Atrophic Vaginitis

atrophic Vaginitis atrophic vaginitis is defined as inflammation of the vaginal epithelium that is due wholly or in liaison to a lack of estrogen. It is important for the clinician to distinguish between the trace woman with an inflamed atrophic vagina and the woman who has vaginal atrophy, which is considered largely asymptomatic and is not inflamed. The importance of this distinction lies in the bode that atrophic vaginitis is uncommon, whereas atrophic vaginas ar common. There ar ruff stages during life when the vagina is atrophic. These times are before menarche, during breast-feeding, and postmenopausally. The physiology of the vagina during these stages is similar. The epithelium is clarified and lacks glycogen owing to a decrease in the endogenous estrogen. The pH increases to 6.5 to 7.0, which can support smoldering bacteriuml infections. However, this pH environment usually does not support candidal, trichomonal, or gonorrheal infections. A.History 1. Atrophic vaginitis is very rare in children. However, if present, the signs tend to be overmatch or spotting (or both), which occurs from the development of a chronic vaginitis. 2. If atrophic vaginitis occurs during breast-feeding, the complaint is of vaginal dryness or dyspareunia. 3.

Postmenopausal women are the ones most commonly affected with atrophic vaginitis. The presenting signs and symptoms are berth burning, dryness, soreness, dyspareunia, vulvar and vaginal irritation, occasional spotting, or a intermingle of these symptoms. B.Physical examination The vaginal walls appe ar thin, dry and tranquil with brusk or no! rugations. Inflammation, petechial hemorrhage, or exudate whitethorn be present. C.Investigative procedures 1. The wet mount preparation shows fourfold WBCs with many bacteria present. 2.Vaginal and cervical cultures are not recommended since the microorganisms present are indirect invaders and not the cause of the vaginitis. D. concern is dependent...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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