Vaginal Discharge

2020 ◽  
Keyword(s):  
Bacterial Vaginosis ◽  
Vaginal Discharge ◽  
Foreign Bodies ◽  
Congenital Abnormalities ◽  
Vaginal Candidiasis ◽  
Prepubertal Child ◽  
Key Points ◽  
Common Causes

Key Points Vaginal discharge is caused by infection, inflammation, or changes in the vaginal flora.Vaginal discharge in the prepubertal child can be caused by infection, congenital abnormalities, trauma, or dermatologic conditions.Nonspecific vaginitis is the most common gynecologic problem in the prepubertal child.Prepubertal hypoestrogenic tissues are more susceptible to local irritants, foreign bodies, and infections.Most common causes of vaginitis in postpubertal women are bacterial vaginosis and vaginal candidiasis (Candida vulvovaginitis).Laboratory documentation of etiology of vaginal discharge is mandatory prior to treatment.Target treatment to etiology.

scholarly journals Key Aspects of Treatment for Bacterial Vaginosis

Doctor Ru ◽  
2020 ◽  
Vol 19 (8) ◽  
pp. 86-90
Author(s):  
A.L. Tikhomirov ◽  
◽  
S.I. Sarsaniya ◽  
V.V. Kazenashev ◽  
◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Effective Treatment ◽  
Vaginal Discharge ◽  
Reproductive Age ◽  
Duration Of Treatment ◽  
High Compliance ◽  
Key Points ◽  
Abnormal Vaginal Discharge ◽  
Low Incidence ◽  
Key Aspects

Objective of the Paper: To describe options for effective treatment, with high compliance rates, of bacterial vaginosis (BV). Key Points: Bacterial vaginosis is the most common cause of abnormal vaginal discharge in women of reproductive age. The paper describes some options for effective treatment, with high compliance rates, of BV and includes clinical cases of the use of clindamycin in obstetric/gynecological practice. Conclusion: High rates of compliance with the treatment, low rates of recurrence, a short duration of treatment, and a low incidence of side effects support the use of clindamycin in the treatment of BV. Keywords: bacterial vaginosis, abnormal vaginal discharge, biofilms, clindamycin, Dalacin.

scholarly journals Reactional changes in short-term levonorgestrel-releasing intrauterine system (lng-ius) use

2019 ◽  
Vol 65 (6) ◽  
pp. 857-863 ◽  
Author(s):  
Paulo César Giraldo ◽  
Thais Coelho de Souza ◽  
Guilherme Lindman Henrique ◽  
Ilza Monteiro ◽  
Rose Amaral ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Vaginal Discharge ◽  
Pap Smear ◽  
Cervical Mucus ◽  
Reproductive Age ◽  
Vaginal Candidiasis ◽  
Clinical Aspects ◽  
Vaginal Mucosa ◽  
Short Term ◽  
Quasi Experimental

SUMMARY OBJECTIVE: To evaluate endocervical and vaginal environment changes in women using a levonorgestrel-releasing intrauterine system (LNG-IUS). METHODS: A quasi-experimental study included sixty women who had an LNG-IUS inserted in the Family Planning Clinic of UNICAMP between April and November of 2016. Women in reproductive age, non-pregnant, without the use of antibiotics and contraceptives seeking for LNG-IUS insertion were selected for this study. All women were evaluated with regard to vaginal and endocervical pH, vaginal and endocervical Gram-stained bacterioscopy, and Pap-smear before and two months after LNG-IUS insertion. Clinical aspects such as cervical mucus, vaginal discharge, and cervical ectopy were also observed. RESULTS: After LNG-IUS insertion, there was an increase in the following parameters: endocervical pH>4.5 (p=0.02), endocervical neutrophil amount (p<0.0001), vaginal cytolysis (p=0.04). There was a decrease in vaginal discharge (p=0.01). No statistically significant changes were found in vaginal pH, neutrophils amount in the vaginal mucosa, vaginal discharge appearance, vaginal candidiasis, bacterial vaginosis, vaginal coccobacillary microbiota, cervical mucus appearance, or cervical ectopy size. CONCLUSIONS: Short-term LNG-IUS use did not increase vulvovaginal candidiasis or bacterial vaginosis, and led to diminished vaginal discharge. Notwithstanding, this device promoted reactional changes in the vaginal and endocervical environment, without modification on cervical ectopy size.

scholarly journals Common microbial aetiology of abnormal vaginal discharge among sexually active women in Dhaka, Bangladesh

2013 ◽  
Vol 1 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Md Abdullah Yusuf ◽  
Mahmuda Chowdhury ◽  
KM Shahidul Islam ◽  
Eliza Omar Eva ◽  
Ahmad Raihan Sharif ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Trichomonas Vaginalis ◽  
Vaginal Discharge ◽  
Age Groups ◽  
Vaginal Candidiasis ◽  
Common Symptom ◽  
Sexually Active ◽  
Age Group ◽  
Cross Sectional ◽  
Abnormal Vaginal Discharge

