Abnormal Vaginal Discharge
When discharge is healthy, it should be neutral, odourless and colourless, and should not cause you any discomfort. However, if you begin to notice changes in your discharge, it may signify an underlying problem or infection.
What does it look like?
Some women may notice that they have begun to produce a larger quantity of discharge, or some women’s discharge may become more watery in texture, frothy or thicker and glue-like. The colour may change too. However, normal menstrual discharge may become slightly brown in colour towards the end of the cycle- this is perfectly normal and nothing to worry about.
What causes it?
There are many causes of abnormal vaginal discharge:
- Undiagnosed cervical polyps, cervical erosion, chronic inflammation of the cervix, or an infected IUD
What are the main symptoms?
Most women with abnormal vaginal discharge may experience the following symptoms:
- A change in colour or consistency
- A strong unpleasant odour, often fishy-smelling
- An unusually large amount of discharge
- Itching or irritation outside your vagina
- Abdominal pain, often in your stomach or pelvis
- Unexpected vaginal bleeding (e.g. between periods or after sex)
- Pain when urinating
How is it treated?
The exact treatment prescribed by your gynaecologist will depend on your symptoms and their cause. Abnormal vaginal discharge can easily be treated using antibiotics or anti-fungal medication, and your discharge should return to normal within a short time following treatment.
Abnormal Vaginal Bleeding
Abnormal Bleeding, This can include heavy menstrual bleeding, bleeding in between periods, or even irregular bleeding.
A colposcopy is a magnifying apparatus that enables your gynaecolologist to view your cervix and vagina in extremely close detail.
What is it used for?
It is useful for identifying cell abnormalities in the cervix and birth canal. A colposcopy is an effective way for surgeons to assess the area, using a minimally invasive, pain free procedure. In some cases the presence of abnormal cells can be a sign of developing cervical cancer, so a colposcopy enables surgeons to identify whether treatment is needed to deal with these cells or if they are healthy. It can also be used to investigate cervical erosion, chronic cervicitis, abnormal vaginal bleeding, painful intercourse, and inflamed cervix.
When might you have it?
- After having a smear test
- If some of the cells in your cervical cancer screening are abnormal
- If you have Human Papilloma Virus (HPV)
- If you’ve had several screening tests without a conclusive result
- The gynaecologist carrying out your screening test thought that your cervix didn’t look as healthy as it should
- If you are experiencing abnormal vaginal bleeding, painful intercourse or cervical inflammation
What does the procedure involve?
During the procedure, your gynaecologist will use a special type of microscope to examine your cervix. A strong light and camera are attached to the colposcope, and are used to transmit images of your cervix onto a small screen for your gynaecologist to examine further. Throughout the procedure, it will remain outside of your body and will not enter your vagina. However, your gynaecologist will apply some solution to your cervix to highlight the abnormal areas.
Vagina Laxity is a condition when the vagina becomes loose or relaxed. It can cause the reduction of vaginal sensation during sex. Vagina Laxity can be caused from child birth, trauma during child birth or age.
Vaginal Prolapse happens when the muscles in a woman’s pelvis begin to weaken. When this happens the cervix, uterus, urethra and bladder may begin to drop towards the vagina.
Urinary Incontinence is the passing of urine involuntarily. It is a very common problems that affects lots of women, normally after having children. it can also happen before having children but is lesion common. This can lead to incontinence overflow.
Vagina Atrophy is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. This occurs most commonly after menopause.
Dry vagina and Dyspareunia
Dry Vagina and Dyspareunia usually results from lack of estrogen or absence of lubricant secretion from sexual intercourse. This can happen when there is no forplay prior to intercourse. This can make the vagina dry and and can then cause pain.
Superficial dyspareunia: Weakening the area by using steroids or vagina douches, with fragrances which should not be used. All can cause dyspareunia and dryness of the vagina.
There is also deep Dyspareunia, the pain comes from deep penetration. There are lots of reasons for this:
- Chronic cervix
- Pelvic endometriosis
- Ovarian cyst
- Pelvic information disease
- Pelvic adhesions
Vaginal Septum and Congenital Abnormality
Congenital abnormality typically involves the development of the septum. There are other conditions that may fail to develop. They may require delicate reconstruction surgery to allow the woman to have a natural pregnancy. If the uterus and tubes are normal we can allow the patient have a natural delivery if possible, if not a caesarean section.