Presentation
Patient presentation Women with vulvovaginitis may present with itch, discharge, dyspareunia, burning, soreness, dysuria and swelling. Symptoms may vary with the menstrual cycle. [nps.org.au]
ASSESSMENT AND DIFFERENTIAL DIAGNOSIS OF WOMEN PRESENTING TO A 'THRUSH CLINIC'. [connection.ebscohost.com]
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Most affected women are younger than 40 years, presenting with an atopic family history. Anaphylaxis to components of the seminal plasma is not always associated with infertility. [karger.com]
Entire Body System
- Swelling
'I had burning and swelling and redness, which was very unusual. I thought I had contracted an STD .' [dailymail.co.uk]
"I had burning and swelling and redness, which was very unusual. I thought I had contracted an STD [sexually transmitted disease]." [abcnews.go.com]
Clinical symptoms were swelling and a burning sensation on the vulva and in the vulvovaginal area during or after coitus, followed by vesiculation, lichenification and the development of generalized eczema. [ingentaconnect.com]
- Asymptomatic
Pharyngeal infection - usually asymptomatic (>90%). [patient.info]
Most of these carriers however will be asymptomatic. [nps.org.au]
The condition can also be asymptomatic. [en.wikipedia.org]
- Malaise
The other is a systemic reaction, which can involve diffuse urticaria, facial, tongue, lip and throat angioedema, wheezing with severe dyspnea, nausea, vomiting, diarrhea, general malaise, and even life-threatening hypotension, loss of consciousness, [clinicaladvisor.com]
The symptoms usually resolve within a day, although constitutional symptoms such as malaise may last for weeks. According to the medical literature, half of the HSP reactions occur in women after their first sexual encounter. [knowmedge.com]
Respiratoric
- Cough
Atopic Dermatitis (Eczema) Cough Exercise-Induced Asthma Food Allergy Hives Itchy Skin Pediatric Allergies Dr. [doctorfront.com]
Clinically, candida has been reported to induce asthma and “tea tasters’ cough.” [sti.bmj.com]
/せき/ 【咳喘息】*cough variant asthma (略 CVA) (顎) 【顎関節機能障害】【顎関節機能異常】*temporomandibular dysfunction 【顎口蓋裂】*gnathopalatoschisis 【顎口虫症】*gnathostomiasis (含) 【含気性腹膜炎】*pneumoperitonitis 【含歯性嚢胞】 *dentigerous cyst (癌) 【癌】【癌腫】*carcinoma *cancer 【癌腫症】【癌多発症】*carcinomatosis [medo.jp]
Skin
- Pruritus
The symptoms are local pruritus, burning, swelling, erythema, and urticaria in varying degrees for up to a week and occur during or after coitus. Douching or vulval irrigations may ameliorate symptoms. [popline.org]
Contact Sensitivity in Pruritus Vulvae: Patch Test Results and Clinical Outcome. Am J Contact Dermatitis 1997;8:137-140. Lewis FM, Harrington CI, Gawkrodger DJ. Contact sensitivity in pruritus vulvae: a common and manageable problem. [infal-derm.be]
Q: 6/22/2017 A 26/F patient of mine with persistent vaginal pruritus and irritation, without persistent diagnosis of vaginal yeast infection (but treated empirically) poses the question of Allergic Vaginitis. [aaaai.org]
Systemic reactions consist of diffuse pruritus, urticaria, (which may or may not be associated with facial, lingual, labial, and tracheal angioedema), wheezing, severe dyspnea, nausea, emesis, hypotension, dizziness, and in the most severe presentations [bernsteinallergyresearch.com]
Symptoms vary from local inflammation and pruritus to systemic anaphylaxis after exposure. The first case was documented in Germany in 1958. [allergycases.blogspot.com]
- Flushing
Oral formulations of cromolyn sodium are used to treat the diarrhea, flushing, headaches, vomiting, urticaria, abdominal pain, nausea, and itching of mastocytosis, which is an accumulation of mast cells in the tissues. [google.com]
Urogenital
- Salpingitis
[…] myocarditis 【結核性心膜炎】*tuberculous pericarditis 【結核性腎炎】*tuberculous nephritis 【結核性髄膜炎】*tuberculous meningitis 【結核性脊椎炎】*tuberculous spondylitis 【結核性舌炎】*tuberculous glossitis 【結核性膿瘍】*tuberculous abscess 【結核性腹膜炎】*tuberculous peritonitis 【結核性卵管炎】*tuberculous salpingitis [medo.jp]
- Vaginal Dryness
Atrophic vaginitis Patients who have low oestrogen levels due to menopause or lactation may develop vulvovaginal symptoms of varying severity. The commonest is vaginal dryness which inhibits sexual intercourse. [nps.org.au]
Neurologic
- Burning Sensation
Clinical symptoms were swelling and a burning sensation on the vulva and in the vulvovaginal area during or after coitus, followed by vesiculation, lichenification and the development of generalized eczema. [ingentaconnect.com]
After my boyfriend ejaculates inside me, i usually go to the bathroom and have a horrible burning sensation when i use the restroom. After i finish going to the bathroom it continues to burn and sting for a few hours after. [forums.netdoctor.co.uk]
