Perspective Study on Vaginal, Vulvar Disorders in South Karnataka Women

  • B S Girijamma Assistant Professor, Department of Obstetrics and Gynaecology
Keywords: Allergic conditions, Bacterial infections, Herpes, Malignancy, Vulvovaginal conditions


Background: Due to unhygienic and illiteracy in the women, there are many genital infections, that is, bacterial, fungal herpes, and viral infections which are usually ignored by females. Due to their busy schedule of their domestic commitments moreover they belong to, middle and low socio-economic status.
Materials and Methods: A total of 125 women aged between 16 and 66 years were studied and classified into three groups: (a) 16–24, (b) 25–45, and (c) 46–66 years age group; vaginal pH was measured by pH indicator strip bimanual examination. Swab was collected from posterior vaginal fornix sent for amine test and Gram staining and culture to rule out bacterial vaginitis. Fungal swab was incubated on Sabouraud Dextrose Agar. Incubated at 37°C temperature and observed for 4 weeks. Valvular biopsy was done in valvular dystrophy or if malignancy was suspected.
Results: In 16–24 years age group, 11 (34.3%) had bacterial infection, 9 (28.1%) had fungal infection, 7 (21.8%) had allergic conditions, 3 (9.37%) had herpes, and 2 (6.25%) had malignancy. In age group of 25–45 years, 15 (35.7%) had bacterial infection, 13 (30.9%) had fungal infection, 6 (14.2%) had allergic condition, 5 (11.9%) herpes, and 3 (7.1%) had malignancy. In the age group of 46–66 years, 20 (39.2%) had bacterial infections, 14 (27.4%) had fungal infections, 6 (11.7%) had allergic condition, 4 (7.84%) had herpes, and 7 (13.7%) had malignancy.
Conclusion: Prevalence of vaginal, valvular disorders is due to unhygienic, undernutrition, malnutrition, and late approach to medical help. The disorders of different age group will be useful to obstetrician and gynecologist, endocrinologist to treat such patients efficiently.

Author Biography

B S Girijamma, Assistant Professor, Department of Obstetrics and Gynaecology

Basaveshwara Medical College, Chitradurga, Karnataka, India


1. Danders GG. Definition and classification of abnormal
vaginal flora. Best Pract Res Clin Obstel Gynacol
2. Workowski KA, Bolan GA. Center for sexually transmitted
diseases treatments guidelines 2015. MMWR Recomm Rep
3. Amsel R Totten PA. Non-specific vaginitis diagnostic criteria
and microbial and epidemiologic association. Am J Med
4. Van Schalkwyk J, Yudin MH. Infection diseases committee
vulvo vaginitis screaming for and management of
trichomoniasis, vulvo-vaginal candidacies and bacterial
vaginosis. J Obstet Gynaecol Can 2015;37:266-7.
5. Paladine HL, Deasi UA. Vaginitis diagnosis and treatment.
Am Fam Phys 2018;97:321-9.
6. Sami S, Baloch SN. Vaginitis and sexually transmitted
infections in a hospital based study. J Pak Med Assoc
7. Shrestha S, Tuladhar NR. Prevalence vaginitis among
pregnant woman attending paropakar maternity and
women’s hospital Nepal. Med Coll J 2011;13:293-6.
8. Masad DL, Guptas PJ. Utility of microbiological profile of
symptomatic vaginal discharge in rural women. J Clin Diagn
Res 2015;9:4-7.
9. O’Connar MI, Sobel TD. Epidemiology of recurrent vulvovaginal
candidacies: Identification and strain deformation
of Candida albicans. J Infect Dis 1986;154:328-63.
10. Smith YR, Haefmer HK. Vulvular lichen sclerosis pathophysiology
and treatment. Am J Clin Derm 2004;5:105-25.
11. Thulkar J, Kriplani A. Etiology and risk factors of recurrent
vaginitis. Ind J Med Res 2010;131:83-7.
12. Puri K, Madcen A. Incidence of various causes of vaginal
discharge among sexually active females in age group 20-40
yrs. Ind J Dematol Venerol Leprol 2003;69:122-5.