Vaginal Conditions Flashcards by Kelsey Con

what happens to the vagina at puberty

due to estrogen, vaginal lining changes to stratified squamous epithelium whihc contains glycogen

How well did you know this?

Not at all

Perfectly

what is the glycogen used for

lactobacillus use the glycogen to form lactic acid to create an acidic environment 3.5-5.5
the acidity helps maintain the normal vaginal flora and inhibits growth of pathogenic organisms

How well did you know this?

Not at all

Perfectly

what happens to the vagina after menopause

thinning of the vaginal lining occurs and lacto bacilli decline bc less glycogen causing the ph to rise

How well did you know this?

Not at all

Perfectly

what factors influence the vaginal flora, ph and glycogen

aging 
menstrual cycle hormone fluctuations
diseases 
diabetes - glucose peed out 
meds
douching - wash away normal flora
number of sexual partners - increases exposure to organisms

How well did you know this?

Not at all

Perfectly

what shouldnt vaginal discharge cause

irritation
burning
itching

How well did you know this?

Not at all

Perfectly

what are some adverse effects of douching

disrupts normal flora increasing the risk of irritation or infection
risk of genital tract infections, ectopic pregnancy, cervical cancer
prevent detection of infection

How well did you know this?

Not at all

Perfectly

why do you avoid douching in pregnancy

preterm births
low birth weight infants
decreased fertility

How well did you know this?

Not at all

Perfectly

when should you avoid use of douching

as a contraceptive
for infections
1-2 days before gynecologic exam
at least 3 days after last dose of a vaginal antifungal medication

How well did you know this?

Not at all

Perfectly

problems with genital towelettes

may contain perfumes, astringents, emollints and antiinfectives which may lead to irritation or allergic reactions

How well did you know this?

Not at all

Perfectly

what works better than cleanser or towelettes

mild soap and water

How well did you know this?

Not at all

Perfectly

risks of using feminine deodorant sprays

mask an infection
cause irritation
allergic reaction

How well did you know this?

Not at all

Perfectly

non pharms to prevent vaginal irritation

wear cotton underwear bc dries out quickly
avoid tight fighting and synthetic clothing
change pads and tampons regularly
avoid vaginal sprays and deodorants
change out of damp wear
avoid long exposure to hot conditions where you sweat
wipe front to back

How well did you know this?

Not at all

Perfectly

what is bacterial vaginosis

imbalance in normal vaginal flora

How well did you know this?

Not at all

Perfectly

cause of bacterial vaginosis

increased growth in organisms normally found in genital tract and a decrease in lactobacilli

How well did you know this?

Not at all

Perfectly

complications of bacterial vaginosis

second trimester miscarriage
pre term birth
pelvic inflammatory disease

How well did you know this?

Not at all

Perfectly

risk factors for bacterial vaginosis

sexually active
new sexual partner
IUD
douching

How well did you know this?

Not at all

Perfectly

is bacterial vaginosis sexually transmitted

How well did you know this?

Not at all

Perfectly

signs and symptoms of bacterial vaginosis

thin, off white yellow or grey discolored discharge
vaginal pH5-6 
fishy odour 
may be asymptomatic 
minimal itchign

How well did you know this?

Not at all

Perfectly

in asymptomatic bacterial vaginosis who do you treat

high risk pregnancy

prior to iud insertion or gynecological procedures

How well did you know this?

Not at all

Perfectly

treatments for bacterial vaginosis

oral metronidazole or clindamycin
clindamycin 2% cream
metronidazole 0.75% gel
*all prescription so a referral

How well did you know this?

Not at all

Perfectly

does the male partner need to be treated in bacterial vaginosis

How well did you know this?

Not at all

Perfectly

when is a bacterial vaginosis recurrent

occurs 1-3 months of previous treatment

must be confirmed by physician

How well did you know this?

