Vaginitis and Cervicitis
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Vaginitis is one of the most common reasons for women to seek medical care. Eliciting a detailed history and performing a comprehensive physical exam are crucial to make an accurate diagnosis. Bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis are the most common infectious etiologies for vaginitis. Non-infectious etiologies are related to foreign bodies or atrophic changes and are less common in adolescents. Rapid point-of-care tests are available to aid in the diagnosis of vaginitis which includes microscopic examination of vaginal secretions and testing of vaginal pH. Cervicitis can also be infectious and non-infectious in etiology. Infectious etiologies include sexually transmitted infections such as Neisseria gonorrhoeae, Chlamydia trachomatis, and Mycoplasma genitalium. These infections generally respond well to treatment though misdiagnosis and, rarely, treatment resistance can occur.
KeywordsBacterial vaginosis Candida vaginitis Trichomonas vaginalis Cervicitis Chlamydia trachomatis Neisseria gonorrhoeae Mycoplasma genitalium
- 2.McCormack W, Augenbraun M. Vulvovaginitis and cervicitis. In: Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. 7th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2010. p. 1358–71.Google Scholar
- 3.Vaginitis Self-Study. Centers for Disease Control. Origination date: July 16, 2014.Google Scholar
- 4.Scott SM. Vaginitis. In: Bajaj L, Hambridge S, Nyquist A, Kerby G. Berman’s pediatric decision making. 5th Ed. Elsevier Health Science; Philadelphia, PA, 2011.Google Scholar
- 6.Singh R, Zenilman JM, Brown KM, Madden T, Gaydos C, Ghanem KG. The role of physical examination in common causes of vaginitis: a prospective study. Sex Transm Infect. 2013;89(3):185–90.Google Scholar
- 8.Moghissi K, Syner F. Cyclic changes in the amount and sialic acid of cervical mucus. Int J Fertil. 1976;21:246–50.Google Scholar
- 18.CDC sexually transmitted disease guidelines 2015. Found at: http://www.cdc.gov/std/tg2015/urethritis-and-cervicitis.htm.
- 22.Bacterial vaginosis in pregnancy to prevent preterm delivery: screening. U.S. Preventive Services Task Force. Release date: February 2008. Found at: https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/bacterial-vaginosis-in-pregnancy-to-prevent-preterm-delivery-screening.