Vaginal Discharge Glossary of Terms

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Abnormal: Not normal. Deviating from the usual structure, position, condition, or behavior. In referring to a growth, abnormal may mean that it is cancerous or premalignant (likely to become cancer).

Antibiotic: A drug used to treat infections caused by bacteria and other microorganisms. Originally, an antibiotic was a substance produced by one microorganism that selectively inhibits the growth of another. Synthetic antibiotics, usually chemically related to natural antibiotics, have since been produced that accomplish comparable tasks.
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Antifungal: A drug used to treat fungal infections.
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Antifungal medication: A drug used to treat fungal infections.
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Bacteria: Single-celled microorganisms which can exist either as independent (free-living) organisms or as parasites (dependent upon another organism for life).
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Bacterial: Of or pertaining to bacteria. For example, a bacterial lung infection.

Bacterial vaginosis: A vaginal condition characterized by an abnormal vaginal discharge due to an overgrowth of normal bacteria in the vagina. Women with bacterial vaginosis have less of the normal vaginal bacteria called lactobacilli. Symptoms are the vaginal discharge and sometimes a fishy odor. A sign under the microscope is an unusual vaginal cell called a clue cell. A metanalysis of 18 separate studies involving over 20,000 women demonstrated that bacterial vaginosis predisposes to preterm pregnancy and the earlier a vaginal infection occurs in pregnancy, the greater is the risk of a preterm delivery. The metanalysis also revealed that bacterial vaginosis increases the risk of a spontaneous abortion nearly 10-fold. Bacterial vaginosis also can lead to infection of the amniotic fluid and of the uterus after delivery. Therefore, screening and treatment for bacterial vaginosis during pregnancy may be done. Treatment options for bacterial vaginosis include vaginal gels and oral antibiotics. The antibiotic treatment is the same in pregnancy as in non-pregnant women.

Candidiasis: Overgrowth of the C. albicans yeast in the gastrointestinal tract, or infection of other body areas with this yeast. Vaginal yeast infections, some forms of diaper rash and other skin rashes that emerge in moist, warm areas of skin, and thrush (a condition characterized by patches of white inside the mouth and/or throat) are all forms of yeast infection. Candidiasis tends to develop when the normal balance of bacteria (flora) in the area is upset, as can occur with antibiotic use. Prevention measures include the use of probiotics and in some cases dietary changes. Treatment is via antifungal medications. Candidiasis is usually a minor and easily addressed problem, but can be more serious for those with immune-system disorders, such as AIDS.

Cervix: The cervix is the lower, narrow part of the uterus (womb). The uterus, a hollow, pear-shaped organ, is located in a woman's lower abdomen, between the bladder and the rectum. The cervix forms a canal that opens into the vagina, which leads to the outside of the body.

Chlamydia: A type of bacteria one species of which causes an infection very similar to gonorrhea in the way that it is spread, the symptoms it produces, and the long-term consequences.
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Chlamydia trachomatis: A bacterium that causes a disease called trachoma that results in blindness so frequently that it places a huge burden a year on world health funding ($25 billion in the year 2000). The disease goes by a number of names such as sandy blight.
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Chronic: This important term in medicine comes from the Greek chronos, time and means lasting a long time.
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Discharge: 1.The flow of fluid from part of the body, such as from the nose or vagina.
2. The passing of an action potential, such as through a nerve or muscle fiber.
3. The release of a patient from a course of care. The doctor may then dictate a discharge summary.

