Desquamative inflammatory vaginitis (DIV) is a medical condition. When it happens, the vaginal walls become irritated, inflamed, and may shed their surface cells.
It may include the following signs and symptoms:
1. Irritation and Inflammation: DIV causes the inside of the vagina to become red, swollen, and irritated. This can make it feel sore and uncomfortable. Spotted bleeding and erosions may occur.
2. Shedding of Vaginal Cells: The lining of the vagina can start to shed its surface cells more than usual. These shed cells may be visible as discharge.
3. Symptoms: Women with DIV may experience symptoms like itching, burning, pain during sex, and an increase in vaginal discharge. The discharge may be thick and yellowish.
4. Possible Cause: Previously, the cause of DIV was unknown and was thought to be related to an abnormal immune response or an allergic reaction. Recently, due to the availability of the advanced NGS (next generation sequencing) technology. DIV was found to be associated with aerobic bacterial infection.
5. Lab test. The vaginal microbiome test may show various cocci (Streptococcus, Staphylococcus, and Enterococcus), E. coli and other aerobic and/or facultative bacteria.
6. Diagnosis and Treatment: Diagnosis is usually made by a doctor based on symptoms, examination, and lab test. Treatment may involve medications to reduce inflammation and relieve symptoms.
Due to aerobic bacterial infection, DIV is considered a severe case of AV.
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