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 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.