Treatment regimens for yeast vaginitis

Clotrimazole vaginal tablets (Mycelex G), 500 mg hs** Fluconazole tablets (Diflucan), 150 mg Po Itraconazole capsules (Sporanox), 200 mg PO bid Tioconazole 6.5 vaginal ointment (Vagistat-1), 4.6 g hs** 5 Butoconazole nitrate 2 vaginal cream (Femstat 3), 5 g hs 28 g Clotrimazole vaginal inserts (Gyne-Lotrimin 3), 200 mg hs** Miconazole vaginal suppositories (Monistat 3), 200 mg hs** Terconazole 0.8 vaginal cream (Terazol 3), 5 g hs Terconazole vaginal suppositories (Terazol 3), 80 mg hs...

Cervical factor infertility

Cervical factor infertility is suggested when well-timed PCTs are consistently abnormal in the presence of a normal semen analysis. Cervical factor infertility results from inadequate mucus production by the cervical epithelium, poor mucus quality, or the presence of antisperm antibodies. 2. Patients with an abnormal PCT should be screened for an infectious etiology. The presence of immotile sperm or sperm shaking in place and not demonstrating forward motion is suggestive of immunologically...

Noninfectious vaginitis and vulvitis

Noninfectious causes of vaginitis include irritants (eg, minipads, spermicides, povidone-iodine, topical antimycotic drugs, soaps and perfumes) and contact dermatitis (eg, latex condoms and antimycotic creams). 2. Typical symptoms, including pruritus, irritation, burning, soreness, and variable discharge, are most commonly confused with acute candida vaginitis. The diagnosis should be suspected in symptomatic women who do not have an otherwise apparent infectious cause. 3. Management of...

Atrophic vaginitis

Reduced endogenous estrogen causes thinning of the vaginal epithelium. Symptoms include vaginal soreness, postcoital burning, dyspareunia, and occasional spotting. The vaginal mucosa is thin with diffuse erythema, occasional petechiae or ecchymoses, and few or no vaginal folds. There may be a serosanguineous or watery discharge with a pH of 5.0-7.0. 2. Treatment consists of topical vaginal estrogen. Vaginal ring estradiol (Estring), a silastic ring impregnated with estradiol, is the preferred...

Treatment of endometrial cancer

The treatment of endometrial cancer is usually surgical, such as total abdominal hysterectomy, bilateral salpingo-oophorectomy and evaluation for metastatic disease, which may include pelvic or para-aortic lymphadenectomy, peritoneal cytologic examination and peritoneal biopsies. The extent of the surgical procedure is based on the stage of disease, which can be determined only at the time of the operation. Staging for Carcinoma of the Corpus Uteri Invasion of less than one half of the...

Bethesda 2001 Pap Smear Report

Negative for intraepithelial lesion or malignancy Infection Trichomonas vaginalis, Candida spp., shift in flora suggestive of bacterial vaginosis, Actinomyces spp., cellular changes consistent with Herpes simplex virus Reactive cellular changes associated with inflammation includes typical repair radiation, intrauterine contraceptive device IUD Glandular cells status post-hysterectomy Atrophy Endometrial cells in a woman gt 40 years of age Epithelial Cell Abnormalities Squamous Cell -of...

Unexplained Infertility

The term unexplained infertility should be used only after a thorough infertility investigation has failed to reveal an identifiable source and the duration of infertility is 24 months or more. History, physical examination, documentation of ovulation, endometrial biopsy, semen analyses, PCT, hysterosalpingogram, and laparoscopy should have been completed. 2. Because couples with unexplained infertility lack an identifiable causative factor of their infertility, empirical treatment with...

High probability of endometriosis

Nonsteroidal anti-inflammatory medications should be prescribed at doses in the upper end of the dose range eg, ibuprofen 800 mg orally every six hours . If the first NSAID tried is not effective, another should be given. 2. Oral contraceptive pills OCPs prescribed as monthly cycles. 3. OCPs prescribed as long cycles, with three to four months of continuous dosing of the active pill followed by one week off the pill are effective in women who fail cyclic therapy. 4. OCPs and NSAIDS can be...