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Vaginal Infections
Trichomoniasis
Cause: Trichomonas vaginitis (protozoan)
Signs & Symptoms:
1. Inflammation of vagina, producing burning and itching.
2. Frothy yellow-white or yellowish-brown vaginal discharge.
Objectives of Treatment:
1. To remove exudate, relieve inflammation, restore acidity, and re-establish normal bacterial flora.
2. Vinegar douche (2 Tbsp in 1 quart of water).
3. For recurrence, repeat treatment and include sexual partner.
Monilial infection
Cause: Candida albicans (fungus)
Signs & Symptoms:
1. Inflammation of vagina producing itching & reddish irritation.
2. White cheeselike discharge clinging to epithelium.
Objectives of Treatment:
1. To eradicate the fungus: Local applications of gentian violet.
2. To relieve other causative factors: Stop antibiotic therapy; determine if diabetes or other systemic disease is present.
Infection of Bartholin's gland
Cause: Escherichia coli, Trichomonas vaginitis Staphylococcus, Streptococcus, Gonococcus
Signs & Symptoms:
1. Redness around Bartholin's gland.
2. Swelling and edema.
3. Development of Bartholin's abscess.
Objectives of treatment:
1. To drain the abscess or cause it to dissipate.
Cervicitis - acute and chronic
Cause: Gonorrhea, Streptococcus, Many pathogenic bacteria
Signs & Symptoms:
1. Profuse purulent vaginal discharge.
2. Backache.
3. Urinary frequency and urgency.
Objectives of Treatment:
1. To determine the cause: Cytologic examination of cervical smear.
2. To eradicate the gonococcus: Use well done fever treatments.
Postmenopausal vaginitis (atrophic vaginitis)
Cause : Lack of estrin effects
Signs & Symptoms:
1. Loss of redness, tissue folds, and epithelial covering of the vagina.
2. Itching and burning.
Objectives of Treatment:
1. Perineal pour 4-6 times daily.
2. Vitamin E oil capsule inserted each night high in vagina.
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