QuГmica General
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Any concomitant medication (antibiotics, corticosteroids), prior treatments as well as other diseases (diabetes, immunocompromised status).SymptomsThe signs that suggest an abnormal discharge are:The ones that are in larger amounts than usual.The ones that are sticker than usual.Purulent vaginal discharge.Greenish discharge, yellowish discharge or with bloody streaks.Vaginal discharge with odor.Vaginal discharge accompanied by bleeding.Itching, burning, redness or worsen general condition.InvestigationsWomen who show suggestive symptoms of bacterial vaginosis or vulvovaginal candidiasis can be treated without prior testing.In all the other cases must be made a triple swap:A high vaginal swab to detect bacterial vaginosis, yeast infection and Trichomonas vaginalis;A endocervical swab to diagnose gonorrhea;A endocervical swab for the test of DNA amplification, for the diagnosis of chlamydia trachomatis;A vaginal pH test is fast and cheap and could differentiate bacterial vaginosis (pH of 4.5 or higher) from vulvovaginal candidiasis (pH less than 4.5).ComplicationsA simple vaginal infection that is not treated could lead to its spread in the upper reproductive tract and could determine a more serious pathology, and even to infertility in the long term. The same thing can be said about the retention of foreign bodies that have the potential of developing the toxic shock. Cervical polyps are in general harmless, but could lead to infertility if they are too big. During pregnancy there may be complications associated with what was mentioned above. 59ce067264