Presentation on theme: "Vaginal Itching and Discharge"— Presentation transcript:
1 Vaginal Itching and Discharge CAPT Mike Hughey, MC, USNR
2 Vaginal or Vulvar Itching 95% of women with vulvar itching have yeast.Giving an anti-fungal agent (Monistat, Lotrimin, etc.) will cure most of this itching.Treatment failures need further evaluation.
3 Yeast (AKA Monilia, Thrush, Candida) Itching is hallmark symptomRed, swollen, tender vulvaWet Mount confirms
4 Yeast Treatment Topical anti-fungal agents work well Monistat Gyne LotriminMycelex GOral agents also work wellDiflucan 150 PO once
15 Paget's Disease Slow-growing malignancy Exzematoid lesion -dry, crusty skin -moist, weepy -contact bleedingLooks like yeast, but isn’t cured with anti-fungal RxConfirm by Bx, treat with local excision
16 Vaginal Discharge Does it Itch? Does it smell bad? What does it look like?Wet mount, cultures
Your consent to our cookies if you continue to use this website.