Experiences in a Vaginitis Clinic

Abstract

<h3>To the Editor:—</h3> Dr. Myers' query is specifically concerned with the omission of any mention of the gonococcus as a cause of vaginitis in adults. In our experience, at least with our patient population, "pure" gonococcal vaginitis without involvement elsewhere of the genital tract is very rare. This is in contradistinction to the situation in the prepubertal female in whom gonococcal vulvovaginitis is more often seen. For that reason<i>Neisseria gonorrheae</i>was not mentioned by name in the text dealing with adult vaginitis. In Table 1 it is included under miscellaneous infections, of which there are many, including Vincent's organisms, tuberculosis, granuloma inguinale, various viral infections, etc. By common agreement it is usually not included among so-called "nonspecific" infections. As stated in the article, most of our patients are referred from other clinics where smears and occasionally cultures for the gonococcus may have been obtained. Moreover, we do screen each