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Normal vaginal secretion is produced from the lining of vagina, cervical gland and endometrium. It has a cleansing and protective effect on the vagina. It has little or no odor, is milky white or clear and slightly sticky. The amount of secretion varies during the menstrual cycle and increases during sexual excitement.
Vaginal Infection
Vaginal infection is a common gynaecological problem which can affect women of all ages. It is often due to candida and trichomonas, but can be caused by other bacteria as well. Menopausal women are more susceptible to vaginal infection because of lack of oestrogen.
Symptoms of vaginal infection include:
- Increase in the amount of discharge
- The discharge turns yellow or green, foul-smelling or bloodstained
- Itching, pain or redness around the vulva
- Pain during urination
Candidiasis (Moniliasis)
The most common type of vaginal infection is caused by Candida, a type of yeast (fungus). Many women have recurrent infection which may be due to small amount of yeast colonised inside the vagina.
When there are changes in the body or vaginal environment, candida will multiply and cause vaginal infection. These changes include pregnancy, diabetes, taking high dose oral contraceptive pills, antibiotic use, chronic illness, or wearing tight-fitting clothing or synthetic underwear. Symptoms of candidiasis include itching, pain or redness around the genital area, thick white vaginal discharge and painful intercourse.
Vaginal yeast test
The symptoms of yeast infection are non-specific and can be very similar to those of other vaginal infections, therefore self-diagnosis based on clinical symptoms is incorrect in more than 50% of cases. Since the treatment of yeast infection is different from that of Trichomonas and BV, it is important to have a reliable diagnosis and thereby receive the correct treatment.
Women during pregnancy are relatively susceptible to vaginitis, bacterial vaginosis is diagnosed in around 15% to 20% of pregnant women. By measuring their vaginal pH regularly, pregnant women can reduce the risk of infection.
Vaginal pH can increase in the event of,
- Bacterial vaginosis
- Sexually transmitted diseases
- Premature rupture of the amniotic sac (waters breaking)
*Chinese version for reference only, if there is any inconsistency or ambiguity between the original version and the Chinese version, the original version shall prevail.