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Overview

Pid - Symptom, Treatment And Causes

What is PID?

PID or Pelvic inflammatory disease, is an infection that happens to women. PID affects the upper part of the female reproductive system namely the uterus, ovaries, and the fallopian tubes and inside of the pelvis.Often there may be no symptoms of this illness.

Causes :

PID is caused by bacteria that spread from the vagina and the cervix. Infections by diseases like Chlamydia trachomatis and gonorrhea are mostly present in 75-90 % of cases of PID. Often there several different bacterium are involved in development of this disease. The risk factors involved with PID are similar to those of STD (sexually transmitted disease) and include history of drug use and high number of sex partners. Vaginal douching also increase the risk of getting infected with this disease.

Experts Advice and Cure :

Experts are of the opinion that this disease be considered in all women who are of childbearing age and are suffering from lower abdominal pain.Ultrasound scanning of the reproductive organs is often useful for diagnosis of this disease.Efforts that can prevent PID are not having sex or limiting the number of sex partners and also using condoms. Antibiotics are generally prescribed for the treatment of this disease.PID is more recurrent on women who has a prior history of this disease. Recent onset of menses, use of IUD (intrauterine device) or if the partner has a STD are also some of the other reasons for getting infected with this disease.

It has been observed that even when PID infection is cured, the effects of this disease may be permanent in many women. Hence an early detection is an essential factor for curing this disease. Since late diagnosis of this malady often can lead to the damage to the patient’s reproductive system. Formation of scar tissues due to recurrent episodes of PID can increase the risk of the inability to get pregnant as the multiple recurrence of this illness often results in tubal blockage of the fallopian tubes. Which can also later on be a cause for development of an ectopic pregnancy.

Treatment :

There are also instances when the PID infection when left untreated has spread to inside the peritoneum causing formation of scar tissues on the external surface of the liver leading to (Fitz-Hugh-Curtis) syndrome.

Blood tests are also conducted at times to determine the severity of this illness. In such a case the erythrocyte sedimentation rate (ESR) and erythrocyte sedimentation rate (ESR) are done on the patients suspected of this disease.

Treatable by medical professional Require medical diagnosis Lab test always required Short-term: resolves within days to weeks Spread by sexual or direct blood contact
Symptoms
Pain during sexual intercourse or during urination. Urethral inflammation. Vaginal odour. Fever and chill.

Popular Health Tips

Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2751 people found this helpful

Genital Tract Infection - Common Causes Behind It!

MBBS, DGO
Gynaecologist, Gurgaon
Genital Tract Infection - Common Causes Behind It!

While genital infections are an uneasy topic to discuss and seek treatment for, ignoring them leads to severe complications like infertility and even death. Most of these can be treated with a regular course of antibiotics and some topical treatment when identified early. Genital infections can be broadly classified into sexually transmitted and non-sexually transmitted. Read on to know some more common infections in both the categories.

Sexually transmitted diseases:

  1. Chlamydia: Caused by the bacteria Chlamydia trachomatis, it is the most common STD (sexually transmitted disease) and affects about 10% of 20 to 30 year olds. It is often asymptomatic, but in few cases, there could be increased vaginal discharge. Left undetected, it can lead to pelvic inflammatory disease (PID) and subsequently infertility.
  2. Gonorrhea: The bacteria Neisseria gonorrhea causes this STD, which is very common. There could be some irritation or discharge, but is mostly asymptomatic. Like Chlamydia, if not treated, it can lead to PID and infertility.
  3. HIV: The most dangerous of all, it causes AIDS, with immunosuppression as a major effect and affecting overall health. The women affected by HIV are more prone to candida and other genital infections.
  4. Genital warts: This viral infection is caused by human papilloma virus (HPV) and manifests as multiple warts on the vulva, vagina, and cervix and can cause cervical intraepithelial neoplasia (precancerous).
  5. Genital herpes: This virus again causes multiple small vesicles and ulcers around the vagina, painful urination, and swelling of the lymph nodes. Caused by type 1 herpes virus more commonly than type 2, it has a high chance of recurrence.
  6. Trichomonas: This STD manifests with very few symptoms and can go undetected for a long time. It can lead to PID and infertility.
  7. Syphilis: Caused by Treponema pallidum, there are 3 stages. The primary stage presents with an ulcer. The secondary presents with a rash, multiple genital warts, and oral warts/ulcers. It then goes into a latent phase and may subside without progression. In some cases, it reaches the tertiary stage and can affect various body organs including the liver, heart, or brain.

