ICD-10: N76.0

Acute vaginitis

Clinical Information

Inclusion Terms

  • Vulvovaginitis NOS
  • Vaginitis NOS
  • Acute vulvovaginitis

Additional Information

Clinical Information

Acute vaginitis, classified under ICD-10 code N76.0, is a common condition characterized by inflammation of the vagina. Understanding its clinical presentation, signs, symptoms, and patient characteristics is essential for accurate diagnosis and effective management.

Clinical Presentation

Acute vaginitis typically presents with a range of symptoms that can vary in intensity. The condition may arise from various etiologies, including infections (bacterial, fungal, or viral), irritants, or allergic reactions. The clinical presentation often includes:

  • Vaginal Discharge: Patients may report an increase in vaginal discharge, which can vary in color and consistency depending on the underlying cause. For instance, a yeast infection may produce a thick, white discharge, while bacterial vaginosis may result in a thin, grayish discharge with a fishy odor[1].

  • Vulvar Itching and Irritation: Itching and irritation of the vulva are common complaints. This discomfort can be exacerbated by external factors such as soaps, detergents, or sexual activity[2].

  • Dyspareunia: Pain during intercourse (dyspareunia) is frequently reported, which can further impact the patient's quality of life and sexual health[3].

  • Dysuria: Some patients may experience pain or burning during urination, which can be mistaken for a urinary tract infection (UTI) but is often related to the inflammation of the vaginal tissues[4].

Signs and Symptoms

The signs and symptoms of acute vaginitis can be categorized as follows:

Common Symptoms

  • Vaginal Discharge: Changes in discharge color, consistency, and odor.
  • Itching and Burning: Localized discomfort in the vaginal and vulvar areas.
  • Painful Intercourse: Discomfort during sexual activity.
  • Urinary Symptoms: Burning sensation during urination.

Physical Examination Findings

During a pelvic examination, healthcare providers may observe:
- Erythema: Redness of the vaginal walls and vulva.
- Swelling: Inflammation may lead to swelling of the vulvar tissues.
- Discharge: Presence of abnormal discharge that may be assessed for color and odor.

Patient Characteristics

Acute vaginitis can affect individuals across various demographics, but certain characteristics may predispose patients to this condition:

  • Age: While acute vaginitis can occur at any age, it is particularly common in women of reproductive age due to hormonal fluctuations and sexual activity[5].

  • Sexual Activity: Increased sexual activity can lead to changes in the vaginal flora, making women more susceptible to infections that cause vaginitis[6].

  • Hormonal Changes: Conditions such as pregnancy, menstruation, or menopause can alter the vaginal environment, increasing the risk of vaginitis[7].

  • Underlying Health Conditions: Patients with diabetes, immunocompromised states, or those using antibiotics may have a higher incidence of acute vaginitis due to changes in normal flora or immune response[8].

  • Hygiene Practices: Poor hygiene or the use of irritants (such as scented products) can contribute to the development of vaginitis[9].

Conclusion

Acute vaginitis, represented by ICD-10 code N76.0, is a multifaceted condition with a variety of clinical presentations and symptoms. Recognizing the signs and understanding patient characteristics are crucial for effective diagnosis and treatment. Healthcare providers should consider the underlying causes and individual patient factors when managing this common gynecological issue. Early intervention can help alleviate symptoms and prevent complications, ensuring better health outcomes for affected individuals.

For further management, healthcare professionals may consider diagnostic testing to identify the specific cause of vaginitis, which can guide appropriate treatment strategies[10].

Approximate Synonyms

Acute vaginitis, classified under the ICD-10-CM code N76.0, is a condition characterized by inflammation of the vagina, often accompanied by symptoms such as itching, discharge, and discomfort. Understanding alternative names and related terms for this diagnosis can enhance communication among healthcare providers and improve patient education. Below are some commonly used alternative names and related terms associated with acute vaginitis.

Alternative Names for Acute Vaginitis

  1. Vaginal Inflammation: A general term that describes the inflammatory process occurring in the vaginal area, which can encompass various causes, including infections and irritants.

  2. Vaginitis: This broader term refers to inflammation of the vagina and can include various types, such as bacterial vaginosis, yeast infections, and trichomoniasis, in addition to acute vaginitis.

  3. Acute Vulvovaginitis: This term specifies inflammation affecting both the vulva and the vagina, highlighting the involvement of external genitalia.

