Outcome of syndromic management in cases of chronic vaginal discharge

To see the outcome of syndromic management in 100 patients of chronic vaginal discharge. This descriptive study was conducted in outpatient department of Obstetrics and Gynaecology, Hayatabad Medical Complex, Peshawar from 1[st] January 2007 to 30[th] June 2007. Patients aged from 16 to 50 years with chronic vaginal discharge of more than 6 months duration were included in the study. Pregnant patients and those with the history of Cervical Intraepithelial Neoplasia [CIN], Carcinoma of the cervix, ovary or endometrium were excluded from the study. A detailed history and examination was done and a Proforma was filled. All these patients were treated with the syndromic management as recommended by the World Health Organization [WHO] in which no laboratory tests are done and patients are treated empirically with the antibiotics as per criteria of WHO. The mean age of the patients was 32 +/- 8.08 years. Vaginal infection improved in 56% of the cases with a single course of antibiotic, in 84% with a second course, 12 patients were lost to follow up and 5 patients who did not improve with two courses of antibiotics had big cervical erosions, were subjected to Cryo therapy. In settings, where bedside tests like microscopy Potassium Hydroxide, wet mount films and tests for Chlamydia and gonorrhea are not available, syndromic management is a reasonable way of treating cases of chronic vaginal discharge

Foreign body as a cause vaginal discharge in childhood

Vaginal purulent discharge in children is mainly due to nonspecific enteric bacterial agents and specific agents such as group A beta-hemolytic streptococcus, hemophilus influenzae and staphylococcus aureus. Lack of protective effects of estrogen in vaginal mucosa is the main predisposing factor. Persistent or recurrent foul smelling and/or serosanguineous vaginal discharge, not responsive to medical therapy in most cases, might be caused by a missed vaginal foreign body We present a 7-year old girl because of persisting foul smelling, occasionally blood stained vaginal discharge for about 4 years despite a few courses of medical therapy by gynecologists. Ultrasonography didn't achieve to demonstrate the presence of the foreign body, but pelvic x-ray showed a radio-opaque body resembling a roll plaque. Vaginoscopy discovered a cap of eyebrow pencil in the upper vagina. This removed by forceps led to improvement of the disease. In a child presenting with vaginal discharge not responsive to hygienic measures and medical therapy, possibility of vaginal foreign body must be considered. Although MRI is the most proper technique for evaluation, sonography and/or x-ray are more available and helpful in most cases

clinical study on Sailan-ur-Reham [vaginl discharge]. A review

Sailan-ur-Reham is a well-known ailment. It is well described by various eminent Unani physicians. Vaginal discharge is a symptom of many diseases, like vaginitis, cervicitis, cervical erosion, endometritis, gonorrhoea etc. Any discharge which passes through vagina and is abnormal in amount, consistency, composition and character is considered as vaginal discharge. According to Tibb-e-Unani a number of drugs are prescribed for the patients either locally or orally. The vaginal discharge is discussed in this paper according to the Unani Tibb as well as modern medicine