Advertisement

Vulvar Disease pp 159-165 | Cite as

Approach to Diagnosis of Vulvovaginitis

  • Orna Reichman
  • Shiri Weinberg-Hendel
Chapter

Abstract

The main reasons for visiting a primary gynecologic clinic are vaginal discharge, pruritus, malodor, and dyspareunia. Using medical history, genital examination, measurements of vaginal pH, and wet mount (microscopy of vaginal secretion) can diagnose these symptoms. Clinical approach for diagnosing vaginitis use point of care tests: pH test, potassium hydroxide (KOH), and wet mount.

References

  1. 1.
    Kent HL. Epidemiology of vaginitis. Am J Obstet Gynecol. 1991;165(4 pt 2):1168–76.CrossRefGoogle Scholar
  2. 2.
    Anderson MR, Klink K, Cohrssen A. Evaluation of vaginal complaints. JAMA. 2004;291(11):1368–79.CrossRefGoogle Scholar
  3. 3.
    Kottmel A, Petersen EE. Vaginal wet mount. J Sex Med. 2013;10(11):2616–9.CrossRefGoogle Scholar
  4. 4.
    Bennett JE, Dolin R, Blaser MJ. Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. 8th ed. London: Churchil Livingston; 2015.Google Scholar
  5. 5.
    Buchanan DL, Kurita T, Taylor JA, Lubahn DB, Cunha GR, Cooke PS. Role of stromal and epithelial estrogen receptors in vaginal epithelial proliferation, stratification and cornification. Endocrinology. 1998;139:4345–52.CrossRefGoogle Scholar
  6. 6.
    Meisels A. The maturation value. Acta Cytol. 1967;11(4):249.PubMedGoogle Scholar
  7. 7.
    Allsworth JE, Peipert JF. Prevalence of bacterial vaginosis: 2001–2004 National Health and Nutrition Examination Survey data. Obstet Gynecol. 2007;109:114–20.CrossRefGoogle Scholar
  8. 8.
    Sobel JD. What’s new in bacterial vaginosis and trichomoniasis? Infect Dis Clin N Am. 2005;19:387–406.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Orna Reichman
    • 1
  • Shiri Weinberg-Hendel
    • 1
  1. 1.Shaare Zedek Medical CenterHebrew UniversityJerusalemIsrael

Personalised recommendations