Consists of:
- advice regarding personal hygiene
- avoidance of synthetic undergarments
- finger nails should be clipped short
- Nystatin [mycostatin] 1-2 vaginal pessaries containing 100,000 units should be placed deep in the vagina at bedtime for 10-14days. In selected cases, oral nystatin 500,000 units maybe given concomitantly.
- Imidazole derivatives like miconazole, 100 mg of clotrimazole vaginal pessaries or 1% vaginal [...]
This infection is due to gram-positive fungus candida albicans. It flourishes in an acidic medium with an abundant supply of carbohydrate. It is therefore common in pregnancy and diabetes. Pregnancy favours infection because of the increased vaginal acidity and high glycogen content. Hormonal contraceptive pills also predispose to monilial vaginitis for the same reason. Its [...]
In clinical practice, this is the most common. Nearly half the patients who complain of pruritus[itching] vulvae harbour this organism. It is almost entirely a disease of the childbearing era, though young girls and postmenopausal women are not at all immune. There is no doubt that this infection is sexually transmissible but, in some instances, [...]
This is strictly restricted to those conditions when the normal vaginal secretion is increased in amount.
In such patients there will be no excess of leucocytes present when the discharge is examined under the microscope, and the discharge is macroscopically and microscopically non-purulent.
Purulent discharges due to specific infection such as gonorrhea, trichomoniasis and moniliasis, ulcerated growths [...]
Also known as venereal warts, these are caused by the human papilloma virus [HPV] which is a small DNA virus.
These warts spread diffusely over the whole of the vulval area. The verrucos growths may appear discrete or coalesce to form large cauliflower –like growths. They affect the skin of the labia majora, perineum, and perianal [...]