[Skip to Content]
[Skip to Content Landing]
October 5, 1984

Causes of Genitourinary Symptoms in Women

Author Affiliations

Oak Orchard Health Center Brockport. NY

JAMA. 1984;252(13):1683-1684. doi:10.1001/jama.1984.03350130015016

To the Editor.—  Berg and colleagues1 have provided a good start toward "establishing the cause of genitourinary symptoms in women." I am, however, interested in some of the data that they did not report.Rates of gonorrhea and Chlamydia have been reported to be increased in women with intrauterine devices (IUDs) and decreased with the use of oral contraceptives. Was this effect seen? Subjects were asked about their clothing habits—did they confirm previous reports2 of an increase in candidiasis in women who wear tight-fitting clothes?Finally, with respect to cases of unexplained vulvar symptoms and external dysuria, was any attempt made to identify contact allergens/ irritants? It has been my observation that approximately half of the women with otherwise unexplained vulvar symptoms report the recent introduction of one of the following: (1) fabric-softener-impregnated sheets for the dryer, (2) a new brand of toilet paper, (3) a new laundry