After giving birth, the genitals stink

Women who have just given birth will find that their private parts smell very bad during the confinement period. When you go to the hospital for a check-up, they will say that you have inflammation. In fact, this is mainly caused by Trichomonas vaginalis, a bacteria that parasitizes the female vagina. Its main symptom is an unpleasant pungent odor. However, Trichomonas vaginalis is easier to treat.

Most cases are asymptomatic. Women may feel uncomfortable for a week or several months, and then improve significantly due to menstruation or pregnancy. The vaginal mucosa is inflamed, bright red, covered with patchy pseudomembranes, often accompanied by foamy secretions, and they feel varying degrees of itching. A few have a burning sensation. Leucorrhea increases and turns yellow-green. Frequent urination, urgency, pain, hematuria, abdominal pain, diarrhea, mucous stools, alveolar pus discharge, and tooth decay may occasionally occur. It often causes urethritis and can lead to cystitis and Bartholin's glanditis.

examine

1. Examination of secretions

Vaginal secretions, prostatic fluid, and urine are examined for Trichomonas vaginalis by smear microscopy or culture. Vaginal discharge is often yellow and purulent.

2. Stool examination

Take stool or bile to check for human Trichomonas.

3. Alveolar pus examination

Take alveolar pus to check for oral Trichomonas.

diagnosis

The diagnosis can be made immediately by suspending the vaginal secretions taken from the posterior fornix in saline and examining them under an ordinary microscope without staining. The rapid extension movement of the flagella and the sprinting activity of the ovoid protozoa were easily observed. Culture is more sensitive than direct microscopy. Trichomonas vaginitis is also often diagnosed using a Papanicolaou-stained smear. Tests should be done to rule out gonorrhea, chlamydia, and other sexually transmitted diseases.

treat

1. Systemic treatment

(1) Metronidazole (Flagyl): 3 times a day for adults and a reduced dose for children. The treatment course for intestinal trichomoniasis is 3 to 5 days. Trichomonas urethritis, vaginitis, and stomatitis should be treated with the medicine for 7 to 10 days. It is forbidden to use for pregnant and lactating women.

(2) Tinidazole

For genitourinary tract and oral infections, double the first dose, once a day, for 5 to 6 days.

(3) Take trichostatin three times a day for 5 to 7 days.

2. Local treatment

(1) For Trichomonas vaginitis, first scrub the vaginal wall with a soapy cotton ball, then rinse the vagina with 0.02% potassium permanganate solution or warm water, then wash with 1% lactic acid or 0.5% acetic acid and wipe dry.

Choose one of divijing, carbazon or metronidazole and insert it into the posterior fornix of the vagina or spray it into the vagina once every night or every other night. One course of treatment is 7 to 10 days, and it can be used in succession for 2 to 3 courses.

(2) Oral hygiene: Rinse your mouth with salt water, keep your oral cavity clean and hygienic, and avoid eating sweet foods before going to bed.