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Discharge from the vagina
Last reviewed: 23.04.2024
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No vaginal discharge from pathological impurities can be psychogenic. Discharge from the vagina often have an unpleasant odor, cause itching in the vagina and are the result of infection.
Very plentiful discharge from the vagina can appear due to the presence of a foreign body (for example, a forgotten tampon, etc.).
What are vaginal discharge?
Vaginal discharge rarely corresponds to the classical description.
Psychogenic discharge from the vagina
The number of them increases with puberty, increased sexual activity, pregnancy, as well as taking combined pills (which causes concern).
Vulvovaginitis mycotic (thrush of the vagina) (Candida albicans)
This is the most common cause of vaginal discharge, classically described as "curdled". The vulva and vagina can be reddened, slit-shaped and painful, especially if an allergic component is attached. The partner may not have any symptoms.
Risk factors are pregnancy, taking contraceptives and other steroid preparations, immunodeficiency conditions, taking antibiotics, as well as diabetes - an analysis is needed for glucosuria.
At a microscopic examination, the filaments of mycelium or characteristic oval spores are detected. Cultivate on Saburo medium.
Who to contact?
Diagnosis of vaginal discharge
Find out the features of the anamnesis. Does the patient recognize the risk of contracting a sexually transmitted disease? If the patient has a similar disease, it is necessary to examine the persons who were with her in sexual contact, for which you should contact the gynecological and urological clinics.
Conduct the examination with the help of mirrors (if there is no pronounced soreness) and take smears. For the detection of chlamydia requires a cervical smear (and sowing on a special medium), for the detection of gonorrhea - a cervical smear.
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Treatment of vaginal discharge
A single injection of pessary with imidazole is sufficient, for example clotrimazole 500 mg plus the vulva cream (and for the partner). The patient needs to be explained that the discharge is not associated with sexually transmitted diseases.
Thrush often recurs; prescribe vaginal balls with nystatin at night for 14 days or fluconazole at a dose of 150 mg orally (but not during pregnancy). A common candidiasis (for example, in the oral cavity, in the gluteal groove) in both partners can be the cause of reinfection. Prevent or reduce the symptoms of not very severe exacerbations of fresh yogurt (injected on a swab in the vagina) or jelly acetic acid with a pH of 4.0, for example. Aci-Jel. It is also advisable to abandon the use of chemicals, especially in the area of the vulva (bath salts), the rear passage should be wiped from the front back, it is desirable to wear cotton underwear; carefully rinsed off laundry detergent or soap; Effective baths can be added with the addition of vinegar.
Trichomonas vaginalis (TV)
As a result of infection, vaginitis develops, accompanied by foamy secretions with the smell of fish. The disease is transmitted sexually. It is necessary to exclude often concomitant gonorrhea. On fresh smears you can see Trichomonas - mobile flagellate microorganisms (an increase of x 40) or identify the causative agent during sowing. Treatment with metronidazole at a dose of 400 mg every 8-12 hours for 5 days.
Gardnerella vaginalis
Gardnerelli are gram-dependent anaerobic microorganisms that cause the appearance of gray precipitates with a fishy smell. The vagina is not inflamed, itching and pain in the vagina are rare. When mixed on a glass with 10% potassium hydroxide solution, an odor of ammonia appears. With microscopy of a wet smear, you can see granular cells of the vaginal epithelium - "glued cells". The diagnosis is based on a microscopic examination of the isolated culture of the pathogen. Treatment: similar to that of trichomoniasis.