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Sexually Transmitted Infections in Adolescence and Young Adulthood pp 53–68Cite as

Vaginitis and Cervicitis

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Abstract

Vaginitis is one of the most common reasons for women to seek medical care. Eliciting a detailed history and performing a comprehensive physical exam are crucial to make an accurate diagnosis. Bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis are the most common infectious etiologies for vaginitis. Non-infectious etiologies are related to foreign bodies or atrophic changes and are less common in adolescents. Rapid point-of-care tests are available to aid in the diagnosis of vaginitis which includes microscopic examination of vaginal secretions and testing of vaginal pH. Cervicitis can also be infectious and non-infectious in etiology. Infectious etiologies include sexually transmitted infections such as Neisseria gonorrhoeae, Chlamydia trachomatis, and Mycoplasma genitalium. These infections generally respond well to treatment though misdiagnosis and, rarely, treatment resistance can occur.

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References

  1. Owen M, Clenney T. Management of vaginitis. Am Fam Physician. 2004;70(11):2125–32.

    PubMed  Google Scholar 

  2. McCormack W, Augenbraun M. Vulvovaginitis and cervicitis. In: Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. 7th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2010. p. 1358–71.

    Google Scholar 

  3. Vaginitis Self-Study. Centers for Disease Control. Origination date: July 16, 2014.

    Google Scholar 

  4. Scott SM. Vaginitis. In: Bajaj L, Hambridge S, Nyquist A, Kerby G. Berman’s pediatric decision making. 5th Ed. Elsevier Health Science; Philadelphia, PA, 2011.

    Google Scholar 

  5. Hainer B, Gibson M. Vaginitis: diagnosis and treatment. Am Fam Physician. 2011;83(7):807–15.

    PubMed  Google Scholar 

  6. Singh R, Zenilman JM, Brown KM, Madden T, Gaydos C, Ghanem KG. The role of physical examination in common causes of vaginitis: a prospective study. Sex Transm Infect. 2013;89(3):185–90.

    Google Scholar 

  7. Brotman RM. Vaginal microbiome and sexually transmitted infections: an epidemiologic perspective. J Clin Investig. 2011;121(12):4610–7.

    Article  CAS  Google Scholar 

  8. Moghissi K, Syner F. Cyclic changes in the amount and sialic acid of cervical mucus. Int J Fertil. 1976;21:246–50.

    CAS  Google Scholar 

  9. Casey P, Long M, Marnach M. Abnormal cervical appearance: what to do, when to worry? Mayo Clin Proc. 2011;86(2):147–51.

    Article  Google Scholar 

  10. Money D. The laboratory diagnosis of bacterial vaginosis. Can J Infect Dis Med Microbiol. 2005;16(2):77–9.

    Article  Google Scholar 

  11. Marrazzo J. Interpreting the epidemiology and natural history of bacterial vaginosis: are we still confused? Anaerobe. 2011;17:186–90.

    Article  Google Scholar 

  12. Kenyon C, Colebunders R, Crucitti T. The global epidemiology of bacterial vaginosis: a systematic review. Am J Obstet Gynecol. 2013;209:505–23.

    Article  Google Scholar 

  13. Bradshaw C, Sobel J. Current treatment for bacterial vaginosis – limitations and the need for innovation. J Infect Dis. 2016;214(Supp 1):S14–20.

    Article  Google Scholar 

  14. Fethers K, Fairley C, Hocking J, Gurrin L, Bradshaw C. Sexual risk factors and bacterial vaginosis: a systematic review and meta-analysis. Clin Infect Dis. 2008;47:1426–35.

    Article  Google Scholar 

  15. Taha T, Hoover D, Dallabatta G, Kumwenda N, Mtimavalye L, Yang L, Liomba G, Broadhead R, Chiphangwi J, Miotti P. Bacterial vaginosis and the disturbance of vaginal flora: association with increased acquisition of HIV. AIDS. 1998;12:1699–706.

    Article  CAS  Google Scholar 

  16. Amsel R, Totten P, Spiegel C, Chen K, Eschenbach D, Holmes K. Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med. 1983;74(1):14–22.

    Article  CAS  Google Scholar 

  17. Nugent R, Krohn M, Hillier S. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol. 1991;29(2):297–301.

    Article  CAS  Google Scholar 

  18. CDC sexually transmitted disease guidelines 2015. Found at: http://www.cdc.gov/std/tg2015/urethritis-and-cervicitis.htm.

  19. Hauth JC, Goldenberg RL, Andrews WW, et al. Reduced incidence of preterm delivery with metronidazole and erythromycin in women with bacterial vaginosis. N Engl J Med. 1995;333:1732–6. 135.

    Article  CAS  Google Scholar 

  20. Morales WJ, Schorr S, Albritton J. Effect of metronidazole in patients with preterm birth in preceding pregnancy and bacterial vaginosis: a placebo-controlled, double-blind study. Am J Obstet Gynecol. 1994;171:345–9. 136.

    Article  CAS  Google Scholar 

  21. Leitcich H, Brunbauer M, Bodner-Adler B, et al. Antibiotic treatment of bacterial vaginosis in pregnancy: a metaanalysis. Am J Obstet Gynecol. 2003;18:752–8.

    Article  Google Scholar 

  22. Bacterial vaginosis in pregnancy to prevent preterm delivery: screening. U.S. Preventive Services Task Force. Release date: February 2008. Found at: https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/bacterial-vaginosis-in-pregnancy-to-prevent-preterm-delivery-screening.

  23. Marrazzo J. Vulvovaginal candidiasis. Br Med J. 2002;325:586–7.

    Article  Google Scholar 

  24. Achkar J, Fries B. Candida infections of the genitourinary tract. Clin Microbiol Rev. 2010;23(2):253–73.

    Article  Google Scholar 

  25. Carr P, Felsenstein D, Friedman R. Evaluation and management of vaginitis. J Gen Intern Med. 1998;13:335–46.

    Article  CAS  Google Scholar 

  26. Swygard H, Sena A, Hobbs M, Cohen M. Trichomoniasis: clinical manifestations, diagnosis and management. Sex Transm Infect. 2004;80:91–5.

    Article  CAS  Google Scholar 

  27. Schwebke JR, Burgess D. Trichomoniasis. Clin Microbiol Rev. 2004;17(4):794–803.

    Article  Google Scholar 

  28. Stricker T, Navratil F, Sennhauser FH. Vaginal foreign bodies. J Pediatr Child Health. 2004;40:205–7.

    Article  CAS  Google Scholar 

  29. Fischer G, Bradford J. Persistent vaginitis. Br Med J. 2011;343:1–7.

    Article  Google Scholar 

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Authors and Affiliations

  1. Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, GA, USA

    Anar S. Patel & Anandi N. Sheth

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  1. Anar S. Patel
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  2. Anandi N. Sheth
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Correspondence to Anandi N. Sheth .

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Editors and Affiliations

  1. Hubert Department of Global Health, Rollins School of Public Health Emory University, Atlanta, GA, USA

    Sophia A. Hussen

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Patel, A.S., Sheth, A.N. (2020). Vaginitis and Cervicitis. In: Hussen, S. (eds) Sexually Transmitted Infections in Adolescence and Young Adulthood. Springer, Cham. https://doi.org/10.1007/978-3-030-20491-4_5

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  • DOI: https://doi.org/10.1007/978-3-030-20491-4_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-20490-7

  • Online ISBN: 978-3-030-20491-4

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