Page 1 of 1: Vaginitis

tanmay_mehta · Credits: 16721 My Scrapbook My Reading List 3 Books

Lactobacillus Vaginitis

Lactobacillus or cytolytic vaginits is one of the most under-diagnosed types of vaginitis.
There is frequently a white discharge that may be mistaken for a yeast infection. Itching, irritation and burning of the vagina and vulva are frequent complaints. It is most often present during the 2 weeks before the onset of the menstrual period.
Lactobacillus is one of the normal microorganisms found in the vagina, along with yeast. An imbalance in the vagina can result in overgrowth of this microorganism. The diagnosis is made by examination of the discharge under the microscope. Treatment is a baking soda douche which can be made with 2 ounces of baking soda in a quart of warm water. The douche is used every other night for a week and 1-2 times per week thereafter as needed. Placing 2-4 tablespoons of baking soda in 1-2 inches of bath water once or twice daily provides external relief of symptoms. You should also avoid external sources of lactobacilli such as yogurt, discontinue medication to treat yeast, and use non-deodorized pads during your menstrual period.

tanmay_mehta · Credits: 16721 My Scrapbook My Reading List 3 Books

Cyclic Vulvovaginitis

Cyclic flares with symptom free intervals
Pain worse just before or during Menses
Pain exacerbated after intercourse (day after)
History of frequent antibiotics
Minimal Vaginal Discharge
Causes
Eczematous Candidiasis
Candida hypersensitivity

Management
Clotrimazole or Terconazole Cream
Acute
Apply qhs for 10 days then
Apply 1/2 applicator Mon-Wed-Fri for 2-4 months
Maintenance
Apply qhs for 5 days before Menses each Month
Fluconazole 150 mg
Weekly for 2 months then
Bi-Monthly for 2-4 months then
Monthly prior to Symptom flare
Low-oxalate diet
Oral calcium citrate (Citracal) 200 mg bid

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