A Study on Vaginal Discharge in patients attending Sexually Transmitted Disease Outpatient Department.

Rathy, R (2009) A Study on Vaginal Discharge in patients attending Sexually Transmitted Disease Outpatient Department. Masters thesis, Madras Medical College, Chennai.


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Introduction : Vaginal discharge may be a subjective complaint or an objective finding. Patients may complain of excessive secretions, abnormally coloured or textured secretions, or malodorous secretions. In the absence of a complaint, the examiner may note abnormal secretions (asymptomatic to the patient). The term vaginal discharge is often used by patients to refer to any genital discomfort. The complaint must be verified by physical and laboratory examination to differentiate abnormal from physiologic discharge and to determine diagnosis and treatment. Gonorrhea ascends to the upper tract post menses. Postmenopausal women are less likely to have candidiasis and more likely to have noninfectious causes. Pregnancy, Intra Uterine Contraceptive Devices and birth control pills predispose to candidal infections. If the discharge is acute, chronic, or frequently recurrent. Discharges that patients claim "never go away" are likely to be bacterial vaginosis, if pathologic, or simply physiologic discharges. The presence of fever, abdominal pain and mucopurulent discharge should be assessed. If present, think of gonorrhea, chlamydia, and upper genital tract infection, or of urinary tract infection. Primary herpes can also cause fever and malaise. Vaginitis should not have systemic symptoms. AIMS AND OBJECTIVES ; 1.To determine the etiology for the abnormal vaginal discharge in women attending the Sexually Transmitted Diseases Out-patient at Institute of Venereology, Madras Medical College, Chennai – 600 003. 2. To study the presenting features, co-morbidities, educational levels, employment particulars, clinical features, wet mount results and specialized culture techniques and their outcome. 3. To study the current status of the cause for abnormal vaginal discharge in patients presenting to the department and the influence of the comorbidities involved. Conclusion: It is imperative from the study that a significant amount of general population is suffering from the problem of abnormal vaginal discharge. Bacterial vaginosis, Trichomonas and Vulvovaginal Candidiasis are the principal cause for the abnormal vaginal discharge. This study has highlighted the prevalence of more than one infection in a single individual. This gives an important insight to the issue, that from now on clinicians should be diligent in picking up these individuals with multiple infections. A periodic study and review of this type will help the epidemiologist to identify the prevalence pattern of these type of infections. In the era of genome biology, it is a definite possibility of developing a single test which will identify most of the causative organism. More research should be done in reducing the laboratory time and is preferable to produce instantaneous results. These are the subsects of the patients who are still stigmatized by the society. Hence followup and review is always a problem in these patients. Due counseling, awareness education are mandatory for these patients to give them a cure and reduce the morbidity associated with. The unidentified presence of HIV infection in the general population poses a potential risk for infection, spread and mutation of these organisms in immunocompromised states. In future, these factors will pose the clinician with the tough task of treating the organisms which are resistant to the conventions of treatment. Permissiveness, adventure, travel and transforming society has opened up a world of opportunity to the general population to experiment with sexuality. Worldwide various studies are reporting the reducing age of coitarche. It is time, that the policy makers and health professionals have a co-ordinated approach in providing adequate and appropriate health education at appropriate age. The detailed evaluation of the obtained data from the clinical and laboratory assessment of abnormal vaginal discharge has given a clear insight of the problem. The outcome will help the health policy makers, Venereology Physicians and Venereal Microbiologists to give a better outcome in the approach, evaluation, laboratory methods and treatment of this disorder.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Vaginal Discharge ; Sexually Transmitted Disease.
Subjects: MEDICAL > Dermatology Venereology & Leprosy
Depositing User: Subramani R
Date Deposited: 05 Jul 2017 03:53
Last Modified: 05 Jul 2017 08:53
URI: http://repository-tnmgrmu.ac.in/id/eprint/966

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