Vaginitis Questions & Answers

Updated: Dec 04, 2018
  • Author: Hetal B Gor, MD, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Questions & Answers

Overview

What is vaginitis?

What is the pathophysiology of vaginitis?

What causes vaginitis?

What is the prevalence of vaginitis?

Which age groups have the highest prevalence of vaginitis?

What are the racial predilections of vaginitis?

What is the prognosis of vaginitis?

What is included in patient education about vaginitis?

Presentation

What is included in the clinical history to evaluate vaginitis?

Which clinical history findings are characteristic of bacterial vaginosis?

Which clinical history findings are characteristic of vaginal candidiasis?

Which clinical history findings are characteristic of trichomoniasis?

Which clinical history findings are characteristic of chronic vaginitis?

Which clinical history findings are characteristic of vulvovaginitis?

Which clinical history findings are characteristic of helminthic-caused vaginitis?

Which clinical history findings are characteristic of a foreign body in the vagina?

Which clinical history findings are characteristic of lichen sclerosis et atrophicus?

How is the physical exam to evaluate vaginitis performed?

Which physical findings are characteristic of bacterial vaginosis?

Which physical findings are characteristic of vaginal candidiasis?

Which physical findings are characteristic of trichomoniasis?

Which physical findings are characteristic of cervicitis from STDs?

Which physical findings are characteristic of cervical ectopy or eversion?

Which physical findings are characteristic of a foreign body in the vagina?

Which physical findings are characteristic of pinworm-related vaginitis?

Which physical findings are characteristic of perianal streptococcal dermatitis?

What are the possible complications of vaginitis?

DDX

Which conditions are included in the differential diagnoses of vaginitis?

What are the differential diagnoses for Vaginitis?

Workup

What is included in the workup of vaginitis?

What is the role of a saline wet mount test in the workup of vaginitis?

What is the role of a whiff test in the workup of vaginitis?

What is the role of a vaginal pH test in the workup of vaginitis?

What is the role of cultures in the workup of vaginitis?

What is the role of nucleic acid amplification tests (NAATs) in the workup of vaginitis?

What is the role of a gram stain in the workup of vaginitis?

What is the role of latex agglutination test in the workup of vaginitis?

What is the role of gas-liquid chromatography in the workup of vaginitis?

What is the role of a vaginal swab molecular-based test in the workup of vaginitis?

Which histologic findings are characteristic of vaginitis?

Treatment

How is vaginitis treated?

Which over the counter (OTC) medications are used in the treatment of vaginitis?

How is vaginitis treated in the emergency department (ED)?

When is inpatient treatment indicated for vaginitis?

What is the role of dequalinium chloride in the treatment of vaginitis?

How is atrophic vaginitis treated?

Which specialist consultations are beneficial to patients with vaginitis?

What are special considerations in the treatment of vaginitis?

How is bacterial vaginosis treated?

How is vaginal candidiasis treated?

How is trichomoniasis treated?

Which dietary and activity modifications are used in the treatment of vaginitis?

How is vaginitis prevented?

What is included in the long-term monitoring of vaginitis?

Medications

What is the role of medications in the treatment of vaginitis?

Which medications in the drug class Anti-Infectives, Topical are used in the treatment of Vaginitis?

Which medications in the drug class Hormones are used in the treatment of Vaginitis?

Which medications in the drug class Antibiotics are used in the treatment of Vaginitis?

Which medications in the drug class Antifungals are used in the treatment of Vaginitis?

Which medications in the drug class Antiprotozoal agents are used in the treatment of Vaginitis?