Vaginal discharge is a common presenting symptom encountered in day-to-day practice. From the time of puberty, the vagina is colonized by lactobacilli and other bacteria. Commensal lactobacilli metabolize glycogen in the vaginal epithelium to produce lactic acid, maintaining an acidic environment in the vagina (pH less than 4.5) and providing defence against infection.
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References
1.
BASHH. National guideline on the diagnosis and treatment of gonorrhoea in adults (2005) Accessed via www.bashh.org/documents/116/116.pdf [date last accessed 06.05.2009].
2.
BASHH. UK national guideline for the management of genital tract infection with Chlamydia trachomatis (2006) Accessed via www.bashh.org/documents/61/61.pdf [date last accessed 06.05.2009].
ClaytonS.G.Gynaecology by ten teachers7th edition (2000) London: Hodder Arnold ISBN: 9780340719879.
5.
EdmondsD.K.Chapter 53. Benign diseases of the vagina, cervix and ovary, Dewhurst's Textbook of Obstetrics & Gynaecology7th edition (2007) Blackwell Publishing ISBN: 9781405156677.
6.
FFPRHC and BASHH Guidance. The management of women of reproductive age attending non-genito urinary medicine settings complaining of vaginal discharge (2006) Accessed via www.ffprhc.org.uk/admin/uploads/VaginalDischargeGuidance.pdf [date last accessed 06.05.2009].
7.
HayesL.CreightonS.M.Prepubertal vaginal discharge. The Obstetrician & Gynaecologist (2007) 9: p. 159–163.
8.
Health Protections Agency. Management of abnormal vaginal discharge in women. Quick reference guide for primary care for consultation and adaptation (2009) Accessed via www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1194947408846 [date last accessed 06.05.2009].
9.
MitchellH.Vaginal discharge—causes, diagnosis and treatment. British Medical Journal (2004) 328: p. 1306–1308.
