Causes of Vaginal Discharge in Virgins
Some hormonal changes occur during the transition from childhood to adolescence. While these changes initiate menstrual bleeding, they also cause some changes in the vaginal epithelium. The vaginal flora begins to contain benign bacilli called lactobacilli, which serve as defense against harmful bacteria. Lactobacilli grow in the acid pH of the vagina and protect it against microbes that may cause disease, which keeps that area clean with a slight discharge, just like in our nose or ear.
Ovulation begins, especially with the influence of female hormones called estrogen. Close to ovulation, some changes occur in the fluids secreted from the cervix to allow sperm to pass through. The amount of secretion in the cervix increases, it becomes transparent, odorless and more abundant, extending like snot. This increased secretion and secretion are observed as vaginal discharge approximately in the middle of the 2nd menstrual period.
As a result, all women, whether they are virgins or not, from puberty to menopause, experience some physiological, that is, natural discharge. These are odorless, non-itchy, transparent or white discharges, usually in the consistency of egg white, that last longer as you pull and do not cause any discomfort. They increase and decrease periodically and do not require any treatment. In vaginal inflammations called vaginitis, the discharge is more abundant, it may have a bad, disturbing odor, it is thicker in consistency, sometimes it has the appearance of milk curd, and sometimes it is frothy yellow-green in color. If the character of the discharge shows such differences, a gynecologist should be consulted.
Vaginal Itching in Virgins
There are many reasons for itching in this area, the frequency of these reasons varies, but it is known that the majority of them are the result of a type of fungal disease similar to thrush that occurs in the mouth of babies called candida albicans. In vaginal fungal infections, a milky curd-like discharge or some lesions on the skin of the genital area may occur along with itching. The mechanism of occurrence of vaginal infections is the disruption of the balance of vaginal acidity and bacterial environment. This is often caused by any infection, including upper respiratory tract infection. It may be an infection that occurs in the body or anywhere in the body: it develops depending on the antibiotics used in the treatment of these infections. Hormone pills used for various reasons, untreated diabetes are also factors that facilitate fungal infection. Apart from this, there may be allergic reasons, pet allergy, cleaning agents used, soap, etc. Substances such as these may irritate and cause itching. .Various skin conditions can cause itching. Very rarely, carcinogenic diseases of the genital area may also manifest themselves as vaginal itching. Additionally, not cleaning the hair in the genital area may cause itching.
Odor in Vaginal Discharge in Virgins
Odor in vaginal discharge may be due to poor hygiene or bacterial vaginitis.
Physiological discharges do not smell bad, the discharge does. If there are some changes such as stinky fish smell or rotten egg smell, it is necessary to be examined by a gynecologist. Some infectious agents can also be transmitted through friction without vaginal penetration.
Vaginal infections caused by E. coli are also frequently encountered due to the proximity of the urethra, which is the outlet of the vagina and urinary tract, to the anal region. Vaginal infections that cause odor are common, especially due to improper post-toilet cleaning, back to front instead of front to back, problems in cleaning multi-use toilets, and lack of the habit of changing underwear frequently. Although the findings are almost the same, bacterial type determination with vaginal culture may be necessary since the treatment options will be different.
How is Vaginal Discharge Examined in Virgins?
Virgin women may experience redness, discharge, and odor in the genital area. They can apply to gynecologists and obstetricians with various complaints. Genital area examinations can be performed in the gynecological examination position or on a flat table. Examination of the vagina and cervix using a speculum is generally not performed on non-virgins. First of all, a sample is taken from the discharge using thin cotton swabs and sent to the laboratory to try to detect the causative microorganism. Ultrasound examinations are also performed abdominally, not vaginally. of virgins Of course, gynecological examinations are performed in a way that does not damage the hymen. For this reason, there is no need for virgin women or their parents who bring them for examination to have any concerns. Very rarely, there may be some discharge that does not go away despite many cultures being taken and treated. Although foreign body or primary vaginal cancers are very rare, they may be responsible for such situations. Vaginal imaging required for the diagnosis of these can be performed using very tiny speculums, which are as small as the speculums used in nasal examination.
Vaginal Fungal Infections in Virgins
The protective barrier called flora, which is found in the natural structure of the vagina. Lactobacilli that form the vagina have the ability to grow in the acid pH of the vagina, thus protecting the vagina from harmful microbes. Vaginal infections (vaginitis) may occur in many cases where lactobacilli decrease in number. For example, the reason for vaginal fungus formation as a result of antibiotic use is the decrease in these protective bacteria and the disruption of the flora balance. When the flora is weakened, fungal cells multiply rapidly and cause infection. All kinds of diseases and medications that weaken the immune system also facilitate the formation of fungi. Fungal infections are also common in diabetics and people using birth control pills. Again, fungus formation becomes easier in those who use very dense amounts of cleansing gels, soaps, perfumes that disrupt the flora and have a pH different from the pH of the genital area, or synthetic, very tight and stacked underwear that prevents air breathing.
The most common symptom of vaginal fungal infections is vaginal infection. Itching in the area. Sometimes there is a burning sensation. The flow may not always be present. Discharge is sometimes observed as the consistency of curdled milk.
Treatment of Vaginal Discharge in Virgins
When vaginal discharge is detected in virgins, the causative pathogen must first be diagnosed. In other words, the microbe that causes this discharge should be named. For this purpose, the sample taken from the discharge using thin sticks is sent to the laboratory. This is called the Vaginal Culture Antibiogram test. The result of the Vaginal Culture antibiogram comes out approximately 3-4 days later, and according to this result report, the patient is given one of the drugs that have been determined to be effective against that microbe under laboratory conditions.
Vaginal infection. In the treatment of ions, the only difference in virgin patients is that suppositories applied vaginally are not applied. This type of vaginal suppositories are not used in virgin women, but superficially applied creams can be used.
Can Vaginal Discharges be Cultured in Virgins?
If the appearance of the discharge in virgins is not a very typical discharge, as in a fungal infection, it may be necessary to take a vaginal culture. When taking a vaginal culture, thin cotton swabs that will not damage the hymen are used. It is necessary to be careful not to contaminate anything other than the discharge while taking the culture. Your physician will definitely perform the procedure more gently and more carefully to avoid any damage to the hymen.
What is checked during the gynecological examination in virgins?
The color changes, itching or odor in the discharge that virgin women see in their underwear during the gynecological examination, No menstruation, late, early, too much, too little or abdominal pain etc. They may come for many reasons such as. The gynecological examination will determine whether the anatomical structure of the genital area is normal, whether there is any infection, menstrual irregularity or ovarian or uterine cysts that may cause pain, etc. It can be evaluated whether there are some formations that take up space, such as.
How is a manual gynecological examination performed on virgins?
Manual examination, which is a part of the gynecological examination, can also be performed on virgin women. Because only visual evaluation of the organs in the abdomen using ultrasound is insufficient in the diagnosis of some diseases. For example, it may be necessary to perform a manual examination, which we call bimanual examination, to determine the localization of pain or to better understand the structure of a mass occupying space in the abdomen. In this case, the physician gently inserts the index finger of his right hand into the rectum with the help of vaseline or a lubricant, moves his left hand around the patient's abdomen and evaluates the organs in this area. If the patient is conscious and the physician is gentle, it is not an examination that causes much discomfort.
What should be taken into consideration during the gynecological examination of virgins?
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