The Secret of Great Health Care

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Vaginal Discharge

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Vaginal Discharge

Vaginal discharge is very common. Some amount of vaginal discharge is normal and this can vary from day-to-day. When estrogen levels are high (right before ovulation, pregnancy or patients on estrogen drugs) there may be more vaginal discharge. Estrogen levels maintain vaginal thickness and bolsters normal local defenses.

Glands in the vagina and cervix create normal vaginal discharge. The discharge normally does not small bad and is clear or slightly milky.

Yeast infections affect 75% of women at some point in their life and many have recurrent episodes. This is the major cause of vaginal discharge that is treatable with over-the-counter medications. The role of the person is to be able to identify a yeast infection and identify when it may be caused by something else that requires a health care provider's input.

Vaginal discharge that is not normal is associated with

  • Irritation
  • Burning
  • Itching
  • Bloody discharge - when not on your period
  • A significant change in vaginal discharge
  • Greenish or yellow discharge

 

 

What causes vaginal discharge

The overgrowth of vaginal germs stem from antibiotic use, poor hygiene, frequent douching, alkaline pH as seen with menstrual blood or semen and some diseases such as diabetes is a common cause of vaginal discharge.

Most kids with vaginal discharge will need a work up by a health care provider. In kids a common cause of vaginal discharge is a foreign body. If no foreign body is found than the possibility of a sexually transmitted disease needs to be considered.

Other common causes of vaginal discharge and itching in children include:

  • Poor hygiene – this will be associated with redness and odor
  • Chemical irritation – often secondary to soaps or bubble baths
  • Infections (see table below)
  • Anatomic abnormalities

Women of reproductive age often have vaginal discharge that is normal. Normal vaginal discharge is milky white, mucoid, without odor or irritation. Common infectious causes of vaginal discharge and vaginal inflammation are shown in the table below.

 

 

Condition

Symptoms

Signs

Chlamydia/Gonorrhea

Sometimes none, burning on urination, urinating often and urgently, pelvic/abdominal pain and pain with sex

Thick vaginal discharge, discharge from the urethra

Trichomoniasis

Odor, pain and itching when urinating, soreness in the genital area

Yellow or green vaginal discharge

Bacterial vaginosis

Fishy odor (worse after sex or cleaning), itching and burning

White, yellow or gray discharge, redness and swelling

Yeast infections

Pain, burning and itching, Symptoms worsen with sex

White, cottage cheese discharge, swelling and redness

Who needs to see a doctor

Vaginal discharge is rarely life threatening, but sometimes a health care provider is needed to properly manage vaginal discharge. The following people with vaginal discharge should see a doctor

  • Suspicion of a foreign body
  • Sexually transmitted disease risk with vaginal discharge
  • Yellow or green vaginal discharge
  • Fever
  • Pelvic/abdominal pain
  • A strong odor associated with the vaginal discharge
  • Pain upon urination, needing to urinate urgently or frequently

 

 

 

Treatment

While yeast infections are treatable with over-the-counter medications, most causes of vaginal discharge are not amendable to treatment with over-the-counter medications. Consequently, a health care provider most often treats vaginal discharge.

General treatment strategies for non-specific vaginal discharge include preventing irritation and keeping the area clean and dry. Do not use an feminine hygiene products. Utilize good hygiene – wipe from back to front. Use ice packs or sitz baths when there is discomfort.

When foreign body is the problem, removal often remedies the problem.

Yeast infections can be treated with OTC medication or prescription medication. Below are a listing of topical products that can treat yeast infection. Topical products are about 80% effective if used correctly. The oral prescription medication most commonly used to treat yeast infections is called fluconazole (Diflucan). It is also highly effective. It is given as a one-time dose of 150 mg. Natural Cure for Yeast Infections

If you want a fast, safe and natural solution for yeast infections try: Natural Cure for Yeast Infection.

How to prevent vaginal discharge

  • Practice safe sex
  • Do not douche
  • Limit use of feminine hygiene sprays
  • Do not take bubble baths
  • Do not used perfumed or colored tampons or toilet paper
  • Wipe from front to back after going to the bathroom
  • Wear cotton underwear that allow some air circulation
  • Avoid the use of tight pants or pantyhose for extended periods of time
  • Clean the genital area daily
  • Be aware that new products used can cause problems such as: condoms, diaphragms and spermicides.

 

 

 

 

To purchase products discussed in this chapter visit The Drug Store.

Over-the-counter products

Product

Active Ingredient

Directions

Monistat 1

Miconazole

12 and older – insert vaginally one time and apply cream two times a day for up to 7 days as needed

Vagistat 1

Tioconazole ointment

12 and older insert vaginally one time at bedtime

Monistat 3

Miconazole

12 and older insert vaginally at bed time for three days and apply cream two times a day for up to 7 days as needed

Monistat 7

Miconazole

12 and older insert vaginally at bed time for seven days and apply cream two times a day for up to 7 days as needed

 

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