vulvovaginitis - Gynecology

What is Vulvovaginitis?

Vulvovaginitis is an inflammatory condition affecting the vulva and the vagina. It is a common gynecological issue that can occur in women of all ages but is particularly prevalent in prepubescent girls and postmenopausal women.

Causes

Vulvovaginitis can be caused by a variety of factors including infections (bacterial, yeast, and viral), irritants (such as soaps, detergents, and feminine hygiene products), and allergic reactions. Hormonal changes, especially a decrease in estrogen levels, can also contribute to the condition.

Symptoms

Common symptoms of vulvovaginitis include itching, redness, swelling, and discomfort in the vulvar and vaginal areas. There can also be an unusual discharge, a burning sensation during urination, or pain during sexual intercourse.

Diagnosis

The diagnosis of vulvovaginitis typically involves a detailed medical history and a physical examination. Laboratory tests such as a vaginal swab or pH testing of vaginal discharge may be conducted to identify the underlying cause.

Treatment

Treatment for vulvovaginitis depends on the underlying cause. For bacterial infections, antibiotics may be prescribed. Antifungal medications are used to treat yeast infections. If irritants or allergens are the cause, avoiding these substances can help alleviate symptoms. Hormone replacement therapy may be considered for postmenopausal women experiencing vulvovaginitis due to low estrogen levels.

Prevention

Preventative measures include maintaining good hygiene, avoiding irritants, wearing breathable cotton underwear, and practicing safe sex. It is also important to avoid douching as it can disrupt the natural vaginal flora.

Complications

If left untreated, vulvovaginitis can lead to more serious complications such as chronic pain, recurrent infections, and scarring. It can also affect a woman's sexual health and quality of life.

When to See a Doctor

It is important to consult a healthcare provider if you experience persistent symptoms of vulvovaginitis, such as severe itching, pain, or unusual discharge. Early diagnosis and treatment can help prevent complications.

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