Whites

Excessive discharge falls under two basic groups:-

A) Noninfective- Excessive normal secretion- designated by lay public as leucorrhoea.

B) Infective:- pathological- a matter of concern- may be caused by a variety of organisms.

One has to elicit history, Sometimes too much Lab tests  to arrive at a definitive diagnosis.

What are the common causes of whites?

1) Trichomoniasis.

2/ Candida albicans- diabetes, Oral pill intake, antibiotics prolonged use, sometimes resistant type Candida- most difficult to diagnose and treat.

3) Chlamydial Trachomatis.

What are the less common causes of Whites?

5) Gardnerella vaginalis infection.

6) N Gonorrhoeae.

7)  HSV(Herpes simplex Virus).

Other but uncommon causes of Whites?

9) E. Histolytica- often not considered.

10) E. Coli.

11)  Staphylococci. Mycobacterium family, Cl. Welchi, Streptococcus.

What are the rare causes of whites?

Senile vaginitis, Allergic, Foreign body, Worm infestations, Benign and Malig neoplasms.

Abnormal micro organisms in birth canal can cause HPV infections and ectropion  & many cervical Pathologies.

If access to cervical canal by the offending organisms are openà then many bact will have an open access to endocervixà Chr. Cervicitis.

Persistent Whites.

This damages the natural defense mechanism,    will continue to exist in endo cervix promotes development of persistent infection. Later difficult to eradicate.

HPV  may occasionally persist in cervix epithelium if defense mechanism is lost.

Vaginal Micro-organisms and Obstetric Catastrophe.

IVF specialists are very serious on this ailment:-My dear forum members:- We have to keep in mind that Ill effects of abnormal vaginal microflora  can yield to:-

1) Habitual abortion.

2) Preterm Labour

3) Puerperal  sepsis.

4) Post C S  secondary hemorrhage.

IVF specialist are very serious about this ailment of ecosystem of vagina prior to mock transfer even.

How to  prevent BV in Pregnancy?

A) Care of the perineum- by different locally applicable antiseptics./ Personal hygiene.

B) routine suppl. Of probiotics from 20 weeks of gestation prevents proliferation of pathognomic bacteria and release of cytokines which  cause preterm wreaking of fibroblasts of amniotic membranes,