PHYSIOLOGICAL DISCHARGE clear or white discharge smear contains epithelial cells pH < 4.5 increases with increas...
PHYSIOLOGICAL DISCHARGE
- clear or white discharge
- smear contains epithelial cells
- pH < 4.5
- increases with increased estrogen states: pregnancy, BCP, mid cycle
- if increased in perimenopausal woman, investigate for other effects of excess estrogen (e.g. endometrial ca)
NON-INFECTIOUS VULVOVAGINITIS
Prepubertal Vaginitis
- most common causes\
- foreign objects, trauma (consider child abuse)
poor hygiene (e.g. pinworm infection)
Postmenopausal Vaginitis/Atrophic Vaginitis
symptoms
- dyspareunia
- post-coital spotting
- mild pruritus
Treatment
- rule out malignancy
- estrogen creams
- oral or transdermal hormone replacement therapy
- good hygiene
Chemical Vulvovaginitis
- symptoms and signs of irritation present without infection
- irritants in vaginal contraceptives, bubble baths, soaps, genital deodorants, coloured or scented toilet paper, detergents, and fabric softeners
- frequent minipad or tampon use tight synthetic clothing
- pools, hot tubs
