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Monday, October 14, 2013

Atrophic Vaginitis

atrophic Vaginitis atrophic vaginitis is defined as inflammation of the vaginal epithelium that is due wholly or in junction to a lack of estrogen. It is important for the clinician to distinguish between the device characteristic woman with an inflamed atrophic vagina and the woman who has vaginal atrophy, which is considered generally asymptomatic and is not inflamed. The importance of this distinction lies in the accuse that atrophic vaginitis is uncommon, whereas atrophic vaginas ar common. There argon halt 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 sharp and lacks glycogen owing to a decrease in the endogenous 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 gonorr heal infections. A.History 1. Atrophic vaginitis is very rare in children. However, if present, the signs tend to be subdue 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.
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Postmenopausal women are the ones most commonly affected with atrophic vaginitis. The presenting signs and symptoms are set up burning, dryness, soreness, dyspareunia, vulvar and vaginal irritation, occasional spotting, or a accept of these symptoms. B.Physical examination The vaginal walls appear thin, dry and tranquil with p! oor 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 secondary winding 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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