Vulvovaginitis and Cervicitis

  • Mary Willard


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 phone. This chapter reviews the systematic approach to the evaluation and treatment of vaginal diseases as well as issues of particular interest to family physicians.


Family Physician Bacterial Vaginosis Lichen Sclerosis Seborrheic Dermatitis Vaginal Fluid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Paavonen J, Stamm WE. Lower genital tract infections in women. Infect Dis Clin North Am 1987;1179–98.Google Scholar
  2. 2.
    Fischer PM, Addison LA, Curtis P, Mitchell JM. The office laboratory. Norwalk, CT: Appleton-Century-Crofts, 1983.Google Scholar
  3. 3.
    Bump RC, Zuspan FP, Buesching WJ, Ayers LW, Stephens T. The prevalence, six-month persistence and predictive values of laboratory indicators of bacterial vaginosis (nonspecific vaginitis). Am J Obstet Gynecol 1984;150:917–23.PubMedGoogle Scholar
  4. 4.
    Faro S. Bacterial vaginitis. Obstet Gynecol 1991;34:582–6.Google Scholar
  5. 5.
    Cibley LJ, Cibley LJ. Cytolytic vaginosis. Am J Obstet Gynecol 1991;165:1245–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Kent HL. Epidemiology of vaginitis. Am J Obstet Gynecol 1991; 165:1168–76.PubMedCrossRefGoogle Scholar
  7. 7.
    Horowitz BJ, Mardh PA, editors. Vaginitis and vaginosis. New York: Wiley Liss, 1991.Google Scholar
  8. 8.
    Eschenbach DA, Hiller SL. Advances in diagnostic testing for vaginitis and cervicitis. J Reprod Med 1989;34 Suppl 18:555–64.Google Scholar
  9. 9.
    Horowitz BJ. Mycotic vulvovaginitis: a broad overview. Am J Obstet Gynecol 1991;165:1188–92.PubMedCrossRefGoogle Scholar
  10. 10.
    Roy S. Vulvovaginitis: causes and therapies: nonbarrier contraceptives and vaginitis and vaginosis. Am J Obstet Gynecol 1991; 165:1240–4.PubMedCrossRefGoogle Scholar
  11. 11.
    Reed B, Slatery M, French T. Diet and vaginitis. J Fam Pract 1989;29:509–15.PubMedGoogle Scholar
  12. 12.
    Topical drugs for vaginal candidiasis. Med Lett Drugs Ther 1991; 33(851):81.Google Scholar
  13. 13.
    Soble JD. Recurrent vulvovaginal candidiasis: a prospective study of the efficacy of maintenance ketoconazole therapy. N Engl J Med 1986;315:1455–8.CrossRefGoogle Scholar
  14. 14.
    Lossick JG. The diagnosis of trichomoniasis [editorial]. JAMA 1988;259:1230–2PubMedCrossRefGoogle Scholar
  15. 15.
    Erratum: 1989 sexually transmitted disease treatment guidelines. MMWR 1989;38:664.Google Scholar
  16. 16.
    Lossick JG, Kent HL. Trichomoniasis: trends in diagnosis and management. Am J Obstet Gynecol 1991;165:1217–22.PubMedCrossRefGoogle Scholar
  17. 17.
    Eschenbach DA, Hiller S, Critchlow C, Stevens C, DeRowen T, Holmes KK. Diagnosis and clinical manifestations of bacterial vaginosis. Am J Obstet Gynecol 1988;158:819–23.PubMedGoogle Scholar
  18. 18.
    Thomason JL, Geebart SM, Scaglione NJ. Bacterial vaginosis: current review with indications for asymptomatic therapy. Am J Obstet Gynecol 1991;165:1210–6.PubMedCrossRefGoogle Scholar
  19. 19.
    Byyny RL, Speroff L. A clinical guide for the care of older women. Baltimore: Williams & Wilkins, 1990.Google Scholar
  20. 20.
    Bell TA, Orapten T. Centers for Disease Control guidelines for prevention and control of CT infections. Ann Intern Med 1986; 104:524–6.PubMedCrossRefGoogle Scholar
  21. 21.
    Reid R, Greenberg MD. Human papillomavirus-related diseases of the vulva. Clin Obstet Gynecol 1991;3:630–50.Google Scholar
  22. 22.
    McKay M, Frankman O, Horovitz BJ, Lecart C, Micheletti L, Ridley C. Vulvar vestibulitis and vestibular papillomatoses: report of the ISSVD committee on vulvodynia. J Reprod Med 1991; 36:413–5.PubMedGoogle Scholar
  23. 23.
    McKay M. Vulvar dermatoses. Clin Obstet Gynecol 1991;34:614–29.PubMedGoogle Scholar
  24. 24.
    Boston Women’s Health Book Collective. The new our bodies, ourselves. New York: Simon & Shuster, 1984.Google Scholar
  25. 25.
    Hammill HA, Murtagh CP. Gynecologic care of the human immunodeficiency virus-positive woman. Clin Obstet Gynecol 1991; 34:599–1604.PubMedGoogle Scholar
  26. 26.
    Topical treatment for bacterial vagimosis. Med Lett Drugs Ther 1992;34(884):109.Google Scholar

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© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Mary Willard

There are no affiliations available

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