gynecology and obstetrics
Inflammatory Vaginitis
Introduction
Inflammatory vaginitis is vaginal inflammation without evidence of the usual infectious causes of vaginitis. It occurs most commonly after menopause or in other hypoestrogenic states. Symptoms include a purulent vaginal discharge, dyspareunia, dysuria, and vaginal irritation. Diagnosis is with pelvic examination, vaginal pH, and wet mount. Treatment is withclindamycinvaginal cream. (See also Overview of Vaginitis .) In patients with inflammatory vaginitis, vaginal epithelial cells slough superficially, and streptococci overgrow. Inflammatory vaginitis occurs and recurs most commonly in patients who become hypoestrogenic due to Menopause or 