• Med. Clin. North Am. · Mar 2024

    Review

    Recurrent Infectious Vaginitis: A Practical Approach for the Primary Care Clinician.

    • Golsa M Yazdy, Caroline Mitchell, Jack D Sobel, and Susan Tuddenham.
    • Department of Gynecology & Obstetrics, Johns Hopkins University, 4940 Eastern Avenue, Baltimore, MD 21224, USA.
    • Med. Clin. North Am. 2024 Mar 1; 108 (2): 373392373-392.

    AbstractRecurrent infectious vaginitis can lead to significant morbidity, patient frustration, and health care costs. The most common causes are bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC); however, other infectious and noninfectious etiologies should be considered in patients with recurrent symptoms. A detailed history and physical examination with appropriate testing at the time of symptoms is critical to establishing a correct diagnosis. Management options for recurrent BV and VVC are limited. Complex cases including those with atypical symptoms, negative testing for common causes, refractory symptoms despite appropriate therapy or recurrences during suppressive therapy will require referral to specialist care.Copyright © 2023 Elsevier Inc. All rights reserved.

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