Multidisciplinary Approach to the Management of Vulvovaginal Discomfort

Czech version

Authors: jun. J. Kestřánek ¹; V. Buchta ²; J. Špaček ¹; M. Főrstl ²; J. Kestřánek sen. ³; P. Jílek ⁴; V. Matula ¹
Authors‘ workplace: Porodnická a gynekologická klinika, LF a FN v Hradci Králové ¹; Ústav klinické mikrobiologie, LF a FN v Hradci Králové ²; Soukromá gynekologická ambulance v Náchodě ³; Katedra biologických a lékařských věd, Farmaceutická fakulta UK v Hradci Králové ⁴
Published in: Epidemiol. Mikrobiol. Imunol. 57, 2008, č. 1, s. 23-27

Overview

Vulvovaginal discomfort is generally the most common reason for visiting a gynaecological clinic. The acute complaints are, in most cases, solved by a gynaecologist himself and the decision procedure is based on possibilities arising from outpatient examination. If need be, the evaluation of wet preparation should be carried out. In many cases we have been confronted with discrepant diagnosis where severe difficulties are not accompanied by relevant development of inflammatory changes and thus the diagnosis gives us an impression of quandary. In this case microbiological examination is the logic solution. With regard to changing living conditions we can expect in the future, that clinical symptoms of vulvovaginitis will not be entirely clear. The overview article points out the possibilities, which a gynecologist is able to use within differential diagnosis in the outpatient department. It also emphasis the necessity of interdisciplinary co-operation, particularly in patients with chronic difficulties where erudite evaluation of fixed preparation and culture examination are beneficial.

Key words:
vulvovaginal discomfort – microscopic examination – cultivation.

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Article was published in

Epidemiology, Microbiology, Immunology

2008 Issue 1