Department of Reproductive Health and Research (RHR), World Health Organization
Sexually transmitted and other reproductive tract infections
A guide to essential practice
Vaginal infections (yeast infection, bacterial vaginosis and trichomoniasis) are very common in women of reproductive age, are almost always symptomatic and rarely cause complications.
In non-pregnant women, there is no need to look for asymptomatic cases. Asymptomatic women should not be treated for yeast or bacterial vaginosis on the basis of microscopy findings alone.
In pregnant women, however, bacterial vaginosis (BV) and trichomoniasis may cause complications such as prelabour rupture of membranes and preterm delivery. Women at risk for these conditions should be screened regardless of symptoms.
Indications for screening
Available screening tools (see Annex 3)
Infections of the male and female reproductive tract and their consequences:
Preventing STIs/RTIs and their complications
STI/RTI education and counselling
Promoting prevention of STI/RTI and use of services
STI/RTI Assessment during Routine Family Planning Visits
STI/RTI Assessment in pregnancy, childbirth and the postpartum period
Management of symptomatic STIs/RTIs
STI/RTI complications related to pregnancy, miscarriage, induced abortion, and the postpartum period
Annex 1. Clinical skills needed for STI/RTI
Annex 2. Disinfection and universal precautions
Annex 3. Laboratory tests for RTI
Annex 4. Medications