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132 COMMON CONDITIONS: WOMEN’S PROBLEMS

         Vaginal discharge





              It is normal for a woman to have some discharge from the vagina. This is usually clear or white, the amount
              and consistency varying at different times in the menstrual cycle, during pregnancy, and in response to
              sexual arousal. However, a profuse discharge or one that has an unusual consistency or smell is usually
              a sign of infection. The most common cause is a yeast infection that produces a discharge like cottage
              cheese, irritation in or around your vagina, and, sometimes, a burning sensation when you pass urine. This
              is not usually sexually transmitted. It is caused by factors that encourage overgrowth of yeast, such as
              taking antibiotics, wearing tight-fitting clothes, and using vaginal douches and deodorants. Some types of
              vaginal discharge are a symptom of a sexually transmitted infection and need treatment from a doctor.



              See your doctor first
                                                                    DRUG REMEDIES
              Make an appointment to see your doctor
              if you think you may have a sexually          Antifungal drugs (see p.178) come in two
              transmitted infection and/or:                 types. You can take a short course of clotrimazole or
                                                            miconazole suppositories or cream. These should be
              ● The discharge is bloodstained, greenish
                                                            introduced into the vagina while you are lying down,
              yellow, or foul smelling                      so the drug stays in place. Use them at bedtime so
              ● You have other symptoms, such as fever
                                                            that they work overnight.
              and lower abdominal pain
              ● You have recurrent abnormal discharges
              ● You are pregnant
                                                                  NATURAL REMEDIES

         What you can do yourself                           Baking soda (see p.179) can help to soothe
                                                            soreness and irritation. Add 2 tablespoonfuls to a
              If you are sure that you have a yeast infection,  lukewarm, shallow bath.
              you can usually treat it yourself. Start the  Yogurt with active cultures contains bacteria
              treatment as soon as you notice symptoms.     that help fight the infection. To insert yogurt into your
                                                            vagina, put some in the top of a tampon applicator,
              ● Use an antifungal suppository or cream for a
                                                            then insert the tampon into
              yeast infection (see DRUG REMEDIES, right).
                                                            the vagina. Remove it an
              ● To relieve itchiness and discomfort, try adding  hour later.
              some baking soda to a bath (see NATURAL
                                                            Using yogurt
              REMEDIES, right).
                                                            Apply it to your vulva
              ● For a mild yeast infection, applying yogurt to  and inside your vagina.
              your vulva and vagina may help (see NATURAL
              REMEDIES, right). This has a soothing effect.
                                                                      PREVENTION

              Seek further medical advice                   Avoiding attacks If you often have yeast
                                                            infections, the following may help prevent recurrences.
              Arrange to see your doctor if:
                                                            ● Don’t use pantyhose, synthetic panties, or panty
              ● The infection does not clear up in 2–3 days
                                                            liners. Use only sanitary pads during periods. If you
              using the treatment above or from your doctor  use tampons, change them at least every 4 hours.
                                                            ● Use only water and unperfumed soap on your vulva.
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