Suggested Pre-Referral Evaluation and Management Guidelines
1)
Depends on type:
Yeast - Control any precipitating factors. Eliminate all unnecessary antibiotics, control diabetes if present, optimize immunosuppressant disease if applicable and possible. Avoid 1- and 3-day topical treatment (use 7-day)
2)
BV:
Use oral metronidazole for 7 days
Suggested Additional Test/Management Prior to Specialty Visit
Perform yeast culture to confirm presence of yeast. Most patients referred for yeast vaginitis do not have yeast vaginitis. If yeast culture performed, please speciate (have lab identify species of yeast present)
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