Douching: Using water or a medicated solution to clean the vagina. Vaginal douching has been done for many, many years. However, there is currently concern that it may sometimes cause problems. It may mask, or even worsen, conditions such as bacterial or yeast infection of the vagina. Even more seriously, douching is associated with an increased risk of pelvic inflammatory disease (PID). It is also associated with an increased risk of an ectopic pregnancy (probably due to PID). The American College of Obstetricians and Gynecologists (ACOG) recommends against douching.
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Doxycycline: Brand name: Vibramycin. A synthetic broad-spectrum antibiotic derived from tetracycline. Doxycycline is used for many different types of infections, including respiratory tract infections due to Hemophilus influenzae, Streptococcus pneumoniae, or Mycoplasma pneumoniae. It is also used for the treatment of nongonococcal urethritis (due to Ureaplasma), Rocky Mountain spotted fever, typhus, chancroid, cholera, brucellosis, syphilis, and acne.
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Ectopic: In the wrong place. Out of place. An ectopic kidney, for example, is one that is not in the usual location.
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Genital: Pertaining to the external and internal organs of reproduction. (Not to be confused with genetic.)

Gonorrhea: A sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoea. Although gonorrhea is known primarily as a sexually transmitted infection (STI), it is not exclusively so, but can also be transmitted to the newborn during the birthing process.
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Infection: The growth of a parasitic organism within the body. (A parasitic organism is one that lives on or in another organism and draws its nourishment therefrom.) A person with an infection has another organism (a "germ") growing within him, drawing its nourishment from the person.
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Infertility: The diminished ability or the inability to conceive and have offspring. Infertility is also defined in specific terms as the failure to conceive after a year of regular intercourse without contraception.
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Inflammation: A basic way in which the body reacts to infection, irritation or other injury, the key feature being redness, warmth, swelling and pain. Inflammation is now recognized as a type of nonspecific immune response.
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Insertion: Chromosome abnormality due to insertion of a segment from one chromosome into another chromosome.

Itching: An uncomfortable sensation in the skin that feels as if something is crawling on the skin or in the skin, and makes the person want to scratch the affected area.
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Medical history: 1. In clinical medicine, the patient's past and present which may contain clues bearing on their health past, present, and future. The medical history, being an account of all medical events and problems a person has experienced, including psychiatric illness, is especially helpful when a differential diagnosis is needed.
2. The history of medicine.

Menstrual: Pertaining to menstruation (the menses), as in last menstrual period, menstrual cramps, menstrual cycle, and premenstrual syndrome. From the Latin menstrualis, from mensis meaning month.

Menstrual cycle: The monthly cycle of changes in the ovaries and the lining of the uterus (endometrium), starting with the preparation of an egg for fertilization. When the follicle of the prepared egg in the ovary breaks, it is released for fertilization and ovulation occurs. Unless pregnancy occurs, the cycle ends with the shedding of part of the endometrium, which is menstruation. Although it is actually the end of the physical cycle, the first day of menstrual bleeding is designated as "day 1" of the menstrual cycle in medical parlance.

Microscope: An optical instrument that augments the power of the eye to see small objects. The name microscope was coined by Johannes Faber (1574-1629) who in 1628 borrowed from the Greek to combined micro-, small with skopein, to view. Although the first microscopes were simple microscopes, most (if not all) optical microscopes today are compound microscopes.

Mouth: 1. The upper opening of the digestive tract, beginning with the lips and containing the teeth, gums, and tongue. Foodstuffs are broken down mechanically in the mouth by chewing and saliva is added as a lubricant. Saliva contains amylase, an enzyme that digests starch. 2. Any opening or aperture in the body. The mouth in both senses of the word is also called the os, the Latin word for an opening, or mouth. The o in os is pronounced as in hope. The genitive form of os is oris from which comes the word oral.

Mucous: Pertaining to mucus, a thick fluid produced by the lining of some tissues of the body.
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Neisseria: Group of bacteria that includes the cause of gonorrhea.

Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia. Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors.
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Parasite: An organism that lives in or on and takes its nourishment from another organism. A parasite cannot live independently.
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Pelvic: Having to do with the pelvis, the lower part of the abdomen, located between the hip bones.

