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.
Vaginal Discharge During Menopause
I need your input on vaginal discharge duringmenopause. When you're going through menopause, you'llhave your period less often or less intensely before it finally shuts off. I know menopause isn't an off switch butmore a slow fade. When you're going through menopause, you'llsee similar shiftsvaginal discharge like white and sticky to y right before yourperiod, but you may not see the clear and slippery phase for ovulation. Because I might not ovulate.
However, when you're going through menopause,there's still a chance you'll get pregnant. And have a kid with a higher risk of healthproblems. Or multiples. As your eggs hit their expirationdate, the body offsets it by releasing multiple eggs. What other vaginal discharge should I expectduring menopauseé If it starts to smell sweet down there, you'reprobably developing diabetes â€“ especially so if the urine smells sweet and looks likesyrup too. A rash of repeated yeast infections can bea symptom of diabetes too.
And your odds of adult onset diabetes go upwith age. What else should I knowé With age, the vaginal discharge goes down,which is why older women tend to need lubriion, since the body doesn't make as much. And while a lack of lubriion and make youmore sensitive to yeast and bacterial infections, using too much lubriion can alter pH levelsand do the same. You'll know you have one of those infectionsby the foul smelling discharge if it is bacterial and the fish smell with yellow and solid massesif yeast based.
Fortunately, I haven't had to do a smelltest to see what is wrong. If you get red or brown vaginal discharge,you'll probably want to talk to a . We already discussed how your period fadesaway at this age. Yes, but red blood that's constant indieslesions or a serious infection, while brown blood can be a period that's not completeor internal bleeding. Okay, that's a reason to talk to the . And just because you don't have to use birthcontrol anymore doesn't mean you don't have to use birth control.
Menopause is all natural birth control. Just because you can't get pregnant anymoredoesn't mean you can't get a sexually transmitted disease anymore. And green, yellowand red vaginal discharge, especially with redness, itching or sores are strong signsof an STD. What a pain. Any discharge with pain means talking to a, too. Whether an STD or fibroids or worse, only the doc could say.
The Sticky Test Ovulation Symptoms by Nina PUM PUM Maintenance EP05
INTRO MUSIC Hey, everybody welcome to this week's episodeof PUMPUM Maintenance. This week's topic is called the Sticky Test. You're probably wonderingwhat does PUM PUM and sticky test have to do with each other, give me a second. Forthose of you who don't know I'm actually writing a book called What your mother didn't tellyou but your Girlfriend did. So this is a classic example of what my mother didn't tellme but my girlfriend did and that's sticky test, so it's otherwise known as Ovulationladies. Do you know when you're Ovulating. So assuming me that you have a period numberone and a 28day cycle usually by the 14th
day of each month is when you start Ovulatingso it's actually a two to three day window when you're egg decides that it's been a releasedand attached up to your uterus. So for those of you who didn't pay attentionin sexed class and for those of you youngins (young people) watching, it just means, thisis the time you're most fertile and you can get pregnant. So I just wanna share with you my own personalexperience like I remember beingcollege and I remember just always having the samesymptoms all the time and going to my girlfriend's sister who is older at that time and askingher, telling her like I'm always feeling this
kinda tug at my stomach and like I can't breathfor 2 to 3 seconds, just like girl, you're just Ovulating and I was like, ohh doubleduhh, Okay. Ladies do you know when you're ovulating. Let me talk to you about some ofthe signs. Sign 1, you are horny as hell. So you get all these tingles inside, you feelall these butterflies, you feel all these little punches saying I want some and you'rejust horny, you want sex and lots of sex. So the next sign is you're gonna see a milkywhite kinda egg white texture on your panty, kinda looks something like this shows stickysomethingbetween fingers and actually if you pick it up and do this it has a stickykind of elastic kinda texture, sperm loves
this. Remember I talk to you about that 14thday, this is what they use to get up to your egg. Alright, lastly sign 3. So you ever beenon a roller coaster and you go from like top to the bottom it feels like your stomach isin your mouth and for you non roller coaster riders, think of yourself on an elevator.You go from the 20th floor, you go down to the first floor kinda hold your stomach likethe winds knocked out of you for 2 to 3 seconds, you know what that meansé Means like youregg is being release and latching on into your uterus, you know you get that feelinglike don't talk to me while until this is
over. Well that's another sign, at least myown personal sign of when you're ovulating and there you have it, that's the sticky testand the signs that go along with when you're ovulating but I think what's also fair tomention is that not every women ovulates every month, not every woman releases an egg. So,it's just something to monitor and watch or even actually ask your gynecologist especiallyif you're trying to get pregnant. So check out my other PUM PUM tutorials by going to ninababel or check out my other social media channels, see you next time bye. END