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
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