14. CANDIDA VAGINITIS
RECURRENCE
n Different species of Candida
n Insufficient duration of treatment
n Re-infection VS Recurrence
n HIV + Patients
n Post menopausal women
23. TRICHOMONAS
TREATMENT
n METRONIDAZOLE
n 500 mg PO BID X 7 DAYS OR
n 2 gm. single dose
n TREAT PARTNERS SIMULTANEOUSLY
n RESISTANT STRAINS- HIGH DOSE 2.5 G/
DAY X 10 DAYS OR IV
n CLOTRIMAZOLE CRAM
34. BACTERIAL VAGINOSIS
TREATMENT
n ONLY IF SYMPTOMATIC
n TREAT PARTNER?
n RECURRENCES
n TREAT IN PREGNANCY:
n 1ST TRIMESTER :-AMOXIL
n -CLINDAMYCIN
35. BACTERIAL VAGINOSIS
TREAMENT
n METRONIDAZOLE
n INTRAVAGINAL GEL 0.75% BID X 5 DAYS
n 500 MG PO BID X 7 DAYS
n 2 GRAM SINGLE DOSE
n CLINDAMYCIN
n 2% CREAM OB X 7 DAYS
n 300 MG BID X 7 DAYS
n HYDROGEN PEROXIDE
40. HERPES SIMPLEX
n PAINFUL ULCER
n TENDER NODE
n SWAB FOR CULTUR FROM THE ULCER
IS IMPORTANT
n TREATMENT: ACYCLOVIR
FAMCICLOVIR
n TREATMENT OF PARTNER
65. n 1% of the adult population have symptomatic
External Genital Warts.
n Infection occur during the first few years after
onset of sexual activity so infection among
older women is more likely to reflect persistent
infection.
66. n Genital human papillomavirus (HPV) infection
is the most common sexual transmitted
disease.
n 10-30% of the population in Canada are
infected.
n The prevalence of HPV is highest among
sexually active adolescents and young adults.
67. n Clinical manifestation of HPV infection
include asymptomatic infection and dysplastic
cellular changes that range from Koiliocytosis
to precancerous and malignant cellular
changes.
n Spontaneous clearance of the virus occur in
40-60% because of acquired cellular immune
response.
69. Treatment
n First line treatment will achieve clearance within 1-6
months, although disease persist in up to one third of
patients.
n Home therapy can be proposed in most cases as first
line therapy. Acuminate warts respond in 90% but
macular and papular lesions in only 50% of cases.
n Lesions occurring in new sites during treatment or
after clearance do not necessitate a change of
treatment modality
n Other concern.
72. PID
n SYMPTOMS AND SIGNS
n CULTURE
n CERVICAL PCR
n TREATMENT
CEFXITIN 2 G IV 8 H + DOXYCYCLIN 100
MG IV BID FOR 2-5 DAYS
n TREAT PARTNER WITH CEFIXIME 400 MG +
AZITHROMYCIN 1 GM PO SINGLE DOZE
73. Genital Infection
Khalid Sait FRCSC
Professor of
Gynecological Oncologist
Faclty of Medicine
King Abdulaziz University Q&A