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The vaginal introitus: a novel site for Chlamydia trachomatis testing in women

Article Abstract:

Cell and fluid samples obtained from the entrance of the vagina may provide sufficient evidence of chlamydial infection and reduce the need for invasive sampling. Current practice for sexually transmitted disease (STD) testing involves use of vaginal speculums by trained staff to obtain cervical samples of cells and fluid. Chlamydia is the most common STD in the U.S. Researchers compared the effectiveness of 200 patient-collected and 300 STD clinic staff-collected swabs of the vaginal entrance for diagnosing chlamydial infection. Staff-collected swabs revealed 92% of chlamydial infections, and patient-collected swabs detected 81% of infections. Identification rates using both of these methods surpassed those of cervical and urethral samples. The need for trained staff to collect samples may be ended.

Author: Wiesenfeld, Harold C., Sweet, Richard L., Heine, R. Philip, Rideout, Anne, Macio, Ingrid, DiBiasi, Faith
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
Medical examination, Chlamydia trachomatis, Vagina

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The infrequent use of office-based diagnostic tests for vaginitis

Article Abstract:

Many doctors are not using simple office-based diagnostic tests to detect vaginitis. Vaginitis is an inflammation of the vagina. In a study of 52 women with symptoms of vaginitis, in over half the visits, the doctor did not adequately determine the cause of the symptoms.

Author: Wiesenfeld, Harold C., Macio, Ingrid
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1999
Statistical Data Included, Vaginitis

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Insight into the treatment of vulvar pain: A survey of clinicians

Article Abstract:

A study aims to determine practice patterns among clinicians who frequently treat patients with vulvar pain syndromes. The results reveal that clinicians use a wide variety of treatments for vulvar pain and use different therapies for variants of vulvodynia.

Author: Wiesenfeld, Harold C., Updike, Glenn M.
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2005
United States, Care and treatment, Pain, Pain management, Vulvar diseases

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Subjects list: Diagnosis
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