Medical history (history of illness) represents an important component in the diagnosis of vaginitis or colpitis (vaginitis). Family history Social anamnesis Current anamnesis/systemic anamnesis (somatic and psychological complaints). Since when have you noticed increased fluorine (discharge)? What does the discharge look like? Does the discharge smell, like, fishy, especially after intercourse? Have you noticed any … Vaginitis, Colpitis: Medical History
In many cases, vaginitis or colpitis (vaginitis) is asymptomatic. General preliminary remarks. The vagina (sheath) consists of a highly built-up nonkeratinized squamous epithelium (mucosa) that has few nerves and no glands. This is different in the vulvar area, which is abundantly supplied with nerves. This concerns both the area with keratinized squamous epithelium (labia majora/labia … Vaginitis, Colpitis: Symptoms, Complaints, Signs
Pathogenesis (development of disease) In keeping with the widely varying causes of colpitis, there is no single pathophysiology. However, even for the most common causes of colpitis, infections, the pathophysiologic basis is largely unknown. As shown in the chapter “Anatomy – Physiology”, there are smooth transitions from eubiosis (balanced intestinal flora) to dysbiosis (imbalance of … Vaginitis, Colpitis: Causes
General measures Observance of the general hygiene measures! Proper micturition posture in the little girl: the urine should enter the toilet by the shortest route; use a child’s toilet insert or footrests to support the legs; while spreading the thighs and slightly bending forward urinating. Genital hygiene Once a day, the genital area should be … Vaginitis, Colpitis: Therapy
The following forms are distinguished according to their clinic and etiology (causes): Clinic Acute colpitis with acute, pronounced symptoms and a laboratory diagnosis Subacute colpitis with minor or absent symptoms, but with a laboratory diagnosis. Chronic colpitis with often absent or chronic recurrent (recurring) symptoms and a laboratory diagnosis. Etiology (causes) Infections: Frequent Bacterial vaginosis … Vaginitis, Colpitis: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female reproductive organs) [vesicles, scratch marks, if any; thrush and redness, if … Vaginitis, Colpitis: Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Amine test (Whiff test) – by sprinkling the vaginal secretion with a 10% potassium hydroxide solution typical fish odor (= amine colpitis). Measurement of the pH of the vaginal secretion (vaginal secretion) [alkaline?] Phase contrast microscopy of the vaginal secretion – living, unstained cells appear … Vaginitis, Colpitis: Test and Diagnosis
Therapeutic target Restoration of normal mucosal flora and thus prevention of complications. Therapy recommendations Antibiosis (antibiotics: oral, vaginal tablets, vaginal gel) for bacterial vaginosis. Antifungal drugs for candidamycosis of the vagina (vagina). Active substances for special infection (see below). Notes on skin diseases (see below). See also under “Further therapy“. Agents (main indication) of bacterial … Vaginitis, Colpitis: Drug Therapy
Obligatory medical device diagnostics. Phase-contrast microscopy of vaginal secretions (vaginal colpitis) – live, unstained cells appear extremely low in contrast under a normal bright-field microscope; these are clearly visualized by the phase-contrast technique (see 1st-order laboratory parameters below) Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and … Vaginitis, Colpitis: Diagnostic Tests
To prevent vaginitis or colpitis (vaginitis), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Tobacco (smoking) Drug use Cannabis (hashish and marijuana) Sexual intercourse (e.g., changing from vaginal to anal or oral coitus; orogenital contact) Excessive intimate hygiene … Vaginitis, Colpitis: Prevention
Since the basics of colpitis/vaginitis are partly very complex, some basics will be presented: Anatomy and function of the vagina The vagina (vaginal) as a connecting organ between the vulva (the external genitals) and the portio (cervix) represents not only functionally, but also anatomically, a special feature in the genital area. As a protective organ … Vaginitis, Colpitis: Anatomy-Physiology
Since the differential diagnoses according to ICD 10 are partly not recorded, e.g., burning, vesicles, or only unclear, and are not clinically practicable to present, a differential diagnosis under clinically relevant aspects according to symptoms is presented under the item “Further”, whereby a strict separation between vulva (totality of the external primary sexual organs) and … Vaginitis, Colpitis: Or something else? Differential Diagnosis
