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Leukorrhea

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Title: Leukorrhea  
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Collection: Noninflammatory Disorders of Female Genital Tract
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Leukorrhea

Leukorrhea
Classification and external resources
ICD-10 N89.8
ICD-9 623.5
MeSH D007973

Leukorrhea (US) or leucorrhoea (Commonwealth) is a medical term that denotes a thick, whitish or yellowish vaginal discharge.[1] There are many causes of leukorrhea, the usual one being estrogen imbalance. The amount of discharge may increase due to vaginal infection or STDs, and also it may disappear and reappear from time to time, this discharge can keep occurring for years in which case it becomes more yellow and foul-smelling; it is usually a non-pathological symptom secondary to inflammatory conditions of vagina or cervix.

Leukorrhea can be confirmed by finding >10 WBC under a microscope when examining vaginal fluid. [2]

Vaginal discharge is not abnormal, and causes of change in discharge include infection, malignancy, and hormonal changes. It sometimes occurs before a girl has her first period, and is considered a sign of puberty.

Contents

  • Physiologic leukorrhea 1
  • Inflammatory leukorrhea 2
  • Treatment 3
  • References 4
  • External links 5

Physiologic leukorrhea

It is not a major issue but is to be resolved as soon as possible. It can be a natural defense mechanism that the vagina uses to maintain its chemical balance, as well as to preserve the flexibility of the vaginal tissue. The term "physiologic leukorrhea" is used to refer to leukorrhea due to estrogen stimulation.[3]

Leukorrhea may occur normally during pregnancy. This is caused by increased bloodflow to the vagina due to increased estrogen. Female infants may have leukorrhea for a short time after birth due to their in-uterine exposure to estrogen.

Inflammatory leukorrhea

It may also result from STD.

After delivery, leukorrhea accompanied by backache and foul-smelling lochia (post-partum vaginal discharge, containing blood, mucus, and placental tissue) may suggest the failure of involution (the uterus returning to pre-pregnancy size) due to infection. Investigations: wet smear, Gram stain, culture, pap smear and biopsy.

Treatment

Leukorrhea may be caused by sexually transmitted diseases; therefore, treating the STD will help treat the leukorrhea.

Treatment may include antibiotics, such as metronidazole. Other antibiotics common for the treatment of STDs include clindamycin or trinidazole. [4]

Some homeopathic remedies of leukorrhea include the following: Calcarea Carbonica, Pulsatilla, Sepia, Kreasote, Borax, Alumina, Mercurius, Belladona, Arsenicum. [5]


References

  1. ^ "leukorrhea" at Dorland's Medical Dictionary
  2. ^ Workowski, Kimberly A., and Stuart Berman. "Sexually Transmitted Diseases Treatment Guidelines, 2010." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 17 Dec. 2010. Web. 28 Oct. 2014. .
  3. ^ Behrman, Richard E.; Kliegman, Robert; Karen Marcdante; Jenson, Hal B. (2006). Nelson essentials of pediatrics. St. Louis, Mo: Elsevier Saunders. p. 348.  
  4. ^ "Treatments for Specific Types of Sexually Transmitted Diseases and Sexually Transmitted Infections (STDs/STIs)." Treatments for Specific Types of Sexually Transmitted Diseases and Sexually Transmitted Infections (STDs/STIs). Eunice Kennedy Shriver National Institute of Child Health and Human Development, n.d. Web. 28 Oct. 2014. .
  5. ^ Accessed 28 October 2014.

External links

  • Overview at americanpregnancy.org
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