Vulvo-VaginitisDr.Jyoti AgarwalDr. Sharda Jain

Director of Lifecare Centre Lifecare IVF

Vulvo vaginitis

• It is 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

Normal Vaginal Discharge

A normal 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

The Vaginal Ecosystem

Promotes growth of lactobacilli; inhibits growth of pathogenic organisms

Lactic acid

pH 3.8 – 4.2

Estrogen

Glycogen Lactobacilli

Natural conditions altering the Vaginal Ecosystem

Click to edit Master title style

• Click to edit Master text styles– Second level

• Third level– Fourth level

» Fifth level

6

Conditions that may alter the vaginal acidity:• Menstruation• Sexual activity• Antibiotic therapy• Vaginal infections• Obstetrical and gynecological procedures• Postpartum

Altered vaginal ecosystem may lead to vulvo vaginitis

&

Treatment

• Medical treatment

• Concurrent supportive therapy – Perineal Hygiene

A Vicious Circle with poor perineal hygiene

Infections /Recurrent Infections

Antibiotics (Systemic /

Topical)

PoorPerineal Hygiene

Flora & pHDisturbance

Role of Perineal Hygiene

Vicinity of Potentially Infected Organs• Urethra• Anal Canal.

Proper Perineal Hygiene plays a definite preventive role!

ACOG 2004.

PerinealPerineal HHygieneygiene

Cleaning HabitsCleaning Habits

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”.

For good Perineal Hygiene

antiseptic liquids excessive soap

tissue paper anti-perspirants deodorants talcum powder

tight nylon undergarments

Special attention in monsoon season

Managing pubic hair hygiene

* 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.

Perineal Hygiene During MenstruationPerineal Hygiene During Menstruation

• 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.

Best Vulval Wash

• Water

• Keep the area dry

Summary

• There exists a 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

Care of the body

• Beautiful outside

• Beautiful inside

Take Home Messages‘ for good genital health’

1. Perineal Care

2. Perineal Care

3.Good Perineal Care

ADDRESS 35 , Defence Enclave, 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

Sharda.lifecare@gmail.comLifecarecentre21@gmail.com

info@lifecareivf.com

&