|Gynae Office Procedures|
|Minimal Invasive Surgeries|
|For Pregnant Women|
|Major Gynaecological Surgical Procedures by our Team|
Uterine Balloon Therapy for Heavy Periods Advanced Laparoscopy Surgery TLH/LAVH for Uterus Removal Open Myomectomy / Laparoscopic Myomectomy Lap. Management of Adnexal Masses Laparoscopy in Adolescent and pediatric patients Laparoscopy in Pregnancy Surgical treatment in Endometriosis Advanced Hysteroscopy Surgery
|Training Courses Academic / Community Training|
Lifecare Centre offers wet smear routinely to all pregnant & non pregnant patients (TV/ Candida/Bacterial Vaginosis).
We specilalise in Recurrent Vaginitis treatment
LEUKORRHEA / WHITE DISCHARGE
LEUKORRHEA MEANS WHITE DISCHARGE. However, the color may very depending on the cause. Normally some amount of vaginal discharge is present in every woman. It is a mixture of cervical mucus, endometrial secretions, fluid from peritoneal cavity and fallopian tubes, and vaginal cells. Its amount varies with the phase of the menstrual cycle, being more at the time of ovulation (cervical mucus) and premenstrually (pelvic congestion). It does not have odor, and it many leave behind a brown stain on the underwear.
Utility of pH test, whiff test along with KOH / Saline wet smear is diagnosis of vaginal discharges.
Dr. Sharda Jain, Dr. Jyoti Agarwal, Dr. Rashmi Jain, Dr. Indu Tyagi
Life Care Centre: Super Speciality Gynae Clinic
Background and objectives: In India, National AIDS Control Organization (NACO) introduced syndromic approach to treat patients with abnormal vaginal discharge which does not need laboratory tests. However, our team simply feels that. Simple tests like pH test, whiff test, and wet smear (KOH / Saline) can be done without high expertise with simple microscope and speculum examination. These tests improve diagnosis of abnormal vaginal discharge and thereby help in exact treatment of vaginal discharge. Present study is conducted to evaluate sensitivity and specificity of pH test and whiff test in diagnosis of abnormal vaginal discharge considering microscopic diagnosis as gold standard. In this clinic in 100% cases the microscopic examination of wet smear is done since beginning for vaginal discharge.
Methods: Prospective office-based study includes 500 women with abnormal vaginal discharge. All women were subjective to Gynaecological examination, pH test and whiff test. These findings were compared with microscopic examination. Statistical analysis was done by calculating proportions, percentage, sensitivity and specificity.
Result: Vaginitis was diagnosed in 71%. Candida Albicance was the commonest type of vaginitis (39%). Bacterial Vaginosis (BV) was the second most common cause (18%). While, Tricomnas vaginitis was third common cause (14%). In present study pH > 5 and positive whiff test has sensitivity of 95% and specificity 100% in diagnosing BV. Similarly pH < 5 and negative whiff test has sensitivity of 90% in diagnosing Candidiasis. However when simple KOH wet smear is done, accuracy is 100%.
Conclusion: Simple tests like pH test, whiff test, along with KOH and Saline wet smear improves diagnosis and treatment accordingly brings satisfaction and immediate relief to patients.