Vaginitis

VAGINITIS
REPORTED BY:
IBRAHIM, KRISTINA N.
MANTANGAN, JESSA MAE D.S.
VAGINA
• Is a female genitalia area
(Vulva), It is a passageway that
connects the cervix, which is
the opening of the uterus, to the
outside of the body.
• It is also known as the birth
canal.
VAGINITIS
Vaginitis is an inflammation of the vagina that can result in discharge,
itching and pain. The cause is usually a change in the balance of vaginal
bacteria or an infection. Atrophy, associated with menopause, Allergies
chemical irritation and some skin disorders also can cause vaginitis. It is
most common gynecologic diagnosis in the primary care setting. In
approximately 90% of affected women this condition occurs secondary
to bacterial vaginosis, vulvovaginal candidiasis or trichomoniasis.
Organ Involved
The bacteria that cause these infections can spread

from the cervix to the uterus, and even through the
fallopian tubes and into the abdominal cavity. Infection
that involves the uterus or other upper reproductive
tract organs is called pelvic inflammatory disease.
TYPES OF VAGINITIS
Bacterial vaginosis
• It is the common cause of vaginitis.
• Here are some risk factors for vaginosis.
Multiple Sex Intrauterine

Douching Pregnancy Device
Partners
Vulvovaginal Candiasis
• Second common cause of vaginitis.
• Here are some risk factors for vaginosis.
Intercourse Intrauterine
more than four Diabetes Pregnancy Device and IUD
times per month
And young age
first intercourse
Trichomoniasis
• Third common cause of vaginitis.
• Cause by trichomonas vaginalis
• It is transmitted sexually
• Risk factors:
Multiple Sex
Smoking Using of IUD
Partners
Pathophysiology
Vaginitis occurs because of the vaginal flora has been altered by

the introduction of pathogens, and changes in the vaginal
environment that allow pathogens to proliferate.
Antibiotics, contraceptives, sexual intercourse, douching, stress

and hormones can change thr vaginal environment allow
pathogens to grow.
Clinical Manifestation
•irritation of the genital area
•discharge that may be white, gray, watery, or foamy
•inflammation, leading to redness and swelling of the labia majora,

labia minora, and perineal area, mainly due to an excess of immune
cells
•dysuria, which is pain or discomfort when urinating
•painful sexual intercourse, known as dyspareunia
•foul or fishy vaginal odor

Diagnostic Procedure
Review Your Medical history- this includes you history of vaginal
or sexually transmitted infections.
Perform a pelvic exam- health care provider use a speculum to
look inside your vagina for inflammation and discharge.
Collect sample for lab testing- health care provider will collect the
vaginal discharge for lab testing to confirm what kind of vaginitis
your have.
Perform PH testing- it will indicate either bacteria vaginosis or
trichomoniasis.
Medical management
Medical Management:One-day, three-day, or seven-day cream or vaginal suppository
courses are available. Depending on the product, the active ingredient may be
clotrimazole, miconazole (Monistat 1), or tioconazole (Vagistat). Some products also
include an external cream that you can apply to your labia and vaginal opening.
Clotrimazole = used to treat vaginal yeast infections in both adults and kids aged 12
and older.
Miconazole = treatment for tinea corporis (ringworm; a fungal skin infection that
causes a red, scaly rash on different parts of the body).
Tioconazole = is a medication for fungus. It is applied to the treatment of vaginal yeast

infections.
Nursing Responsibilities
Independent
1. Avoid soap and just rinse with water
2. Avoid douching
3. Allow more air to reach the vaginal area, wear a clean preferably white, cotton underwear.
Wearing loose fitting clothes and not wearing panty hose
4. Not wearing underwear at night sleeping
5. Maintain a good hygiene: keep the vulva clean and dry, external genitals should be cleaned at
least once a day.
Dependent
6. Provide optimal relief with doctor’s prescription.
7. Application of topical yeast infection cream and topical anesthetic creams or sprays often
contain benzocaine
THANK YOU

Vaginitis

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VAGINITIS

The bacteria that cause these infections can spread

Multiple Sex Intrauterine

Vaginitis occurs because of the vaginal flora has been altered by

Antibiotics, contraceptives, sexual intercourse, douching, stress

•irritation of the genital area

•discharge that may be white, gray, watery, or foamy

•inflammation, leading to redness and swelling of the labia majora,

•dysuria, which is pain or discomfort when urinating

•painful sexual intercourse, known as dyspareunia

•foul or fishy vaginal odor

Tioconazole = is a medication for fungus. It is applied to the treatment of vaginal yeast

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