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 tutorialmy 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 thata later tutorialthe GYN section. Gonorrheaand Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis. GCwill be covered laterits 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 op of saline added to it while the other halfof the slide has a op of 1020% KOH (Potassium hyoxide) 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 increasethe 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;4.5reproductive 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 bacteriathis 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 coveredmany adherentcoccoid bacteria (Gardenerella Vaginalis). Here is a picture comparing normal squamousepithelial cells with a few stered lactobacill to squamous cells that are coveredthousandsof 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
Vaginal Discharge During Pregnancy
I want your opinion of vaginal discharge duringpregnancy. If you have a sudden white mucus plug comeout, you're about to end the pregnancy and go into labor. I'm not that far along. The vaginal discharge will go back to whiteand thick after you ovulate. If you conceive, there may be ops of blood mixed in, or justbrown or orange streaksthe discharge. I'm a little farther along than that. The vaginal discharge usually increases involume during pregnancy, starting after implantation.
However, it remains white and thick throughoutunless something is wrong. I know any red bloodvaginal dischargeis dangerous, whether a sign of a miscarriage or uterine tear or something else only the will know. When you are pregnant, any bleeding is a reasonto go to the ER. Fortunately, I'm not seeing that type ofvaginal discharge. You'll normally see more white and thickvaginal discharge. Some women wear menstrual pads when pregnant to contain it. That sounds fishy to me. I didn't thinkI'd need diapers until after I had the kid.
If the vaginal discharge smells fishy or likevinegar, you have a yeast infection. I can't even take a pain reliever rightnow. What do I do about a yeast infectioné It is safe to use over the counter yeast infectiontreatment when pregnant, and you may need several. Pregnancy throws off your pH balanceand makes yeast infections much more likely. Glad I don't have that fishy smell downthere, then. It is thick and offcolor though. If it is green or yellow, you may have a bacterialovergrowth. That's dangerous during pregnancy. It could make things smell, and you do wantto talk to a about it. However, if
there are any lesions, itching and other signsof a social disease, you have to talk to a . Technically, life is sexually transmitted. A sexually transmitted disease contractedbefore or during pregnancy puts the kid at risk, and it may be flaring up worse whilepregnant because pregnancy compromises the immune system. Yes, I'd talk to the if I was worriedabout it, but I am not. Then you'll just see more white and thickdischarge. It would have increasedvolume
as the cervix thickened and rose up from thelow point after ovulation. But not as high as it would be if I wasn'tpregnant. That's where a lot of the mucus is comingfrom, but know that it will become y if you're dehyated just as when you'renot pregnant.
Home Remedies for White Vaginal Discharge II II
One of viewer has wrote us that he has the problem of Leukorrhea asking for an episode on this. See, leukorrhea means (Shwet Pradar) or it is also called White discharge. This white discharge isevery females bodyless of quantity. And its not a disease. But when this white discharge's quantity getcrease its color started changing. And when you start having irritating and burning sensationyour vaginal area then this problem can happen. White discharge is normal, it not an disease but it can be the symptoms of other diseases just like : Diabetes or if you say Anemia, it can be its symptoms A bacterial infectionyour vaginal area that is also an reason to have white discharge.As it happens due to lots of reasons.
One of the major reason is that if you have taken birth bills from long time then also the problem of white discharge can happen. Or if you have got multiple abortions done, then also it can happen. Or if you have unlimited sex or with the multiple partners, even then this problem comes. It is seensome of the girls that before their fist MC(Monthly cycle) they face the problem of white discharge. In which if you have weakness that is also the reason it has lots of reasons.Now how to its treatment. Firstly, 3 Liter of water is must to be consumed so that the toxins which are getting generatedyour body they get nutrilized. Along with this don't wear tight undergarments.
And specially don't wear synthetic undergarments. Undergarment should be of cotton. They should be loose instead of very tight. And you have to take care of one more thing, that if you have so much of irritation and stinking discharge then you have to change your undergarments twicea day. along with this you have to wash your undergarments with hot water and make them y under sharp sunlight. If you want you can soak some margonsa leaves and before spinning them first soak from this water and then spin . so that there may not formed any type of bacteria. Apart from this it is very important to y your vaginal area after cleaning. People use to leave it wet, with this also the chances of infection and higher vaginal discharge become higher.
so, make it y. take cotton and wipe it nice or you can keep tissue paper with you. after wiping it from tissue paper. Moment you will wetnessyour vaginal area, immediately wash it out with the water. And i am telling you one remedy, take some Margosa leaves and boil them into 12 liter of water. after that strain the water and let is cool down. Clean you vaginal area with this water after cleaning is nicely, you may wipe it with the cotton nicely. and make it y. You will notice that you will start getting reliefthe vaginal discharge. Along with this you have to be careful about your eating habits. The problem of the white discharge happen due to having very chilled and very sweet food.
and don consume Red Meat asit increases toxinsour body. Consume Curd if you consume 1 Bowl the morning and 1 bowlthe evening. then you will get so mcuh of reliefwhite discharge, because if is often seen that during vaginal discharge irritation and burning sensation is felt and vaginal area become reddish so, one thing you can do this time. as I said, if you will clean it with margosa leaves water then you will get relief you are consuming curd if you have so much of irritation then you can apply some curdthe vaginal area wait for 10 minutes and then wash it with water and make it y with this also you will get reliefburningvaginal area
For applying there is one more good method is there, Take 2 Spoon of apple cider Vinegar add 1 Cup of water and mix it properly, even if you will wash your vaginal area with this mixture Irritation, Burning sensation, the redness, the problem of white discharge and the stinking smell which you face with this you will get relief, so you can wash it with this for 23 times or whenever you feel that the problem is increased and then clean your vaginal area and make it y you will notice that you are getting relief this. Apart from this one more thing you have to do, take 1 Spoon of fenugreek seeds and you have to soak it overnight and make its paste next morning consume this white paste empty stomachthe morning with this you will get reliefthe vaginal discharge.