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Korean Journal of Obstetrics & Gynecology 2005;48(2):261-268.
Published online February 1, 2005.
Updated treatment of vaginitis.
Sung Nam Cho
Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Jeonju, Korea. sncho@moak.chonbuk.ac.kr
Abstract
Three common vaginal infections are bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), and trichomonas vaginitis (TV). However their symptoms and signs are similar and atypical and other non-infectious vaginal inflammations will be the causes of identical symptoms. Hence accurate diagnosis is the first step in management of vaginitis and then appropriate therapy should be conducted. Metronidazole is the drug of choice for the treatment of BV and TV. Topical or oral azole antifungal regimens are highly effective in reliving symptoms of VVC. Physicians who treat the woman having vaginitis should consider the fact that the disease may be chronic, frequent and recurrent due to antibiotics abuse and over the counter antimycotic agents. Also predisposing factors must be removed before medical therapy.
Key Words: Bacterial vaginosis, Vulvovaginal candidiasis, Trichomonas vaginitis


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