FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 355:1244-1252 September 21, 2006 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Supplementary Video Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 24-year-old sexually active woman presents with a 3-day history of vaginal pruritus and increased vaginal discharge. One year before presentation, she had the same symptoms, which resolved with use of an over-the-counter antifungal agent. She uses oral contraceptives for birth control. The physical examination reveals vulvar erythema and normal-appearing vaginal discharge. How should she be evaluated and treated?

The Clinical Problem

Vaginitis is a . . . [Full Text of this Article]

Normal Vaginal Flora

Acute Vaginitis

            Bacterial Vaginosis

            Vulvovaginal Candidiasis

            Trichomonas vaginalis

Strategies and Evidence

Diagnosis

            Symptoms and Signs

            Microscopical Evaluation

            Point-of-Care Tests

Treatment

            Bacterial Vaginosis

            Vulvovaginal Candidiasis

            Trichomoniasis

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Obstetrics and Gynecology, University of Washington, Seattle.

Address reprint requests to Dr. Eckert at the Department of Obstetrics and Gynecology, University of Washington, Harborview Medical Center, 325 9th Ave., Box 359865, Seattle, WA 98104, or at eckert@u.washington.edu.

Related Letters:

Acute Vulvovaginitis
Shirley R. L., Eckert L. O.
Extract | Full Text | PDF  
N Engl J Med 2006; 355:2791, Dec 28, 2006. Correspondence

This article has been cited by other articles:

• Anderson, M., Cohrssen, A., Klink, K., Brahver, D. (2009). Are a Speculum Examination and Wet Mount Always Necessary for Patients With Vaginal Symptoms? A Pilot Randomized Controlled Trial. J Am Board Fam Med 22: 617-624 [Abstract] [Full Text]  
• Matsui, H., Hanaki, H., Takahashi, K., Yokoyama, A., Nakae, T., Sunakawa, K., Omura, S. (2009). Rapid Detection of Vaginal Candida Species by Newly Developed Immunochromatography. CVI 16: 1366-1368 [Abstract] [Full Text]  
• Schlievert, P. M., Strandberg, K. L., Brosnahan, A. J., Peterson, M. L., Pambuccian, S. E., Nephew, K. R., Brunner, K. G., Schultz-Darken, N. J., Haase, A. T. (2008). Glycerol Monolaurate Does Not Alter Rhesus Macaque (Macaca mulatta) Vaginal Lactobacilli and Is Safe for Chronic Use. Antimicrob. Agents Chemother. 52: 4448-4454 [Abstract] [Full Text]  
• Cassone, A., De Bernardis, F., Santoni, G. (2007). Anticandidal Immunity and Vaginitis: Novel Opportunities for Immune Intervention. Infect. Immun. 75: 4675-4686 [Full Text]  
• Shirley, R. L., Eckert, L. O. (2006). Acute Vulvovaginitis. NEJM 355: 2791-2791 [Full Text]