Non-venereal Vaginal Infections

Non-venereal Vaginal Infections

Vaginal discharges

Because the normal acid medium of the vagina is altered sometimes in pregnancy; the vaginal discharge are quite common. Certain organisms grow readily if it is slightly less acid or more acid. Leucorrhoea is a white creamy discharge which is merely excessive discharge from the cervical gland. It is normal, and if there is no irritation, requires no treatment.

Trichomonas vaginalis is an offensive, purulent discharge greenish yellow in colour and is associated with soreness and extreme irritation to the vulva. Though it is common in pregnancy it can occur at other times also.

Causative organism is protozoa. Trichomonas vaginalis is seen under microscope while examining a fresh vaginal discharge. It grows readily in a less acid medium.

Treatment

·              Medical aid

·              Clean and vagina with dry swab

·              Apply gentian—violet

·              metronidazole gel or tablet cotrimazole pessaries daily for 7days..

Vaginal Thrush

This is fungi infection of the vagina and is caused by Monilia albicans. It readily grows on an acid moist mucus surface. The mouth of the newborn babies, and the vagina of the pregnant women being the common site of infection.

Signs and Symptoms

·              Soreness and irritation of the vagina with intense itching.

·              Profuse white or yellow discharge, which patches fungus in the vaginal wall. Microscopic examination of vaginal discharge shows the organisms.

Treatment

Medical aid; swab the vagina and vulva dry paint with an aqueous solution of gentian violet 1 per cent 2 or 3 times a day.

Vulva Warts

May occur which are not due to syphilis or gonorrhea. Cause is thought to be viral infection and vaginal discharge and lack of cleanliness

Treatment

·              Clean with soap and water.

·              Small warts may be touched with collodion salicylate.

·              Extensive warts are cured by removing them by an electric cautery under local anaesthesia.

Diseases which pre-exist or occur during pregnancy do not confine to pregnancy alone. Some of them can affect pregnancy adversely and pregnancy can affect this condition also adversely. Sometimes they prove fatal to the mother.