Abstract
Although patients have in the past been indoctrinated that vaginal symptoms are the realm of the subspecialist gynecologist, the range of symptoms and diagnoses covered under this category with the concomitant preventive health and risk management issues is ideally suited to the expertise of the family physician. Excellence in the diagnosis and management of these diseases is the standard of care and can be achieved with minimal equipment, time (1-minute slide examination), and cost to the patient. Patients with vaginal complaints account for an estimated 10% of office visits each year,1 and many more may be inaccurately diagnosed by telephone. This chapter reviews the systematic approach to the evaluation and treatment of vaginal diseases as well as issues of particular interest to family physicians.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Paavonen J, Stamm WE. Lower genital tract infections in women. Infect Dis Clin North Am 1987;1179–98.
Fischer PM, Addison LA, Curtis P, Mitchell JM. The office laboratory. Norwalk, CT: Appleton-Century-Crofts, 1983.
Bump RC, Zuspan FP, Buesching WJ, et al. The prevalence, six-month persistence and predictive values of laboratory indicators of bacterial vaginosis (nonspecific vaginitis). Am J Obstet Gynecol 1984;150:917–23.
Faro S. Bacterial vaginitis. Obstet Gynecol 1991;34:582–6.
Cibley LJ, Cibley LJ. Cytolytic vaginosis. Am J Obstet Gynecol 1991; 165: 1245–8.
Kent HL. Epidemiology of vaginitis. Am J Obstet Gynecol 1991; 165:1168–76.
Horowitz BJ, Mardh PA, editors. Vaginitis and vaginosis. New York: Wiley Liss, 1991.
Eschenbach DA, Hiller SL. Advances in diagnostic testing for vaginitis and cervicitis. J Reprod Med 1989;34(Suppl18):555–64.
Horowitz BJ. Mycotic vulvovaginitis: a broad overview. Am J Obstet Gynecol 1991;165:1188–92.
Roy S. Vulvovaginitis: causes and therapies: nonbarrier contraceptives and vaginitis and vaginosis. Am J Obstet Gynecol 1991;165:1240–4.
Reed B, Slatery M, French T. Diet and vaginitis. J Fam Pract 1989;29:509–15.
Topical drugs for vaginal candidiasis. Med Lett Drugs Ther 1991;33(851): 81.
Soble JD. Recurrent vulvovaginal candidiasis: a prospective study of the efficacy of maintenance ketoconazole therapy. N Engl J Med 1986;315: 1455–8.
Lossick JG. The diagnosis of trichomoniasis [editorial). JAMA 1988;259: 1230–2.
Drugs for sexually transmitted disease. Med Lett Drugs Ther 1994;36(913): 1–8.
Lossick JG, Kent HL. Trichomoniasis: trends in diagnosis and management. Am J Obstet Gynecol 1991;165:1217–22.
Topical treatment for bacterial vaginosis. Med Lett Drugs Ther 1992; 34(884): 109.
Erratum: 1989 sexually transmitted disease treatment guidelines. MMWR 1989;38:664.
Eschenbach DA, Hiller S, Critchlow C, et al. Diagnosis and clinical manifestations of bacterial vaginosis. Am J Obstet Gynecol 1988; 158:819–23.
Thomason JL, Geebart SM, Scaglione NJ. Bacterial vaginosis: current review with indications for asymptomatic therapy. Am J Obstet Gynecol 1991, 165: 1210–6.
Byyny RL, Speroff L. A clinical guide for the care of older women. Baltimore: Williams & Wilkins, 1990.
Recommendations for the prevention and management of Chlamydia trachomatis. MMWR 1993;42(RR12):27.
Reid R, Greenberg MD. Human papillomavirus-related diseases of the vulva. Clin Obstet Gynecol 1991;3:630–50.
McKay M, Frankman O, Horovitz BJ, et al. Vulvar vestibulitis and vestibular papillomatoses: report of the ISSVD committee on vulvodynia. J Reprod Med 1991;36:413–5.
McKay M. Vulvar dermatoses. Clin Obstet Gynecol 1991;34:614–29.
Boston Women’s Health Book Collective. The new our bodies, ourselves. New York: Simon & Schuster, 1984.
Hammill HA, Murtagh CP. Gynecologic care of the human immunodeficiency virus-positive woman. Clin Obstet Gynecol 1991;34:1599–1604.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer Science+Business Media New York
About this chapter
Cite this chapter
Willard, M.A. (1996). Vulvovaginitis and Cervicitis. In: Taylor, R.B. (eds) Fundamentals of Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2535-3_16
Download citation
DOI: https://doi.org/10.1007/978-1-4757-2535-3_16
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-94448-7
Online ISBN: 978-1-4757-2535-3
eBook Packages: Springer Book Archive