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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.
	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
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