Vaginal infections are some of the commonest reasons for a woman to visit
her gynecologist and yet only a few women know about it. A recent Gallup
survey showed only a few women had any understanding of vaginal infections.
While 95% of surveyed women knew about yeast infection, only 34% knew about
bacterial vaginosis. Thirty seven percent had heard of Trichomonas vaginalis
infection.
The normal vagina may be considered as a well kept lake with a clean pool of
water. You can see the bottom of the lake through the crystal clean water.
The water has no odor and its banks may be adorned with shrubs, plants and
flowers that may be salubrious to the eye. In a neglected lake, the water
turns dirty and begins to smell, the fishes begin to
die, and the plants on its banks become stunted and wither.
The normal vagina has protective germs called Lactobacilli. These germs
maintain the vaginal environment acidic. Acidity prevents overgrowth of
harmful germs in the vagina. Anything that interferes with the Lactobacilli
in the vagina may change the acidic environment to more alkaline. This may
promote the growth of harmful germs in the vagina.
Antibiotics may kill some of the Lactobacilli and encourage the growth of
yeast cells. Pregnancy, Diabetes Mellitus and Human Immunodeficiency virus
(HIV) can also encourage the growth of yeast infection. The worst type of
vaginal abuse is for a woman to have sex with an infected male partner.
This will inoculate the vagina directly with the harmful germs which may
cause disease.
Types of vaginal infections:
The three most common types of vaginal infections are Bacterial vaginosis,
(BV), yeast infection and Trichomonas vaginalis infection.
Bacterial vaginosis: This is the most common vaginal infection. It occurs
mainly in sexually active women but may also affect virgins too. It is
debatable whether it is transmitted sexually or not. BV has been associated
with Pelvic inflammatory disease (PID), inflammation of the cervix, the
uterine cavity, mildly abnormal Pap smear and premature labor.
Patients usually complain of increased creamish, whitish thin vaginal
discharge which "smells like fish" especially after sexual intercourse. They
may also itch and have irritation at the vulva, the entrance of the vagina.
I make the diagnosis from the history, examination and microscopy. To
examine the vagina, I insert an instrument called a speculum into the vagina
to observe the walls for any signs of inflammation, the color of the
discharge and its associated odor. The cervix is examined for infection. If
I suspect infection, I do cervical cultures to rule out gonorrhea and
Chlamydia infections. The mainstay of diagnosis is looking at the discharge
under the microscope to discover the tell tale "clue cells." The fishy odormay also be reproduced by adding a non acidic solution, ten percent hydrogenperoxide to a drop of the discharge on a glass slide.
Yeast Infection:
It is the second most common vaginal infection and accounts
for many telephone calls to our office. The vagina, the mouth and the
intestinal tract contain small amounts of yeast cells. Pregnancy,
antibiotics, diabetes mellitus and the human Immunodeficiency virus can
cause overgrowth of the yeast cells.The patient typically complains of "cottage cheese-like" discharge with no
odor. They have intense itch at the vaginal entrance. Examination of these
patients may show redness and scratch marks at the vulva. The vagina also
displays the thick white curdy "cottage cheese- like" discharge which stick
to the walls like yeast infection in the mouths of babies. Microscopy
confirms the diagnosis by disclosing the yeast cells.
Trichomonas vaginalis vaginal infection:
This infection is
also common. It is sexually transmitted and may coexist with other sexually
transmitted diseases (STDs) like Chlamydia and Gonorrhea. Studies show it is diagnosed
in 50-75% of prostitutes, 5-15% of women visiting gynecology clinics, 7-32%
of women in STD clinics and 5% of women in family planning clinics.The patient may complain of yellowish, green frothy discharge which may also
smell like fish. The discharge itches intensely and may cause painful
urination and painful intercourse. Examination shows the foamy yellowish
greenish discharge in the vagina. The walls of the vagina are usually
intensely inflamed. Microscopy shows the offending agent, Trichomonas vaginalis.
