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.
Why does my vagina smell
Oh sorry. What are you doingé Clone: I've been on a pineapple only diet all week and I still don't smell like a pineapple. What. Clone: I don't want my icky vagina to smell bad like they normally do. Clone: so I read online that I can make it smell like a pineapple! Oh my god I have to make a tutorial about this. It's time to talk about vaginas.
Your sausage wallet, punani, cookie, clam, toybox, cunt. Cunt is my favorite. Not just my favorite word for vaginas but like my favorite wordEnglish. It makes me really sad when I have casual vagina conversations with my friends and they don't know basic vagina owning 101. I wonder if theres a book called that. I'm going to look it up and if so its going to be on the screen right now. Just cause. I'm buying it. God I sound so pretentious. quot;I know more about vaginas then like, all of my friends.quot; Make a gif of that.
Alright, having a naturally bad smelling vagina isn't a thing. Vaginas are awesome. They smell awesome. And they taste awesome. Some people have faint scents, some people have strong scents. Do you want to bea tutorial about vaginasé When I tell people I don't wash my vagina they freak out. BUT HOW DO YOU KEEP IT CLEANé! Hey listen, vaginas clean themselves. They are a product of millions of years of evolution and all of that was before soap was invented.
There are actually lots and lots of little living things inside your vagina. Clone: AHHH! Don't freak out! There are tons of little living things all over and inside your body on the microbiological level and they're all working really hard to keep you healthy. So uh make their job a little easier and don't fuck it all up. Seriously if you're using soap or douchesyour vagina you are fucking up your natural cleaning process. Seriously though clean the dirty parts of your body. Your vagina isn't one of them. But having an unbalanced vagina is totally a thing. And if you use anything dirtyyour vagina like penises, toys, fingers you really gotta stay on top of it.
Now if your partners the one telling you to handle your shit downstairs tell them to go fuck a pineapple. But with that being said your vaginas a constant war between yeast and bacteria. If either of them wins, you're going to have a problem. That's not really how it works but I just love describing a vagina as that. IT'S A WAR ZONE. I don't know. Vaginas are badass y'all. Yeast infections and bacterial infections can both cause bad smells. BUUUUT, so called 'feminine freshness' products actually cause this.
They murder these tiny little organisms that keep you healthy and then make you smell bad. Let me say that again. DOUCHES AND SOAP MAKE YOU SMELL BAD. So you think you smell bad. You use a douche. You use a feminine soap. Then the smell goes away for a day and you're like, quot;Oh my god I smell like roses and mangoes!quot; Then the next day you smell bad again so you have to buy more of their products. It's a freakin vicious cycle. Chaching for them. Woof for you.
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.