Cause: Trichomonas vaginitis (protozoan)

Signs & Symptoms:
    1. Inflammation of vagina, producing burning and itching.
    2. Frothy yellow-white or yellowish-brown vaginal discharge.

Objectives of Treatment:
    1. To remove exudate, relieve inflammation, restore acidity, and re-establish normal bacterial flora.
    2. Vinegar douche (2 Tbsp in 1 quart of water).
    3. For recurrence, repeat treatment and include sexual partner.

Monilial infection
Cause: Candida albicans (fungus)

Signs & Symptoms:
    1. Inflammation of vagina producing itching & reddish irritation.
    2. White cheeselike discharge clinging to epithelium.

Objectives of Treatment:
    1. To eradicate the fungus: Local applications of gentian violet.
    2. To relieve other causative factors: Stop antibiotic therapy; determine if diabetes or other systemic disease is present.

Infection of Bartholin's gland
Cause: Escherichia coli, Trichomonas vaginitis Staphylococcus, Streptococcus, Gonococcus

Signs & Symptoms:
    1. Redness around Bartholin's gland.
    2. Swelling and edema.
    3. Development of Bartholin's abscess.

Objectives of treatment:
    1. To drain the abscess or cause it to dissipate.

Cervicitis - acute and chronic
Cause: Gonorrhea, Streptococcus, Many pathogenic bacteria

Signs & Symptoms:
    1. Profuse purulent vaginal discharge.
    2. Backache.
    3. Urinary frequency and urgency.

Objectives of Treatment:
    1. To determine the cause:  Cytologic examination of cervical smear.
    2. To eradicate the gonococcus: Use well done fever treatments.

Postmenopausal vaginitis (atrophic vaginitis)
Cause : Lack of estrin effects

Signs & Symptoms:
    1. Loss of redness, tissue folds, and epithelial covering of the vagina.
    2. Itching and burning.

Objectives of Treatment:
    1. Perineal pour 4-6 times daily.
    2. Vitamin E oil capsule inserted each night high in vagina.

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Disclaimer: The above counseling sheet is provided courtesy of the Uchee Pines Health Institute. The Uchee Pines Institute was started almost 30 years ago by Calvin Thrash, M.D., specialist in Internal Medicine, and his wife, Agatha Thrash, M.D., board specialist in pathology. It is a non-profit, health educational and treatment facility located in the country near Seale, Alabama, 15 miles from Columbus, Georgia. (Address: Uchee Pines Institute, 30 Uchee Pines Road
Seale, Alabama 36875-5702. Phone: (334) 855-4764. Fax: (334) 855-4780. Email: Location Map: Click Here). The information contained in the counseling sheets is presented as a general educational and information guide. The counseling sheets are not intended to be used for instruction in medical treatment. The author cannot assume the medical or legal responsibility of having this information misinterpreted and considered as a prescription for any condition or any person.