Vaginal discharge varies with the different age groups.
- In some occasions newborn will experience vaginal discharge.
- It is mainly due to circulating levels of maternal estrogens.
- Nothing to panic about ,it resolves spontaneously.
- In these girls , before puberty vaginal mucosa is very thin
- PH of vagina is alkaline (6-8)
- Staphylococcus,E Coli and Lactobacillus are found in the vagina
- Vaginal discharge is very minimal in these age group
- As they reach pubertal age , vaginal mucosa becomes matured.
- Lactobacillus are inhabitant organisms of vagina .
- These organisms acts on glycogen content of vaginal epithelium and produces lactic acid , which is responsible for acidic PH .
- Acidic PH is protective to vagina , inhibit the growth of pathogenic bacteria.
- As the menstruation achieves ,gradually they acquire adult pattern
- Vaginal discharge is more during peripubertal period .
It has three phases-
1) Proliferative phase-
-Estrogen is responsible for this phase.
Vaginal discharge is thin clear and mucous.
2) Ovulation period
Amount of vaginal discharge is more at the time of ovulation.
Watery thin type of secretions are observed.
3) Secretary phase
Progesterone have a role during this phase
Secretions are thick , viscous .
- Vaginal discharge increase in amount during pregnancy due to high estrogen and progesterone levels .
- Discharge is white – slight gray with musty odour
- Normal vaginal discharge don’t provoke itching .
- Increased glycogen content of vaginal epithelium during pregnancy results in increased production of lactic acid , hence more acidic environment of vagina is protective .
- Vaginal discharge decreases in amount during menopause due to low estrogen levels
- Vaginal mucosa becomes thin ,less elastic and without rugae
- Glycogen content becomes low
- PH of vagina is 6-7.5(alkaline)
- More chances of vaginal infection
- Vagina becomes dry .This problem can be overcome by vaginal hormone cream or vaginal lubricating gel
TIPS TO PREVENT VAGINAL INFECTIONS:
- Don’t use harsh soaps
- Avoid tight clothings
- Gentle wash of vulva with water
- Don’t use Deodrant powders or sprays to the vulva and vagina
- Sterile methods of pubic hair removal
- Douching of vagina-tampons usage is not advisable
- Changing the inner garments twice a day
- Use cotton clothing preferably
- Use sterile sanitary pads during menses
- Every 6-8 hrs these sanitary pads should be changed
- Sterile use of barrier contraception like Condoms,Diaphragm etc
- washing of external genetelia before and after the act of coitus
- Any local infections of vagina has to be treated promptly
- Sexual partner local hygiene and treatment of his infections are also important in preventing the vaginal infections
- Correction and proper treatment of chronic systemic diseases -like diabetes
SIMPLE MEASURES AND LITTLE AWARENESS CAN PROTECT U FROM VAGINAL INFECTIONS