Treatments for Vagina conditions
Vagina conditions: Marketplace Products, Discounts & Offers
Products, offers and promotion categories available for Vagina conditions:
Vagina conditions: Research Doctors & Specialists
Research all specialists including ratings, affiliations, and sanctions.
Hospital statistics for Vagina conditions:
These medical statistics relate to hospitals, hospitalization and Vagina conditions:
- 0.033% (4,241) of hospital consultant episodes were for other inflammation of vagina and vulva in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 98% of hospital consultant episodes for other inflammation of vagina and vulva required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 100% of hospital consultant episodes for other inflammation of vagina and vulva were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 63% of hospital consultant episodes for other inflammation of vagina and vulva required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
Hospitals & Medical Clinics: Vagina conditions
Research quality ratings and patient incidents/safety measures
for hospitals and medical facilities in specialties related to Vagina conditions:
Hospital & Clinic quality ratings » »
Choosing the Best Treatment Hospital:
More general information, not necessarily in relation to Vagina conditions,
on hospital and medical facility performance and surgical care quality:
Buy Products Related to Treatments for Vagina conditions
Book Excerpts: Treatment of Vagina conditions
Treatments of Vagina conditions: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the treatments of Vagina conditions.
Dysmenorrhea:
Treatment
(In a Page: Signs and Symptoms)
- Primary dysmenorrhea is initially treated with NSAIDs
–High-dose ibuprofen may be administered beginning the day before the onset of menses
–Oral contraceptives with or without NSAIDs may be effective when NSAIDs alone are inadequate
–Low-fat vegetarian diet, a fish oil supplement, and vitamin E may reduce pain severity
- Patients unresponsive to NSAIDs and oral contraceptives should be evaluated for pelvic pathology (secondary dysmenorrhea)
–Endometriosis: GnRH analogs, danazol; laparoscopy in severe cases; treat infertility if necessary
–Adenomyosis: Hysterectomy is treatment of choice
–Leiomyoma: Removal, embolization, hysterectomy
–Pelvic inflammatory disease: Antibiotics, oral
contraceptives (to prevent ectopic pregnancy), treat infertility if necessary
–Treat depression and/or anxiety as necessary
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vaginal Discharge:
Treatment
(In a Page: Signs and Symptoms)
-
See most recent CDC guidelines for all STDs
-
Trichomonas
–Metronidazole single dose or for 7 days (avoid alcohol with metronidazole use)
–Intravaginal clotrimazole if pregnant or unable to use metronidazole
Gonorrhea
–Oral ciprofloxacin or IM ceftriaxone
Chlamydia –Azithromycin or doxycycline orally
Bacterial vaginosis
–Metronidazole single dose or for 7 days
Candida
–Clotrimazole cream or intravaginal suppository
–Fluconazole single dose
Atrophic vaginitis
–Topical or oral hormone replacement if appropriate
Advise to avoid douching/perfumed hygiene products
>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vaginal Discharge:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Physiologic leukorrhea: Provide reassurance
-
Irritative vaginal discharge: Educate on proper wiping techniques, avoidance of tight clothing and irritants
-
Foreign bodies such as toilet paper can usually be removed with gentle vaginal lavage, sitz baths
-
Treatments for infectious causes of vaginal discharge:
–Bacterial vaginosis: Metronidazole or topical
clindamycin
–Candida can be treated with topical or oral antifungals
–Trichomonas is treated with metronidazole
–Group A β-hemolytic streptococci: Penicillin
–Chlamydia is treated with doxycycline or azithromycin
–Gonorrhea: Ceftriaxone, ciprofloxacin, or ofloxacin
–Shigella is treated with trimethoprim-sulfamethoxazole
- Encourage barrier contraception in sexually active adolescents
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Abnormal Vaginal Bleeding:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Physiologic anovulation does not usually need to be treated unless it persists beyond 2 years past menarche
-
Polycystic ovary syndrome treat with: Oral contraceptives, androgen inhibitors (spironolactone) as adjunct, insulin sensitizing medications (metformin)
-
Hyperprolactinemia: Treat with bromocriptine
-
Hypothyroidism: Treat with L-thyroxine replacement
-
Coagulopathy: Referral to hematologist for management
-
Gynecologic tumor or foreign body: Surgical exploration and resection
-
Intracranial mass (pituitary tumor): Referral to oncologist, endocrinologist
-
Menorrhagia
–Oral estrogen is required to stop an acute episode
–Patient with very heavy bleeding may require
hospitalization for IV fluid/blood products (correction of hypovolemia) and IV Premarin
–OCPs or progestins are useful to prevent recurrences
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Menorrhagia:
Emergency Interventions
(Handbook of Signs & Symptoms (Third Edition))
Evaluate the patient’s hemodynamic status by taking orthostatic vital signs. Insert a large-gauge I.V. line to begin fluid replacement if the patient shows an increase of 10 beats/ minute in pulse rate, a decrease of 10 mm Hg in systolic blood pressure, or other signs of hypovolemic shock, such as pallor, tachycardia, tachypnea, and cool, clammy skin. Place the patient in a supine position with her feet elevated, and administer supplemental oxygen as needed.
