Do you know about - What Do You Know About Vaginal Secretions?
Vaginal Ablation! Again, for I know. Ready to share new things that are useful. You and your friends.Vaginal secretions are medically named leucorrhea. The normal leucorrhea is formed of genital glands secretion and the exfoliation of cells from this tract. Every woman has a normal vaginal secretion starting from puberty and ending to menopause.
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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Vaginal Ablation.Vaginal secretions can be physiological or pathological. Even if the majority of secretions are not determined by a STDs, and do not need treatment, you should know that the STDs may have a symptom.
A normal loss is white and clear, like a white egg consistency, being harmless losses which vary concerning menses.
Causes of these vaginal losses
Noninfectious
Physiological
Cervical polyps
Foreign bodies
Allergic reactions
Malign genital tumors (example, cervical, uterus and ovarian cancer)
Treatment
In case of retaining foreign bodies, the majority can be manually eliminated, but sometimes can be very small (fibrous materials, pieces of condoms) which are not visible and need lavage. You need a short cure with antibiotics, in case when the objects remained there a long time such as to determine a secondary infection.
In case of polyps, many times their ablation is necessary
In case of allergic reactions, the cause has to be found and removed.
Infectious diseases
Bacterial vaginosis (vaginitis) - an infection which is not transmitted sexually, being the most common cause of vaginal losses, in case of sexually active women who has a concomitant STD. it is caused by an infection with anaerobic bacteria which occurs and resolves spontaneously.
Candida infection- it is determined by a congestion of Candida albicans. It appears like a white loss, apparently harmless, associated with rashes and indisposition.
Treatment
In case of bacterial vaginosis, Metronidazole pills 400- 500mg. per week are recommended or Metronidazole gel 0.75% for 5days (in the evening). Clindamicin creams are recommended too, but take care because it may tear condoms. For women who take oral contraceptives, is required a medical examination before starting the treatment.
In case of candidosis, vaginal concoctions with clotrimazole, econazole, miconazole are recommended. Oral or vaginal treatment can be used, depending on the patient's preferences.
STDs Infectious diseases
Chlamydia trachomatis - which can cause a purulent and abundant loss, sometimes appearing without any symptom. Untreated, this infection can cause an inflammatory pelvic disease.
Neisseria gonorhroeae - can cause purulent vaginal losses or can be asymptomatic. Among symptoms may appear intra menstrual bleedings. If it's untreated can cause an inflammatory pelvic disease, too.
Trichomonas vaginalis - it specially appears to young women and it is frequently associated with Neisseria Gonorrhoeae infection. It may determine a yellowish, abundant and foamy loss, associated with rashes, abdominal pains and indisposition. Many of the patients are asymptomatic. These symptoms may lead to a premature birth.
Treatment
Patients have to make a complete investigation to detect other STDs and the partner, if he can be identified, treated too.
In case of Chlamydia trachomatis doxycyclin 100mg twice a day for 7 days (contraindicated in pregnancy)
For Gonorrhoea- cefixim 400mg, oral unique dose or ceftriaxona 250mg - intramusculary, unique dose.
Trichomonas vaginalis metronidazole 2g., unique oral dose or 400- 500 mg. twice a day for 5- 7 days
Physiological loses
During the reproductive period, fluctuation level of estrogen and progesterone affects the quality and the quantity of the cervical mucus. This aspect can be observed by women by a modification of losses. Initially, when the level of estrogen is low, the mucus is thick and adherent. After ovulation, these modifications became more significant.
Evaluation
The physician has to make a complete anamnesis of the patient, to find out her sexual history and details about the losses (if there are lasting, colored, odor and consistency changes), as well as, associated symptoms (rashes, abdominal pains, abnormal bleedings or fever).
The physician has to take into consideration concomitant medication (antibiotics, corticosteroids), treatments used previously but also other diseases, like diabetes.
Symptoms that suggest an abnormal loss are:
Losses in large quantities than normal
Adherent losses than normal
Purulent losses
Greenish or yellowish losses
Smelly losses
Losses associated with bleedings, rashes, bruises, redness or changes of general state
Complications
Simple vaginal infection, untreated in time, may lead to its spread into the reproductive tract and may determine an ingravescence and, long term, infertility.
Retention of foreign bodies has the potential to develop a toxic shock.
Cervical polyps may be harmless, but they can cause infertility if they are too big.
Prognosis
Bacterial vaginosis can be cured in 70- 80% cases after medication, but usually is recurrent. Candidosis has a healing rate of 80- 95%, while Trichomonas 95%.
Prevention
There are four big measures of prevention: correct personal hygiene, intra vaginal washing without using cosmetic products, avoidance of synthetic underwear and treatment of sexual partner.
Sexual education and communication in a couple are very important to avoid STDs, but also to pass easier over such problems with the partner.
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