[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-401207-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-401207-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","diagnosis-of-vaginal-conditions-sas-conference-2018","Diagnosis of Vaginal Conditions - SAS Conference 2018","","This document provides a comprehensive overview of the diagnosis of vaginal conditions, presented by Dr. Phillip Hay at the 2018 SAS Conference. It covers fundamental vaginal physiology, including normal pH levels, the role of Lactobacillus, and age-related changes. The content categorizes various causes of vaginal discomfort into vaginal-specific, dermatological, and cervical or uterine origins. Furthermore, it incorporates analytical data, such as prevalence studies in vulvo-vaginal clinics and longitudinal tracking of bacterial species (e.g., Gardnerella vaginalis, Atopobium vaginae) relative to Bacterial Vaginosis (BV) episodes, providing a detailed scientific look at microbial fluctuations throughout the menstrual cycle.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/diagnosis-of-vaginal-conditions-sas-conference-2018/401207/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/diagnosis-of-vaginal-conditions-sas-conference-2018/401207.png","ImageObject",300,407,{"name":42,"@type":43},"Damian","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-27",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What are the primary categories of causes for vaginal discomfort?","Question",{"text":63,"@type":64},"Causes are categorized into vaginal (e.g., Candida, BV, Trichomonas), dermatological (e.g., eczema, lichen sclerosus), and cervical/uterine (e.g., Chlamydia, Gonorrhoea, Neoplasm).","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is considered normal vaginal physiology?",{"text":68,"@type":64},"Normal physiology is characterized by a pH between 4.0 and 4.5, a lining of stratified squamous epithelium, and a flora dominated by Lactobacillus species from puberty onwards.",{"name":70,"@type":61,"acceptedAnswer":71},"What microbial trends are associated with Bacterial Vaginosis in the provided data?",{"text":72,"@type":64},"The longitudinal data indicates significant fluctuations in various bacterial species, including Gardnerella vaginalis and Atopobium vaginae, correlated with Bacterial Vaginosis episodes and menstrual cycle changes.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},401207,1790742092,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":140,"language":141,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":12,"update_tm":145,"read_time":146,"preview_page_count":4},137451208677,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","# Diagnosis of Vaginal Conditions\n\nDr. Phillip Hay  \nBarnstaple Health Centre  \nSAS Conference 2018  \nPhillip Hay  \n# DIAGNOSIS OF VAGINAL CONDITIONS\n\nSAS Conference 2018  \n  Vaginal Physiology  \n􀂄 pH 4.0 - 4.5  \n􀂄 Lined by stratified squamous epithelium  \n􀂄 Lactobacillus dominated flora  \n􀂄 Puberty onwards  \n􀂄 Atrophic change after menopause  \n􀂄 Fluctuation over the menstrual cycle  \nPhysiological  \n􀂄 What is“normal”?  \n􀂄 Changes in consistency and amountduring cycle  \n  Vaginal causes  \n􀂄 Candida  \n􀂄 Bacterial vaginosis  \n􀂄 Trichomonas Vaginalis  \n􀂄 Foreign body  \n􀂄 Atrophic vaginitis  \nFig. 1. Prevalence of all diagnosis performed in a vulvo-vaginal clinic: An annual cohort of 297 primary visits of women complainingof genital discomfort: pruritus, discharge, dyspareunia and malodor.  \nOrna Reichman, Hemda Luwisch, Hen Y. Sela, Arnon Samueloff  \nGenital discomfort: yeast, trichomonas and bacterial vaginosis are only the tip of the iceberg  \nEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 2017, Available online 3 May 2017http://dx.doi.org/10.1016/j.ejogrb.2017.04.049  \n Dermatological causes  \n􀂄 Eczema  \n􀂄 Lichen sclerosus  \n􀂄 Lichen simplex  \n􀂄 Other eg lichen planus, psoriasis, sarcoidosis,pemphigus, Crohn’s  \n Cervical/Uterine causes  \n􀂄 Chlamydia  \n􀂄 Gonorrhoea  \n􀂄 Ectropion  \n􀂄 HSV  \n􀂄 Neoplasm  \n Case 1  \n􀂄 44 year old woman  \n􀂄 1/12 vaginal soreness, discharge –greenish at times, thick, not-offensive  \n􀂄 RMP 15 years, no others  \n􀂄 Thick yellow discharge  \n􀂄 BV grade 4","cbCaiscaO7jEo234","https://ap.wps.com/l/cbCaiscaO7jEo234","pdf",5296556,65,"English","# Vaginal Physiology\n# Diagnostic Categories\n## Vaginal Causes\n## Dermatological Causes\n## Cervical/Uterine Causes\n# Clinical Case Study","[{\"question\":\"What are the primary categories of causes for vaginal discomfort?\",\"answer\":\"Causes are categorized into vaginal (e.g., Candida, BV, Trichomonas), dermatological (e.g., eczema, lichen sclerosus), and cervical/uterine (e.g., Chlamydia, Gonorrhoea, Neoplasm).\"},{\"question\":\"What is considered normal vaginal physiology?\",\"answer\":\"Normal physiology is characterized by a pH between 4.0 and 4.5, a lining of stratified squamous epithelium, and a flora dominated by Lactobacillus species from puberty onwards.\"},{\"question\":\"What microbial trends are associated with Bacterial Vaginosis in the provided data?\",\"answer\":\"The longitudinal data indicates significant fluctuations in various bacterial species, including Gardnerella vaginalis and Atopobium vaginae, correlated with Bacterial Vaginosis episodes and menstrual cycle changes.\"}]","Diagnosis of Vaginal Conditions - SAS Conference 2018 | PDF",1790517642,164]