Recurrent Vaginal Discharge due to Suboptimal Therapy: A Case Study and Management Evaluation

Dyta Loverita; Deka Miftalia Anugrah Putri; Sarah Nur Fitria Gunawan; Zhafirah Auliarahma

Authors

Dyta Loverita Universitas Negeri Malang
Deka Miftalia Anugrah Putri Universitas Negeri Malang
Sarah Nur Fitria Gunawan Universitas Negeri Malang
Zhafirah Auliarahma Universitas Negeri Malang

Keywords:

recurrent vaginitis, candida infection, cytology, antifungal therapy, cervical leukoplakia, vaginitis rekuren, infeksi candida, sitologi, terapi antijamur, leukoplakia serviks

Abstract

Abstract :This case report highlights the importance of cytological evaluation in a woman of childbearing age who experienced recurrent vaginal discharge for several months due to previous inadequate management, both in diagnostic workup and in the accuracy of the type and duration of therapy. The patient had received repeated empirical treatments without adequate supporting examinations, leading to only temporary symptom improvement followed by recurrence. Reassessment with appropriate diagnostic evaluation revealed an infection that had not been optimally treated, allowing for the administration of guideline-based therapy accompanied by comprehensive education on treatment adherence and proper genital hygiene. Following this comprehensive diagnostic and therapeutic approach, the vaginal discharge gradually resolved, with no recurrence observed during the monitoring period, underscoring the critical role of accurate diagnosis and appropriate management in cases of recurrent vaginal discharge.

Abstrak : Laporan kasus ini menggambarkan seorang perempuan usia subur yang mengalami keputihan berulang selama beberapa bulan sebagai akibat dari penatalaksanaan sebelumnya yang kurang adekuat, baik dalam hal penegakan diagnosis maupun ketepatan jenis dan lama pemberian terapi. Pasien telah menerima pengobatan empiris secara berulang tanpa didukung pemeriksaan penunjang yang memadai, sehingga perbaikan yang terjadi bersifat sementara dan diikuti oleh kekambuhan. Penilaian ulang kemudian mengidentifikasi adanya infeksi yang belum tertangani secara optimal, sehingga diberikan terapi yang sesuai dengan pedoman serta disertai edukasi menyeluruh terkait kepatuhan pengobatan dan perawatan higiene genital. Setelah dilakukan tata laksana yang tepat, keluhan keputihan berangsur menghilang dan tidak ditemukan kekambuhan selama periode pemantauan, yang menegaskan pentingnya pendekatan diagnostik dan terapeutik yang komprehensif pada kasus keputihan berulang

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