What is the current stage of vulvovaginal discomfort diagnostics in the Czech Republic? Pilot analysis

Czech version

Authors: J. Kestřánek ¹; P. Jílek ³; V. Matula ¹; V. Buchta ²; M. Gregor ¹; J. Špaček ¹
Authors‘ workplace: Porodnická a gynekologická klinika LF UK a FN, Hradec Králové, přednosta doc. MUDr. J. Špaček, Ph. D., IFEPAG ¹; Mikrobiologický ústav LF UK a FN, Hradec Králové, přednosta doc. RNDr. V. Buchta, CSc. ²; Katedra biologických a lékařských věd FaF UK, Hradec Králové, vedoucí doc. PharmDr. P. Nachtigal, Ph. D. ³
Published in: Ceska Gynekol 2013; 78(6): 522-527
Category: Original Article

Overview

Objective:
To find out the level of the diagnostic effort of gynaecologists which is focused on the issue of vulvovaginal discomfort.

Design:
Pilot questionnaire study.

Settings:
Department of Obstetrics and Gynecology, Department of Clinical Microbiology, University Hospital and Medical Faculty Hradec Králové, Charles University, Prague, Department of Biological and Medici Sciences, FaF UK in Hradec Králové.

Methods and results:
The evaluation of selected parametres of entrance questionnaire in patiens with chronic vulvovaginal discomfort (itching, burning, discharge, vulvodynia more than 4 times a year). It has been confirmed, with the questionnaires, that almost no gynaecologists are interested in the issue of this matter.

Conclusion:
After evaluating the questionnaires a diversion of patient-tailored attitude has been found out, which can lead to negative consequences, particularly, in the future. Overuse of antibacterial and antimycotic medication and blind treatment have been prevailing.

Keywords:
vulvovaginal discomfort – miscroscopic examination – tailored medicine – blind treatment – antimycotics

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