Intense pain, dyspareunia, postcoital bleedingĬontact irritation or allergic reaction with episodic flaresĮrythema with or without edema vesicles or bullae rare Vestibule thin and dry labia majora lose their subcutaneous fat labia minora irritated and friable Vagina mildly erythematous, easily traumatized Vaginal dryness, pain with sexual intercourse Signs of inflammation, “strawberry cervix”Ĭandida albicans, Candida krusei, Candida glabrata Pain with sexual intercourse, vaginal soreness, dysuria Malodorous homogenous clear, white, or gray fishy odorĪnaerobic bacteria: Prevotella species, Mobiluncus species Gardnerella vaginalis, Mycoplasma hominis Causes, Symptoms, and Signs of Vaginitis Type Vulvovaginal complaints are one of the most common reasons for women to seek medical advice. Vaginitis is defined as a spectrum of conditions that cause vaginal and sometimes vulvar symptoms, such as itching, burning, irritation, odor, and vaginal discharge.
Allergic and irritant contact forms of vaginitis can also occur. Both systemic and topical estrogen treatments are effective. Atrophic vaginitis, a form of vaginitis caused by estrogen deficiency, produces symptoms of vaginal dryness, itching, irritation, discharge, and dyspareunia. Rapid point-of-care tests are available to aid in accurate diagnosis of infectious vaginitis. Vulvovaginal candidiasis should be treated with one of many topical or oral antifungals, which appear to be equally effective.
Vaginal pH is usually normal (4.0 to 4.5).
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Most patients with vulvovaginal candidiasis are diagnosed by the presence of vulvar inflammation plus vaginal discharge or with microscopic examination of vaginal secretions in 10 percent potassium hydroxide solution. Sex partners should be treated simultaneously. Any nitroimidazole drug (e.g., metronidazole) given orally as a single dose or over a longer period resolves 90 percent of trichomoniasis cases. Features of trichomoniasis are trichomonads seen microscopically in saline, more leukocytes than epithelial cells, positive whiff test, and vaginal pH greater than 5.4. Symptoms and signs of trichomoniasis are not specific diagnosis by microscopy is more reliable. Oral and topical clindamycin and metronidazole are equally effective at eradicating bacterial vaginosis. Diagnosis is commonly made using the Amsel criteria, which include vaginal pH greater than 4.5, positive whiff test, milky discharge, and the presence of clue cells on microscopic examination of vaginal fluid. Bacterial vaginosis occurs when the normal lactobacilli of the vagina are replaced by mostly anaerobic bacteria. Please note that if you purchase something by clicking on a link within this story, we may receive a small commission of the sale.Bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis are the most common infectious causes of vaginitis. Our mission at SheKnows is to empower and inspire women, and we only feature products we think you’ll love as much as we do. To assist with your baby wipe/TP dupe-hunting needs and to point out products that will do no harm in your down-there care routine, we’ve rounded up a few selections of body-friendly wipes to help you keep it simple and clean. Just remember the more bland and not-at-all fancy the formula (think no fragrances, glycerin, alcohol or any other funky ingredients), the better. And please, if nothing else, remember your vagina is supposed to smell like a vagina (not flowers, fruit or a $75 Goop candle).Īnd, of course, in times where toilet paper or your more standard baby wipes are scarce and you’re in want of alternatives, these are products that you can feel pretty comfortable using in lieu of your regular wiping apparatus. But if you do feel like want or need to use a wipe (totally do you!), you need one that’s not going to throw the rest of your system off. When it comes to cleaning up down there, the basics are really all you need.
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