Vulvovaginitis adultorum N76.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Acute or chronic inflammation of the vulva and vagina of various causes in adult women.

Etiopathogenesis
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Clinical features
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Redness, swelling and secretion of the vaginal mucosa with consecutive inflammatory reddened labia and introitus vaginae. Severe pruritus, s.a. vulvitis gangraenosa, syphilis, candidiasis, gonorrhoea, trichomoniasis.

Therapy
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See also Table 1.

Tables
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Therapy of vulvovaginitis

Disease

Drug of choice

Therapy during pregnancy

Bacterial vaginosis

Metronidazole (e.g. Clont) 2 times/day 0.4 g p.o. over 7 days

Amoxicillin (e.g. amoxypes) 3 times/day 0.5 g p.o. over 7 days

Candidiasis

Clotrimazole (e.g. Canifug) locally for 3-6 days

Nystatin (e.g. Nystatin cream Lederle) local

Trichomoniasis

Metronidazole (e.g. Clont) or Tinidazole (e.g. Simplotan) once only 2 g p.o. as ED

Natamycin (e.g. pimafucin) local (strict indication in the 1st trimester)

Literature
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  1. Livengood CH et al (1991) Resolution of resistant vaginal trichomoniasis associated with the use of intravaginal nonoxynol-9 Obstetric gynecol 78: 954-956
  2. Mc Cutchan J A et al (1992) Evaluation of new-anti-infective drugs for the treatment of vaginal infections. Clin Infect Dis. 15: 115–122
  3. Sobel J D (1990) Vaginal infections in adult women. Med Clin North Am 74: 1573-1602
  4. Sobel J D (1992) Vulvovaginitis. Dermatol Clin 10: 339-359

Incoming links (2)

Mycoplasma; Vulvovaginitis infantum;

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Last updated on: 29.10.2020