Counseling Sheet

Back to counseling sheets list

Vaginal Infections

Agatha M. Thrash, M.D.

Preventive Medicine

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.

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.

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

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.

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

Contact Us For More Information

Uchee Pines Lifestyle Center
30 Uchee Pines Road #75
Seale, Alabama 36875