A 36-ycar-old female sees her gynecologist regarding several episodes of post-co
ID: 67675 • Letter: A
Question
A 36-ycar-old female sees her gynecologist regarding several episodes of post-coital hemorrhage. She has never been married, and over the past several years has had a rather active sexual past There is some pain on urination, and occasionally she has seen streaks of blood in the urine. This is only noticed when she experiences a burning sensation both during sexual intercourse and urination. She has never had children, and otherwise appears to be healthy. There is no history of previous reproductive disease. Her doctor informs her that she has a concurrent vaginitis. In light of the above symptoms and history, what other tissue may be inflamed in addition to the vagina? What are some causes of the above disorders? Can you name both physical and infectious sources? Assuming her problem is of a lower reproductive nature at this time, can this condition affect upper reproductive structures as well?Explanation / Answer
Q1. The other tissues affected may be labia majora, labia minora and perineal area.
Q2. These are some of the reasons causing this disease: Bacteria, yeast and trichomonas.Hormonal vaginitis includes atrophic vaginitis usually found in postmenopausal or postpartum women when the estrogen supply is poor. Physical factors may include constantly wet vulva due to tight clothing, chemicals coming in contact with the vagina via scented tampons, antibiotics, birth control pills, or a diet favoring refined sugar and yeast.
Q3. Although reports say that vaginitis does not affect the upper reproductive tracts. However they may lead to increased risk of HIV, premature deliveries and low birth babies.