  4. Vaginal Infection: While not all cases of acute vaginitis are due to infections, this term is often used interchangeably, especially when the inflammation is caused by infectious agents.

  5. Non-specific Vaginitis: This term may be used when the exact cause of the vaginitis is not identified, but symptoms are present.

  1. Bacterial Vaginosis: A common cause of vaginitis characterized by an imbalance of normal vaginal bacteria, leading to inflammation and discharge.

  2. Candidiasis: Often referred to as a yeast infection, this condition can cause acute vaginitis and is characterized by itching and a thick, white discharge.

  3. Trichomoniasis: A sexually transmitted infection caused by the parasite Trichomonas vaginalis, which can lead to acute vaginitis symptoms.

  4. Vulvitis: Inflammation of the vulva, which may occur alongside vaginitis and contribute to the overall symptoms experienced by the patient.

  5. Irritative Vaginitis: This term refers to vaginitis caused by irritants such as soaps, douches, or other chemicals, rather than infections.

  6. Sexually Transmitted Infections (STIs): Some STIs can present with symptoms similar to acute vaginitis, making it important to consider these conditions in differential diagnoses.

Conclusion

Understanding the alternative names and related terms for ICD-10 code N76.0 (acute vaginitis) is crucial for accurate diagnosis, treatment, and communication in clinical settings. By recognizing these terms, healthcare providers can better address patient concerns and ensure appropriate management of the condition. If you have further questions or need more specific information regarding acute vaginitis or its related conditions, feel free to ask!

Diagnostic Criteria

Acute vaginitis, classified under ICD-10 code N76.0, is a common condition characterized by inflammation of the vagina, which can result from various infectious or non-infectious causes. The diagnosis of acute vaginitis involves a combination of clinical evaluation, patient history, and diagnostic testing. Below are the key criteria and considerations used in the diagnosis of this condition.

Clinical Evaluation

Symptoms

The initial step in diagnosing acute vaginitis is assessing the patient's symptoms. Common symptoms include:

  • Vaginal Discharge: Changes in the amount, color, or odor of vaginal discharge are significant indicators. Discharge may be thick, thin, or frothy, depending on the underlying cause.
  • Itching or Irritation: Patients often report itching, burning, or irritation in the vaginal area.
  • Pain: Discomfort during intercourse (dyspareunia) or pelvic pain may also be present.
  • Odor: A strong or unpleasant odor from the vaginal area can indicate an infection.

Medical History

A thorough medical history is essential. Clinicians will inquire about:

  • Sexual History: Recent sexual activity, number of partners, and use of protection can influence the diagnosis.
  • Menstrual History: Changes in menstrual cycles or recent menstruation can affect vaginal health.
  • Previous Infections: A history of recurrent vaginitis or sexually transmitted infections (STIs) may be relevant.

Diagnostic Testing

Physical Examination

A pelvic examination is crucial for diagnosing acute vaginitis. During this examination, healthcare providers will:

  • Inspect the vaginal walls and cervix for signs of inflammation, lesions, or discharge.
  • Collect samples for laboratory testing if necessary.

Laboratory Tests

Several laboratory tests may be performed to confirm the diagnosis and identify the causative agent:

  • Microscopic Examination: A wet mount preparation of vaginal discharge can help identify yeast, bacteria, or trichomonads.
  • pH Testing: The vaginal pH can be assessed; a pH greater than 4.5 may suggest bacterial vaginosis or trichomoniasis.
  • Culture Tests: Cultures may be taken to identify specific pathogens, especially in cases of recurrent or complicated vaginitis.
  • STI Testing: Testing for STIs, such as chlamydia and gonorrhea, may be warranted based on the patient's history and symptoms.

Differential Diagnosis

It is important to differentiate acute vaginitis from other conditions that may present similarly, such as:

  • Vulvovaginal Candidiasis: Often presents with thick, white discharge and intense itching.
  • Bacterial Vaginosis: Characterized by a fishy odor and a thin, gray discharge.
  • Trichomoniasis: May present with frothy discharge and is often associated with itching and irritation.

Conclusion

The diagnosis of acute vaginitis (ICD-10 code N76.0) relies on a comprehensive approach that includes symptom assessment, medical history, physical examination, and appropriate laboratory testing. By carefully evaluating these criteria, healthcare providers can accurately diagnose the condition and determine the most effective treatment plan. If you suspect you have symptoms of vaginitis, it is advisable to consult a healthcare professional for proper evaluation and management.