Pelvic pain: Pain perceived in the area of the pelvis, the lower part of the abdomen located between the hip bones. The term pelvic pain is most commonly used to refer to pain arising from reproductive organs (uterus, fallopian tubes, ovaries, vagina) in women. In this sense pelvic pain can have numerous causes, including menstrual cramps; pain from a rupture of an ectopic pregnancy, ovarian cyst, or other mass; endometriosis; and pelvic inflammatory disease . Nongynecologic sources of pelvic pain can include urinary tract infections, intestinal obstruction, colitis, tumors, appendicitis, or a number of other conditions.

Penicillin: The most famous of all antibiotics, named for the fungal mold Penicillium notatum from which it is derived. Penicillin acts by destroying the cell wall of bacteria.
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Pregnancy: The state of carrying a developing embryo or fetus within the female body. This condition can be indicated by positive results on an over-the-counter urine test, and confirmed through a blood test, ultrasound, detection of fetal heartbeat, or an X-ray. Pregnancy lasts for about nine months, measured from the date of the woman's last menstrual period (LMP). It is conventionally divided into three trimesters, each roughly three months long.
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Prescription: A physician's order for the preparation and administration of a drug or device for a patient. A prescription has several parts. They include the superscription or heading with the symbol "R" or "Rx", which stands for the word recipe (meaning, in Latin, to take); the inscription, which contains the names and quantities of the ingredients; the subscription or directions for compounding the drug; and the signature which is often preceded by the sign "s" standing for signa (Latin for mark), giving the directions to be marked on the container.

Recur: To occur again. To return. Any symptom (such as fatigue), any sign (such as a heart murmur), or any disease can recur.

Safe sex: 1. A sexual practice designed to reduce the risk of catching sexually transmitted infections (STIs). 2. A sexual practice that does not involve the exchange of bodily fluids, including blood, sperm, vaginal secretions, and saliva, to avoid AIDS and other sexually transmitted infections. 3. Sex without penetration, or sex using condoms and Nonoxynol-9 spermacide, and/or vaginal dams, with consistency.
In reality, no matter which meaning one ascribes to safe sex, "safer sex" is a more apt term.

Speculum: An instrument used to widen an opening to look within a passage or a cavity. For example, a speculum may be used to widen the opening of the vagina so that the cervix is more easily visible. Other examples include the nasal speculum to look up into the nostrils and the ear speculum to look within the ear canal at the ear drum. The term "speculum" is the Latin word for mirror.

STD: Sexually transmitted disease.

Substance: 1. Material with particular features, as a pressor substance.
2. The material that makes up an organ or structure. Also known in medicine as the substantia.
3. A psychoactive drug as, for example, in substance abuse.

Symptom: Any subjective evidence of disease. Anxiety, lower back pain, and fatigue are all symptoms. They are sensations only the patient can perceive. In contrast, a sign is objective evidence of disease. A bloody nose is a sign. It is evident to the patient, doctor, nurse and other observers.

Topical: Pertaining to a particular surface area. A topical agent is applied to a certain area of the skin and is intended to affect only the area to which it is applied. Whether its effects are indeed limited to that area depends upon whether the agent stays where it is put or is absorbed into the blood stream.

Trichomonas: A single-celled protozoan parasite best known in medicine because one species causes vaginitis (vaginal inflammation). Infection with trichomonas (trichomoniasis) is the most common curable sexually transmitted disease (STD) in young sexually active women.) in young sexually active women. The species of trichomonas responsible for STD is Trichomonas vaginalis. The vagina is the most common site of infection in women, and the urethra (urine canal) is the most common site of infection in men. The parasite is sexually transmitted through penis-to-vagina intercourse or vulva-to-vulva (the genital area outside the vagina) contact with an infected partner. Women can acquire the disease from infected men or women, but men usually contract it only from infected women.
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Trichomonas vaginalis: A protozoan parasite that causes vaginitis. See: Trichomonas.

