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  1. Menopausal women with characteristic vaginal symptoms and an elevated vaginal pH should be initially treated for estrogen deficiency prior to considering a diagnosis of BV; subsequent treatment for BV should be driven by symptoms.

  2. The summary of the systemic review and the recommendations given in this section offer guidance on how to manage people presenting with symptoms of abnormal vaginal discharge. The commonest causes of vaginal discharge are briefly discussed below.

  3. Recommendations for the management of vaginal discharge. For people with symptom of vaginal discharge, we recommend treatment for N. gonorrhoeae and/or C. trachomatis and/or T. vaginalis on the same visit. We suggest treatment based on the results of quality-assured molecular assays for N. gonorrhoeae and/or C. trachomatis and/or T. vaginalis.

  4. Atrophic vaginitis (AV), which is common in postmenopausal women, is characterized by vaginal dryness, dyspareunia, and discomfort. There are a variety of therapeutic agents for the treatment of AV, besides hormone replacement therapy.

  5. 13 Απρ 2022 · In preparation for the 2021 Centers for Disease Control and Prevention (CDC) sexually transmitted infections (STIs) treatment guidelines, the CDC convened an advisory group in 2019 to examine recent literature addressing updates in the epidemiology, diagnosis, and management of STIs.

  6. Bacterial vaginosis is identified as a clinical condition that occurs due to bacterial overgrowth in the vagina that leads to vaginal discharge and is characterized by a foul fishy smell with the patient most commonly complaining of itching in the perineal region.

  7. Vaginal discharge is a common reason for gynecological consultations. The female genital tract has a complex microbial flora, and cervical and vaginal secretions differ in quality and quantity depending on several factors, including age, menstrual period, and use of oral contraceptives. Vaginal discharge may be normal or abnormal.

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