Candidiasis (Moniliasis) Bacterial Vaginosis Trichomonas Vaginalis Symptoms vaginal discharge odor ...
- Candidiasis (Moniliasis)
- Bacterial Vaginosis
- Trichomonas Vaginalis
Symptoms
- vaginal discharge
- odor
- pruritis
- lower genital tract pain
- dyspareunia
- dysuria
Pathophysiology
- normal vaginal flora contains a balance of many bacterial organisms
- flora may be altered by
- a change in the environment
- introduction of a new pathogen
- result is an imbalance in the relative number of organisms
Candidiasis (Moniliasis)
- Organisms : Candida albicans(90%), Candida tropicalis(< 5%), Torulopsis glabrata(< 5%)
- 25% of vaginitis
Symptoms
- asymptomatic (20%)
- begin in premenstrual phase
- minimal whitish, curd-like, cottage-cheese vaginal discharge
- intense itch
- swollen, inflamed genitals
- vulvar burning, dysuria, dyspareunia
Predisposing factors
- pregnancy
- diabetes
- BCP
- antibiotic therapy
- immunosuppression (primary or secondary)
- if frequent recurrences, consider AIDS
Diagnosis
- KOH wet mount reveals hyphae and spores
- pH < 5
Treatment
- advise regarding good hygiene (e.g. cotton underwear)
- clotrimazole, butoconazole, miconazole, ticonazole or terconazole suppositories and/or creams for 1-day, 3-day or 7-day treatments
- oral fluconazole or ketoconazole
- symptomatic relief with douching, yogurt, acidophilus treat partners only if symptomatic
- treatment in pregnancy is nystatin (Mycostatin)
