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
My Cervical Mucus Looks Like Snot
Tell me why my cervical mucus looks like snot. I do not know why you are looking at it atall. It is supposed to be an easy way to determineyour fertility. True. When it is clear, watery and very slippery,that's when you are ovulating. It is supposed to transition to that formwhen you are ovulating because the higher hormone levels trigger it. The mucus is like raw egg white mucus youcan stretch an inch or two means at your most fertile. The watery type is second best, andthat's the type the day before and after
the fertile peak. My mucus is way thicker than that. It is normally white, thick and sticky. It is thick, white and sticky but has clumpsin it. The tacky cervical mucus is the least fertiletype. And clumps of it together means you'rean infertile period. The consistency seems different though. It normally gets thicker and a lot tackierwith a few clumped together pieces together
right before your period starts. And you mightnot normally be checking the cervical mucus at that point because a period would proveyou didn't conceive. I have a week or so before my period is due. It can get thicker and ier due to dehyationor use of decongestants. I'm not taking any decongestants. It gets whiter, thicker and heavier if youhave an infection. I thought it would change colors. If the cervical mucus is the color and consistencyof green snot, you need to talk to a .
Likewise if it is yellow. If it is yellow and thick, I'd think itwas a yeast infection. A fishy odor is the sign of a yeast infection.But any color of thick heavy mucus other than white means you need to get treatment foran STD. What if it is orange or has flecks of redin ité Red plus white means yellow or orange, andthe red comes from blood. Unless your period is starting, you have an infection. Or there's something else going on.
It is hard to get so dehyated that yourcervical mucus is as ied out as your constipation. I've heard the snot like consistency isgood. If you did conceive, you could see snot likechunks as the body puts out so much mucus it forms a plug to protect the baby. Thatcomes out when you'relabor too. All I can say is I promise that if I'm pregnant,I am not that far along.
Jelly Like Discharge During Pregnancy
As gross as it sounds, a jelly like dischargeduring pregnancy can be completely normal. It often means that you are beginning to expelthe mucus plug you have carried during your pregnancy. It can also just be another form of dischargethat your body is producing. When checking any discharge during pregnancy,color is one of the most important aspects. Most normal discharges will be clear or slightlymilkycolor. Sometimes discharges will comedifferent colors and these can becauses for concern. This is especially important if you are notclose to your due date at all.
If your discharge is red, pink, or brown youneed to contact a right away. These colors are signs of blood. Any amountof blood can be a sign of a much larger issue or of your impending labor. Your will likely want you to come inso that they can check you. This can also be a sign of going into early labor so beprepared for a stay. Green, yellow, or other gross colors can bea sign of infection. Any infectionyour reproductive systemcan spread fast to both you and your baby. This is something you need to tell your about immediately. Your will likely
want to check the discharge and swap you forfurther testing. If your determines that your dischargeis normal you can continue with your life as normal.If your discharge is making you uncomfortable wearing better breathing panties and thinpads can help keep your more comfortable. These small alterations can make the timespent with such a discharge more bearable. A jelly like discharge during pregnancy canbe scary, but is usually just a signal of impending labor. Checking the color can tell you if you needto contact your .
Keeping an eye on what your body producescan tell you a lot about your health and the health of your baby.