Non-sexually transmitted diseases: There two major genital infections not transmitted by sex are bacterial vaginosis and candidiasis.

  1. Bacterial vaginosis (BV): Constant change in the bacteria mix present in the genital area produces an imbalance and leads to altered pH and therefore BV. Pregnancy, intrauterine device, and frequent douching are proven risk factors for developing BV.
  2. Candidiasis: The genital tract usually has yeasts, and Candida vaginalis is present in the vagina. An overgrowth of this leads to infection. This can be caused by use of antibiotics (which destroy the good bacteria), diabetes, pregnancy, and birth control pills.

Early diagnosis and intervention of these infections can prevent severe symptoms in most cases. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2634 people found this helpful

Mirena Insertion - Understnding the Procedure and Results

MD, MBBS
Gynaecologist, Gurgaon
Mirena Insertion - Understnding the Procedure and Results

Mirena is a contraception that can be inserted into the uterus for long term use. This insertion is done with a proper clinical procedure. The Mirena is a device that may be classified as a hormonal Intrauterine device (IUD). This device releases a kind of progestin, which prevents the sperm from travelling to the egg to fertilise it. This hormone basically makes the cervical mucus thick and makes the uterine lining thin, so that ovulation gets suppressed.

Let us get to know more about the procedure and the results of Mirena Insertion.

Reasons: There are a variety of reasons why women use this kind of long term contraception. After insertion, one does not need to have any interruptions in the act of sex in order to look for and use contraception. It also reduces the risk of developing pelvic inflammatory disease. This kind of disease is usually caused by sexually transmitted diseases. This kind of device can also help in bringing down the pain experienced during menstrual cycles. It also reduces the risk of falling prey to endometrial cancer as well as cervical cancer.

Eligibility: You are not an eligible candidate for this kind of procedure if you have suffered from breast cancer, cervical cancer or liver disease. Also, if you suffer from diabetes or other cardiovascular diseases, then it is not safe to go through this procedure.

Procedure: The procedure will be carried out at the doctor’s clinic. The gynaecologist will insert a speculum into your vagina. Then, the doctor will continue to clean the area including the cervix with the help of an antiseptic solution. Thereafter, a special instrument will be used in order to align the uterine cavity with the cervical canal. During this process, the doctor will also measure the depth of the patient’s uterine cavity. The device will then be folded and placed within an applicator tube, which will be inserted into the cervical canal. Then, the applicator tube will be removed. After this, the device will remain in place.

Result: Once the device has been inserted, it will be effective for a period of at least five years. Every month, you will need to get the strings of the device checked so that they are not protruding from the cervix. You may experience side effects like pain during sex as well as others like headaches and persistent migraines. These must be reported to the doctor so that the doctor may deal with any complications.

Removal: If there are any kinds of complications and risks that may develop after the procedure, the doctor can remove this device. This can be done with the help of forceps. The device can also be removed and replaced after five years. If you wish to discuss any specific problem, you can consult a gynaecologist.

3929 people found this helpful

Laparoscopy - How it is Beneficial?

MBBS, M.S( Gynaecology)
Gynaecologist, Surat
Laparoscopy - How it is Beneficial?

Diagnostic laparoscopy is a surgical process for examining different kinds of organs present in the abdomen. It is a low-risk and minimally invasive process in which just a small incision is made. This allows the doctor to evaluate the conditions of your abdominal organs without opting for an open surgery. It’s mostly performed when the patient complains of pain in the pelvic region and when other assessing methods have failed to detect the reason behind the pain and discomfort.

How is laparoscopy done?
The laparoscope is a slim and well-lit telescope that allows your doctor to evaluate the conditions of various organs in your body. It can help in determining whether there is any instance of fibroid or endometriosis. It can help in performing a variety of surgeries like removal of ovarian cysts, hysterectomy and tubal ligation. This surgery involves much lesser healing time compared to other elaborate surgeries.

Why should you go for laparoscopy?
Your gynaecologist may recommend you to get a laparoscopy for a treatment or for diagnosis. It is mostly performed due to unexplained pelvic ache, infertility and a history of pelvic infection. Laparoscopy is also performed for the diagnosis of conditions such as uterine fibroids, ovarian cysts, endometriosis, pelvic pus or abscess, ectopic pregnancy, painful scar, inflammatory disease in the pelvic region and reproductive cancers.

