CHN Report

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GARDIANELLA VAGINITIS

(Nonspecific Vaginitis)

Causative Agent (Hemophilus vaginalis, bacterial vaginosis) Causes and Risk Factors of Gardnerella Vaginalis It is assumed that the infection is sexually transmitted. The bacteria are also found in women without a history compatible with a sexually transmitted disease, and often produces no symptoms. Most persons do not have any symptoms, especially rare in males.

Some of the main symptoms of Gardnerella bacterial infection are : Vaginal Discharge Women with this kind of infection typically suffer from a vaginal discharge that may be yellowish, gray or sticky white in color. The secretion can be at any time of the day and often leave stains in the underwear. Fishy Odor The Gardnerella discharge usually has a musty or fishy smell. Gardnerella fishy odor is a most unpleasant smell. Gardnerella odor may be experienced during menstruation. Itchiness in Vagina In some cases, Gardnerella causes irritation of the vagina. There may also be pronounced itchiness in vagina during periods or after intercourse. Painful Sensation Women with Gardnerella disease may also suffer from a burning feeling or painful sensation during urination.

Microscopic picture of Gardnerella vaginalis, magnified 400 times.

Diagnosis:
Microscopic slide, chemical analysis of vaginal material and culture test from infection site.

Treatment:
Curable with antibiotics and vaginal creams or suppositories.

Complications:
Recently, this condition has been associated with prematurity and other abnormal pregnancy outcomes.

TRICHOMONIASIS
(Trich)

Causes:
Protozoan-Trichomonas vaginalis. Usually passed by direct sexual contact. Can be transmitted through contact with wet objects, such as towels,(toilet seats) wash clothes and douching equipment.

trichomoniasis

Incubation: 4 to 20 days, with average being 7 days.

Trichomoniasis Symptoms Women Vaginal discharge Vaginal itching Smelly, itchy, and typically frothy or foamy discharge Yellow or gray-green discharge Pain with urination possible Up to one-third of infected women have no symptoms Men The majority of infected men have no symptoms Urethral discharge Pain with urination Pain and swelling in the scrotum (from epididymitis)

Diagnosis: Microscopic slide of discharge; culture tests; examination

Treatment: Curable with an oral medication .

Complications:
Long-term effects in adults not known. There is some evidence that infected individuals are more likely to develop cervical cancer. Trichomoniasis is associated with increased risk of transmission of HIV. Trichomoniasis may cause a woman to deliver a low-birth-weight or premature infant. Trichomoniasis is also associated with increased chances of cervical cancer Evidence implies that infection in males potentially raises the risks of prostate cancer development and spread due to inflammation.

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