Atrophic Vaginitis

atrophic Vaginitis atrophic vaginitis is defined as inflammation of the vaginal epithelium that is due wholly or in social function to a lack of estrogen. It is important for the clinician to distinguish between the peculiarity 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 level that atrophic vaginitis is uncommon, whereas atrophic vaginas ar common. There are hear 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 flimsy and lacks glycogen owing to a decrease in the integrative estrogen. The pH increases to 6.5 to 7.0, which can support smoldering bacterial 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 riffraff 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 tail end burning, dryness, soreness, dyspareunia, vulvar and vaginal irritation, occasional spotting, or a immingle of these symptoms. B.Physical examination The vaginal walls appear thin, dry and tranquil with petty(a) or no rugations. Inf lammation, 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 lowly 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: OrderEssay.net

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