Vaginitis, also known as vulvovaginitis, is inflammation of the vagina and vulva that causes symptoms like itching, burning, pain, discharge, and odor. It is usually caused by a change in the normal balance of vaginal bacteria due to infection or reduced estrogen levels after menopause. Common causes include bacterial vaginosis, fungal infections like candida, and viral infections such as influenza. Diagnosis involves vaginal examination, pelvic exam, urine test, pap smear, and sometimes biopsy or colposcopy. Treatment consists of antibiotics, antifungals, or antivirals depending on the cause, along with practices like keeping the vaginal area clean and dry

1. VAGINITIS
BY
MR.RAVISHANKAR
NURSING TUTOR
OJASWINI NURSING COLLEGE, SAGAR

2. INTRODUCTION:-
Vaginitis is also known as vulvovaginitis. It is
inflammation of the vagina and vulva. Symptoms may
include itching, burning, pain, discharge and bad smell.

3. DEFINITION:-
“an inflammation of the vagina that can result in discharge
,itching and pain.
“Vaginitis is usually caused by change in the normal balance of
vaginal bacteria and infection or reduced estrogen level after
menopause”.

4. CAUSES:-
Bacterial vaginosis – syphilis
Fungal-candid
Virus- influenza

5. PATHOPHYSIOLOGY:-
Due to etiological factors
Infection
Inflammation
Vaginal yeast infection
Vagina become less acidic
vulvovaginitis

6. CLINICAL MANIFESTATIONS:-
Unusual vaginal discharge
Change in amount of color and odor in vaginal discharge
Itching and irritation
Pain during intercourse
Pain in lower abdomen
Sore near the vaginal opening

7. DIAGNOSTIC EVALUATION:-
Vaginal examination
Pelvic examination
Urine test
Pap smear test
Biopsy
Colposcopy (to take a close
look the cervix is the opening to
womb from vagina)

8. MANAGEMENT:-
Medical management:-
Antibiotic – clindamycin
Antifungal – miconazole , clotrimazole
Anti viral – acyclovir

9. NURSING MANAGEMENT:-
Encourage the patient to keep vaginal area clean and dry
Do not douche.
Avoid to use perfumed soap or vaginal deodorant spray.
Do not wear tight clothing.
Educate regarding practice of safe sex, use a male latex
condom.
Apply cold compress.
If patient use any diaphragm , cervical caps, make sure
clean them.