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 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.