Vaginal discharge
Definition: leucorrhoea or vaginal discharge (the term feminine singular)
It is a bloodless flow from the female genital tract.This flow may be: -either by a physiological mechanism of endocervical secretion, the so-called cervical mucus, or by operation of vaginal desquamation,-or pathological sign of infection.
How to distinguish a physiological leucorrhoea from leucorrhoea a disease?
The physician will seek the association of several symptoms during his interrogation and his physical examination to differentiate them.To understand ..The vaginal environment is normally colonized by bacterial flora flora called Döderlein. The latter corresponds to the anti-bacterial barrier that acts by maintaining an acidic pH. Any alteration or disturbance of this flora promotes infection.What is the origin of a pathological leucorrhoea ?
It is INFECTIOUS, but two large frames are distinguished::- Candida albicans vulvovaginitis (simple thrush )- Pathological leucorrhoea due to a sexually transmitted disease Vulvovaginitis Candida albicans:
This infection is not an STD.Candida albicans is a normal host of the human body, whose pathogenicity is exacerbated by vaginal acidity, and some local and systemic factors: -hormonal changes (pregnancy, menopause, ...)-certain medications (antibiotics, estrogen / progestin pill, steroids, progestin therapy)-Local inadequate hygiene: toilet excessive (Douching)- local causes: tight trousers, underwear, synthetic fiber swimming poolThe signs leading patients to consult most often are: :- vaginal discharge whitish, odorless- vulvar itching and burning-pain during intercourseTreatment consists of topical antifungal treatment (pill or cream) associated with simple measures: :-personal hygiene with soap alkaline or neutral pH- avoid tight trousers, wear cotton underwear, no excessive local hygieneSexually transmitted diseases: :
Topography of achieving the female genital tract and associated bacteria: :- VulvovaginitisParasitic infection of Trichomonas vaginalisBacterial infection- Cervicitis (infection of the cervix reached) bacterialChlamydia trachomatisGonococcus- Upper genital tract infectionEndometritis – SalpingitisThe doctor, after their clinical and complementary examinations (vaginal swab essentially) that he may decide to prescribe,will choose his treatment against the bacteria found.
Victor Hugo