Are a Speculum Examination and Wet Mount Always Necessary for Patients With Vaginal Symptoms? A Pilot Randomized Controlled Trial

References

1. ↵
   Kent HL. Epidemiology of vaginitis. Am J Obstet Gynecol 1991; 165(4 Pt 2): 1168–76.

   OpenUrlCrossRefPubMedWeb of Science
2. ↵
   Lipsky MS, Waters T, Sharp LK. Impact of vaginal antifungal products on utilization of health care services: evidence from physician visits. J Am Board Fam Pract 2000; 13: 178–82.

   OpenUrlPubMed
3. ↵
   Eckert LO. Clinical practice. Acute vulvovaginitis. N Engl J Med 2006; 355: 1244–252.

   OpenUrlCrossRefPubMedWeb of Science
4. ACOG Committee on Practice Bulletins–Gynecology. ACOG Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists, Number 72, May 2006: Vaginitis. Obstet Gynecol 2006; 107: 1195–206.

   OpenUrlPubMed
5. Workowski KA, Berman SM. Sexually transmitted diseases treatment guidelines, 2006. MMWR Recomm Rep 2006; 55(RR-11): 1–94.

   OpenUrlPubMed
6. ↵
   Schaaf VM, Perez-Stable EJ, Borchardt K. The limited value of symptoms and signs in the diagnosis of vaginal infections. Arch Intern Med 1990; 150: 1929–33.

   OpenUrlCrossRefPubMedWeb of Science
7. Berg AO, Heidrich FE, Fihn SD, et al. Establishing the cause of genitourinary symptoms in women in a family practice. Comparison of clinical examination and comprehensive microbiology. JAMA 1984; 251: 620–5.

   OpenUrlCrossRefPubMedWeb of Science
8. Mayaud P, ka-Gina G, Cornelissen J, et al. Validation of a WHO algorithm with risk assessment for the clinical management of vaginal discharge in Mwanza, Tanzania. Sex Transm Infect 1998; 74(Suppl 1): S77–84.

   OpenUrlPubMedWeb of Science
9. ↵
   Bergman JJ, Berg AO. How useful are symptoms in the diagnosis of Candida vaginitis? J Fam Pract 1983; 16: 509–11.

   OpenUrlPubMedWeb of Science
10. ↵
    Blake DR, Duggan A, Joffe A. Use of spun urine to enhance detection of Trichomonas vaginalis in adolescent women. Arch Pediatr Adolesc Med 1999; 12: 1222–5.

    OpenUrl
11. ↵
    Anderson MR, Klink K, Cohrssen A. Evaluation of vaginal complaints. JAMA 2004; 291: 1368–79.

    OpenUrlCrossRefPubMedWeb of Science
12. ↵
    Anderson MR, Karasz A. How do clinicians manage vaginal complaints? An Internet survey. Med Gen Med 2005; 7: 61.

    OpenUrl
13. ↵
    Wiesenfeld HC, Macio I. The infrequent use of office-based diagnostic tests for vaginitis. Am J Obstet Gynecol 1999; 181: 39–41.

    OpenUrlPubMed
14. ↵
    Allen-Davis JT, Beck A, Parker R, Ellis JL, Polley D. Assessment of vulvovaginal complaints: accuracy of telephone triage and in-office diagnosis. Obstet Gynecol 2002; 99: 18–22.

    OpenUrlCrossRefPubMedWeb of Science
15. ↵
    Chandeying V, Skov S, Kemapunmanus M, Law M, Geater A, Rowe P. Evaluation of two clinical protocols for the management of women with vaginal discharge in southern Thailand. Sex Transm Infect 1998; 74: 194–201.

    OpenUrlAbstract
16. ↵
    Ryan CA, Courtois BN, Hawes SE, Stevens CE, Eschenbach DA, Holmes KK. Risk assessment, symptoms, and signs as predictors of vulvovaginal and cervical infections in an urban US STD clinic: implications for use of STD algorithms. Sex Transm Infect 1998; 74(Suppl 1): S59–76.

    OpenUrlCrossRefPubMedWeb of Science
17. ↵
    Nyirjesy P, Sobel JD. Advances in diagnosing vaginitis: development of a new algorithm. Curr Infect Dis Rep 2005; 7: 458–62.

    OpenUrlPubMed
18. ↵
    Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK. Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med 1983; 74: 14–22.

    OpenUrlCrossRefPubMedWeb of Science
19. ↵
    Bornstein J, Lakovsky Y, Lavi I, Bar-Am A, Abramovici H. The classic approach to diagnosis of vulvovaginitis: a critical analysis. Infect Dis Obstet Gynecol 2001; 9: 105–11.

    OpenUrlPubMed
20. ↵
    Nyirjesy P, Peyton C, Weitz MV, Mathew L, Culhane JF. Causes of chronic vaginitis: analysis of a prospective database of affected women. Obstet Gynecol 2006; 108: 1185–91.

    OpenUrlCrossRefPubMed
21. ↵
    Karasz A, Anderson M. The vaginitis monologues: women's experiences of vaginal complaints in a primary care setting. Soc Sci Med 2003; 56: 1013–21.

    OpenUrlCrossRefPubMedWeb of Science
22. Patel V, Pednekar S, Weiss H, et al. Why do women complain of vaginal discharge? A population survey of infectious and pyschosocial risk factors in a South Asian community. Int J Epidemiol 2005; 34: 853–62.

    OpenUrlAbstract/FREE Full Text
23. Nansel TR, Riggs MA, Yu KF, Andrews WW, Schwebke JR, Klebanoff MA. The association of psychosocial stress and bacterial vaginosis in a longitudinal cohort. Am J Obstet Gynecol 2006; 194: 381–6.

    OpenUrlCrossRefPubMedWeb of Science
24. ↵
    Kulp JL, Chaudhry S, Wiita B, Bachmann G. The accuracy of women performing vaginal pH self-testing. J Womens Health (Larchmt) 2008; 17: 523–6.

    OpenUrlPubMed
25. ↵
    Mabey D, Ackers J, Adu-Sarkodie Y. Trichomonas vaginalis infection. Sex Transm Infect 2006; 82(Suppl 4): iv26–7.

    OpenUrlFREE Full Text
26. ↵
    Mayta H, Gilman RH, Calderon MM, et al. 18S ribosomal DNA-based PCR for diagnosis of Trichomonas vaginalis. J Clin Microbiol 2000; 38: 2683–7.

    OpenUrlAbstract/FREE Full Text
27. ↵
    Anderson MR, Karasz A, Friedland S. Are vaginal symptoms ever normal? A review of the literature. MedGenMed 2004; 6: 49.

    OpenUrlPubMed