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Vaginitis
Also known as Vagina Inflammation
Vaginitis is an inflammation of the vagina. It can result in discharge, itching and pain, and is often associated with an irritation or infection of the vulva. It is usually due to infection. The three main kinds of vaginitis are bacterial vaginosis (BV), vaginal candidiasis, and trichomoniasis. A woman may have any combination of vaginal infections at one time. The symptoms that arise vary with the infection, although there are general symptoms that all vaginitis infections have and infected women may also be asymptomatic. Testing for vaginal infections is not a part of routine pelvic exams; therefore, women should neither assume their health care providers will know of the infection, nor that they will provide appropriate treatment without their input.
Source: WikipediaWhat are the symptoms?
Within all the people who go to their doctor with vaginitis, 78% report having vaginal discharge, 59% report having vaginal itching, and 49% report having sharp abdominal pain. The symptoms that are highly suggestive of vaginitis are vaginal discharge, vaginal itching, vaginal pain, vaginal redness, vulvar irritation, and pain during intercourse, although you may still have vaginitis without those symptoms.
- Vaginal discharge strong predictor 78
- Vaginal itching strong predictor 59
- Sharp abdominal pain 49
- Painful urination 40
- Vaginal pain strong predictor 29
- Lower abdominal pain 26
- Pelvic pain 23
- Vaginal redness strong predictor 19
- Suprapubic pain 16
- Pain during pregnancy 12
- Vulvar irritation strong predictor 10
- Pain during intercourse strong predictor 10
What might my doctor prescribe?
Common Tests and Procedures
Patients with vaginitis often receive pelvis exam, urinalysis, standard pregnancy test, chlamydia test, examination of breast, microscopic examination (bacterial smear; culture; toxicology), pap smear and rectal examination .
Common Medications
The most commonly prescribed drugs for patients with vaginitis include metronidazole, fluconazole (diflucan), metronidazole topical product, terconazole topical, miconazole topical product, betamethasone-clotrimazole topical, clindamycin topical product, tinidazole, nystatin-triamcinolone topical, cefixime (suprax), pentosan polysulphate sodium (elmiron), boric acid topical and diflorasone topical .
Who is at risk?
Groups of people at highest risk for vaginitis include age 30-44 years, sex == female, race/ethnicity = black and age 15-29 years. On the other hand, sex == male and age < 1 years almost never get vaginitis.
Age
| < 1 years | 0.0x | |
| 1-4 years | 0.6x | |
| 5-14 years | 0.5x | |
| 15-29 years | 2.4x | |
| 30-44 years | 1.6x | |
| 45-59 years | 0.5x | |
| 60-74 years | 0.3x | |
| 75+ years | 0.3x |
Sex
| Male | 0.0x | |
| Female | 1.7x |
Race/Ethnicity
| Black | 2.0x | |
| Hispanic | 1.1x | |
| White | 0.7x | |
| Other | 1.2x |
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