Use menstrual pads to obtain information related to the quality and quantity of bleeding. Then prepare the patient for a pelvic examination to help determine the cause of bleeding.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Dysmenorrhea:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Initial treatment aims to relieve pain. Pain-relief measures may include:
❑ analgesics (such as aspirin) for mild to moderate pain (most effective when taken 24 to 48 hours before onset of menses; are especially effective for treating dysmenorrhea because they also inhibit prostaglandin synthesis; stronger anti-inflammatories may be used.
❑ opioids if pain is severe (infrequently used)
❑ prostaglandin inhibitors (such as mefenamic acid and ibuprofen) to relieve pain by decreasing the severity of uterine contractions
❑ cox-2 inhibitors (such as celecoxib, rofecoxib, and valdecoxib) to promote comfort
❑ heat applied locally to the lower abdomen (may relieve discomfort in mature women but isn’t recommended in young adolescents because appendicitis may mimic dysmenorrhea).
For primary dysmenorrhea, administration of sex steroids is an effective alternative to treatment with antiprostaglandins or analgesics. Such therapy usually consists of hormonal contraceptives to relieve pain by suppressing ovulation. However, patients who are attempting pregnancy should rely on antiprostaglandin therapy instead of hormonal contraceptives to relieve symptoms of primary dysmenorrhea.
Because persistently severe dysmenorrhea may have a psychogenic cause, psychological evaluation and appropriate counseling may be helpful.
In secondary dysmenorrhea, treatment is designed to identify and correct the underlying cause. This may include surgical treatment of underlying disorders, such as endometriosis or uterine leiomyomas. However, surgical treatment is recommended only after conservative therapy fails.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Vaginal cancer:
Treatment
(Professional Guide to Diseases (Eighth Edition))
In early stages, treatment aims to preserve the normal parts of the vagina. Topical chemotherapy with 5-fluorouracil and laser surgery can be used for stages 0 and I. Radiation or surgery varies with the size, depth, and location of the lesion and the patient's desire to maintain a functional vagina. Preservation of a functional vagina is generally possible only in the early stages. Survival rates are the same for patients treated with radiation as for those with surgery.
Surgery is usually recommended only when the tumor is so extensive that exenteration is needed because close proximity to the bladder and rectum permits only minimal tissue margins around resected vaginal tissue.
Radiation therapy is the preferred treatment of advanced vaginal cancer. Most patients need preliminary external radiation treatment to shrink the tumor before internal radiation can begin. Then, if the tumor is localized to the vault and the cervix is present, radiation (using radium or cesium) can be given with an intrauterine tandem or ovoids; if the cervix is absent, a specially designed vaginal applicator is used instead.
To minimize complications, radioactive sources and filters are carefully placed away from radiosensitive tissues, such as the bladder and rectum. Internal radiation lasts 48 to 72 hours, depending on the dosage. (See Safe time for radiation implant.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Dysmenorrhea:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
If dysmenorrhea is idiopathic, advise the patient to place a heating pad on her abdomen to relieve the pain. This therapy reduces abdominal muscle tension and increases blood flow.
Effleurage, a light circular massage with the fingertips, may also provide relief. Other comfort measures include drinking warm beverages, taking a warm shower, performing waist-bending and pelvic-rocking exercises, and walking. Inform the patient that increasing aerobic exercise and dietary intake of vitamin B1 and fish oil capsules have also proved effective in relieving dysmenorrhea.
Inform the patient that taking a nonsteroidal anti-inflammatory drug (NSAID) 1 to 2 days before the onset of menses is usually helpful. If she isn’t trying to get pregnant, taking monophasic birth control pills is also beneficial. Warn the patient that both of these treatments may reduce menstrual flow and duration. Be sure to rule out the possibility of pregnancy before starting contraceptive or NSAID therapy. Explain the actions and adverse effects of these drugs. (See Relief for dysmenorrhea.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Menorrhagia:
Emergency Interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
Evaluate hemodynamic status by taking orthostatic vital signs. Insert a large-gauge I.V. line to begin fluid replacement if the patient shows an increase of 10 beats/minute in pulse rate, a decrease of 10 mm Hg in systolic blood pressure, or other signs of hypovolemic shock, such as pallor, tachycardia, tachypnea, and cool, clammy skin. Place the patient in a supine position with her feet elevated, and administer supplemental oxygen as needed.
