as of 06:03, 24 July 2007
What u get when your a hooker.