Vaginal Discharge/vaginitis
Vaginal Discharge/vaginitis is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
Description
- Vaginitis is vulvovaginal inflammation with or without abnormal vaginal discharge.
- Common symptoms: Itching, burning, irritation, pain.
- Abnormal discharge is defined as an increased amount or change in color.
- Some amount of vaginal discharge is normal.
- Glands in the cervix produce clear mucus that may turn white or yellow when exposed to air.
Etiology
Etiology
- Bacterial vaginosis (BV):
- The most common cause
- Loss of normal Lactobacillus sp. (e.g., antibiotics)
- Inability to maintain normal vaginal pH
- Overgrowth of normally present bacteria such as Gardnerella vaginalis, Mycoplasma hominis, Mobiluncus sp., Prevotella sp., and Peptostreptococcal
- Bacterial infections:
- Trichomonas vaginalis (Trichomoniasis)
- Group A strep
- Staphylococcus aureus
- Fungal infections:
- Candida sp. most common
- Often underlying immune dysfunction:
- Diabetes
- HIV
- Chemical irritants
- Foreign body
- Atrophic vaginitis:
- Caused by estrogen deficiency
- Hypersensitivity
- Collagen vascular disease
- Herpes simplex virus (HSV):
- Vulvovaginitis
- Cervicitis
- Lichen sclerosis (atrophic)
- Fistula
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Citation
* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Vaginal Discharge/vaginitis
ID - 307034
ED - Barkin,Adam Z,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Shayne,Philip,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307034/all/Vaginal_Discharge_vaginitis
PB - Lippincott Williams & Wilkins
ET - 5
DB - Emergency Central
DP - Unbound Medicine
ER -