関: vaginal discharge

WordNet

discharge of white mucous material from the vagina; often an indication of infection (同)leucorrhea

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/06/15 22:30:37」(JST)

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Leukorrhea (US) or leucorrhoea (Commonwealth) is a medical term that denotes a thick, whitish or yellowish vaginal discharge.^[1] There are many causes of leukorrhea, the usual one being estrogen imbalance. The amount of discharge may increase due to vaginal infection or STDs, and also it may disappear and reappear from time to time, this discharge can keep occurring for years in which case it becomes more yellow and foul-smelling; it is usually a non-pathological symptom secondary to inflammatory conditions of vagina or cervix.

Vaginal discharge is not abnormal, and causes of change in discharge include infection, malignancy, and hormonal changes. It sometimes occurs before a girl has her first period, and is considered a sign of puberty.

Physiologic leukorrhea

It is not a major issue but is to be resolved as soon as possible. It can be a natural defense mechanism that the vagina uses to maintain its chemical balance, as well as to preserve the flexibility of the vaginal tissue. The term "physiologic leukorrhea" is used to refer to leukorrhea due to estrogen stimulation.^[2]

Leukorrhea may occur normally during pregnancy. This is caused by increased bloodflow to the vagina due to increased estrogen. Female infants may have leukorrhea for a short time after birth due to their in-uterine exposure to estrogen.

Inflammatory leukorrhea

It may also result from inflammation or congestion of the vaginal mucosa. In cases where it is yellowish or gives off an odor, a doctor should be consulted since it could be a sign of several disease processes, including an organic bacterial infection or STD.

After delivery, leukorrhea accompanied by backache and foul-smelling lochia (post-partum vaginal discharge, containing blood, mucus, and placental tissue) may suggest the failure of involution (the uterus returning to pre-pregnancy size) due to infection. Investigations: wet smear, Gram stain, culture, pap smear and biopsy.

References

^ "leukorrhea" at Dorland's Medical Dictionary
^ Behrman, Richard E.; Kliegman, Robert; Karen Marcdante; Jenson, Hal B. (2006). Nelson essentials of pediatrics. St. Louis, Mo: Elsevier Saunders. p. 348. ISBN 1-4160-0159-X.

External links

Overview at americanpregnancy.org

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1. 膣炎症状が認められる女性に対するアプローチ approach to women with symptoms of vaginitis
2. 正常思春期 normal puberty
3. 細菌性膣炎 bacterial vaginosis
4. 小児における身体的診察：会陰 the pediatric physical examination the perineum
5. 剥離性炎症性膣炎 desquamative inflammatory vaginitis

English Journal

Added benefit of nucleic acid amplification testing for the diagnosis of Trichomonas vaginalis among men and women attending a sexually transmitted diseases clinic.

Muzny CA1, Blackburn RJ2, Sinsky RJ3, Austin EL1, Schwebke JR1.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.Clin Infect Dis.2014 Sep 15;59(6):834-41. doi: 10.1093/cid/ciu446. Epub 2014 Jun 13.
BACKGROUND: Trichomonas vaginalis (TV) is the most common nonviral sexually transmitted infection (STI) in the world. However, TV is not a reportable STI and, with the exception of HIV-positive women, there are no guidelines for screening in women or men. The objective of this study was to determine
PMID 24928292

Perceptions and Knowledge about Leukorrhea in a Slum Dwelling South Asian Community.

Kaur J1, Kapoor A1.
Journal of family & reproductive health.J Family Reprod Health.2014 Mar;8(1):45-52.
OBJECTIVE: The problem of RTI/STI is of growing concern worldwide, especially in developing countries; where each year 340 million new cases curable STI occur. Out of these 151 million are in South and Southeast Asia (WHO, 2001). The present paper attempts to capture the prevalence of leukorrhea, it
PMID 24971133

Vaginoperineal Fistula as a Complication of Perianal Surgery in a Patient with Sjögren's Syndrome: A Case Report.

Beksac K1, Turgal M2, Basaran D3, Aran O1, Beksac MS2.
Case reports in rheumatology.Case Rep Rheumatol.2014;2014:359605. doi: 10.1155/2014/359605. Epub 2014 Sep 10.
Forty-seven-year-old woman with Sjögren's syndrome had been operated on because of transsphincteric perianal fistula secondary to perianal abscess. Vaginal wall injury occurred during the course of the operation and injured tissue was repaired primarily. Three months later, patient suffered from th
PMID 25295212

Japanese Journal

膿状帯下を認めた妊娠中期早産の症例

小谷衣里,高浪洋子,岡根真人,宮園弥生,新井順一,宮本泰行,久保武士
日本新生児学会雑誌 34(4), 786-792, 1998-12-01
NAID 10005003294

腹圧性尿失禁に対するホルモン補充療法の臨床効果の検討

鈴木康之,大石幸彦,山崎春城,遠藤勝久,斑目旬,吉野恭正,大西哲郎,高坂哲,絹川直子
日本泌尿器科學會雜誌 88(3), 427-433, 1997-03-20
(背景と目的)腹圧性尿失禁に対するホルモン補充療法(H.R.T.)の効果を検討した。(対象と方法)対象は閉経後の腹圧性尿失禁患者で1日失禁量が15g以下の軽症例25名(54歳から73歳,平均65.5歳)である。これらの患者に結合型エストロゲン0.625mg/dayと酢酸メトロキシプロゲステロン2.5mg/dayを4ヵ月間投与し,1日の失禁量,自覚症状ならびに尿流動態検査(尿道内圧測定)での他覚所見 …
NAID 110003088946