Do P.S and P.V. examination to not the type of discharge, and look for pathologies like cervical erosion, fibroid, polyp, PID or T.O. mass.
Is it excessive normal vaginal secretions.
Hygenic instructions and reassurance. Avoid medicated pessary. Placebo if necessary. Tab. Rediplex 1 OD x 2 months (Hematinic).
Yellowish, frothy discharge or Trichomonal infection
Tab. FLAGYL 200mg tds x7 days to both husband and wife simultaneously. Or Tab. Fasigyn DS 2 OD to both.
Wokadine Pessary 1 HS x 7days. (Povidone Iodine).
Thick, Curdy white discharge plaques and congestion i.e candidial infection:
Nystatin PEssary to be inserted deep in vagina, every night x 2 weeks or Candid-V3 200mg x vaginal pessary H.S. x 3 consecutice nights or Glynoterazole PEssary 1 HS x 3 days (Terconazole).
Tab. FLUCOS 150 mg 1 stat to both wife and husband.
For mixed vaginal infections i.e bacterial + fungal + trichomonal
Tab. CIPLOX-TZ 1 bd x 5 days (Tinidizole + Ciprofloxacin/ Norfloxacin) Tab. Azostat Kit x Kit stat to both wife and husband (Fluconazole 150mg + 2 Tabs. Tinidazole 1gm) Candid V Gel for local application to male partner. 1% Sodabicarbonate douche x bd x for better effect. Ask for Blood sugar to rule out Diabetes and HIV test to rule out AIDS.
Leucorrhoea due to Cervical erosion with endocervictis.
Cauterisation of Cervix. Wokadine Pessary x Hs x 10 days.
Leucorrhoea with pelvic pain and tenderness
Tab. CIPLOX TZ 1 bd for 5days (Antibiotic + Antianeaerobic combination) Other + Anithromycin/ Doxy with Tinidazole, Ornidazole or Metronidizole. Tab. Combiflam 2-3 times a day for 7 days.
Leucorrhea with Dysuria:
Check urine for infection, and smear if urethral discharge for gonococci. If Gonococci, Tab. Norflox 400mg 2 stat, single dose. If UTI, treat with urinary antibiotic- Refer Renal symptoms- Dysuria.
Candidal Infection is common in diabetic patients, Patients taking Broad spectrum antibiotics, patients on oral contraceptives and AIDS.
