The Green Room: A Podcast from Obstetrics & Gynecology December 2024: Gynecology
Nov 14, 2024
In this engaging discussion, Dr. Caroline M. Mitchell shares her expertise as a research faculty at Harvard and director of the Vulvovaginal Disorders Program. The conversation delves into the complexities of vaginitis, emphasizing the need for accurate diagnosis through lab testing. Dr. Mitchell highlights personalized treatment approaches for recurrent infections like bacterial vaginosis and candidiasis, addressing antifungal resistance. She also discusses advancements in treatment options for trichomoniasis and the importance of nurturing a healthy vaginal microbiome.
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Research Path From HIV To Vaginitis
- Caroline M. Mitchell began studying the vaginal microbiome to understand HIV risk.
- Her lab training led to a clinical focus on recurrent vaginal infections.
Symptoms Are Insufficient For Diagnosis
- You cannot reliably diagnose vaginitis from symptoms or discharge alone.
- Caroline M. Mitchell stresses that objective testing is required for diagnosis.
Use NAATs And Test For The 'Big Three'
- Use nucleic acid–based testing if you lack microscopy in clinic.
- Test for the three common causes: bacterial vaginosis, candidiasis, and trichomoniasis.