Bacterialvaginosis is a disease that's caused by the overgrowth of a type of bacteria that's called Gardnerella vaginalis, Gardnerella vaginalis. And as the name might suggest, this is the most common vaginal infection. Now I wanna put these really big quotes
around the term infection because the thing that's interesting about Gardnerella vaginalis is that it's a bacteriathat's naturally found in the vagina. Now some may consider this to be a sexually transmitted infection, which is interestingbecause it doesn't cause
any problems until there'stoo much of it there. So when we look to the causes of bacterial vaginosis, they are all things that change the vaginal environment. That can include acts like douching, so douching, or rinsing of the vagina. The other is having newor multiple sex partners.
And finally, another known cause is the use of antibiotics. This could be in the case of somebody that has a throat infection or a pneumonia that's on antibiotics which will then attackthe bacteria that exists within the vagina andallow Gardnerella vaginalis to overgrow and cause bacterial vaginosis.
So we've touched a little bit on it here, but I wanna draw it out. So when we talk about the pathophysiology of a disease, we'retalking about the mechanism by which that disease occurs. So in order to understandthe pathophysiology of bacterial vaginosis, we need to take a look at a sample of bacteria
that exists in the vagina. So I'll draw out someGardnerella vaginalis bacteria, and so I'll put this up in our key. This is the symbol forGardnerella vaginalis. And I'll draw a few of them around here, but I also wanna show that there are a lot of other bacteriathat exist in this sample. So if you really look at it here,
How to Get Rid of Smelly Discharge
I need to know how to get rid of smelly discharge. Use deodorant or don't wear sweats while workingout. I mean, down there. If you're wearing that tight lycra while workingout and the sweat builds up around there, you can still get a yeast infection or rashdown there that smells pretty bad. If I were working out that much, I wouldn'tworry about this smell relative to the odor of sweat. I hope you've seen a recently.
I don't think this is like acne so bad youneed to see a dermatologist. If you have an STD, you could have bad smellydischarge. And that's all the more likely if you have sores or bad itching or coloreddischarge. You can have white or grey discharge, I think,and it isn't anything that serious. If you have whitish or grey discharge thatlooks like cottage cheese, you have a yeast infection. Fortunately, the fishy odor goesaway once you treat it. I don't think I've even seen cottage cheese. If you've seen yogurt, you can use that.
Internally or externallyé There are folk cures of putting yogurt upthere, but really, just eat more of it, and if that doesn't work, get an over the counteryeast medication. Once you're cured, the odor will go away. Except I don't smell a fishy odor. That rules out trichomoiasis. That's quite a mouthful. No wonder they callit trich for short. Trich can cause a musty smell too, plus burningand itching.
I've had irritation but don't want to sayit is that. You can have bacterial infections cause amusty or fishy smell too. And unlike an STD, you can get it all by yourself. How do I get rid of ité Have the find out what you have andoffer a treatment for it. I could douche to clean down there and eliminatethe odor. Actually, douching causes the pH down thereto shift in ways that facilitate more bacterial growth, and it doesn't help if there's aninfection or yeast.
So covering up the smell today could makeit worse tomorrow. You can try washing down there several timesa day with antibacterial soap, wear loose cotton underwear and clean thoroughly afteryou pee or poop. I know what leaking pee smells like, and that'snot this. And antibacterial soap can be harsh. So mix baking soda in the bathwater you useor apple cider vinegar in your bath soak, though with the vinegar, you can do that daily. I suppose smelling like pickles is betterthan how I smell now. And the vinegar thing you can say is froma health fad without saying what it is treating.
The other hygiene steps you can take includechanging out pads often and not leaving tampons in too long. I know that can cause bacterial growth ifnot toxic shock syndrome. There are over the counter remedies for yeastand minor bacterial overgrowth, but if those don't work, talk to the . If only because over the counter treatmentsfailing to work prove that I have to.
Vaginitis Candida BV Trichomoniasis Wet Mount Whiff Test Vaginal pH Trich Albicans gardnerella
Distinguished future physicians welcome toStomp on Step 1 the only free tutorials series that helps you study more efficiently by focusingon the highest yield material. I'm Brian McDaniel and I will be your guide on thisjourney through vulvovaginal infections. This is the 3rd tutorial in my playlist covering allof microbio. Vulvovaginitis (AKA Vaginitis) is inflammationof the lower genital tract. It is usually due to infection, but there are a wide varietyof causes. During this tutorial we will focus on the 3 most important causes of vulvovaginitisfor the medical board exam (trichomonas, candida and BV). However, you should know that othertypes of vaginitis include mechanical irritation,
allergic reactions (to soaps or feminine products)and a variety of other infections. Atrophic Vaginitis is a common cause of vaginitis inpostmenopausal women and we will cover that in a later tutorial in the GYN section. Gonorrheaand Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis. GCwill be covered later in its own tutorial. We will start with a few different tests thatwe will use to differentiate between the different infections.Wet Prep (AKA Wet Mount Test) is a microscopic examination of vaginal discharge used to differentiatebetween different types of vulvovaginitis. The vaginal specimen is obtained using a speculumand a que tip similar to how one gets a pap
smear. Then the specimen is rubbed onto aglass slide. One half of the slide has a drop of saline added to it while the other halfof the slide has a drop of 1020% KOH (Potassium hydroxide) added to it.When Saline is added it makes it easier to view clue cells for BV flagellated motilecells for trichomonas. The KOH kills bacteria and vaginal cells leavingonly yeast cells. This makes it easier to view the psuedohyphae and budding yeast presentduring vulvovaginal candidiasis. KOH is also alkalotic so it can be used fora â€œWhiff Test.â€� In this scenario when the alkalotic KOH is added to a sample containingBV it will create an amine or fishy smell.
This is a similar principle behind how thesmell of BV can increase after unprotected sex since semen is alkalotic. The normal vaginal pH for a reproductive agewoman is about 4, while the normal vaginal pH before puberty and after menopause is about7. During puberty there is an estrogen guided increase in the growth lactobacilli flora.These bacteria break down glycogen into lactic acid which lowers pH from about 7 to about4. Now that you know the normal values you can apply it to diseases. Usually, BacterialVaginosis Trichomonas have alkalotic pH (gt;4.5 in reproductive age women) while candidahas normal pH (lt;4.5). pH paper can be tested
by using pH paper on vaginal discharge. You can see here at the top right corner thatI give BV a high yield rating of 3 on a scale from 1 to 10. If you want to learn more about that ratingsystem you can go to my website or click on this orange box here if you are watching thistutorial on a computer. Bacterial Vaginosis (AKA BV) is a polymicrobialinfection caused by the overgrowth of normal flora. The key bacteria in this infectionis gram negative Gardnerella Vaginalis. Clue cells are visible on the saline portionof a wet prep. A Clue Cell is a sloughed mucosal
squamous epithelial cell covered in many adherentcoccoid bacteria (Gardenerella Vaginalis). Here is a picture comparing normal squamousepithelial cells with a few scattered lactobacill to squamous cells that are covered in thousandsof adherent garenerella bacteria. Here is one more pic. You can see on the leftwe have a normal squamos epithelial cell with a few WBCs. On the right we have the darkerClue cells. Finally I have a photomicrograph to look atin case you see that on your test. A thinwatery graywhite discharge is presentA fouls smell is present and often described as an Amine Odor or Fishy Smell. This smellis intensified after unprotected intercourse