Writer : Dr. Tania Hafiz
2003-2004

LEUCORRHEA :
“It means white vaginal discharge“

Types :

• A>> Non-Pathological / Physiological LEUCORRHEA
• B>> Pathological LEUCORRHEA

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Physiological Leucorrhoea

This discharge is whitish, mucoid/watery, non-irritating.

Example::
At birth, At puberty, Ovulation, OCP, Pregnancy.

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Pathological Leucorrhoea

1..Infection/ Diseases=>>

Example::
Trichomoniasis, Bacterial vaginosis, Moniliasis, Cervicitis, Syphilis, Gonorrhoea, PID etc.

2..Foreign body in the uterus and vagina=>>

Example::
Application of IUCD.
Application of vaginal pessary.

3..New growth in the genital tract=>>
Example::
Neoplasm.

The following points should be asked :

1> Amount (Scanty /copious)
2> Colour (White, yellow, greenish, blood stained)
3> Odour (Offensive or odourless)
4> Consistency (Watery or thick, frothy, purulent, thin)
5> Age of pt, marital status
6> Associated with itching
7> Associated with LAP, dyspareunia
8> H/O sexual exposure
9> H/O DM
10> If married H/O contraceptive method
11> History taking from husband
12> Relationship with menstruation, pregnancy.
13> Other history like UTI, Personal hygiene, any allergy etc etc.

Trichomonas Vaginitis, BV

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Yellowish/greenish discharge, frothy, unpleasant,-bad smell, itching (in BV non itching)and burning in genital area, swelling, painful coitus and urination.

Treatment :

1. Metronidazole.
2. Vaginal cap/supp
3. Vaginal cream
4. Oral Antihistamine
5. Antibiotic

Moniliasis/Candidiasis

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Thick, cheesy/curd like white vaginal discharge,
Itching, swelling, no bad smell.

Treatment:

1. Oral Antifungal
2. Antifungal cream
3. Orally Antihistamine if need
4. Vaginal VT if need

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Edited By : Nahid Hassan.