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.
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 mediion. 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 shiftways 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 sodathe bathwater you useor apple cider vinegaryour 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 tamponstoo long. I know that can cause bacterial growth ifnot toxic shock synome. 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.