Treatment:
The good news is that treatment is available for these infections. Yeast
infection can be treated with creams or tablets. The treatment of
Trichomonas vaginalis and BV are similar. The patient's sexual partner has
to be treated if she has the former disease. The partners of patients with
BV need not be treated unless they have recurrent infections.
Some women may not inform their gynecologists or clinicians
about vaginal discharge. They may be embarrassed about the fishy odor and
assume that screening for vaginal infection would automatically be part of
the examination. Other women believe that the Pap smear screens for vaginal
infections and hence their physicians need not be informed of the discharge.
Douching is not an acceptable treatment for an unpleasant vaginal discharge.
It may clean the vagina temporarily, but will not cure the disease. It may
also spread the disease into the uterus and into the pelvic cavity and set
up generalized inflammation of the pelvis (Pelvis Inflammatory Disease).
If the discharge is white, cheesy thick and has no odor, you most probably
have yeast infection. Over the counter monistat may help. When the infection
recurs frequently, you must seek medical assistance to exclude other vaginal
infections or such diseases as diabetes mellitus and HIV. If it is yellowish,
creamish or greenish with an odor and an itch, it is imperative you see
your gynecologist or clinician to make the diagnosis and give you the
appropriate treatment. This is important since there may be other infections
like Chlamydia and Gonorrhea.Above all, take good care of your vagina. It is one of the most precious
organs you possess. If you get yeast infection whenever you take
antibiotics, inform your doctor so he gives you medication for yeast
infection at the same time. If you are sexually active and not involved in
stable relationship, encourage your partner to use condoms or you should
invest in the female condom. Your clinicians are there to help you. If you
don't tell them what ails you they may not be able to help you.
2007-08-18 22:52:06
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answer #1
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answered by eil ashti 5
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The best thing I can say is go see a Dr that is definitely not normal at all and most likely something is going on that will need medication. Pain with urination most of the time means a UTI of some sort.
2007-08-18 22:55:26
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answer #2
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answered by Lily 1
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Off to the doctor, might as well find out! Could be just a yeast infection, but you need to know. It might be a urinary tract infection, and that is not fun. I would go now if you can get to a clinic...The longer you wait, the worse it's gonna get!
2007-08-18 22:54:13
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answer #3
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answered by Anonymous
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This sounds like an infection such as a urinary tract infection going on. I would recommend seeing your doctor for further evaluation to see what they think is going on.
2007-08-18 22:51:25
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answer #4
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answered by sokokl 7
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A visit to the docs is what you should do. Sounds like a yeast infection, maybe thrush
2007-08-18 22:59:59
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answer #5
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answered by *fallingfoss* 2
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Sounds to me like you may have a bit of an infection, make an appointment with your doctor to get it sorted.
2007-08-18 22:57:45
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answer #6
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answered by ********** 5
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Go see your doctor whatever it is needs to be looked at if it is causing you pain and discomfort. Make sure your ok and if it's an infection, he/she can give you what is needed to treat it.
http://www.health-science-report.com/vaginal-discharge/white-vaginal-discharge/vaginal-brown-discharge.html
http://www.always.com/en_ca/pages/common.shtml?pageid=ST0034
2007-08-18 23:28:55
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answer #7
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answered by zail 3
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my friend had the same thing wen she got it checked out they said that it was and infection gave her some medicine and it soon cleared up it was also because she was chaging and washing it too much.
2007-08-19 00:43:58
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answer #8
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answered by julie w 1
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sounds like it could be an infection. maybe thrush? go to the doctors or gyno to be sure. good luck xxx
2007-08-19 06:09:30
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answer #9
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answered by Anonymous
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yea i agree it sounds like an infection it could be just a general infection but then again if you have had unprotected sex it could be a std
2007-08-18 22:52:36
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answer #10
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answered by morganna 2
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