How to prepare for gynaecological laparoscopy?
Your gynaecologist would ask you to prepare for the laparoscopy test on the basis of the type of surgery. Your doctor would ask you about the medication you take, which would include health supplements and over-the-counter medications and in certain cases you may have to stop certain medications. This process is performed under anaesthesia and you would be able to go home on the same day. The following process depends on the type of process. The diagnosis process is completed faster than the surgical process in which an incision is required to be made. The instrument would be inserted through the incision and then the surgery is executed by inserting the laparoscope tool. Once the process is completed, all the tools are removed from the body and the incision would be closed with stitches and the affected area would be bandaged.

In recent times, the laparoscopic process has advanced to a great extent and robotic surgery is often used for performing the surgical process. This is because it has been proven that robotic hands are steadier than human hands and can perform fine manipulations effortlessly. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

2392 people found this helpful

Unexpected Bleeding - Know the Reasons Behind it!

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Pune
Unexpected Bleeding - Know the Reasons Behind it!

Unexpected or abnormal vaginal bleeding usually refers to the kind of bleeding that occurs any time outside of the normal time of menstruation. Also termed as spotting, inter-menstrual bleeding or metrorrhagia, bleeding between periods always calls for extra measures to be taken against it, and is a matter of serious concern. The primary causes for unexpected vaginal bleeding generally are:

  1. An imbalance of progesterone and estrogen levels triggered by a variety of causes like thyroid gland problems, dysfunctional ovaries and irregular doses of birth control pills, which may eventually lead to spotting. However, one must take note of the fact that hormonal contraceptives, in many cases, may cause abnormal bleeding for the first few months, after which it always subsides.
  2. Noncancerous growth such as uterine fibroids are also potential causes of spotting or abnormal bleeding.
  3. Miscarriages, ectopic pregnancy, and other kinds of complications involved during childbirth can cause abnormal vaginal bleeding.
  4. Infection of reproductive organs caused due to intercourse, vaginal douching, pelvic inflammatory disease, or STDs (sexually transmitted diseases) may lead to bleeding and inflammation.
  5. Cancer of the vagina, uterus, cervix, or ovaries, albeit extremely rare in nature, may cause abnormal bleeding of the vagina.

While in most cases, this type of bleeding is naturally corrected, some women might need to undergo treatments when the case is severe. Overlooking an otherwise minor issue might thrust you in the face of life-threatening circumstances, if it develops into a case of cancer, infection, or any other type of disorder.

‘Prevention’ of vaginal bleeding, as such, is indeed a narrow possibility and the measures will almost always vary since the factors that cause intermenstrual bleeding aren’t the same in all cases. However, what your doctor will always advise you in this regard will be to ensure that your diet is balanced, your weight under control and your lifestyle is essentially healthy. If you happen to be on birth control medications, be so while adhering to medical instructions. Resorting to taking aspirin doses often might also influence the incidence of such abnormal conditions. If your pain still persists after you experience unexpected bleeding, you must consult a doctor without any further delay.

2444 people found this helpful

Popular Questions & Answers

Is occasional abdominal pain after intercourse and fever with chill, after 1 month of marriage .is a symptom of pelvic infection. There may be other reasons associated with this.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Commonest cause of fever with chills and rigors after marriage is urinary infection. Get your urine routine and culture-senstivity done. According to report treatment will have to be started Till then drink plenty of water.

My wife ultrasound report said that she is suffering from Pelvic inflammatory disease (PID) is this disease curable if yes how much time and what is the medication and precaution and can she conceive during this.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
there are different grades of pelvic inflammatory disease.She will have to get physically examined by a gynaec who will prescribe medicines .The duration depends upon the severity of the infection and the type of infection.After the infection is controlled she will need a detailed work,up of her fertility status including HSG or laparoscopy to find out whether her tubes are normal'

2 Years Before I was Suffering from PID (Pelvic inflammatory Disease), I Under went an Operation now I am Well. I got Married Last Year, I was Pregnant During 8th Month Completion I Got to no that I am Suffering From Placenta Prev Doctors Advised me to be careful, End of 8tn month I got severe Stomach Pain and start to bleed. Next Day I went To Hospital Doctors took Scan and said Baby is so Week and It will die. Same thing happen, I delivered Boy Baby with Dead Born. Finally If I have next Baby It will Happen The same.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Placenta is like an umbrella on top of the fetus, it is full of blood and nutrients taken from mother to be sent to growing baby through unblical cord. Normal position is posterior, means behind the baby so as not to obstruct growth of the baby or its delivery through the passage for normal delivery of baby. In your case, it was detected lying low & may be baby was not developed to deliver it through operation. There is no rule that you will suffer again from same condition. No body knows about why it happens, so no prevention can be suggested to you. Feel normal & pray for a normal pregnancy, keep getting ultrasounds. A word of caution - placenta does appear low lying at 5 months but miraculously it moves upwards. Total bed rest during next pregnancy till 7 months when reports show normal placenta position.
1 person found this helpful

Table of Content

What is PID?

