Vulvovaginitis adultorumN76.0
DefinitionThis section has been translated automatically.
Acute or chronic inflammation of the vulva and vagina of various causes in adult women.
EtiopathogenesisThis section has been translated automatically.
- Infection, especially candidiasis, gonorrhoea, trichomoniasis, syphilis
- endocrine disorder (diabetes mellitus)
- allergic contact dermatitis
- Foreign matter.
Clinical featuresThis section has been translated automatically.
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.
TherapyThis section has been translated automatically.
See also Table 1.
TablesThis section has been translated automatically.
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) |
LiteratureThis section has been translated automatically.
- Livengood CH et al (1991) Resolution of resistant vaginal trichomoniasis associated with the use of intravaginal nonoxynol-9 Obstetric gynecol 78: 954-956
- 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
- Sobel J D (1990) Vaginal infections in adult women. Med Clin North Am 74: 1573-1602
- Sobel J D (1992) Vulvovaginitis. Dermatol Clin 10: 339-359