women s health issues
Vaginal Discharge
Treatment of Vaginal Discharge
The underlying condition is corrected or treated if possible. For example, bacterial vaginosis is treated with antibiotics. Some general measures can help relieve symptoms, although they do not eliminate an infection. Washing every day without soap or, if soap is necessary, with a mild, nonallergenic soap (such asglycerinsoap) and rinsing and drying thoroughly are recommended. Changing underwear and bathing or showering once a day may help relieve symptoms. Placing ice packs on the genital area or sitting in a warm sitz bath may reduce soreness and itching. A sitz bath is taken in the sitting position with water covering only the genital and rectal area. Sitz baths can be taken in the bathtub filled with a little water or in a large basin. Flushing the genital area with lukewarm water squeezed from a water bottle may also provide relief. Improved hygiene is particularly useful if the cause is being incontinent or bedbound. Young girls should be taught good hygiene—to wipe from front to back, to wash their hands after bowel movements and urinating, and to avoid fingering the genital area. If a product (such as a cream, powder, soap, or brand of condom) consistently causes irritation, it should not be used. Women are advised not to use feminine hygiene sprays and not to douche. These products do not eliminate the discharge and may make it worse. Douching may increase the risk of Pelvic Inflammatory Disease (PID) . If symptoms are moderate or severe or do not respond to general measures, drugs may be needed. For example, a corticosteroid cream (such ashydrocortisone) or sometimes antihistamines taken by mouth can relieve itching. Some antihistamines also cause drowsiness and may be useful if symptoms interfere with sleep. If a vaginal infection, such as bacterial vaginosis, a yeast infection, orTrichomonasvaginitis, is diagnosed, antibiotics or antifungal drugs (taken by mouth or inserted into the vagina) are required. 