Vaginal discharge: Difference between revisions
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* [[Bacterial vaginosis]] | * [[Bacterial vaginosis]] | ||
* [[Cervical cancer]] | * [[Cervical cancer]] | ||
* [[Chlamydia]] | * [[Chlamydia]],sexually transmitted infections. | ||
* [[Foreign body vaginitis]] | * [[Foreign body vaginitis]] | ||
*[[Gonorrhea (patient information)|Gonorrhea]] | *[[Gonorrhea (patient information)|Gonorrhea]],sexually transmitted infections | ||
* [[Herpes]] | * [[Herpes]] | ||
* [[Trichomoniasis]] | * [[Trichomoniasis]],a parasitic infection typically contracted and caused by having unprotected sex | ||
* [[Vaginal cancer]] | * [[Vaginal cancer]] | ||
* [[Vaginal yeast infection]] | * [[Vaginal yeast infection]] | ||
* [[Diabetes]] | |||
* [[drug side effect]] as antibiotic or [[steroid]] use [[Amoxicillin and Clavulanic Acid ]], [[Butoconazole Vaginal Cream ]], [[Clotrimazole ]], [[Combined oral contraceptive pill]], [[Estradiol Topical ]], [[Estradiol Transdermal ]], [[Estrogen and Progestin (Oral Contraceptives) ]],[[Estrogen Injection ]], [[Estrogen Vaginal ]], [[Etonogestrel and Ethinyl Estradiol Vaginal Ring ]], [[Glatiramer Injection ]],[[Hormone replacement therapy (trans)]], [[Letrozole]], [[Leuprolide ]], [[Medroxyprogesterone Injection ]], [[Metronidazole Topical ]],[[Miconazole ]], [[Nafarelin ]], [[Natalizumab injection ]], [[Norelgestromin and ethinyl estradiol transdermal system ]], [[Ospemifene]], [[Oxcarbazepine ]], [[Pramipexole]], [[Progesterone]], [[Tamoxifen ]], [[Terconazole Vaginal Cream, Vaginal Suppositories ]], [[Toremifene]], [[Zoledronic Acid Injection ]] | |||
== Laboratory Findings == | == Laboratory Findings == | ||
Revision as of 12:36, 29 July 2020
For patient information, click here
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shankar Kumar, M.B.B.S. [2] SO
Synonyms and keywords: Discharge from the vagina
Overview
Vaginal discharge is a common patient complaint that is paired with anxiety regarding sexually transmitted diseases. If a STD is detected, a search for all other STDs should be done. Advise the infected patient to inform all sexual partners of their diagnosis.Also there is normal vaginal discharge depends on periodic hormonal change.[1]
Causes
Common Causes
- Atrophic vaginitisor senile vaginitis, it as a result of estrogen deficiency lead to vaginal dryness, itching, irritation, discharge, and dyspareunia.[2]
- Bacterial vaginosis
- Cervical cancer
- Chlamydia,sexually transmitted infections.
- Foreign body vaginitis
- Gonorrhea,sexually transmitted infections
- Herpes
- Trichomoniasis,a parasitic infection typically contracted and caused by having unprotected sex
- Vaginal cancer
- Vaginal yeast infection
- Diabetes
- drug side effect as antibiotic or steroid use Amoxicillin and Clavulanic Acid , Butoconazole Vaginal Cream , Clotrimazole , Combined oral contraceptive pill, Estradiol Topical , Estradiol Transdermal , Estrogen and Progestin (Oral Contraceptives) ,Estrogen Injection , Estrogen Vaginal , Etonogestrel and Ethinyl Estradiol Vaginal Ring , Glatiramer Injection ,Hormone replacement therapy (trans), Letrozole, Leuprolide , Medroxyprogesterone Injection , Metronidazole Topical ,Miconazole , Nafarelin , Natalizumab injection , Norelgestromin and ethinyl estradiol transdermal system , Ospemifene, Oxcarbazepine , Pramipexole, Progesterone, Tamoxifen , Terconazole Vaginal Cream, Vaginal Suppositories , Toremifene, Zoledronic Acid Injection
Laboratory Findings
Initial tests include:
Other Diagnostic Studies
| Type | pH | Discharge | Odor | Wet Mount |
| Trich | >4.5 | yellow-green, copious | present | motile, flagellated |
| BV | >4.5 | white-grey | fishy | clue cells |
| Candida | <4.5 | white, curd-like | none | pseudo-hyphae |
| GC | mucopurulent | varies | PMNs | |
| A.V. | thin, gray, watery | none | few epithelial cells |
Treatment
See most recent CDC guidelines for all STD's
Acute Pharmacotherapies
Bacterial Vaginosis
- Metronidazole single dose for 7 days
Candida and Chlamydia
Gonorrhea
- Oral ciprofloxacin or IM ceftriaxone
Trichomonas
- Metronidazole single dose for 7 days
- Intravaginal clotrimazole if pregnant or unable to use Metronidazole
References
- ↑ Spence D, Melville C (2007). "Vaginal discharge". BMJ. 335 (7630): 1147–51. doi:10.1136/bmj.39378.633287.80. PMC 2099568. PMID https://www.ncbi.nlm.nih.gov/pubmed/18048541 Check
|pmid=value (help). - ↑ Hainer BL, Gibson MV (2011). "Vaginitis". Am Fam Physician. 83 (7): 807–15. PMID 21524046.
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