Vulvovaginal infection topics for General Physicians
How vulvovaginal disorders & infections is tested
Written for DHA, SMLE, DOH, QCHP, OMSB, MOH, NHRA and Kuwait MOH — the same GP licensing mix, not a vulvovaginal disorders & infections specialist paper.
Discharge is BV vs candida vs trichomonas. PID is a clinical diagnosis you treat empirically. Bartholin’s abscess is drainage.
Amsel or a named test for BV. Candida is not every itch — think diabetes and antibiotics. Trichomonas is motile flagellates and partner treatment.
PID: lower abdominal pain, cervical motion tenderness, empiric cover. Do not wait for an organism. Fitz-Hugh–Curtis is the RUQ twist.
BV vs candida — the exam clue?
Thin grey fishy discharge and clue cells vs thick white itch. pH helps. Do not treat every discharge with clotrimazole.
PID — delay antibiotics for culture?
No. Empiric cover for gonorrhoea/chlamydia/anaerobes per local protocol. IUCD does not automatically come out in every mild case.
Bartholin’s cyst vs abscess?
Abscess is hot, tender, and drained (Word catheter or similar). Asymptomatic cysts can be left.
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