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For situations where on-site microscopy is not available, the World Health Organization has developed an algorithm for management of vaginal discharge. Characterized by an overgrowth of genital tract organisms e. Text Equivalent - Figure 1 Figure 1 is an algorithm developed by the World Health Organization in to guide syndromic management of a patient who is presenting with vaginal discharge in a location where on-site microscopy is not readily available. Footnote 63 , Footnote 64 Both showed a statistically significant greater reduction in symptoms and microscopic restoration of normal flora than the placebo group. However, symptomatic women should be tested and treated. Fluconazole and boric acid are contraindicated in pregnancy. Footnote 33 Conventional antifungal therapy is not as effective against some of these species see Table 8.

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Oil-based ovules and creams may cause latex condoms or diaphragms to fail.

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Testing should be repeated after 1 month to ensure that therapy was effective. Follow-up No follow-up is necessary unless the patient is pregnant or symptoms recur. You will not receive a reply.

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