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