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February 10, 2012
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Vaginal Discharge

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Vaginal Discharge Overview

Vaginal discharge is a fluid or semisolid substance that flows out of the vaginal opening. Most women have vaginal discharge to some extent, and a small amount of vaginal discharge is a reflection of the body's normal cleansing process. The amount and type of vaginal discharge also varies among women and with the woman's menstrual cycle. A change in vaginal discharge (such as an abnormal odor or color), or the presence of vaginal discharge associated with irritation or other uncomfortable symptoms, can signal that an infection is present.

Vaginal Discharge Causes

The vaginal walls and uterine cervix contain glands that produce a small amount of fluid that helps to keep the vagina clean. This normal vaginal discharge is typically clear or milky white in color and does not have an unpleasant odor.

A number of different infections can cause a change in the amount, consistency, color, or odor of vaginal discharge. These include:

  • Bacterial vaginosis is a condition is caused by an imbalance in the growth of the bacteria that are normally present in the vagina. It is not known exactly why this imbalance in bacterial growth occurs. This condition was formerly known as Gardnerella vaginitis after one type of bacteria that commonly cause the infection.

  • Trichomonas (trich, trichomoniasis) is infection by a single-celled parasite known as Trichomonas vaginalis. The infection is transmitted by sexual contact.

  • Gonorrhea is the sexually-transmitted disease (STD) resulting from infection by the bacteria known as Neisseria gonorrhoeae.

  • Chlamydia is another sexually-transmitted infection (STD) due to the bacteria Chlamydia trachomatis. Although infected women may not have symptoms, a vaginal discharge may occur.

  • Yeast infection (candidiasis) occurs when there is an overgrowth of yeast in the vagina, often due to antibiotic use or other factors that affect the natural balance of bacteria in the vaginal area. Candida species are the type of yeast most commonly responsible.

While Trichomonas, Gonorrhea, and Chlamydia are examples of sexually-transmitted diseases (STDs), bacterial vaginosis and yeast infection are not considered to be STDs.

Vaginal bleeding is different from vaginal discharge. The infections listed above are causes of abnormal vaginal discharge without the presence of significant vaginal bleeding.

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Vaginal Discharge

Trichomoniasis Overview

Trichomoniasis is a sexually transmitted infection (or sexually-transmitted disease, STD) caused by a protozoan (a microscopic parasite), usually found in the vagina and urethral tissues. Although this condition is most often treated in women, men can also be infected (and often have no symptoms).

Trichomoniasis Causes

Trichomoniasis is caused by Trichomonas vaginalis, a flagellated motile protozoan.

  • Approximately 174 million people worldwide are infected with this parasite each year, making it the most common curable sexually transmitted infection worldwide
  • The average size of a trichomonad is 15 mm (they are not visible with the naked eye).
  • Reproduction of the parasites occurs every 8-12 hours.
  • Trichomonas vaginalis was isolated in 14%-60% of male partners of infected women and in 67%-100% of female partners of infecte...

Read the Trichomoniasis article »


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