Causes :

Experts Advice and Cure :

Treatment :

Play video
Know More About Vaginal Discharge
Hi,

I am Dr. Jayanti Kamat. I am an IVF consultant, obstetrician and gynaecologist practicing for the last 20 years, I am practicing at Shrishti Fertility Care Centre and women's clinic. Today I will be talking about vaginal discharge, now vaginal discharge is a very common complaint, women of all ages complain of vaginal discharge. So what exactly is it, sometimes it is usually termed as Leucorrhea also. Now the complaint of discharge depends very much on the ideas, observation power and fascinated illness of individuals with women, now this vaginal discharge normal or abnormal should there be vaginal discharge at all. so scientifically the private parts that are the vulva and vagina are normally moised to some extent and this makes the woman comfortable, usually does not stain the under clothing but there are certain conditions in which the vaginal discharge is increased due to hormonal imbalance. So what are those conditions that is at the time of ovulation the discharge suddenly becomes watery a few days before menses it may also become then it becomes thick then it becomes take during pregnancy, after sexual intercourse and excessive discharge is seen in young girls just before they start their first menstrual period and a few years after they start their menstrual period. It is also increased in women who take oral contraceptives or birth control pills. A word about regular douching some women are under the misconception that regular douching improve genital hygiene, however washing away of natural discharge encourages the cervix to produce more discharge. Women magazines sometimes they advocate Deodorant product to sprayed on the private parts and vagina and valva to promote sexual attractiveness but on the contrary the chemicals which are present in this deodorant sprays, they irritate the skin and douching washes away all the protecting lactobacilli alters the pH and there are more chances of the women getting infection. Now what is abnormal discharge, so when can we say that the discharge is abnormal, if the discharge is accompanied with itching or redness, it causes a lot of irritation, unpleasant order or smell, burning sensation during urination, whether the colour of discharge if it is curd-like or yellow or yellowish green and if it is associated with pain during intercourse or dyspareunia. Now what are the causes of this abnormal discharge lot of women ask me why do we get this discharge and I keep myself so clean, so some of the causes are one, of course, it is poor hygiene then sexual intercourse with the Infected partner, public toilets repeated use of public toilets then douching has I have already mentioned, once you start destroying the natural perry of the vagina the women will be more prone to infection and cancer that we should never forget cancer or cancerous growth also give rise to discharge, so if the discharge is blood stained you have to be careful. Now, why should we pay so much attention to vaginal discharge because if this discharge is not treated, it can lead to complications? So what are those complications one is the pelvic inflammatory disease called as PID so here the uterus the tube and the entire reproductive tract gets infected? Then abnormal changes in cervix or mouth of the uterus now this abnormal changes can cause cellular changes, dysplastic changes and later on lead to cancer changes. Now, what about abnormal vaginal discharge in pregnant women does that affect them, yes, of course, it affects then it can cause premature rupture of membrane or the rupture of a bag of water even before the labor pain start or even before delivery. Now, this pack of water is supposed to be a protective shock absorber for the foetus and it protects the foetus from external infection. So when this bag of water ruptures the foetus will be prone to infection and the pregnancy will be at risk. The preterm delivery, what is preterm delivery? if the women deliver before nine months obviously she is going to run into complications, then chorreoamnoities i.e. infection of the Placenta and the fluid which is surrounding the foetus, endometriosis that is an infection of the lining of the uterus. Now, what is the treatment first and foremost self-medication is a straight no why you cannot see your neighbors prescription or your friends prescription and get yourself treated for vaginal discharge no, you have to get examined by a gynecologist she will ascertain the cause for your discharge and treat you accordingly. So how do we treat we usually give antifungal tablets or antibiotic tablets depending upon the cause of the infection, sometimes the treatment of the partner is also necessary to avoid the Ping Pong of infection between the partners. Then suppose a woman is suffering from chronic cervicitis or cervical erosion there are other modalities of treatment such as cryotherapy, laser cautery, then if a malignancy is discovered the treatment of malignancy will be something which is very specialized. Now what you have to do to prevent such type of vagina infection first and foremost routine cleanliness always use cotton underwear which can absorb the discharge avoid synthetic material nylon and avoid douching as I already mentioned because douching destroys the normal barriers of the vagina and makes it more prone for infection, you should avoid any type of sprays, deodorant sprays, safe sex practices and of course general health care and good nutrition which will allow you, which will give you immunity against the diseases. The very important point do not use very hot water to clean your private parts some people feel that if they use hot water they can clear away the infection very easily no and because of vaginal skin and mucosa is very delicate you can use lukewarm water or the tap water. Similarly, do not use medicated soaps like Dettol or Savlon, you can use a mild to mild soap. The thing here is you have to keep the area dry so you can just use a soft tissue paper and just pat it dry, you should not rub the private parts because again it cause the excoriation of the skin and make it more prone for infection.

