Pathophysiology of Vaginitis

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Vaginitis is inflammation of the vagina.

Vaginitis is the most common gynecologic disorder associated with infectious or noninfectious inflammation of vaginal mucosa.

Diagnosis:

  • Based on symptoms               

Prescription contains

  • Corticosteroids
  • Anti histaminic

Check for symptoms:

  • Vaginal discharge
  • Pruritus (itching)
  • Irritation
  • Erythema(redness)

Ask patients for

  • Age
  • Gender
  • Dysuria (painful urination)
  • Dyspareunia (painful sexual intercourse)

Dose and dosage:

Prutis treatment:

Topical corticosteroids – 1% Hydrocortisone

Oral antihistaminic agents – Hydroxyzine hydrochloride 25 mg thrice/day , Diphenhydramine 25-50 mg twice/day

Counselling on side effects:

Anti histaminics – Sedation – avoid driving, works require attention ,dry mouth – take more amount of fluids

Controlling triggering factors:

  • Poor perineal hygiene in Children
  • Sexual transmission of pathogens in Women of reproductive age
  • Decreased estrogen levels in Postmenopausal women
  • Fistula between intestinal and genital tract
  • Use of vaginal hygiene sprays, bath water additives, menstrual pads, vaginal lubricants and latex condoms

Counselling on lifestyle management:

  • Improve hygiene in children – wash hands properly after bowel movements, proper use of tissue paper
  • Avoid frequent douching
  • Avoid unnecessary use of hygienic products

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