Abstract

Background: Pruritus vulvae and vaginal discharge are symptoms which patients often present to their general practitioner. The most common cause of pruritus vulvae is vaginal discharge. Infection is the commonest cause of vaginal discharge which is common among sexually active women of reproductive age group. Different types of infective organism causes disturbance of normal vaginal floras and lead to vaginal discharge. The aim of this study is to evaluate the causes of pruritus vulvae with vaginal discharge. Method: A total of 40 married women of reproductive age group complaining of pruritus vulvae associated with vaginal discharge were included in the study. After taking consent pelvic examination (per speculum and per vaginum) of the patients were done and two high vaginal swabs (HVS) were collected aseptically from each patient. One swab was used to check pH, Amine test and KOH mount for hyphae. The other swab was used for making wet mount for clue cells, pus cells and for motility of Trichomonas vaginalis. Pap smear was also done in all patients. Results: Candidiasis was diagnosed in 20(50%) patients and among them 13(32.5%) patients had inflamed cervix, bacterial vaginosis was diagnosed in 16 patients and most of them 14(35%) had inflamed cervix. Among 40 patients 30(75.0%) had inflamed cervix among which 13(32.5%) and 14(35%) were associated with candidiasis and bacterial vaginosis respectively while only 3(7.5%) patients had inflamed cervix only. 1(2.5%) had mixed variety of infection. Conclusion: Present study reveals that candidiasis was the most common causative organism for the vaginal discharge associated with pruritus vulvae

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