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Vulvo-Vaginitis, Dr. Sharda Jain, Dr. Jyoti Agarwal Lifecare Centre
- 1. Vulvo-Vaginitis Dr.Jyoti Agarwal Dr. ShardaJain Director of Lifecare Centre Lifecare IVF
- 2. Vulvo vaginitis • Itis 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
- 3. Normal Vaginal Discharge Anormal 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
- 4. The Vaginal Ecosystem Estrogen Glycogen Promotes growthof lactobacilli; inhibits growth of pathogenic organisms Lactobacilli Lactic acid pH 3.8 – 4.2
- 5. Natural conditions altering theVaginal Ecosystem
- 6. Conditions that mayalter the vaginal acidity: Click to edit• Master title style Menstruation • Sexual activity • Antibiotic therapy • Click to edit Master text styles • Vaginal infections – Second level • Obstetrical and • Third level gynecological procedures – Fourth level » Fifth level• Postpartum 6
- 7. Altered vaginal ecosystemmay lead to vulvo vaginitis &
- 8. Treatment • Medical treatment •Concurrent supportive therapy – Perineal Hygiene
- 9. A Vicious Circlewith poor perineal hygiene Infections / Recurrent Infections Antibiotics (Systemic / Topical) Poor Perineal Hygiene Flora & pH Disturbance
- 10. Role of PerinealHygiene Vicinity of Potentially Infected Organs • Urethra • Anal Canal. Proper Perineal Hygiene plays a definite preventive role! ACOG 2004.
- 11.
- 12. 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”.
- 13. For good PerinealHygiene antiseptic liquids excessive soap tissue paper anti-perspirants deodorants talcum powder tight nylon undergarments Special attention in monsoon season
- 14. Managing pubic hairhygiene * 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.
- 15. Perineal Hygiene DuringMenstruation • 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.
- 16. Best Vulval Wash •Water • Keep the area dry
- 17. Summary • There existsa 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
- 18. Care of thebody • Beautiful outside • Beautiful inside
- 19. Take Home Messages ‘for good genital health’ 1. Perineal Care 2. Perineal Care 3.Good Perineal Care
- 20. & ADDRESS 35 , DefenceEnclave, 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] [email protected] [email protected]
Editor's Notes
- #22 Thank You