music It's a typical day. A patient has noticedsome itching, or maybe an unpleasant vaginal odor. During her exam, the ian willcheck vaginal pH, examine any discharge that's present, and collect a sample. Then, it'son to the microscope. music This is where you'll gather more specificinformationabout what's causing those vaginal symptoms. We'll show you how to prepare andexamine vaginal wet preps and how to do a whiff test. The results, combined with the patient's vaginal pH test, will aidthe diagnosis.
Under the microscope, you'll be looking for trichomonads, yeast, and the clue cells associated with bacterial vaginosis. We'll show you how to recognize them. music First, the microscope itself: This is a compoundlight microscope. It has several objective lenses on a rotating mount. For our purpose,one of these has to be a 10x low power objective, and one has to be a 40x for greater magnifiion.This flat part, under the objectives, is the stage. Under the stage is the condenser. Belowthat, at the base of the microscope, is the light source. There are two knobs that controlfocus; one for coarse adjustment and one for
fine adjustment. And these are the oculars,or eyepieces. We'll come back to the microscopea minute, but first, let's look at how to prepare wet mount slides. The complete vaginal wet mount involves botha saline prep and a potassium hyoxide, or KOH, prep. When the vaginal sample was collected,the swab was placeda test tube with approximately half a milliliter of saline. So, for the salineprep, you only have to take a op of the suspension and place it on a slide. Add acoverslip, being careful to avoid trapping air bubbles. Your saline slide is ready.Place a second op of the vaginal sample on another slide and add one op of 10 percentKOH. Sniff the preparation immediately, using
your hand to waft any odor toward your nose.This is the whiff test. Note if there's a fishy or amine odor. Then add a coverslip,avoiding air bubbles. Keepmind that you must work quickly to prepare and examine thewet mounts. That's because trichomonads may lose their characteristic motility within15 to 20 minutes. Before we move on now, though, let's lookat the cast of characters you may discover. These are normal squamous epithelial cellsfoundthe vagina. They're large, flat cells with a small nucleus and a large area of cytoplasm.Note that there is some granularitythe cytoplasm.
Polymorphonuclear leukocytes are known asPolys, or PMNs. They may also be called white blood cells, or WBCs. These are small roundcells. Several lobes of the nucleus are visible within the surrounding cell cytoplasm. Findingmany PMNs may indie infection. Trichomonads are pearshaped protozoa whichmove by means of flagella. Trichomonads are similarsize to PMNs and are identifiedby their characteristic jerking movement. The actual flagella may be too thin and toorapidlymoving to be seen. A clue cell is a squamous epithelial cellcoated with enough small bacteria that at least 75 percent of the cell's border is obliterated.It may look as if someone has spread glue
over the cell and pressed itsand. Cluecells are associated with bacterial vaginosis, a conditionwhich the normal microbialflora of the vagina is disrupted. Yeast may be foundtwo forms. Pseudohyphaeare the long, tubular, branching forms. Budding yeast are paired yeast cells that resemblea shoe print. The larger part is the sole and the smaller bud is the heel of the shoe. The saline prep will allow you to see epithelialcells, PMNs, trichomonads, and clue cells. You can also see yeastsaline, but sometimesit's hidden by epithelial cells or by PMNs. Red blood cells, sperm, and bacteria can alsobe seen.
My Vaginal Discharge Smells Like Poop
My vaginal discharge smells like poop. Are you sure you aren't just blaming thewrong orificeé I don't think I'm leaking poop. The brown on the underwear is a pretty suresign. However, if you have endometriosis that adheres to the bowel, you could have diarrheawhen you have your period and bad gas even if not superpooping. And I thought the stomach pains were bad enoughwhen you had endometriosis. So if you have endometriosis, you could havebad gas at best and extra pooping at worse
when having your period. This is a constant thing, but a new problem. Do you have a new babyé If you just had akid, all the muscles down there are so strained that you may lose the ability to hold it in. My kid is crawling around. If you really strained those muscles, youend up leaking pee and even poop when you strain to pick things up, cough, sneeze andso forth. I haven't leaked peeweeks. That'swhat keigel exercises are for.
That doesn't mean you didn't strain thebowels too, especially if you have rectal tears or hemorrhoids. I don't want to blame this on the kid. If you spent a day or twohard labor, itis possible there are now microscopic holes between the vagina and bowel, or vagina andurinary tract that let that stuff seep into the wrong area. So even if I can hold it in, it finds anotherway out. That's disgusting. It is also a health problem, since poop gettinginto the vagina is a guarantee you'll get
more infections. Or way greater odds of a UTI. It would take a checking things outto say if that's the cause. I also can't rule out you wiping back to front, introducingbacteria to that area, and thus just smelling bad from the bacterial infection. Which becomes yet another reason to talk tothe . And you want to do it before you find yourselfhaving to go to the for even worse problems.
What else could be causing thisé Bacterial infections can make it smell likepoop, though it usually comes with white or gray vaginal discharge. And a burning sensation. You also get a fish like odor, especiallyafter sex. However, if there's a yeast infection too, you'll get more colors and odors. It sounds weird to say you could have morethan one infection at once. Having bacterial vaginosis increases yourodds of developing a yeast infection, kind
of like how you can have two STDs at the sametime. I don't even want to know what it is liketo have two STDs at once.
My Vaginal Discharge Smells Like Chlorine
My vaginal discharge smells like chlorine. Are you sure you just aren't overbleachingyour launyé No, this problem remains whether I wear tidywhities or not. It can take on a chemical smell if you'veused a lot of condoms. That's called safe sex. It can take on a chlorinelike smell whenyou've used some types of lubricantsaddition to a condom. Then I don't need to be worried about thesmell if it can be traced to some intimate
activities. Some guys' semen smells like bleach or afaint sugary smell. Condom use pretty much precludes that cause. Now if it smells metallic, that is a signblood is mixed with the vaginal fluids. If I had my period, I'd notice the blood. Blood has more of a copper smell, but if there'san infection like something with lesions and a tinny smell, you could have an STD causingthe off smell. I know fresh blood when it isn't the righttime for it is a problem.
And your period is usually dark red or brownby the time it shows up. But it won't have a chemical smell, justmean I need to use real chlorine bleach to clean up. Your body has a natural pH of 7.4. That's a little alkaline. Yes, since it is higher than 7. Conversely,bleach has a very high pH. Yeah, around 12, but your vagina usually putsout an acidic discharge. The vagina's normal pH is between 3.8 and4.5. If you have vaginosis or some sexually
transmitted disease, the pH can go higherthan 4.5. Then the bleachy smell isn't because theoutput is becoming alkaline. No, but an STD can alter its pH and smell,and when your brain doesn't know what it is, it assigns the first chemical that isanything close. If my biochemistry has altered that much,I have a problem. It isn't an alkaline diet; any diet thatalters your biochemistry that much will kill you. However, an STD could alter the chemistrydown there enough to take on a chemical or acidic smell.
What if I said it smells like ammoniaé Then I would say it is vaginosis due to bacterialgrowth, though it could be due to excessive sweating or dehyation and concentrated urinetoo. And I could end up blaming a urinary leak. Or just sweating a lottight pants whileinking caffeine and energy inks instead of water. But at least that's somethingyou can fix by taking a long hot bath to relax.