Vaginitis (cont.)

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What about vaginitis in children?

Nonspecific vaginitis has been described in prepubertal girls and is thought in many cases to be due to poor hygiene involving the anal and genital areas, allowing bacteria from the stool to spread into the vulvovaginal area. The suspected presence of an STD in children is possible and warrants an investigation of child abuse.

What about vaginitis during pregnancy?

Vaginitis that occurs during pregnancy can have adverse effects on the mother and fetus. For example, bacterial vaginosis has been associated with premature labor, premature birth, infection of the amniotic fluid, and pelvic inflammatory disease of the mother after delivery. Bacterial vaginosis that causes symptoms in pregnancy should be treated. Likewise, any STD that occurs during pregnancy should be treated.

How is vaginitis diagnosed?

The diagnosis of vaginitis is suggested by the characteristic signs and symptoms, when present. A careful history and physical exam are the first steps in diagnosis. The physical examination will include a pelvic examination and possibly the removal of samples of vaginal discharge. A wet prep is an examination of vaginal discharge under the microscope. This test may be used to identify Trichomonas or yeast organisms. In other cases, a culture of vaginal secretions or from the area of the cervix may be sent to the laboratory to precisely identify the organism responsible for the vaginitis.

Reviewed by Jerry R. Balentine, DO, FACEP on 6/15/2012

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