Abnormal vaginal discharge is a common symptom of genital infection in women. The aim of the present study was to evaluate the various causes of vaginal discharge in sexually active females. A cross-sectional study was undertaken among women aged 15 to 45 years with abnormal vaginal discharge, with or without itching attended at Sir Salimullah Medical College, Dhaka for a period of 6 months. After making the clinical diagnosis, appropriate tests for diagnosing candidiasis, trichomoniasis, gonorrhea and bacterial vaginosis were done. Among all patients, organisms responsible for abnormal vaginal discharges were found in 94.8% of the cases, of which vaginal candidiasis (53.6%) was the most common, followed by bacterial vaginosis (29.2%), trichomoniasis (10.8%), gonorrhea (1.2%) and non-specific other urogenital causes (5.2%). The most common age groups affected by vaginal candidiasis, bacterial vaginosis and trichomoniasis were 26-35 years (64.9%), 26-35 years (27.6%) and 15-25 years (52%) respectively. Gonorrhea was recorded in the age group of 15-25 years (66.7%). Most of the organisms were isolated in the age group of 30-40 years. The causative agent of vaginal candidiasis was the leading cause of vaginal discharge in the age group of sexually active women and next to it was the bacterial vaginosis. A lower rate of Trichomonas vaginalis was found in our study in comparison to other studies. DOI: http://dx.doi.org/10.3329/seajph.v1i1.13211 South East Asia Journal of Public Health 2011:1:35-39

Laboratory evaluation of the etiology of pathological vaginal dischurge

2019 ◽  
pp. 64-68
Author(s):  
O.A. Burka ◽  
◽  
T.M. Tutchenko ◽  
Keyword(s):  
Bacterial Vaginosis ◽  
Crucial Role ◽  
Inflammatory Process ◽  
Vaginal Discharge ◽  
Vulvovaginal Candidiasis ◽  
Diagnostic Methods ◽  
Laboratory Evaluation ◽  
Aerobic Vaginitis ◽  
Laboratory Confirmation ◽  
Vaginal Secretions

Pathological vaginal discharge is one of the most common complaints in women of all ages. Today, gynecologists are increasingly faced with a problem when, in the absence of laboratory confirmation of vulvovaginal candidiasis, bacterial vaginosis and STIs, women complain of discomfort caused by vaginal secretions. Causes of pathological vaginal discharge can be infectious and non-infectious processes and their combinations. The article analyzes the causes of the difficulties of diagnosing the of pathological vaginal discharge ethiology, demonstrates how the application of adequate volume of modern laboratory diagnostic methods in combination with understanding the multifaceted components of the inflammatory process plays crucial role in finding out the etiology of pathological vaginal secretions and the choice of optimal therapeutic tactics. Key words: pathological vaginal dischurge, vaginal microbiota, vulvovaginal candidiasis, bacterial vaginosis, aerobic vaginitis, cytolytic vaginosis.

No association between vulvovaginitis-bacterial vaginosis, related drug treatments of pregnant women, and congenital abnormalities in their offspring — A population-based case-control study

Open Medicine ◽  
2008 ◽  
Vol 3 (3) ◽  
pp. 332-340 ◽  
Author(s):  
Nándor Ács ◽  
Ferenc Bánhidy ◽  
Erzsébet Puhó ◽  
Andrew Czeizel
Keyword(s):  
Bacterial Vaginosis ◽  
Pregnant Women ◽  
Congenital Abnormality ◽  
Congenital Abnormalities ◽  
Population Based ◽  
Case Control ◽  
Data Set ◽  
Appropriate Treatment ◽  
Drug Treatments ◽  
Related Drug

AbstractThe possible association between prospectively and medically recorded vulvovaginitis-bacterial vaginosis (VV-BV) and different congenital abnormalities (CA) has not been studied. The data set of the population-based Hungarian Case-Control Surveillance of Congenital Abnormalities between 1980 and 1996 were evaluated, i.e. 22,843 pregnant women who had newborns or fetuses with congenital abnormality (cases) and 38,151 pregnant women who delivered newborn babies without any congenital abnormality (controls). The main outcome measures were different congenital abnormalities. Of 22,843 cases with CA, 1,536 (6.7%) had mothers with VV-BV, while of 38,151 matched controls without CA, 2,698 (7.1%) had mothers with VV-BV in the second and/or third gestational month of pregnancy. Nearly all pregnant women with VV-BV were treated during pregnancy, but a higher risk for the total group of CAs (adjusted POR with 95% CI: 0.95, 0.89–1.02) or any CA group was not found. In addition, the risk for total CAs was significantly lower in cases born to mothers with VV-BV and appropriate treatment than born to mothers with VV-BV but without treatment. Thus maternal VV-BV needs treatment during pregnancy as well, because it helps reduce the rate of preterm birth without a risk for CAs.

