Women's Health Conditions (1)

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Off-white, green,  or gray Frothy Yellow-green Thick, white Odor Malodorous Malodorous Odorless Differentiation Irritation Dysuria  “ wetness”   itching Erythema Edema Discolored  discharge Irritation Dysuria Pruritis Erythema Itching Edema Differential? *Referral to MD
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Young, sexually active women Organisms: Polymicrobial infection Imbalance between normal flora  Increase in  G. vaginalis Increase in anaerobes Decrease in lactobacilli Protective factors: Female hormones Condoms Bacterial Vaginosis (BV)
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Risk factors: New sexual partner AA race IUD use Douching Receptive oral sex Tobacco use Prior pregnancy Complications: More serious infections: PID, UTI, cervicitis,  endometriosis May facilitate  transmission of HIV Pregnancy:  Preterm labor Low-birth weight Bacterial Vaginosis
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Organism: Protozoan:  Trichomonas vaginalis Risk factors: Multiple sex partners New sexual partner Lack of barrier protective Presence of other STIs Complications: Increased risk for low-birth weight infants and tubal  infertility May facilitate the transmission of HIV Trichomoniasis
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Organism: C. albicans, C. glabrata, C. tropicalis,  and   Saccharomyces Medications: Antibiotics Immunosuppressant agents No identifiable causes in many cases Complications: Increased risk of other infections Vulvovaginal Candidiasis (VVC)
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Candida  fungi causative organism 80-92%  Candida albicans Increase glycogen concentration     vaginal  susceptibility Pregnancy High-dose estrogen (“combination hormonal  contraception”-CHC) Estrogen replacement therapy Increase vaginal pH: Menstruation Menopause VVC Pathophysiology:  AKA: “Yeast Infection”
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Decreased normal vaginal flora Treatment with broad-spectrum antibiotics Increase risk of infection Systemic corticosteroid, antineoplastic, or  immunosuppressant drugs Receptive oral sex
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