Embed Size (px)
Citation preview
Vulvo-VaginitisDr.Jyoti AgarwalDr. Sharda Jain
Director of Lifecare Centre Lifecare IVF
Vulvo vaginitis
• It is one of the most common reasons for a women to seek Gynecological care.
• If left untreated, can lead to more serious conditions such as PID, endometritis, post surgical complications and spread of AIDS
Normal Vaginal Discharge
A normal vaginal discharge consists of about a teaspoon (4 ml.) a day
that is white or transparent , thick to thin and odorless. It is sufficient to
lubricate the vagina and labia minora without staining or
moistening the underclothes
The Vaginal Ecosystem
Promotes growth of lactobacilli; inhibits growth of pathogenic organisms
Lactic acid
pH 3.8 – 4.2
Estrogen
Glycogen Lactobacilli
Natural conditions altering the Vaginal Ecosystem
Click to edit Master title style
• Click to edit Master text styles– Second level
• Third level– Fourth level
» Fifth level
6
Conditions that may alter the vaginal acidity:• Menstruation• Sexual activity• Antibiotic therapy• Vaginal infections• Obstetrical and gynecological procedures• Postpartum
Altered vaginal ecosystem may lead to vulvo vaginitis
&
Treatment
• Medical treatment
• Concurrent supportive therapy – Perineal Hygiene
A Vicious Circle with poor perineal hygiene
Infections /Recurrent Infections
Antibiotics (Systemic /
Topical)
PoorPerineal Hygiene
Flora & pHDisturbance
Role of Perineal Hygiene
Vicinity of Potentially Infected Organs• Urethra• Anal Canal.
Proper Perineal Hygiene plays a definite preventive role!
ACOG 2004.
PerinealPerineal HHygieneygiene
Cleaning HabitsCleaning Habits
Patient Education & Counselling
• The perineal area of the woman is extremely delicate & susceptible to infections.
• Because of the close proximity of the vagina to the rectum the Golden rule in cleaning the perineal area is “Front to Back”.
For good Perineal Hygiene
antiseptic liquids excessive soap
tissue paper anti-perspirants deodorants talcum powder
tight nylon undergarments
Special attention in monsoon season
Managing pubic hair hygiene
* Trimming This is the ideal method. Take care not to cut too close to the skin. * Shaving Must make sure that you use a disposable blade. Could create cuts & abrasions which serve as an entry point for
bacteria * Hair removal creams
Creams contain chemicals and can cause itching & irritation. * Waxing One must be very careful to wash away all wax residues as it may
lead to itching/rashes.
Perineal Hygiene During MenstruationPerineal Hygiene During Menstruation
• Sanitary napkins should ideally be made of cotton lining.
• Avoid the nylon-lined ones or those that are heavily deodorized.
• Douches & Tampons should be discouraged– Alters pH, suppress endogenous bacteria, and
introduces microbes• Change of napkins frequently• Keep the vulval area clean & dry.
Best Vulval Wash
• Water
• Keep the area dry
Summary
• There exists a dynamic vaginal ecosystem which maintains perineal health aided by natural defense mechanisms
• Perineal hygiene plays a very important and definitive role in maintaining and restoring good perineal health
Care of the body
• Beautiful outside
• Beautiful inside
Take Home Messages‘ for good genital health’
1. Perineal Care
2. Perineal Care
3.Good Perineal Care
ADDRESS 35 , Defence Enclave, Opp. Preet Vihar Petrol Pump, Metro pillar no. 88, Vikas
Marg , Delhi – 110092
CONTACT US 011-22414049, 42401339
WEBSITE : www.lifecarecentre.in
www.drshardajain.com www.lifecareivf.com
E-MAIL ID
[email protected]@gmail.com
&
