n CME : Your SA Journal of CPD - Management of vaginal discharge : main article

Volume 22, Issue 2
  • ISSN : 0256-2170



Vaginal discharges are a common problem in adult women. <br>The discharges may be physiological or pathological. <br>The common pathological causes are due to infection occurring in the cervix (cervicitis) or in the vagina (vaginitis and vaginosis). <br>The common causes of endocervicitis are the sexually transmitted pathogens of <I>Neisseria gonorrhoeae&lt;/I&gt; and <I>Chlamydia trachomatis</I>. <br>The important causes of vaginal infection are trichomoniasis due to <I>Trichomonas vaginalis</I>, candidiasis due to <I>Candida albicans&lt;/I&gt; and bacterial vaginosis due to proliferation of endogenous vaginal flora of <I>Gardnerella vaginalis</I>, anaerobes and <I>Mycoplasma hominis</I>. <br>Bedside tests of pH determination, whiff test and wet smear microscopy can easily diagnose vaginal infection. <br>Laboratory tests are required to confirm the causes of endocervicitis or mucopurulent cervicitis (MPC). <br>Syndromic management of vaginal discharge attempts to treat both cervical and vaginal causes. <br>Syndromic management is widely acclaimed for use in developing communities as it covers the common causes of infection at the point of first contact.

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