1/7. Cervicovaginitis emphysematosa mimicking carcinoma of the cervix: a case report.Cervicovaginitis emphysematous is a rare self-limiting disease in which multiple gas-filled cysts are present in the submucosa of the upper vagina and ectocervix. We report a case in a 40 year-old trader who presented with clinical features suggestive of carcinoma of the cervix. It is hoped that this case report will heighten the awareness of clinicians and pathologists in the recognition of this unusual condition.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
2/7. Common infections in clinical practice: dealing with the daily uncertainties.Common infections we see every day in the office--urinary tract infections, vaginitis, upper respiratory tract infections, and soft-tissue infections--present a number of diagnostic and treatment uncertainties. In this age of growing antibiotic resistance, these include if and when to start antibiotic therapy, and which agents to use.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
3/7. Chemotherapy-induced dyspareunia: a case study of vaginal mucositis and pegylated liposomal doxorubicin injection in advanced stage ovarian carcinoma.BACKGROUND: Chemotherapy can cause vaginal irritation and mucositis, although rarely reported. CASE: A 62-year-old patient with ovarian cancer reported vaginal burning associated with dyspareunia, which emerged 3-5 days after her initial chemotherapy and persisted throughout her treatment. Her discomfort persisted until she was evaluated by our sexual health service and interventions were implemented. On examination, her vaginal vault was erythematous, with mild signs of vaginal atrophy. Her management schema consisted of the following: avoidance of intercourse 3-5 days after chemotherapy, intravaginal vitamin e suppositories three times per week, intravaginal estrogen tablets (initial course of 14 days followed by twice weekly usage), use of lubricants (Astroglide) during coitus, and counseling. Once interventions were introduced, she subsequently resumed sexual intercourse during the remainder of her chemotherapy treatments. CONCLUSION: patients with sexual complaints during or following cancer treatment can be treated by their community gynecologists or gynecology oncologists or can be treated through a comprehensive sexual health program with restoration of sexual function.- - - - - - - - - - ranking = 439.51797584334keywords = discomfort (Clic here for more details about this article) |
4/7. hematocolpos associated with a remote history of chronic vaginitis and a diagnostic vaginal biopsy: a case report.Bacterial vaginitis is commonly seen in the pediatric population. Severe or recurrent cases may be associated with ulcerative lesions. We report a case of vaginal biopsies of ulcerative lesions in a 9-year-old which led to severe vaginal adhesions, stenosis, and hematocolpos. A vaginoscopy and resection from below were not successful and an exploratory laparotomy with uterine perforation and sounding into the upper vagina were required to reopen the lower vaginal canal. We recommend the limited use of vaginal biopsies in the face of a typical vaginitis presentation, and aggressive treatment to promote mucosa healing when biopsies are required.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
5/7. gardnerella vaginalis in the male upper genital tract: a possible source of reinfection of the female partner.We describe a case of gardnerella vaginalis colonization of the upper genital tract of the male partner of a woman with recurring bacterial vaginosis. G. vaginalis could not be cultured from the urethra but was cultured from semen. After treatment of the male partner with metronidazole, the woman had no more relapses of bacterial vaginosis.- - - - - - - - - - ranking = 5keywords = upper (Clic here for more details about this article) |
6/7. Cold wombs in balmy Honolulu: ethnogynecology among Korean immigrants.Koreans attribute a wide variety of complaints to naeng, literally 'chill'. For women, a cold imbalance of the womb brings on a heavy vaginal discharge (also called naeng), can lead to sterility, and may precipitate other kinds of discomfort. Working in korea, Dorothea Sich and her colleagues have described the folk etiology of naeng and some subtle transformations of the concept in cosmopolitan medical settings. I am less interested in describing the concept of naeng than in appreciating the complex interlayering of information and experience that shapes a Korean woman's sense of illness or well-being when she describes an intimate condition as naeng, and that may be lost in translation when she presents her condition to an American clinician. My informants were socialized as Korean women, they were veterans of a plural medical system in korea, they were novices at seeking health care in Honolulu, and they were individuals, carrying the baggage of their own lives. These various dimensions emerge through interview data and, especially, through three detailed case studies. It is argued that a cookbook definition of cold wombs as folk illness would not explain the particular anxieties that naeng sufferers bring to a clinic; the vocabulary they use is vested with nuances that are personal as well as Korean, humoral as well as cosmopolitan.- - - - - - - - - - ranking = 439.51797584334keywords = discomfort (Clic here for more details about this article) |
7/7. Mycotic vaginitis caused by slow growth fungi.The bacteriological and mycological investigations performed in a female diabetic patient, aged 72, with genital secretion and local discomfort revealed slowly growing fungi, identified as Saccharamyces heterogenicus in the cervix uteri secretion. The cultures performed on Sabouraud medium were positive after 48 hrs incubation in liquid medium and after 4 days in solid medium. The strain was sensitive to: clotrimazole, Diflucan, Nizoral, nystatin.- - - - - - - - - - ranking = 439.51797584334keywords = discomfort (Clic here for more details about this article) |