Leucorrea: causas infecciosas e inbalances en el ecosistema vaginal

La alteración del escosistema vaginal puede ser mas dificil de tratar que una infeción dado que con frecuencia los factores precipitantes son desconocidos y, además porque el diagnóstico incorrecto puede llevar a tratamientos que complican el cuadro

Infección por Chlamydia trachomatis en cérvix uterino / Infection by Chlamydia trachomatis in uterine cervix

Se analizaron 93 muestras cervicales ginecológicas del Hospital de Gineco Obstetricia No. 3, del Centro Médico La Raza, de Fomento a la Salud y de población abierta de la UMF 5. Se encontró una incidencia elevada de infección por Chlamydia trachomatis de 28.4 por ciento, en mujeres en donde se sospechó de tal infección. Se considera que se debe pensar en infección por Chlamydia trachomatis en; mujeres con cervicitis mucopurulenta, salpingitis aguda, anormalidades en el cérvix y efectuarse las pruebas específicas para su detección

Vulvovaginitis and cervicitis.

Measures designed to reduce the incidence of cervicitis are those that make transmission of any STD less likely. Consistent and proper use of contraception, especially condoms, should be encouraged. Patients with a history of cervicitis or other STDs should be targeted for being at high risk and should have periodic screening tests to search for pathogens such as N. gonorrhoeae and C. trachomatis, even at times when they are asymptomatic. Other groups, including patients with multiple sexual partners, those with genitourinary symptoms, pregnant adolescents, and some adolescent clinic populations, also should be considered at increased risk and be monitored similarly. To be effective, encounters with adolescents around matters related to sexuality and STD must be done privately and with confidentiality assured. Special attention should be paid to the adolescent's family and cultural milieu, as well as to their level of psychosocial development, so that specific needs, fears, and misconceptions can be addressed. Cervicitis and other STDs are so common and have such important personal and public health implications that identification and effective treatment are of critical importance. The general tendency to be parsimonious when fitting together signs and symptoms into a medical diagnosis must be modified when dealing with STDs as multiple concomitant infections do occur routinely.

[Can analysis of previous post-partum periods provide prognostic indicators on the return of fertility after delivery?]. / L'analyse des post-partums antérieurs peut-elle donner des éléments pronostiques du retour à la fertilité après l'accouchement?

Evaluation of self-observation signs noted during post-partum, enables to study the physiology of this period. The signs analyzed in this study are: discharge of vaginal secretions, temperature discrepancy and bleeding. The originality of the study lies in the comparison of successive post-partum periods: 2 to 6 post-partum periods were studied in 163 women; in addition, we studied 38 cases including breast feeding time details and children reactions. The authors described especially the retention effect of the pregnancy and the inhibiting effect of breast feeding on the return of the fertility, by progressively escaping these two effects, and the part of the woman's reaction.

[Facilitation of the diagnosis of colpitis in pregnancy: the line test as a quantitative parameter of vaginal discharge]. / Erleichterung der Kolpitisdiagnostik in der Schwangerschaft: Der Line-Test als quantitativer Parameter des Fluor Vaginalis.

To define the vaginal discharge in pregnancy with a numeric quantitative parameter and to determine out its pathognomonic importance, the vaginal discharge of 140 pregnant and 33 non pregnant women was examined and the women were asked to indicate the subjective degree of discharge in a visual linear analog scale (Line-test). Pregnant woman marked high Line test values more frequently than non pregnants irrespective of detection of a vaginitis. With increasing gestational age and parity higher Line test values were found irrespective of the frequency of vaginitis. With a cut off level of 80 mm, the specificity of the Line test concerning vaginitis is high below cut-off, the possibility to have vaginitis is increased. The Line test is simple to use and - because of its specificity and sensitivity - has been found useful in evaluating the degree of vaginal discharge.

Update: adolescent gynecology.

As adolescents develop their sexual identities they are at risk for acquiring sexually transmitted diseases, unwanted pregnancies, and cervical dysplasia. As physical growth and development progress during adolescence, the risk of developing dysmenoorhea or adverse effects from exposure to diethylstilbestrol increase. The pediatrician with a background in growth and development should be capable of recognizing these conditions and participating in their management.