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Wednesday, June 12, 2013

Atrophic Vaginitis

atrophic Vaginitis atrophic vaginitis is delineate as inflammation of the vaginal epithelium that is due all in all or in make to a lack of estrogen. It is important for the clinician to distinguish between the distinction woman with an inflamed atrophic vagina and the woman who has vaginal atrophy, which is considered mostly asymptomatic and is non inflamed. The grandness of this distinction lies in the evince that atrophic vaginitis is uncommon, whereas atrophic vaginas ar common. There be check stages during life when the vagina is atrophic. These times be before menarche, during breast-feeding, and postmenopausally. The physiology of the vagina during these stages is similar. The epithelium is thin and lacks glycogen owing to a decrease in the integrative estrogen. The pH increases to 6.5 to 7.0, which can offer 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 discharge or spotting (or both), which occurs from the knowledge of a chronic vaginitis. 2. If atrophic vaginitis occurs during breast-feeding, the complaint is of vaginal dryness or dyspareunia. 3.
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Postmenopausal women are the ones most commonly moved(p) with atrophic vaginitis. The presenting signs and symptoms are steer burning, dryness, soreness, dyspareunia, vulvar and vaginal irritation, occasional spotting, or a immingle of these symptoms. B.Physical examination The vaginal walls bug out thin, dry and tranquil with small-minded or no rugations. Inflammation, petechial hemorrhage, or exudate whitethorn be present. C.Investigative procedures 1. The wet mount cookery shows fourfold WBCs with many bacteria present. 2.Vaginal and cervical cultures are not recommended since the microorganisms present are tributary invaders and not the cause of the vaginitis. D. tie in is dependent...If you want to get a full essay, order it on our website: Orderessay

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