الفهرس 
Chapter (1): Anatomy of the VaginaOnly 14 pages are availabe for public view
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Abstract
Vaginal complaints are very common in the general population and are one of the most frequent reasons for patient visits to obstetrician-gynecologists.
It is generally accepted that the most common causes of vaginitis are the triad of bacterial vaginosis, vulvo-vaginal candidiasis, and trichomoniasis. However, an estimated 30% of women with vaginal complaints may go without a diagnosis after a standard evaluation. Furthermore, with others, the diagnosis may be clear, but they may have recurrent or refractory symptoms that fail to respond to standard conventional therapy.
The results of this study were portrayed in :
characteristics of the studied sample and main risk factors:
The commonest type of vaginitis was candidiasis (38.8%), followed by bacterial vaginosis (31.3%), then mixed infections (25%), and trichomoniasis(5%).mean age of the studied women was (29.47±6.93), the highest ratio of infection aged between (20-35 y).
The highest percentage of the studied women who were not using sanitary pads during menstruation were in vaginal candidiasis (100%), trichomoniasis (100%),then bacterial vaginosis (84%) and mixed infections (70%).
Among women who taken antibiotics in the last three months (50%) suffered from trichomoniasis, (10%) in mixed infections, (8%) in bacterial vaginosis and (6.5%) in vaginal candidias
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Summary
The highest ratio of women had mixed infections (60%) were obese, while women with normal BMI found tricho-moniasis (50%) of cases ,so obesity considered as arisk factor of vaginitis.
The present study showed that usingcontraception in the four groups used hormonal contraception {whether combined contraceptive pills (CCPs), or progesterone only pills (POPs)}. The highest percentage was among women in candidiasis group (32.2%).
The current study reveals that Intrauterine devices (IUDs) were used as current contraceptive by users in all vaginitis groups. However the highest percentage of IUDs users was among women in trichomoniasis group(100%)of cases, followed by bacterial vaginosis(72%).
The highest percentage of the studied women who used vaginal douches (50%) of trichomonasis infection, (46.8%) of fungal infection and (38% )of bacterial infection used vaginal douches.
Vaginitis manifestations among the studied sample:
Women with BV typically presented with vulvar itching (60%), burning, irritation, (36%), dyspareunia (28%), dysuria (40%) complaining of increase vaginal discharge after sexual relation. The discharge was white, thick, and odorless.
Women with yeast vaginitis typically presented with a complaint of vulvar itching 54.8%, burning, irritation, or discharge 33.9% dyspareunia 29%, dysuria 19.4%. The discharge was white, thick, and odorless.
Women with trichomoniasis typically presented with vulvar itching (100%), burning, irritation, (62.5%), dyspareunia (50%), dysuria
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Summary
(87.5%) complaining of increase vaginal discharge after sexual relation. The discharge was, yellowish white, frothy discharge.
Mixed infections group is a combination of two or more types of infectious vaginitis both clinical diagnosis and physical examination of women and confirmed by laboratory examination had this type reveals a combination of signs and symptoms of the three groups.
Protective practices among the studied sample:
The majority of the studied women in the four groups of vaginitis did not recognize the right direction of cleaning after defecation. And 50% of trichomonasis infection, 46.8% of fungal infection and 38% of bacterial infection used vaginal douches.
So, Health education about reproductive health, health promotion, and how to avoid vaginal infections through avoiding of risk factors such as:. Bath or shower each day and clean the area around the vagina well,avoid tight jeans, panties without a cotton crotch, and other clothing that can trap moisture, Avoid irritating soaps or detergents, feminine hygiene sprays, perfumed toilet paper,Clean diaphragms and spermicidal applicators with hot soapy water and rinse well,Avoid unrecommended vaginal douching. Use sanitary pads during menstruation. Avoid spreading germs from the rectum to the vagina. After a bowel movement, wipe from front to back, away from the vagina, Seek medical advice if they have any signs of vaginitis and complete the advised treatment even if the discharge goes away before the medicine is finished