Vulvovaginitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
Vulvovaginitis is a medical condition with acute inflammation of the vulva and vagina in females.
Vulvovaginitis or vaginitis can indicate the presence of swelling or infection of the vulva and vagina.
Vaginitis is a frequent problem that can affect women and girls of all ages.
Vulvovaginitis is usually caused by:
Infections:
1. Sexually transmitted infections such as gonorrhea, trichomonas and chlamydia.
Gonorrhea and Trichomonas: A type of vaginitis is spread by sexual contact.
Symptoms in women are genital itching, vaginal odor, and a heavy vaginal discharge that may be green or yellow-grey in color.
2. Fungal infection
Yeast infections are one of the most frequent causes of vulvovaginitis in women.
Yeast infections are frequently caused by the fungus Candida albicans.
3. Herpes simplex virus in recurrent cases: also known as genital herpes
4. Pediculosis pubis or lice: parasites on pubic area or bed sheets
5. Pinworm infection in children: more in children at anal and vulvar areas
6. Urinary infection such as cystitis (bladder infection)
7. Lack of cleanliness (poor hygiene)
Objects such as a lost tampon can also cause irritation, itching, and strong smelling discharge.
Allergies:
1. Clothings
2. Perfumes
3. Powders
4. Drugs
Chemical irritants:
1. Vaginal douche
2. Detergents used to wash underwear
3. Bubble baths,
Mechanical irritants:
1. Ill fitting underwear
2. Inadequate sexual lubrication
3. Vaginal birth control
Spermicidal and vaginal sponges, which are over-the-counter birth control methods
Postmenopausal:
Atrophic vulvovaginitis occurs after menopause with vaginal dryness and inflammation
These changes may result in or worsen genital itching and burning.
Generalized disorders:
Dermatological disorders such as lichen simplex
Other skin conditions such as psoriasis
Non-specific vulvovaginitis
Sometimes the exact cause cannot be found.
It occurs in all age groups, but is most frequent in young girls before menstruation, especially if they have poor hygiene of the genital area.
There is a foul-smelling, brownish-green vaginal discharge.
There is also irritation of the opening of the vagina and the labia of the vulva.
This disorder is frequently linked with excessive growth of E.coli germs normally found in the stool.
Sexual abuse should be determined in young girls with unusual genital infections and repeated episodes of unexplained vulvovaginitis.
Diagnosis can usually be made by:
1. History of vulvar itch, associated painful urination, frequency of urination, or vaginal discharge
2. Vulva shows excoriation of lining and inflammation (redness and swelling)
3. Vulvar and vaginal swab to culture for bacteria and sexually transmitted diseases
4. Biopsy of the suspicious vulvar lesions to exclude other causes of vulvar problem such as tumor
Treatment
1. Appropriate Antibiotics and antifungal treatment are given for infections particularly after urine bacterial culture
2. Antihistamine medicine for itch
3. Topical estrogen cream for postmenopausal atrophic vulvovaginitis
4. Proper hygiene after sexual intercourse, urination, and bathing
5. Strong soaps should be avoided
6. Lubricants should be used during sexual intercourse
7. Weight should be reduced if obese
8. Underlying condition such as diabetes, allergic dermatitis, and other skin conditions should be treated.
9. Other medicines that may help is Cortisone cream
TABLE OF CONTENT
Introduction
Chapter 1 Vulvovaginitis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Salpingitis
Chapter 8 Cervicitis
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Vulvovaginitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Vulvovaginitis,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Vulvovaginitis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Vulvovaginitis)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://ken-med.com.
From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Vulvovaginitis
What is Vulvovaginitis?
Vulvovaginitis is a medical condition with acute inflammation of the vulva and vagina in females.
Vulvovaginitis or vaginitis can indicate the presence of swelling or infection of the vulva and vagina.
Vaginitis is a frequent problem that can affect women and girls of all ages.
What are the causes of Vulvovaginitis?
Vulvovaginitis is usually caused by the following:
Infections:
1. Sexually transmitted infections such as gonorrhea, trichomonas and chlamydia.
The vagina normally contains both healthy bacteria and unhealthy bacteria.
a. Bacterial vaginosis (BV) infection happens when more unhealthy bacteria than healthy bacteria grow. BV may produce a thin, gray vaginal discharge and a fishy odor.
b. Trichomonas: A less common type of vaginitis is spread by sexual contact.
Symptoms in women are genital itching, vaginal odor, and a heavy vaginal discharge that may be green or yellow-grey in color.
2. Fungal infection such as candidiasis or yeast
Yeast infections are one of the most frequent causes of vulvovaginitis in women.
Yeast infections are frequently caused by the fungus Candida albicans.
Candida and the many other micro-organisms that normally grow in the vagina keep each other in check.
Occasionally the number of Candida germs becomes more, resulting in a yeast infection.
Yeast infections normally induce a thick white vaginal discharge, genital itching, and other symptoms.
3. Herpes simplex virus in recurrent cases: also known as genital herpes
4.