scholarly journals AYURVEDIC CONCEPT OF VAGINAL DISCHARGE: (YONIGATA STRAVA)

2021 ◽  
Vol 9 (11) ◽  
pp. 2802-2807
Author(s):  
Nisha Baban Pawshe ◽  
Tinku-Ganesh P. Khalache

Vaginal discharge is one of the major problems encountered in gynaecological practice. It is a very common con- dition that has been experienced by most women of all ages, especially in childbearing or reproductive age. Vaginal discharge is a condition that causes great discomfort to a woman and hampers her normal activity. It is believed that vaginal discharges produce loss of strength & confidence, also there is the presence of fear that it may be due to malignancy. Nowadays it is essential to study differential diagnosis of vaginal discharge. In Ayurvedic texts, various conditions giving rise to white discharge per vaginum had been described but the sub- ject was never dealt with as a separate entity. Therefore, in this study, an effort has been put forth to make a con- ceptual study covering almost all the aspects of Yonigata Strava as per Ayurveda as well as per modern. Keywords: Leucorrhoea, Vaginal Discharges, Yonigata Strava.

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Ali H. Baykan ◽  
Hakan S. Sayiner ◽  
Ibrahim Inan ◽  
Elcin Aydin ◽  
Sukru M. Erturk

AbstractBreast tuberculosis is a rare form of extrapulmonary tuberculosis which tends to affect females of reproductive age, and is much rarer in males, postmenopausal women, and pre-pubescent girls. It is difficult to diagnose because it can mimic benign conditions such as a fibroadenoma, as well as malignant diseases like a carcinoma. It is also particularly difficult to distinguish breast tuberculosis from granulomatous mastitis, so other possible diagnoses should be ruled out first. The diagnosis of breast tuberculosis has three essential pillars: clinical examination, radiological evaluations, and histopathological sampling. Radiological evaluations are not only critical in diagnosis but are also important in the planning of the treatment and during the follow-up. This paper aims to review the imaging findings and the differential diagnosis of breast tuberculosis.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Loren Custer ◽  
Morris Jessop ◽  
Stanley Zaslau ◽  
Robert Shapiro

A urethral diverticulum is a relatively uncommon finding. The estimated prevalence is approximately 1-5% in the general population. While the definitive treatment is surgical correction, there are limited studies guiding the best approach to repair. This is the case of a 48-year-old female who initially presented with vaginal discharge, dysuria, and dyspareunia. MRI revealed the diagnosis of suspected urethral diverticulum. The patient was treated with surgical correction with the aid of needle localization prior to the procedure. After the diverticulum was excised, the resulting defect in the urethra was successfully closed with cadaveric pericardial tissue. A urethral diverticulum should be considered in the differential diagnosis when a patient presents with symptoms such as recurrent urinary tract infections (UTIs) vaginal mass, dysuria, dyspareunia, or vaginal discharge. The use of cadaveric tissue augments the surgical technique for repair.


2018 ◽  
Vol 5 (1) ◽  
pp. 18-21
Author(s):  
Farooq Ahmed Abro ◽  
Rizwan Zafar Ansari ◽  
Muhammad Yousaf ◽  
Riaz Gul ◽  
Anwar UI Haq ◽  
...  

OBJECTIVE: To study increased suicidal mortality rate among females in district Peshawar. METHODOLOGY: The bodies of women in the reproductive age who died because of fatal deliberate self-harming were examined at Forensic Medicine Department Khyber Medical College, Peshawar from January 2015 to September 2015. RESULTS: Forty-four bodies of females were autopsied. 13 (30%) were adolescents between the age of 10-18 years. 31 (70.4%) were aged between 19-48 years. 33 of the victims committed suicide due to health-related issues. 28 (64%) victims used poisons. In almost all cases (n=38) the incident happened when the victim was alone in house or left unattended. 30 (68%) victims were brought to hospitals for treatment. 13 were found to have recurrent attempt of self-harming. CONCLUSION: Females have increased tendency to commit suicide than males especially in their reproductive age. Low socioeconomic status, cultural norms, unwanted pregnancies and ill health are the major causes.


2021 ◽  
Vol 21 (2) ◽  
pp. 531-537
Author(s):  
Mtebe V Majigo ◽  
Paschal Kashindye ◽  
Zachariah Mtulo ◽  
Agricola Joachim

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.


2021 ◽  
Vol 15 (6) ◽  
pp. 1249-1252
Author(s):  
R. Mukhtar ◽  
A. U.- Rehman ◽  
A. Ilyas ◽  
M. J. Khan ◽  
R. Liaqat ◽  
...  

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


1955 ◽  
Vol 184 (1) ◽  
pp. 175-182 ◽  
Author(s):  
Karlman Wasserman ◽  
Jeanne D. Joseph ◽  
H. S. Mayerson

Unanesthetized, healthy greyhounds were infused with 25% albumin or bled, injected with I131-labeled albumin and albumin specific activities determined. It is shown that the albumin specific activity curves can be altered by changing the ratio of the vascular to extravascular albumin masses in a manner predicted from the mathematics of a two-compartment system. Increase of vascular albumin mass relative to extravascular mass results in a smaller initial disappearance of albumin specific activity from the blood stream and a faster approach to equilibrium. Decrease of vascular albumin mass relative to extravascular mass by bleeding shows that 50% of albumin replacement after hemorrhage appears to be accomplished within 24 hours. Almost all of this protein comes from the extravascular compartment. Rapid anabolism accounts for the replenishment of protein for the next 2–5 days, during and after which there is a reduced catabolism of the existing plasma albumin. The results indicate that an extravascular albumin mass exists as a separate entity and net movements may occur from this mass into the plasma when the equilibrium between the vascular and extravascular masses is disturbed.


