Vaginal Discharge/vaginitis
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 Peptostreptococcus sp
- 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
Schaider, Jeffrey J., et al., editors. "Vaginal Discharge/vaginitis." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307034/all/Vaginal_Discharge_vaginitis.
Vaginal Discharge/vaginitis. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307034/all/Vaginal_Discharge_vaginitis. Accessed December 7, 2024.
Vaginal Discharge/vaginitis. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307034/all/Vaginal_Discharge_vaginitis
Vaginal Discharge/vaginitis [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 December 07]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307034/all/Vaginal_Discharge_vaginitis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Vaginal Discharge/vaginitis
ID - 307034
ED - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
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 - 6
DB - Emergency Central
DP - Unbound Medicine
ER -