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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 7, July 2023
A Correlational Study between Clinical Findings and Bacteriological Patterns of Leucorrhoea at a Tertiary Care Center
Sudharani Kintada | Sasikala Mootha  | Arunakumari Bakki
Abstract: Introduction: Gynecological morbidity is essential to women's health. Leucorrhea is one of the most common issues encountered in gynecological practice. It may be caused by physiological factors, followed by vaginal infections, cervical erosion, and atrophic vaginitis. Vaginitis is an aesthetically significant disease that contributes to psychosexual issues. The key to e?ective management of vaginal infections lies in the diagnostic strategy, which is based on culture and sensitivity. Clinical evaluation plays a vital role in the initial stages. The study?s main aim is to learn about vaginal infections in the reproductive age group, analyze the clinical mode of presentation and use simple methods to evaluate etiology and diagnosis. Aim: To evaluate the correlation between clinical and bacteriological findings of leucorrohea. Materials And Methods: This prospective study was conducted in the Outpatient Department of Obstetrics and Gynecology, Rangaraya Medical College Hospital for 2 years. A hundred women with vaginal discharge were selected for the study, and comprehensive history, general examination, and gynecological examination were conducted. The inclusion criteria for vaginal discharge included all women of varying ages and varied natures, with formal consent. Exclusion criteria included pre - pubertal and post - menopausal age groups, previous treatment, menstruating, and suspicious lesions. Clinical findings and laboratory tests are combined to form a final diagnosis. Results: There was a minor di?erence in clinical diagnosis and microbiological confirmation in bacterial vaginosis and vulvovaginal candidiasis. The incidence of trichomoniasis was similar in both methods. A significant di?erence is observed in suspected mixed infections. Nonspecific infections comprised less than five percent. In the pregnant population, bacterial vaginosis was found in the highest number, followed by vulvovaginal candidiasis, trichomoniasis, mixed infections, and nonspecific infections. Conclusion: This study investigated the causes of leucorrhea and its prompt diagnosis by clinical and microbiological evaluation. It found that successful management of abnormal vaginal discharge lies in clinical evaluation and microbiological confirmation, which enables exact diagnosis and treatment. Blanket therapy of symptomatic vaginal discharge with antimicrobial and antifungal drugs has a limited role in view of the development of drug - resistant strains.
Keywords: Leucorrohea, Vaginal Discharge, Bacetriological Patterns, Correlation, Clinical Evaluation, Vaginal Infections, Microbiological Confirmation, Reproductive Age Group
Edition: Volume 12 Issue 7, July 2023,
Pages: 314 - 319