Author(s):  
Ushadevi Gopalan ◽  
Sathiyakala Rajendiran ◽  
Karthika Jayakumar ◽  
Ranganathan Karnaboopathy

Background: Bacterial vaginosis is the most prevalent lower genital tract infection in women of reproductive age. The aim of this study was to identify the causative organism in patients with vaginal discharge and to study the sensitivity of the organism to antibiotics.Methods: This was a hospital based prospective study in Department of Obstetrics and Gynecology in a tertiary care hospital over a period of two years. 2062 women with complaints of vaginal discharge were subjected to a high vaginal swab and the sample was cultured, the organisms were identified and antibiotic susceptibility was tested.Results: There was no growth found in 40.7% of patients. E. coli was found to be the most common organism isolated followed by Klebsiella pneumonia and Klebsiella oxytoca. Candida species was isolated in 1.4 % of women. An increased frequency of vaginal infection was found in the age group 26-35 years, followed by age group 36-45 years. 73.2% of the organisms were sensitive to Imipenam, 70.4 % to Amikacin and 65.7% to Gentamycin. There were 10 MRSA strains isolated all of which were sensitive to Vancomycin, Amikacin and Gentamycin.Conclusions: Our study provides information about the different microorganisms present in women with vaginal discharge. Since pathogenic bacteria were more common than Candida species it is recommended to offer treatment to patients after taking a high vaginal swab. Appropriate antibiotics based on culture and sensitivity has to be given along with antifungal agents.


Author(s):  
Meena Salvi

Background: Vulvovaginal candidiasis (VVC) is a common infection among reproductive age group females. The objective of present study is to determine the prevalence of vulvovaginal candidiasis, its distribution and association of risk factors among reproductive age group females, attending the outpatient department of obstetrics and gynaecology of our Prime Medical Centre, Sharjah attached with Prime Hospital, Dubai, United Arab Emirates (UAE).Methods: It was cross-sectional descriptive study over a period of six months. Patients who came to our outpatient department with complains of vaginal discharge and itching in reproductive age group were included in this study. Patients characteristics i.e. age, parity, risk factors like diabetes, pregnancy, use of oral contraceptive pills (OCPills) and intrauterine contraceptive device (IUCD) were noted. High vaginal swabs (HVS) were collected and sent for culture. Candida positive cases were noted, and results were analyzed.Results: A total of 224 high vaginal swabs were collected. Prevalence of vulvovaginal candidiasis was found to be 31.6%. It was found more in 26-30 years age group and multiparous women. Previous history of candidiasis and diabetes were the commonest risk factors. Frequency of C. albicans was more (76.05%) than non-albicans candida (23.94%).Conclusions: Present study concluded that vulvovaginal candidiasis is more prevalent in reproductive age group females, therefore a routine high vaginal swab culture must be performed in every woman presenting with vaginal discharge and itching for correct diagnosis. Women should be educated on clinical symptoms.


Author(s):  
Indira Guntoory ◽  
Narasinga R. Tamaraba ◽  
Lakshmana R. Nambaru ◽  
Alina S. Kalavakuri

Background: Vaginal discharge is the commonest reproductive tract infection among rural women in many community based studies in India. Recent evidence shows that the association between vaginal discharge and reproductive tract infection is weak. Psychosocial factors also contribute to vaginal discharge. So, the problem of vaginal discharge can be best understood not only in the biomedical perspective but also in the socio-cultural perspective. Proper understanding of this problem helps in initiating appropriate medical education programmes and framing health policies. This study is aimed to determine the prevalence of vaginal discharge, the socio demographic factors associated with it, women’s perceptions of vaginal discharge and their treatment seeking behaviour.Methods: This is a hospital based cross sectional study conducted in the outpatient department of Obstetrics and Gynaecology, MIMS, Nellimarla, Vizianagaram district of Andhra Pradesh. Women with the complaint of vaginal discharge were interviewed with a pretested questionnaire and sociodemographic details, details of obstetric history and contraceptive practices, personal and menstrual hygiene were noted. Statistical analysis of the significance of association of different variables was done.Results: The prevalence of vaginal discharge was found to be 28.99%. Its prevalence was found to be more in the younger age group, illiterate, women belonging to lower socioeconomic status and those who were married at less than 18 years of age. History of induced abortion, home deliveries, permanent method of sterilization, availability of toilet facility at home were significantly associated with vaginal discharge. Lower abdominal pain, dysuria and backache were the most prevalent co-morbidities with vaginal discharge.Conclusions: Improvement of the literacy rate, economic status and women’s empowerment will help to mitigate the problem of vaginal discharge.


2010 ◽  
Vol 46 (1) ◽  
pp. 56-60 ◽  
Author(s):  
Elisabeth C. Snead ◽  
John W. Pharr ◽  
Brendon P. Ringwood ◽  
Jennifer Beckwith

A vaginal foreign body consisting of a piece of retained calvarium from a macerated fetus was identified and removed using vaginoscopy in a 4-year-old, spayed female bulldog. The dog had a 12-month history of chronic mucopurulent vaginitis. Vaginal foreign bodies, although uncommon, are a differential diagnosis for recurrent mucopurulent or hemorrhagic chronic vaginal discharge. A case of chronic vaginitis caused by a long-retained intravaginal foreign body in a dog is described and compared to four other canine cases reported in the literature.


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