Use menstrual pads to obtain information related to the quality and quantity of bleeding. Then prepare the patient for a pelvic examination to help determine the cause of bleeding.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Vaginal bleeding, postmenopausal:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Reassure the patient that most cases of postmenopausal vaginal bleeding are benign and not cancer related.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Urethral discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Advise the patient with acute prostatitis to discontinue sexual activity until acute symptoms subside. However, encourage the patient with chronic prostatitis to regularly engage in sexual activity because ejaculation may relieve pain.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vaginal discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient to keep her perineum clean and dry. Also, tell her to avoid wearing tight-fitting clothing and nylon underwear and to instead wear cotton-crotched underwear and pantyhose. If appropriate, suggest that the patient douche with a solution of 5 tbs of white vinegar to 2 qt (2 L) of warm water to help relieve her discomfort.
If the patient has a vaginal infection, tell her to continue taking the prescribed medication even if her symptoms clear or she menstruates. Also, advise her to avoid intercourse until her symptoms clear and then to have her partner use condoms until she completes her course of medication. If her condition is sexually transmitted, instruct her on safer sex methods.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vaginal bleeding, postmenopausal:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Reassure the patient that most postmenopausal vaginal bleeding is benign and not cancer related.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Dysmenorrhea:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Assess the patient's level of discomfort and use pharmacologic and nonpharmacologic methods to relieve discomfort.
Patient teaching
▪ Encourage the patient to view dysmenorrhea as a medical problem—not as a sign of maladjustment—and explain her treatment options. (See Relief for dysmenorrhea.)
▪ Explain the cause of the patient's dysmenorrhea once a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Menorrhagia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Monitor the patient's vital signs and observe closely for signs of hypovolemia.
▪ Encourage the patient to maintain an adequate fluid intake, insert an I.V. catheter for fluid or blood administration.
▪ Monitor intake and output, and estimate uterine blood loss by recording the number of sanitary napkins or tampons used during an abnormal menses and comparing this with usage during a normal menses.
▪ Obtain blood samples for hematocrit, prothrombin time, partial thromboplastin time, and International Normalized Ratio levels.
Patient teaching
▪ Explain all procedures and treatments to the patient.
▪ Discuss the need to rest and to avoid strenuous activities until bleeding subsides.
▪ Teach signs and symptoms that require immediate medical attention.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Metrorrhagia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Encourage bed rest to reduce bleeding.
▪ Give an analgesic for discomfort.
Patient teaching
▪ Explain signs and symptoms that require immediate attention.
▪ Explain all procedures and treatments.
▪ Discuss the importance of regular gynecologic examinations and Pap smears.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Urethral discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ To relieve symptoms, have the patient take hot sitz baths, increase fluid intake, void frequently, and avoid caffeine, tea, and alcohol.
▪ Monitor him for urine retention.
Patient teaching
▪ Advise the patient with acute prostatitis to discontinue sexual activity until acute symptoms subside.
▪ Encourage the patient with chronic prostatitis to regularly engage in sexual activity because ejaculation may relieve pain.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Vaginal discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Obtain cultures of the vaginal discharge.
▪ Give antibiotics, antivirals, or other drugs, as ordered.
▪ Observe standard precautions to prevent the spread of infection.
Patient teaching
▪ Explain to the patient the cause of vaginal discharge and its treatment.
▪ Teach the patient proper perineal hygiene and advise her to avoid tight-fitting clothing and nylon underwear.
▪ Suggest douching with vinegar and warm water to help relieve discomfort, if appropriate.
▪ Tell the patient to continue taking prescribed drugs even if her symptoms clear.
▪ Advise the patient to avoid intercourse until symptoms resolve.
▪ Provide information on safer sex practices.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Vaginal bleeding, postmenopausal:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for diagnostic tests, such as ultrasonography, endometrial biopsy, colposcopy, dilatation and curettage, and vaginal and cervical cultures.
▪ Discontinue estrogen until a diagnosis is made.
Patient teaching
▪ Reassure the patient that postmenopausal vaginal bleeding may be benign, but careful assessment is needed.
▪ Teach the patient about the underlying cause and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
The first step in effective treatment for vulvovaginal candidiasis is correct diagnosis to rule out bacterial vaginitis and establish species of...
Appropriate treatment for vulvovaginal candidiasis depends on a variety of factors including severity of symptoms, species of yeast and patient...
Stress takes its toll by making us anxious, depressed and not able to function as fully as we'd like. What many don't know is that stress can...
Sleep is necessary to feel refreshed, but now we know sleep actually impacts the way the body functions. Sleeping poorly can affect how often you get...
See full list of 4 related videos
» Next page: Doctors and Medical Specialists for Vagina conditions
Rate This Website
What do you think about the features of this website?
Take our user survey and have your say:
Website User Survey
Medical Tools & Articles:
Next articles:
Tools & Services:
Medical Articles:
Forums & Message Boards
- Ask or answer a question at the Boards:
