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Should we evaluate vaginal swabs for atrophic vaginitis in post menopausal women and desquamative inflammatory vaginitis and non infectious vaginitis in all women?
In a word, "no." Atrophic vaginitis is a noninfectious etiology. It and other noninfectious causes of vaginitis will be diagnosed by an obstetrician/gynecologist or dermatologist and may involve performing a biopsy for interpretation by a surgical pathologist. Desquamative inflammatory vaginitis (DIV) is an uncommon diagnosis with an uncertain etiology. Patients tend to respond to clindamycin therapy and group B strep has been recovered from SOME of the women. Culture should be performed on a case by case basis and only after discussion with the clinician caring for the patient.
 
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