Vaginal discharge (1).pptx. different types of physiological discharges

Different types of vaginal discharge

1. Vaginal discharge

2. Vulvo vaginal candidiasis

3. Is associated with phase of menstrual cycle

4. Vaginal candidiasis (mostly candida albicans )

5. idiasisVulvovaginal cand

6. for microscopy & culture

7. 1-6

8. Bacterial vaginosis

9. Milky white

10. Clindamycin or metronidazole vaginal creams for 5-7 nights application

11. Trichomonas vaginalis

12. Trichomonas vaginalis STD , Flgellated protozoa trichomonas vaginalis Yellowish green discharge & strawberry cervix Causes PTL, LBW , postpartum sepsis Diagnosed on endocervical swab for NAAT Treatment: metronidazole ( patient+partner )

13. gonorrhoea

14. Gram- ve intracellular diplococcus Causes mucopurulent vaginal discharge, pain lower abdomen & PID Infection at delivery cause ophthalmia neonatorum & neonatal sepsis NAAT test on endocervical awab & culture senstivity Rx: 3 rd generation cephalosporins ( pt+partner )

15. chlamydia

16. subclinical PID usually with subsequent complications eg tubal blockade Sometimes cervicitis with mucopurulent discharge ( coexit with other STD) NAAT test on endocervical swab Rx: doxycyclin & Azithromycin ( pt+partner )

17. herpes

18. Genital warts

19. Primary and secondary syphilis

20. How to take high vaginal swab

21. Pap smear

22. Pap smear