Symptoms of vaginitis are nonspecific, and neither self-diagnosisnor diagnosis by a physician is reliable without laboratoryconfirmation. The management of vaginitis remains largely empirical,and many assume that vaginitis is never life-threatening andthat empirical therapy is always harmless. Vulvovaginitis, althoughfrequently the result of infection, may also have noninfectiouscauses (Table 1); moreover, mixed infections are not uncommon.
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Table 1. Causes of Vaginitis.
Candida Vulvovaginitis
The epidemiologic data on candida vulvovaginitis, a nonreportabledisease, are incomplete. Prevalence estimates rely mainly onself-reported histories of diagnosis by a physician. Vulvovaginalcandidiasis is routinely diagnosed without the benefit of microscopyor culture, . . . [Full Text of this Article]
Pathogenesis
Diagnosis
Therapy
Recurrent Vulvovaginal Candidiasis
Trichomoniasis
Diagnosis
Therapy
Bacterial Vaginosis
Diagnosis
Therapy
Atrophic Vaginitis
Desquamative Inflammatory Vaginitis
Noninfectious Vaginitis and Vulvitis
Vaginitis in HIV-Seropositive Women
Source Information
From the Division of Infectious Diseases, Department of Internal Medicine, Wayne State University School of Medicine and Detroit Medical Center, Detroit.
Address reprint requests to Dr. Sobel at the Division of Infectious Diseases, Suite 2140, Harper Professional Bldg., 4160 John R St., Detroit, MI 48201.
References
Related Letters:
Vaginitis
Donders G. G.G., Desmyter J., Vereecken A., Culver B. D., Smally A. J., Sobel J. D.
Extract |
Full Text
N Engl J Med 1998;
338:1548-1549, May 21, 1998.
Correspondence
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