What is included in the long-term monitoring of vaginitis?

Updated: Dec 04, 2018
  • Author: Hetal B Gor, MD, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Answer

In asymptomatic women, follow-up care is not indicated. However, in women who are pregnant or have recurrent infections, a follow-up evaluation should be performed 1 month after completion of treatment. Techniques of proper genital hygiene should be recommended.

Refer for sexual abuse evaluation all children in whom vaginitis was caused by an STD (see Pediatrics, Child Sexual Abuse). Treat sexual partners of patients with identified STDs.

Consider treatment of partners in cases of trichomoniasis. In addition, consider treatment of partners in cases of bacterial vaginosis if chronic or recurrent infections develop.

In cases of recurrent or resistant vaginal candidiasis, yeast culture, glucose intolerance test, and HIV testing should be offered. In women with recurrent candidal vaginitis that requires longer fluconazole therapy, fluconazole resistance may be related to overexpression of PIr1 protein (Pir1p). [17, 22]


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