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 Vaginal Discharge Smells Like Garlic
My vaginal discharge smells like garlic. I know that if you eat enough garlic or onions,it can permeate your pores, but if you ate that much garlic, your breath would definitelyoverpower any smell down there. Garlic breath would go awaya few hours. It depends on how much you ate, but it couldcome through your pores a day or two later. If that's the case, start eating out atItalian places so no one notices. And here I thought you'd recommend someperfumed stuff. If you don't like the smell, I'd definitelynot be using it as an antibacterial.
If I was spraying it down there like bodyspray, I'd know. I don't know if you are taking garlic pillsas a natural antibiotic or for heart health, but that can ooze out of your pores too. Andyou might only notice it down there because it is one of the few places not perfumed. I know douching can be bad by rinsing outgood bacteria. That's why I don't do it. Are you sure it isn't a fishy smell you'remistaking for garlicé That's a bacterial infection. And it ispart a result of wiping backto front, having sexthe rear and then
front that introduces bacteria, wearing athong that rubs both areas â€“ I won't admit to any of that, and I don'tthink that's the cause. Do you have red, itchy, burning and thickwhite clumpy dischargeé That's the sign of a yeast infection. Butsome people say it smells more like beer or bread, not garlic. And how often are you doing a smell test tomake the comparisoné Unfortunately, I've had enough yeast infectionsto know what it is like. But bacterial vaginosis can have the smellof an onion or garlic. And if there is a yeast
infection, there is an increased chance ofbacterial infection too. If that's the case, I need to talk to a. Any other tipsé Take more showers, eat some other spices insteadof onions and garlic, ink more water to flush it out of your system. So I'll try curry. Eating curry can make it smell like onionsand garlic down there. And so can eating asparagus. What else could make it smell like an onionor garlic down thereé Antibiotics can alter the bacterial balanceand have that result.
I prefer essential oils. Essential oils can do that too, especiallythe ones related to the foods I already said not to eat. I'd hate to think herbal treatments werecausing this. It may just be a result of not wearing clothesthat let you breathe while eating too much spicy food. Fortunately, that's the easiestthing to cure.