Vaginal microbiocoenosis and cytology of prepubert

Authors: Lyubov A Matytsina Donald E Greydanus Yuriy A Gurkin

Publish Date: 2010/02/09

Volume: 6, Issue: 1, Pages: 32-37

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Abstract

Based on recent publications in human medicine and our own experience with vaginal cytology and microbiology in children and adolescent girls we review the principles of vaginal microbiocoenosis and cytology and their roles in disease prevention in prepubertal and adolescent girlsThe main role of vaginal microbiocoenosis and cytology in diagnosing as well as developing vulvovaginitis is demonstrated Clinicians can identify states of vaginal health and disease by important wellknown diagnostic tools including vaginal cytology Lactobacilli are infrequently observed in the prepubertal girls but become more abundant in adolescent girls Three basic types of vaginal smears are presented in addition to a classification of inflammatory urogenital diseases Management of common types of vulvovaginitis is also consideredThis essential shift in vaginal biocoenosis is important to prevent the growth of potentially pathogenic flora in the vagina The detection of vaginal microbiocoenosis problems and recognition of changing cytology in vaginal development can provide helpful clues to identifying and preventing vaginal diseases in this pediatric population

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