Tubes: The "tubes" are medically known as the Fallopian tubes. There are two Fallopian tubes, one on each side, which transport the egg from the ovary to the uterus (the womb). The Fallopian tubes have small hair-like projections called cilia on the cells of the lining.
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Urethra: The transport tube leading from the bladder to discharge urine outside the body. In males, the urethra travels through the penis, and carries semen as well as urine. In females, the urethra is shorter than in the male and emerges above the vaginal opening, as indicated here:

Urinary: Having to do with the kidneys, ureters, and bladder. The urinary system represents the functional and anatomic aspects of the kidneys, ureters, and bladder.

Urinary tract: The organs of the body that produce and discharge urine. These include the kidneys, ureters, bladder, and urethra.

Urinary tract infection: Infection of the kidney, ureter, bladder, or urethra. Not everyone with a UTI has symptoms. Common symptoms include a frequent urge to urinate and a painful, burning when urinating. More females than males have UTIs. Underlying conditions that impair the normal urinary flow can lead to complicated UTIs.
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Vagina: The muscular canal extending from the cervix to the outside of the body. It is usually six to seven inches in length, and its walls are lined with mucus membrane. It includes two vaultlike structures, the anterior (front) vaginal fornix and the posterior (rear) vaginal fornix. The cervix protrudes slightly into the vagina, and it is through a tiny hole in the cervix (the os) that sperm make their way toward the internal reproductive organs. The vagina also includes numerous tiny glands that make vaginal secretions.
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Vaginal discharge: Vaginal discharge is a fluid produced by glands in the vaginal wall and cervix that drains from the opening of the vagina. The amount and appearance of normal vaginal discharge varies throughout the menstrual cycle. An increase in the amount of vaginal discharge, an abnormal odor or consistency of the fluid, or pain that accompanies vaginal discharge can all be signs of infection or other disorders. Such disorders include (this is not an all inclusive list) bacterial vaginosis, yeast vaginitis, and vaginitis.

Vaginal opening: The opening to the muscular canal extending from the cervix to the outside of the body. The word "vagina" is a Latin word meaning "a sheath or scabbard", a scabbard into which one might slide and sheath a sword. The "sword" in the case of the anatomic vagina was the penis. Love and war, it would seem, have been connected in the minds of people for millennia.

Vaginal yeast infection: Infection of the vagina caused by a fungus known as Candida. A yeast vaginal infection is characterized by itching, burning, soreness, pain during intercourse and/or urination, and vaginal discharge that is typically cheesy white in color. The diagnosis is confirmed through identification of the yeast under a microscope from a specimen scraped from the vaginal area. A yeast vaginal infection that is causing symptoms is treated with topical medications applied in and around the vagina and with medications taken by mouth. Topical antibiotic creams include butoconazole (Femstat 3), clotrimazole (Lotrimin), miconazole (Monistat), and terconazole (Terazol 3). Clotrimazole, miconazole, terconazole, and nystatin (Mycostatin) are also available as vaginal tablets. Oral antibiotics for yeast vaginitis include fluconazole (Diflucan). During pregnancy, only the topical creams are used.

Vaginitis: Inflammation of the vagina. The vagina is the muscular canal extending from the cervix to the outside of the body. Vaginitis is often caused by a fungus. A woman with this condition may have itching or burning and may notice a discharge. Vaginitis is a common condition. There are factors that predispose a woman to develop vaginitis. For example, women who have diabetes have vaginitis more often than women who do not.

Vibramycin: Brand name for doxycycline.

Yeast infection: Overgrowth of yeast can affect the skin (yeast rash), mouth (thrush), digestive tract, esophagus, vagina (vaginitis), and other parts of the body. Yeast infections occur most frequently in moist areas of the body. Although Candida albicans and other Candida yeasts are the most frequent offenders, other yeast groups are known to cause illness, primarily in immunocompromised patients. These include Torulopsis, Cryptococcus, Malassezia, and Trichosporon yeasts. Diagnosis is by observation, and can be confirmed by culturing a stool or mucosa sample, or a scraping from the affected area. Treatment is by topical or oral antifungal medications. Acidophilous, a helpful bacteria that normally helps to keep yeast in check, can also be tried in supplement form or in yogurt with live cultures.
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