Counseling Sheet

Agatha M. Thrash, M.D.

Preventive Medicine

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‍Trichomoniasis

‍Cause

‍Trichomonas vaginitis (protozoan)

‍Signs & Symptoms

‍Inflammation of vagina, producing burning and itching

Frothy yellow-white or yellowish-brown vaginal discharge

‍Objectives of Treatment

‍To remove exudate, relieve inflammation, restore acidity, and re-establish normal bacterial flora

Vinegar douche (2 Tbsp in 1 quart of water)

For recurrences, repeat treatment and include sexual partner.

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‍Monilial infection

Cause: Candida albicans (fungus)

‍Signs & Symptoms

‍Inflammation of vagina producing itching & reddish irritation

White cheeselike discharge clinging to epithelium

‍Objectives of Treatment

‍To eradicate the fungus: Local applications of gentian violet

To relieve other causative factors: Stop antibiotic therapy; determine if diabetes or other systemic disease is present.

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‍Infection of Bartholin's Gland

Cause

‍Escherichia coli, Trichomonas vaginitis, Staphylococcus, Streptococcus, Gonococcus

‍Signs & Symptoms

‍Redness around Bartholin's gland

Swelling and edema

Development of Bartholin's abscess

‍Objectives of treatment

‍To drain the abscess or cause it to dissipate

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‍Cervicitis (acute and chronic)

‍Cause

‍Gonorrhea, Streptococcus, many pathogenic bacteria

‍Signs & Symptoms

‍Profuse purulent vaginal discharge

Backache

Urinary frequency and urgency

‍Objectives of Treatment

‍To determine the cause: Cytologic examination of cervical smear

To eradicate the gonococcus: Use well-done fever treatments.

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‍Postmenopausal vaginitis (atrophic vaginitis)

‍Cause: Lack of estrin effects

‍Signs & Symptoms

‍Loss of redness, tissue folds, and epithelial covering of the vagina

Itching and burning

‍Objectives of Treatment

‍Perineal pour 4-6 times daily

Vitamin E oil capsule inserted each night high in vagina