Vaginal Discharge - Women Health
Vagina discharge is a common problem affecting many women from at various times. The most common cause is infection.This may be of many types. Fungal infection, Trichomonal , and bacterial vaginosis are some of the common causes. The symptoms White or yellow discharge, lumpy like cottage cheese, sometimes fishy or smelly. There may itching and scratching will cause soreness of surrounding skin. Treatment: Depends on the cause and in cases of recurrent infection, long term with immune boosters may be needed.
Are all vaginal discharges abnormal?
Not all vaginal discharges are abnormal. Vaginal discharges can be normal , physiological secretions of the vaginal lining and cervix. These secretions are usually clear in color and not smelly. A vaginal discharges which is excessive in amount ,yellow or green in color, foul smelling or lumpy whiteis considered abnormal.
What are the causes?
Abnormal vaginal discharges may be due to infection with micro-organisms such as :
- Fungi, also known as Thrush, Candida, Yeast infection.
- Bacteria ,e.g. Bacterial vaginosis, Chlamydia ,rarely Gonorrhea.
- Trichomonas, a parasite
- Viruses, e.g. genital herpes, warts
What should I do if I have abnormal vaginal discharges?
- Avoid sex
- Do not self medicate
- Seek immediate medical treatment
- complete the course of treatment prescribed by your doctor
- Refer your sex partners for examination, if advised.
Causes,Diagnosis,and Treatment of Vaginal Discharges
|Signs and symptoms||Treatment|
|THRUSH*||Itching, burning, soreness, swelling of the vagina and vulva.|
Watery or whitish discharges
|Anti-fungal pessaries; Oral antifungals for severe and recurrent infections; control underlying predisposing factors|
|BACTERIAL VAGINOSIS||Foul smelling discharges, pain, itching or burning||Antibiotics|
|TRICHOMONIASIS||Vaginal discharge which is often profuse, greenish in colour and foul-smelling.|
Itch and soreness of the vulva and the vagina
|Oral anti-trichomonas agents.Treatment of Partner|
|CHLAMYDIAL CERVICITIS**||Discharges accompanied with dysuria||Oral antibiotics (Long course)|
|GONORRHOEA||Greenish-yellow vaginal discharge|
Dysuria (painful urination)
|Antibiotics.Treatment of Partner|
*Not a sexually transmitted infection. Candida is a normal flora in the vagina but
may multiply and grow rapidly under certain conditions (e.g. diabetes,
pregnancy, steroid therapy, oral contraceptives).|
**Complications: Pelvic Inflammatory Diseases (PID), ectopic pregnancy and Infertility Infected mothers may pass the infection to the newborn resulting in Blindness and pneumonia.
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