quarta-feira, 5 de setembro de 2012
Leucorrhoea
Vaginal discharge is a secretion of the output coming from the female genital organ. Vaginal discharge is normal in small quantities, with a clear or translucent, odorless fluid and intense. The amount of normal vaginal discharge varies throughout the menstrual cycle (at the time of ovulation the discharge is more viscous and in greater quantity), during exercise and the period of sexual excitement that precedes intercourse.
Treatment
The treatment chosen depends on the cause of this change.
Depending infection identified can be used antibiotics, antifungal or antiparasitic drugs which can be administered orally (tablets taken by mouth) or by local application to the genitals (creams, vaginal tablets or ova).
In sexually transmitted diseases such as trichomoniasis, chlamydia infection and gonorrhea, it is important to treat the sexual partner and investigate the existence of other sexually transmitted diseases associated, such as syphilis and HIV infection.
Prevention
It is not always possible to prevent changes in vaginal discharge because sometimes are associated with factors that can not be avoided, as the use of antibiotics in certain situations, the hormonal changes of the menstrual cycle or pregnancy, etc..
However, there are some measures that may be useful in the prevention of inflammations of the genital and cervical, maintaining the conditions of normal vaginal secretions:
One. use of condoms to prevent sexually transmitted diseases
2nd. reducing the intake of sugary products to prevent diabetes or to keep blood glucose levels in controlled diabetic patients
3rd. vaginal douche and do not abuse feminine hygiene products that alter the balance of the vaginal flora
4th. wear cotton underwear and avoid use of tight clothing (eg. jeans) that keep heat and moisture conditions favorable to the growth of fungi
5th. maintain proper hygiene of the genitals and using the toilet paper from front to back when you clean the rectal area after defecation (not to contaminate the genitalia with existing microorganisms in the stool)
6th. not abuse the use of tampons, always avoiding his prolonged stay in the genital organ at risk of developing infections.
Clinical and Complications
After sexual contact with an infected person or through changes in vaginal pH, as in pregnancy, the use of antibiotics or diabetic women appear and landslides often bring complications ranging from simple discomfort to cancer of the cervix or sterility for some women. The patient may complain of pain or odor during intercourse, be itchy or not, complaining of pain in lower abdomen, but what really draws the attention of the patient is the presence of Vaginal Discharge or Leucorrhoea.
The Vaginal Discharges or Leucorréias reflect an imbalance in the vaginal environment. The complications are directly related to the agents that caused the discharge.
Of leucorréias associated with sex, the most common complications are itching and strong odor. The evolution is usually benign, but when not treated can develop into the uterus causing endometritis or the fallopian tubes and ovaries causing adnexitis, being a more severe and can result in sterility for women. Another important association is observed between the presence of some type of HPV virus and Genital Herpes and the onset of cervical cancer.
About a third of the women present thrush at some time during pregnancy. During pregnancy vaginal discharge, especially vaginosis, are associated with a higher number of premature rupture of the bag of waters - ruptured membranes - bringing the number of premature births and perinatal mortality.
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