Vaginal Discharge Solution
An assessment of quality of life showed no difference in depression scores between groups. Hot flushes were noted in 81 of the women on tamoxifen compared to 69 of the placebo group and the tamoxifen-associated hot flushes appeared to be of greater severity than those in the placebo group. Moderately bothersome or severe vaginal discharge was reported by 29 of the women in tamoxifen group and 13 in the placebo group. No differences in occurrence of irregular menses, nausea, fluid retention, skin changes, or weight gain or loss were
Any pregnant woman with a vaginal discharge or inflamed vulvovaginal area should be evaluated for Candida. Candida vulvovaginitis is the second most common cause of vaginitis after bacterial vaginosis. Many women are asymptomatic, but the classic signs are a profuse, pruritic, thick, white, curdlike discharge associated with dysuria, dys-pareunia, and pruritus ani. The diagnosis of Candida vulvovaginitis is a clinical diagnosis that is confirmed by culture and microscopic detection of the yeast. A drop of the cervicovaginal fluid should be immersed in a 10 potassium hydroxide (KOH) preparation on a glass slide with a coverslip for microscopic examination. Sometimes, this
All sexually active women presenting with lower abdominal pain should be carefully evaluated for the presence of salpingitis and or endometritis-pelvic inflammatory disease (PID). In addition, routine bimanual and abdominal examinations should be carried out on all women with a presumptive STI, since some women with PID or endometritis will not complain of lower abdominal pain. Women with endometritis may present with complaints of vaginal discharge and or bleeding and or uterine tenderness on pelvic examination. Symptoms suggestive of PID include abdominal pain, dyspareunia, vaginal discharge, menometrorrhagia, dysuria, pain associated with menses, fever, and sometimes nausea and vomiting.