23 Mar 2015

Vaginitis

Vaginitis is an inflamation of the vagina. It can affect up to 33% of women, particularly during their reproductive years. It is the result of an overgrowth of the yeast or bacteria that normally lives in the vagina. As a result, the vagina becomes inflamed and a discharge may develop.

There are different factors that can alter the vaginal ph leading to this condition: antibiotics; changes in hormonal levels due to pregnancy, menopause, breastfeeding; douching; spermicides; sexual intercourse.

This condition is diagnosed by looking at the discharge under the microscope. It is categorized into a fungal or bacterial infection. Sexually transmitted diseases (gonorrhea, chlamydia, trichomonas) can also cause vaginitis.

The most common symptoms associated with vaginitis include itching, burning, and irritation of the vagina and or vulva. It is associated with white or greenish discharge. Fishy odor may be present.

Therapy varies depending on the condition. There are topical creams and ointments that are placed directly into the vagina and vulva. They can also be treated by taking pills. The most common anti fungal therapy to treat a yeast infection is fluconazole. The most common therapy to treat a bacterial infection is metronidazole.

Atrophic vaginitis can occur when the female hormone levels are low, especially during breastfeeding or after menopause. It is treated with topical estrogens.

If you are experiencing any of these symptoms, please visit your Ob/Gyn for a complete evaluation.

Source: American Congress of Obstetricians and Gynecologists