Inflammatory Vaginitis

Inflammatory vaginitis is a vaginal inflammation without evidence of the usual infectious causes of vaginitis.

The etiology may be autoimmune. The vaginal mucosa Schilfert from epithelial cells and is overgrown with streptococci.

Inflammatory vaginitis is a vaginal inflammation without evidence of the usual infectious causes of vaginitis. The etiology may be autoimmune. The vaginal mucosa Schilfert from epithelial cells and is overgrown with streptococci. The main risk factor is estrogen loss that may be caused by menopause or premature ovarian failure, a (z. B. due to oophorectomy, pelvic radiation, or chemotherapy). Atrophy of the genitals increases both the vulnerability and the risk of recurrence of inflammatory vaginitis. Symptoms and complaints purulent vaginal discharge, dyspareunia, dysuria and irritation of the vaginal mucosa are common complaints. Vaginal itching and redness. Burning, pain or minor bleeding occur rarely. The vaginal mucosa usually appears thin and dry. Vaginitis may recur. Diagnosis Vaginal pH and wet mount paths overlap with the symptoms of vaginitis are other causes tests (z. B. pH of the vaginal secretions, microscopic examinations, odor sample) is required. The diagnosis is made when the pH is> 6, negative odor sample and detecting the microscopy mainly white blood cells and parabasal cells. Treatment clindamycin vaginal cream The therapy consists of the administration of clindamycin vaginal cream (1 Applikatorfüllung per day for 1 week). After the treatment with clindamycin the women are tested for genital atrophy, which is optionally treated with locally administered estrogens (eg., 0.01% sodium estradiol vaginal cream, 2-4 g of 1-times / day for 1-2 weeks then 1-2 g 1 time / day for 1-2 weeks, then 1 g of 1- to 3 times / week; estradiol hemihydrate-vaginal 10 ug 2 times / week; Estradiolringe every 3 months). Usually, a local therapy because of safety concerns mar. the oral administration of hormones preferred; local therapy is likely to have fewer systemic effects.

Health Life Media Team

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