scholarly journals The effect of introduction of a guideline on the management of vaginal discharge and in particular bacterial vaginosis in primary care

2001 ◽  
Vol 18 (3) ◽  
pp. 253-257 ◽  
Author(s):  
M. J Langsford ◽  
F. F Dobbs ◽  
G. M Morrison ◽  
D. A. Dance
Keyword(s):  
Primary Care ◽  
Bacterial Vaginosis ◽  
Vaginal Discharge

scholarly journals Bacterial vaginosis, the leading cause of genital discharge among women presenting with vaginal infection in Dar es Salaam, Tanzania

2021 ◽  
Vol 21 (2) ◽  
pp. 531-537
Author(s):  
Mtebe V Majigo ◽  
Paschal Kashindye ◽  
Zachariah Mtulo ◽  
Agricola Joachim
Keyword(s):  
Bacterial Vaginosis ◽  
Low Income ◽  
Vaginal Discharge ◽  
Dar Es Salaam ◽  
Referral Hospital ◽  
Reproductive Age ◽  
Low Income Countries ◽  
Vaginal Infection ◽  
Vaginal Infections ◽  
Regional Referral Hospital

Background: Pathological vaginal discharge is a common complaint of women in reproductive age worldwide caused by various agents. The prevalence and etiologic agents vary depending on the population studied. Management of vaginal discharge in low-income countries, typically depend on the syndromic approach, which limits understanding the specific causative agents. We determined the proportion of bacterial vaginosis, candidiasis, and trichomoniasis among women with vaginal discharge at a regional referral hospital in Dar es Salaam, Tanzania. Methods: We conducted a cross-sectional study between June and August of 2017 among nonpregnant women at Amana Regional Referral Hospital. Experienced staff performed physical examination to establish a clinical diagnosis, and collection of the high vaginal swab for microscopic examination. Descriptive statistics were performed to assess the characteristics of study participants and the proportion of vaginal infections. Results: A total of 196 samples were collected, of all, 128 (65.3%) had either bacterial vaginosis, candidiasis, or trichomo- niasis. Bacterial vaginosis was the leading infection at 33.2%, followed by candidiasis (19.4%) and trichomoniasis (13.3%). Laboratory confirmed vaginal infection were generally found more in age below 25, unmarried, and those employed or petty business. Conclusion: The proportion of bacterial vaginosis in women with vaginal discharge was relatively higher than others, and the presence of vaginal infection relate to socio-demographic characteristics. Further advanced studies are needed to understand the potential role of aetiologic agents in causing vaginal infections. Keywords: Bacterial vaginosis; vaginal discharge; genital infection.

Bacterial Vaginosis and its Relation with Sociodemographic Determinants in married reproductive age females

2021 ◽  
Vol 15 (6) ◽  
pp. 1249-1252
Author(s):  
R. Mukhtar ◽  
A. U.- Rehman ◽  
A. Ilyas ◽  
M. J. Khan ◽  
R. Liaqat ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Bacterial Vaginosis ◽  
Vaginal Discharge ◽  
Pap Smear ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Sociodemographic Determinants ◽  
Reproductive Age Group ◽  
Nonspecific Inflammation

Aim: To determine the frequency of Bacterial vaginosis by pap smear cytology and find its association with its sociodemographic determinants. Study design: Cross sectional analytical study Place and duration of study: Department of Histopathology, Shaikh Zayed Hospital, Lahore from 1st January 2016 to 31st October 2016. Methodology: Two hundred and sixty pap smears of married women of reproductive age group with vaginal discharge who attended Gynecology OPD were included. Proper history regarding age, socioeconomic status, age of marriage, literacy level, smoking, and nutritional status was taken. Results: Disease prevalence was found to be 19.2%(50)in this sample of 260 while 9.1% had Candidiasis, 47%, 17.2% ,3.7%, 4.1% had Mild nonspecific inflammation, Moderate nonspecific inflammation, Moderate to severe nonspecific inflammation, and negative smears respectively. Bacterial vaginosis was associated with age, monthly income, illiteracy, early age at marriage, history of abortion and nutritional status with significant p-value ≤ 0.05. However no association was found between the disease and marital status, smoking and pallor. Conclusion: Low socioeconomic status, literacy, age >35, nutritional status is strongly related to occurrence of bacterial vaginosis in women of reproductive age group with vaginal discharge. Key Words: Bacterial vaginosis, Pap smear, Sociodemographic determinants

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