So please do keep these tips in mind.

Thank You.
Play video
Female Genital Infections
Myself Dr Ekta Singh, a gynaecologist in Noida. Aj hum baat karenge un infections ki women ki private parts mein hoti hain. Isme bohut ki common hain urinary tract infection, ya hum use UTI ki naam se jante hain. Isme patient ko, baar baar urine jana padh sakta hain, burning ho sakti hain, or pain bhi hota hai genital area me. Yeh kabhi bhi ho sakta hain, kisi bhi age group mein ho sakta hain, aur winter mein kabhi kabhi paani peena kam karte hain to aisa ho jaata hain. Isme hum jab urine test karate hain, routine microscopy and culture, toh isse pata chalta hai ki haan, infection hai. Lekin ye test karana tab bilkul zaruri hota hain jab ye infection recurrent ho, baar baar ho jay. Aise hi agar baar baar hota hain, ya saath mein flank pain ho raha hai, toh humein ek ultrasound jo kidney-bladder ko focus karta hua hota hain, ultrasound ko KUB kehte hain hum, use karana chahiye, aur agar aap ki mother father diabetic hain, ya humein kabhi aisa raha ho, toh blood sugar ka test bhi karna chahiye. Agar paani dher sara piyein, agar apko piyein aap, toh apni gyanecologsit se mile, who apko antibiotic dete hain, aur ____ agent dete hain, aura ap use treat ho sakte ho.

Ab hum baat karenge infections in vaginal tract, jaise vaginitis and vulvitis. Isme patient ko bohut zyada itching hoti hain, redness ho sakta hain, discharge hota hain. Ye alag alag agents ke wajah se ho sakte hain jaise fungal infection apne suna hoga, jisko candida infection bhi kehte hain, yeast infection bhi kehte hain. Isme patient ko bohut thick discharge hota hain, curdy white, chesse ki tarah ka, cheesy white discharge hota hain, and itching is very severe, redness ho sakti hain.

Iske ilawa protozoan infection hota hain, isme frothy yellowish white discharge hota hain aur itching hoti hain, thin discharge hota hain.

Iske alwa bacterial infection bhi ho sakta hain. Iske liye aap apni gynaecologist se treatment lete hain, aur especially agar aap sexually active hain, toh husband and wife ya both partners should take medicines, then results are long term and effective.

Iske alawa apne suna hoga bohut saare sexually transmitted disease hote hain jisme se bohut saare curable hain, jaise gonorrhoea, and chlamydia and syphilis. Inko toh cure kiya ja sakta hain, par kuch hai jinko cure nahi kiya ja sakta hain, treatment ko unka sambhav hain, jaise ki aap jante hain Hepatitis B and HIV, AIDS jisko hum kehte hain, Herpes inko properly cure karna sambhav nahi hain. Aj ke yug mein jo hamare paas therapies hain. Iske liye hum samaj sakte hain ki prevention zyada accha hain. Toh hum sabhi ko apna husband ya partner ki sexual history ke baare main pata hona chahiye. Agar hum monogamous hain, matlab hamare partner ek hain, toh chances of sexually transmitted diseases bohut kam ho jaat hain, jaise ki India mein hum sabhi most of us are monogamous. This is good practice actually. And then we should use a barrier method. Barrier methods humein ek doosre se infection transmission ko kaafi kam kar dete hain. Iske upar agar hum jate hain, toh PID Pelvic Inflammatory Disease ho sakti hain patient ko, jisme humein lower abdomen pain hota hain. Ya hum sexually active hain, toh during coitus, humein pain ho sakta hain. Aisa kuch bhi hota hain toh hum gynaecologist se mil sakte hain.

Agar aap mujhse consult karana chahte hain, toh Lybrate ke through aap mujhse appointment le sakte hain, ya online consultation bhi kar sakte hain. Otherwise aap mere clinic pe, jo ki 61 Sector mein hain, Noida mein, C20 is the address, you can come here.

Thank you.
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