Algorithms for Managing Vulvovaginal Symptoms—a Practical Primer

Autor: Cynthia A. Rasmussen, Ahinoam Lev-Sagie, Lynette J. Margesson, Jack D. Sobel, Orna Reichman
Rok vydání: 2019
Předmět:
Zdroj: Current Infectious Disease Reports. 21
ISSN: 1534-3146
1523-3847
DOI: 10.1007/s11908-019-0693-6
Popis: To present a comprehensive systematic approach for diagnosing correctly the cause(s) of bothersome genital symptoms. We searched the PUBMED for practical clinical guidelines, written by a multidisciplinary team of healthcare providers directed for diagnosing bothersome genital symptoms. This search was performed by a professional information specialist using the keywords “vulvovaginal,” “vulvar,” “multidisciplinary diagnosis,” “interdisciplinary consultation,” and “vulvology.” We found numerous publications defining the criteria for diagnosing specific disorders, but only a few publications presented a multidisciplinary clinical algorithm for diagnosing bothersome vulvovaginal symptoms. The authors, from three different specialities, gathered together (online), in aim to present a comprehensive systematic approach for accurate diagnosing of bothersome vulvovaginal symptoms. Six principles for accurately diagnosing a woman with bothersome genital symptoms were endorsed: (1) locate the discomfort (vulva, clitoris, vestibule, vagina, cervix, pelvis); (2) consider more than one entity; (3) evaluate each symptom separately (it is common to have more than one entity necessitating treatment for each); (4) use pH and wet mount microscopy; (5) obtain a follow-up visit in 2–4 weeks; (6) perform a biopsy for dermatological conditions that are resistant to treatment.
Databáze: OpenAIRE
Externí odkaz: