A client presents with a thin, frothy, green-yellow vaginal discharge with a foul musty odor. Which condition is most likely to be the cause?

Choice A rationale:

Lubricants and moisturizers are commonly used for symptom relief in atrophic vaginitis (AV), but this choice does not reflect an understanding of hormonal therapy, which is the treatment plan specified.

Choice B rationale:

Avoiding irritants or allergens is important for overall vaginal health, but it does not specifically indicate comprehension of hormonal therapy for AV.

Choice C rationale:

This choice demonstrates understanding of potential side effects and complications associated with hormonal therapy, such as abnormal bleeding and breast changes. Monitoring for such changes is vital.

Choice D rationale:

The mention of completing a course of oral antibiotics is unrelated to the treatment plan for atrophic vaginitis, which involves hormonal therapy.

Choice A rationale:

Avoiding douching is recommended to prevent bacterial vaginosis (BV) as douching can disrupt the natural vaginal flora and increase the risk of BV.

Choice B rationale:

Using condoms or other barrier methods during sexual intercourse helps reduce the risk of BV transmission, as it prevents the introduction of potentially harmful bacteria into the vagina.

Choice C rationale:

Limiting sexual partners can lower the risk of BV, as having multiple sexual partners may increase the likelihood of exposure to different bacteria that can disrupt the vaginal flora.

Choice D rationale:

Treating underlying conditions, such as diabetes mellitus, is important because uncontrolled diabetes can create an environment conducive to BV development due to elevated glucose levels.

Choice E rationale:

Using hormonal therapy as prescribed is not directly related to preventing BV. Hormonal therapy typically pertains to conditions like hormone replacement therapy and is not a preventive measure for BV.