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Vulvovaginal Disorder


Presentation

  • For each of these conditions, the book presents information on its background, microbiology, immunology, prevention, diagnosis, and treatment.[books.google.com]
  • Stewart, an assistant professor of obstetrics and gynecology at Harvard Medical School, said that vulvovaginal diagnosis is complicated because dozens of disorders can present with similar symptoms.[acpinternist.org]
  • […] discharge odorless, clear/white, viscous/sticky increased vaginal secretions ovulation, pregnacy, following menses sexual excitement emotional flares may change w/ vaginal irritants, contraceptives, tampons lactobacillus species 90-95% 5-10 other species present[quizlet.com]
  • Classic “cottage cheese” discharge may not be present, and the amount has no correlation with symptom severity.[mdedge.com]
  • In addition, more than one type of vaginitis may be present at the same time, with or without symptoms being present. What causes vaginitis? Bacteria, yeast, viruses, and chemicals in creams, sprays, or even clothing can cause vaginitis.[columbiadoctors.org]
Pallor
  • Clinical signs include pallor, loss of pigmentation and “cigarette paper” wrinkling of the skin; purpura and ecchymoses; and figure-of-eight extension around the perianal area.[acpinternist.org]
Abdominal Cramps
  • cramps, headachie CI allergy to imidazole Drug interaction with imidazole for ttx of VVC vagisil anti-itch cream (benzocaine and resorcinol) vagisil anti-itch wipes (pramoxine hydrochloride) local anesthetic/analgesic -relief itching/pain Go to MD: symptoms[quizlet.com]
Perseveration
  • Encourage perseverance with treatment. Refer to a specialist where diagnosis is in doubt or for multidisciplinary treatment.[patient.info]
Bladder Spasm
  • Vulvar vestibulitis syndrome and dysesthetic vulvodynia frequently overlap and are also frequently associated with interstitial cystitis (IC), a urological condition of urinary urgency, frequency and bladder spasms, irritable bowel syndrome (IBS), and[bfe.org]
Chancroid
  • It is different from syphilis and chancroid. Human papillomavirus genital warts, which are the most common viral sexually transmitted disease. About six percent of women between the ages of 20 and 34 have this infection.[cedars-sinai.edu]

Workup

  • Workup And Diagnosis Of Vulvovaginal Ulcers: An Algorithm And Decision-Support Tool: A Novel Mobile Application. Kennedy Stockdale, C., Boardman, L. A. (2015). Bartholin Duct Cysts. BMJ Point-of-Care (2015 update). Brock, E. N., Hardy-Fairbanks, A.[medicine.uiowa.edu]
Cytolytic Vaginosis
  • vaginosis, aerobic vaginitis, and more.[books.google.com]
  • Upon return to the gynecologist for further medical evaluation, the patient was diagnosed with cytolytic vaginosis, treated and was free of discomfort within a few days.[bfe.org]

Treatment

  • Treatment of dyspareunia and vaginal outlet distortion by perineoplasty. Obstet Gynecol. 1981;57(6):750–4.[link.springer.com]
  • Treatment Options Treatments will vary depending on your disorder but may include but not be limited to: Advice regarding the vulvovaginal skin care Topical Treatments: Pessaries and creams Tablets such as Fluconazole and itraconazole Botox injections[drfarjo.com.au]
  • Our goal is to provide a comfortable environment for a private discussion and examination to determine the best treatment plan to improve the patient's quality of life.[wuphysicians.wustl.edu]
  • If there are still acute problems present, these must be remedied prior to further treatment.[bfe.org]
  • For each of these conditions, the book presents information on its background, microbiology, immunology, prevention, diagnosis, and treatment.[books.google.com]

Prognosis

  • Prognosis [ 2 ] The natural history of this disorder is not clear. There is a high placebo effect in trials, suggesting high rates of spontaneous improvement in symptoms. Many treatment options have shown good success rates.[patient.info]
  • Influence of treatment of erosive lichen planus of the vulva on its prognosis. Arch Dermatol . 2006;142(3):289–294. 17. Dwyer CM, Kerr RE, Millan DW. Squamous carcinoma following lichen planus of the vulva.[aafp.org]

Etiology

  • It is of unknown etiology and may have no visible vulvar changes. In its more intense and chronic form, it can be totally disabling.[bfe.org]
  • This chapter highlights a diagnostic algorithm that may aid health care providers in differentiating the cause of chronic vulvar pain caused by known etiologies such as lichen sclerosus or chronic candidiasis, and unknown causes such as vulvodynia.[link.springer.com]
  • The difference in clinical history suggests that primary and secondary vestibulodynia may have separate etiologies.[issm.info]
  • While many theories have been proposed, the etiology of this condition remains unknown.[emedicine.medscape.com]
  • There is rarely a single identifiable cause and, despite the fact it is most likely to occur in women of reproductive age, it is estimated that only 30% of etiologies attributed to the development of chronic pelvic pain are gynecologic.[med.unc.edu]

Epidemiology

  • Vulvovaginal candidiasis: Epidemiology, microbiology and risk factors.[medical-dictionary.thefreedictionary.com]
  • Balanitis xerotica obliyerans: epidemiologic distribution in an equal access health care system. South Med J. 2003;96:9-11. Tasker GL, Wojnarowska F. Lichen sclerosus. Clin Exp Dermatol. 2003;28:128-33. Neill SM, Tatnall FM, Cox NH.[rarediseases.org]
  • Vulvovaginal candidiasis: Epidemiology, microbiology and risk factors. Critical reviews in microbiology 2016;42:905-27. Sobel JD. Vulvovaginal candidosis. Lancet 2007;369:1961-71. Pappas PG, Kauffman CA, Andes DR, et al.[cdc.gov]
  • […] bowel syndrome Chronic fatigue syndrome Interstitial cystitis Endometriosis A history of recurrent vulvovaginal candidiasis is commonly associated. [ 5 ] Women with a past history of anxiety and/or depression are more likely to get vulvodynia. [ 6 ] Epidemiology[patient.info]
  • J Womens Health 1998;7:1167–1174 Spinillo A, Pizzoli G, Colonna L, et al: Epidemiologic characteristics of women with idiopathic recurrent vulvovaginal candidiasis.[reproductivemedicine.com]
Sex distribution
Age distribution

Pathophysiology

  • As the diagnosis of vestibulodynia is derived from signs and symptoms, not from a defined pathophysiology, it is likely that there are multiple etiologies for this disorder.[issm.info]
  • […] by an alkaline vaginal discharge may lead to chronic irritation and inflammation Other - Some authors have associated vulvar vestibulitis with a history of sexual abuse, elective abortions, severe marital conflicts, depression, and anxiety Neurologic pathophysiology[emedicine.medscape.com]

Prevention

  • For each of these conditions, the book presents information on its background, microbiology, immunology, prevention, diagnosis, and treatment.[books.google.com]
  • Removing underwear at bedtime may also help prevent vulvovaginitis. Proper cleansing is important and may help prevent irritation. This is especially true if the infection is bacterial.[healthline.com]
  • In this situation, early identification may be possible, and early management may prevent the development of vulvovaginal adhesions and associated subsequent complications.[medical-dictionary.thefreedictionary.com]
  • Prevention and Risk Factors Vulvar Care (American College of Nurse-Midwives) - PDF Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine)[medlineplus.gov]
  • Risk & Prevention Who gets vaginal candidiasis? Vaginal candidiasis is common, though more research is needed to understand how many women are affected.[cdc.gov]

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