Treatment Guidelines

Acute vaginitis, classified under ICD-10 code N76.0, is a common condition characterized by inflammation of the vagina, often resulting in symptoms such as itching, burning, and abnormal discharge. The treatment for acute vaginitis typically depends on the underlying cause, which can include infections (such as bacterial vaginosis, vulvovaginal candidiasis, or sexually transmitted infections) or non-infectious factors (such as irritants or allergens). Below is a detailed overview of standard treatment approaches for acute vaginitis.

Diagnosis and Assessment

Before initiating treatment, a thorough diagnosis is essential. This may involve:

  • Medical History: Gathering information about symptoms, sexual history, and any previous episodes of vaginitis.
  • Physical Examination: A pelvic exam to assess the vaginal and vulvar area.
  • Laboratory Tests: Microscopic examination of vaginal discharge, pH testing, and cultures to identify specific pathogens or conditions.

Treatment Approaches

1. Antibiotic Therapy

If the vaginitis is caused by a bacterial infection, such as bacterial vaginosis, antibiotic treatment is typically prescribed. Common antibiotics include:

  • Metronidazole: Often administered orally or as a topical gel.
  • Clindamycin: Available in oral or topical forms.

2. Antifungal Treatment

For cases of vaginitis caused by yeast infections (candidiasis), antifungal medications are the standard treatment. Options include:

  • Fluconazole: An oral antifungal that is effective against Candida species.
  • Topical Antifungals: Such as clotrimazole or miconazole, which can be applied directly to the affected area.

3. Antiviral Medications

In cases where vaginitis is associated with viral infections, such as herpes simplex virus, antiviral medications may be necessary. Common antivirals include:

  • Acyclovir: Used to manage outbreaks of genital herpes.

4. Symptomatic Relief

In addition to treating the underlying cause, symptomatic relief can be important. This may include:

  • Topical Corticosteroids: To reduce inflammation and itching.
  • Antihistamines: For allergic reactions or irritations.
  • Moisturizers: To alleviate dryness and discomfort.

5. Lifestyle and Home Remedies

Patients are often advised to adopt certain lifestyle changes and home remedies to support treatment and prevent recurrence:

  • Avoiding Irritants: Such as scented soaps, douches, and feminine hygiene sprays.
  • Wearing Breathable Clothing: Cotton underwear and loose-fitting clothes can help reduce moisture and irritation.
  • Maintaining Hygiene: Regular bathing and proper wiping techniques can help prevent infections.

Follow-Up and Monitoring

After initiating treatment, follow-up is crucial to ensure the resolution of symptoms and to monitor for any potential complications or recurrence. Patients should be advised to return if symptoms persist or worsen despite treatment.

Conclusion

The management of acute vaginitis (ICD-10 code N76.0) involves a tailored approach based on the underlying cause of the condition. Effective treatment typically includes antibiotics for bacterial infections, antifungals for yeast infections, and symptomatic relief measures. Proper diagnosis and follow-up care are essential to ensure successful outcomes and to prevent future episodes. If you suspect you have acute vaginitis, consulting a healthcare provider for an accurate diagnosis and appropriate treatment plan is recommended.

Description

Acute vaginitis, classified under the ICD-10 code N76.0, is a medical condition characterized by inflammation of the vagina, which can lead to various symptoms and complications. This condition is significant in gynecological practice and requires a thorough understanding for accurate diagnosis and treatment.

Clinical Description of Acute Vaginitis

Definition

Acute vaginitis refers to the sudden onset of inflammation in the vaginal area, which can be caused by infections, irritants, or other underlying health issues. It is important to differentiate acute vaginitis from chronic forms of vaginitis, which may have different etiologies and treatment approaches.

Etiology

The causes of acute vaginitis can be diverse, including:

  • Infectious Agents: The most common causes are bacterial infections (such as bacterial vaginosis), yeast infections (Candida species), and sexually transmitted infections (STIs) like trichomoniasis and gonorrhea[1][2].
  • Chemical Irritants: Products such as soaps, douches, and spermicides can irritate the vaginal mucosa, leading to inflammation[3].
  • Hormonal Changes: Fluctuations in hormone levels, particularly estrogen, can affect vaginal flora and lead to infections, especially in postmenopausal women[4].

