Sunday, January 15, 2006

vaginitis (vaginitis, senile)

Vaginitis is inflammation of the vagina and is the most common gynecological problem of older females. The most common cause is a progressive atrophy of tissue, which decreases normal moisture, shrinks the structures, and allows invasion of pyogenic bacteria. Symptoms include itching, burning, dryness, possibly a pinkish discharge, and painful intercourse.
Treatment for vaginitis includes a culture to determine the causative bacterial agent. If no bacteria is identified, the vaginitis is usually treated with warm douches of a weak acid solution such as vinegar and water. An estrogenic preparation, given orally or applied intravaginally as an ointment, may help to restore the epithelium to a normal state. If painful intercourse is the major problem, water-soluble lubricants during intercourse may be suggested. If a bacterial infection is isolated, sulfa, or other antibiotic treatment may be necessary, in either cream or oral form.
Scherer, J. C. Introductory Medical-Surgical Nursing, 3rd ed. Philadelphia: J. B. Lippincott Co., 1982.
Steinberg, F. U. Care of the Geriatric Patient, 6th ed. St. Louis: C. V. Mosby Co., 1983.


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