Not at all

Perfectly

which treatment is preferred for bv in pregnanct patients

Study These Flashcards

oral

topical may cause adverse outcomes to newborn

what is trichomoniasis

Study These Flashcards

sexually transmitted infection caused by a protozoa

complications of trichomoniasis

low birth weight | tubal infertility

risk factors for trichomoniasis

multiple or new sexual partner nonuse of barrier contraception presence of other STIs

signs and symptoms of trichomoniasis

large amounts of white or yellow frothy discharge redness of vulva and cervix vaginal ph over 6

symptomsof trichomoniasis

no odor vaginal discharge itching may be asymptomatic

trichomoniasis treatment

oral metronidazole

do you treat sexual partners as well in trichomoniasis

yes regardless of symptoms

causes of vulvovaginal candidiasis

candida albicans normal vaginal flora when there is a change in the vaginal environment not sexually transmitted

signs and symptoms of vulvovaginal candidiasis

``` white clumpy discharge inflammation/redness ph under 4.5 severe itchign pain during intercourse no odor stinging, burning may be asymptomatic ```

risk factors for vulvovaginal candidiasis

``` antibiotics hormone ingestion chemotherapy menses (rare before and after menopause) pregnancy stress immunocompromised diabetes tight clothign irritant ```

goals of treatment for vulvovaginal candidiasis

relieve signs and symptoms of the infection eradicate the infection prevent recurrence prevent misdiagnosis and therefore delay in treatment

when can you self treat vcv

uncomplicated - not recurrent previously diagnosed as VVC to confirm its not other things mild-moderate symptoms not pregnant bc if so have to confirm that it is not another infection that is dangerous for the infant over 12 had less than 3 episodes in the past year no signs within the last 3 months

red flags for vcv

first episod e under 12 pregnancy fever, pain in lower abdomen back or shoulder corticosteroids or immunosuppressive drugs diabetes HIV recurrent (less than 2 months, 4 infections in 12 months)

non pharms for vcv

avoid vaginal deodorants, douching, harsh soaps, perfumed products to prevent irritation avoid tight clothign and synthetic underwear recommend cotton underwear

side effects of clotrimazole

itching burning bloatin irritation

products of clotrimazole available

canestan 1 - ovule or cream canesten 3 - tablet or cream canesten 6- cream

side effects of miconazole nitrate

``` itching burnign headaches allergic contact dermatitis skin rashes ```

miconazole products

monistat 1 - ovule monistat 3 - ovules or cream monistat 7 - ovules or cream

expected improvement for imidazoles

relief in 1-2 days | week for complete relief

use of imidazoles

once daily at bedtime dont use tampons for 3 days after dont use condoms or diaphragms during or 3 days after because oil based and may cause them to fail

side of effects of fluconazole

``` headache nausea abdominal pain dyspepsia dizziness ```

contraindications of fluconazole

pregnancy under 12 unless doctor recommended

products available for fluconazole

1 oral capsule

side effects of butoconazole

irritation burning itching contains mineral oil

can you use butoconazole in pregnancy

second and third trimester but studies lacking

products available for butoconazole

gynazole cream prescription only

side effects of terconazole

``` headache abdominal pain burnign itching fever chills ```

can you use terconazole in pregnancy

avoid durign first trimester

products available with terconazole

cream and ovules | prescription only

monitoring parameters for vcv

improvement of symptoms in 2-3 days resolutionof symptoms in 7 days referral if symptoms dont resolve in 7 days or symptoms worsen recurrence of symptoms within 2 months

what is wrong with vagisil

contain local anesthetics that are supposed to relieve irritation and itching dont treat cause of itchign and can cause local reactions

who is at risk of toxic shock syndrome

menstruating women using tampons contraceptive sponge, diaphragm, cervical cap surgical wound infection

symptoms of toxic shock syndrome

``` sudden high fever diarhhea vomit dizzy weak muscla ache fainting rash in palms of hand and soles of the feet ```

what do you do if someone is experiencing toxic shock syndrom

immediate medical attention can be fatal

Vaginal Conditions Flashcards

(57 cards)