Symptoms

Patients with acute vaginitis may present with a variety of symptoms, including:

  • Vaginal Discharge: This may vary in color, consistency, and odor depending on the underlying cause. For instance, a fishy odor is often associated with bacterial vaginosis, while a thick, white discharge is typical of a yeast infection[5].
  • Itching and Irritation: Patients frequently report itching, burning sensations, or discomfort in the vaginal area[6].
  • Pain: Discomfort during intercourse (dyspareunia) and pelvic pain may also be present[7].
  • Dysuria: Painful urination can occur if the inflammation extends to the urethra[8].

Diagnosis

Diagnosis of acute vaginitis typically involves:

  • Clinical History and Examination: A thorough medical history and physical examination are crucial. The clinician will assess symptoms, sexual history, and any potential irritants[9].
  • Diagnostic Testing: Laboratory tests may include vaginal swabs for culture, pH testing, and microscopic examination of discharge to identify the causative agent[10].

Treatment

Treatment for acute vaginitis is directed at the underlying cause:

  • Antibiotics: For bacterial infections, appropriate antibiotics are prescribed based on culture results[11].
  • Antifungal Medications: Yeast infections are treated with antifungal agents, either topical or systemic[12].
  • Avoidance of Irritants: Patients are advised to avoid known irritants and to maintain proper hygiene practices[13].

Conclusion

Acute vaginitis, represented by the ICD-10 code N76.0, is a common condition that can significantly impact a woman's quality of life. Understanding its clinical presentation, causes, and treatment options is essential for effective management. Early diagnosis and appropriate treatment can alleviate symptoms and prevent complications, making awareness of this condition vital for both patients and healthcare providers.

References

  1. ICD-10 code: N76.0 Acute vaginitis.
  2. Clinical Concepts for OB/GYN | ICD-10.
  3. Vaginitis Diagnostic Testing.
  4. Other inflammation of vagina and vulva (N76).
  5. ICD-10-CM Diagnosis Code N76.0 - Acute vaginitis.
  6. ICD-10 code: N76 Other inflammation of vagina and vulva.
  7. 2025 ICD-10-CM Diagnosis Code N76.
  8. ICD-10 | Acute vaginitis (N76.0).
  9. ICD-10-CM Code for Acute vaginitis N76.0.
  10. Other inflammation of vagina and vulva (N76) - ICD-10.
  11. Clinical Concepts for OB/GYN | ICD-10.
  12. Vaginitis Diagnostic Testing.
  13. ICD-10 code: N76 Other inflammation of vagina and vulva.

Related Information

Clinical Information

  • Inflammation of vagina causes symptoms
  • Vaginal discharge varies in color and consistency
  • Itching and irritation of vulva common complaints
  • Pain during intercourse (dyspareunia) reported
  • Dysuria or painful urination occurs
  • Erythema and swelling observed during pelvic exam
  • Abnormal vaginal discharge presence confirmed
  • Increased risk in women of reproductive age
  • Sexual activity increases susceptibility to infections
  • Hormonal changes affect vaginal environment
  • Underlying health conditions increase incidence
  • Poor hygiene contributes to vaginitis development

Approximate Synonyms

  • Vaginal Inflammation
  • Vaginitis
  • Acute Vulvovaginitis
  • Vaginal Infection
  • Non-specific Vaginitis
  • Bacterial Vaginosis
  • Candidiasis
  • Trichomoniasis
  • Vulvitis
  • Irritative Vaginitis

Diagnostic Criteria

  • Vaginal discharge with changes in amount, color or odor
  • Itching or irritation in the vaginal area
  • Discomfort during intercourse (dyspareunia)
  • Pelvic pain
  • Recent sexual activity with multiple partners
  • History of recurrent vaginitis or STIs
  • Vaginal pH greater than 4.5
  • Thick, white discharge and intense itching for vulvovaginal candidiasis
  • Fishy odor and thin, gray discharge for bacterial vaginosis

Treatment Guidelines

  • Gather medical history
  • Perform physical examination
  • Conduct laboratory tests
  • Administer Metronidazole or Clindamycin
  • Prescribe Fluconazole for candidiasis
  • Use topical antifungals for candidiasis
  • Use Acyclovir for viral infections
  • Apply topical corticosteroids
  • Take antihistamines for allergic reactions
  • Use moisturizers for symptomatic relief
  • Avoid irritants and scented soaps
  • Wear breathable clothing and maintain hygiene

Description

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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.