[Skip to Content]
[Skip to Content Landing]
Other Articles
April 29, 1961

Experiences in a Vaginitis Clinic

Author Affiliations

Jefferson Medical College of Philadelphia Philadelphia, Pa.

JAMA. 1961;176(4):389-390. doi:10.1001/jama.1961.03040170135029

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor:—  I do not differ with Dr. Karnaky in as many respects as it would seem from a first reading of his letter. I agree that cancer must be ruled out in all cases of leucorrhea. We attempt to do this with every patient.My paper is clinically oriented, and that is the reason for the statement, "Determination of pH is moderately useful." I doubt if pH determination, as Dr. Karnaky pursues it, is necessary in everyday clinical practice. I concur that there is a relationship between the vaginal pH concentration and the type of flora. However, using Rakoff electrodes and a pH meter, taking midvaginal determination, our pH values with candidal infections, analyzed statistically, are lower than Dr. Karnaky reports (Lang, Rakoff, and Menduke, J Obstet Gynec7:378, 1956).Dr. Karnaky says, "One will not find pathogens in a normal vagina." In general that is true.

First Page Preview View Large
First page PDF preview
First page PDF preview