Symptoms of vaginitis or vulvovaginitis Abnormal vaginal discharge Irritation of the vulva or vagina Itchy vulva and/or vagina Redness of the vulva – labia, vaginal entrance Burning sensation Pain Bleeding from the outer vulva or the vagina Discomfort [allthingsvagina.com]
Workup
Underlying deficiency in cell-mediated immunity or allergic response as probable causes; Pathophysiology, diagnosis and treatment based on results of comprehensive workup. Chronic Vulvovaginal Candidiasis. [connection.ebscohost.com]
Treatment
All patients received treatment because of other treatment failures. [jifalte.wordpress.com]
From one of the nation’s leading authorities on infectious disease, this practical resource is designed for clinicians involved in the diagnosis, management, and treatment of sexually transmitted and reproductive tract infections. [books.google.com]
Screening/Pre-Treatment - Desensitization to relevant seminal plasma proteins in your sexual partner’s seminal fluid determined to cause your symptoms. [ Screening/Pre-Treatment ] [ Invoice ] [ Payment Agreement ] Screening/Pre Treatment [ return to top [seminalplasmaallergy.org]
Treatment may be continued as long as symptoms persist, and this may include long-term treatment in some patients. [google.com]
Treatment consists of removal, for which ring forceps may be useful. Further treatment is generally not necessary. [en.wikipedia.org]
Prognosis
Prognosis [ 6 ] Where treatment is rapidly received for a recently acquired gonorrhoeal infection, prognosis is good with full recovery as normal. [patient.info]
"Prognosis and treatment of desquamative inflammatory vaginitis". Obstet Gynecol. 117 (4): 850–5. doi : 10.1097/AOG.0b013e3182117c9e. PMID 21422855. ^ Tansarli, G. S.; Kostaras, E. K.; Athanasiou, S.; Falagas, M. E. (2013). [en.wikipedia.org]
Etiology
The primary endpoint was the odds ratio (OR) of the development of CVV of various etiologies to the presence of allergy. Results. [aig-journal.ru]
As to seasonal allergy causing “allergic vaginitis” I found the following reports on PubMed that suggesting season allergy may play a role: Hypersensitivity to aeroallergens in patients with recurrent vulvovaginitis of undetermined etiology. [aaaai.org]
And many causes of chronic vulvar vestibulitis are of unknown etiology. [google.com]
Although the etiology is not clearly defined, researchers believe that most reactions are IgE-mediated against glycoprotein antigens in seminal plasma.[4,5] These glycoproteins are Human seminal plasma protein hypersensitivity (SPH), although rare, is [answers.google.com]
Etiological factors are poorly understood and are not always guided by clinical signs. They may vary from pruritus, mild erythema, eczema, to gross lichenification and be limited to a small area or spread onto the adjacent skin. [infal-derm.be]
Epidemiology
The book discusses its definition, history, epidemiology, and occupational relevance. [books.google.com]
Strategies to encourage the cooperation of teenage patients; Vaginitis epidemiology and vaginal microbiology; History and physical examinations; Types of vaginitis; Discussion on supportive care. One fluconazole dose OK for yeast infections. [connection.ebscohost.com]
Epidemiology In 2013, the total number of new cases of gonorrhoea diagnosed in GUM clinics in England was 29,291. This represented an increase of 15% compared to those diagnosed in 2012. [patient.info]
Pathophysiology
Underlying deficiency in cell-mediated immunity or allergic response as probable causes; Pathophysiology, diagnosis and treatment based on results of comprehensive workup. Chronic Vulvovaginal Candidiasis. [connection.ebscohost.com]
Prevention
Benadryl was effective in preventing the development of vulvovaginal reactions completely in one woman and partially in two others. [ncbi.nlm.nih.gov]
Some women at the same time, semen and latex allergy, can be made use of sheep gut condoms, but that condoms do not prevent HIV infection, using double male condoms, the outer layer is non latex condoms, inner latex condoms. [jifalte.wordpress.com]
Thinned reddish vaginal mucosa, sometimes with erosions or ulcerations and abundant yellowish discharge Increased Prevention [ edit ] Prevention of candidiasis, the most common type of vaginitis, includes using loose cotton underwear. [en.wikipedia.org]
Can It Be Prevented? Vaginitis prevention : Some basic health routines can certainly help prevent vaginitis and vulva irritation. [womens-health-advice.com]
Ultimately, the gold standard for diagnosing SPH is the prevention of symptoms with the use of condoms. If condoms prevent symptoms, it can be concluded that the patient is likely suffering from SPH. [clinicaladvisor.com]