Vulvovaginal Infections: 2nd Edition (Paperback) book cover

Vulvovaginal Infections

2nd Edition

By William J. Ledger, Steven S. Witkin

CRC Press

164 pages | 148 Color Illus.

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pub: 2016-04-11
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Description

Vulvovaginal Infections presents new knowledge to help clinicians accurately diagnose and treat their patients and highlights for researchers remaining unsolved problems and the most promising areas for continued investigation. Clinical gynecologists will find practical advice and extensive insight into solving real-life clinical scenarios.

The book opens by presenting information on the microbiology of the vagina and vaginal immunology.It then discusses the diagnosis of vulvovaginal disease, including physical examination, screening processes, and laboratory testing.

Diagnosis is followed by covering various vulvovaginal infections including bacterial vaginosis, Candida vulvovaginitis, Trichomonas vaginalis vaginitis, genital herpes, human papillomavirus genital infections, allergic vulvovaginitis, menopausal vulvovaginitis, cytolytic vaginosis, aerobic vaginitis, and more.

For each of these conditions, the book presents information on its background, microbiology, immunology, prevention, diagnosis, and treatment. Therapy details are provided with an emphasis on nuances that can be applied to women who fail to respond to medication prescribed or who respond and then become symptomatic once treatment has ended.

This new edition discusses major advances in the characterization of endogenous microbiota that populate the genital tract in women of all ages. It also provides a more sophisticated appreciation of immune mechanisms found in the healthy female genital tract and alterations that increase both susceptibility and consequences of various infectious and noninfectious disorders. A major impetus for writing this new edition is to help the busy clinician, resident, or fellow by explaining advances in individual disorders in a manner that is relevant to their practice.

Reviews

Praise for previous editions:

"The style of writing is informal and easy to read… The immunology sections are relevant and clearly explained."

The British Journal of Hospital Medicine

"Provides extensive insight into the resolution of real-life clinical dilemmas… The chapter on Candida infection is possibly the best published review of this topic… A leap forward in the understanding and management of vulvovaginal disease."

Clinical Infectious Diseases

Table of Contents

Microbiology of the Vagina

The Human Microbiome

Birth to Puberty

Reproductive Age Women

Pregnancy

Vulvar Microbiome

Postmenopause

The Uniqueness of the Human Vaginal Microbiome

Lactic Acid

Summary and Conclusions

References

Vaginal Immunology

Vaginal Epithelial Cell Immunity

Danger Signaling by Heat Shock Proteins

Antibody Production in the Lower Genital Tract

Sexual Intercourse and Vaginal Immunity

Summary and Conclusions

References

Diagnosis of Vulvovaginal Disease

Background

Physician Focus on the Patient

History

Office Equipment Requirements for Diagnosis

Physical Examination

Pelvic Examination

Laboratory Testing with Delayed Results

References

Candida Vulvovaginitis

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Bacterial Vaginosis

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Trichomonas vaginalis Vaginitis

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Cytolytic Vaginosis, Aerobic Vaginitis, and Desquamative Inflammatory Vaginitis

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Genital Herpes

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Human Papillomavirus Genital Infections

Background

Microbiology

Immunology

Prevention

Diagnosis

Treatment

References

Other Sexually Transmitted Diseases of the Vulva and the Vagina

Background

Microbiology and Immunology

Diagnosis

Treatment

References

Allergic Vulvovaginitis

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Menopausal Vulvovaginitis

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Vestibulodynia

Background

Microbiology

Immunology

Diagnosis

Treatment

References

Dermatologic Disorders Causing Vulvar Disease

Background

Immunology and Microbiology

Lichen Sclerosus

Lichen Planus

Aphthous Ulcers and Behçet’s Disease

Pemphigus

Diagnosis

Inflammatory and Erosive Skin Disorders

Treatment

Psoriasis of the Vulva

References

About the Authors

William J. Ledger, MD, FACOG, obstetrician and gynaecologist in chief, New York Weill Cornell Center, New York, New York, USA

Steven S. Witkin, PhD, professor of immunology in obstetrics and gynecology, New York Weill Cornell Center, New York, New York, USA

Subject Categories

BISAC Subject Codes/Headings:
MED000000
MEDICAL / General
MED022090
MEDICAL / Infectious Diseases
MED029000
MEDICAL / Family & General Practice
MED033000
MEDICAL / Gynecology & Obstetrics