User:VeeBabzel/sandbox
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Thoughts/concerns about Vaginal discharge article on wikipedia:
even lead paragraph seems off. it's not "fluid."
too much focus on vaginal lubrication (its own article), sexual arousal.
"non-pathological" is strange term. typical? med word is Physiologic. "Healthy and normal?" :)
composition is more complex, including fluid produced by glands, cervical mucus, MICROBIOTA, sloughing off epithelial cells, WBCs, etc.
Sources:
- Beckmann OBGYN has fantastic info for lead paragraph (pg 260)
- DeGowin’s Diagnositc Examination, 10e has a paragraph.
- "Influence of the normal menstrual cycle on vaginal tissue, discharge, and microflora"
- "Childhood vulvovaginitis and vaginal discharge in general practice"
- BMJ clinical review article "Vaginal Discharge"
- "Quantitation of vaginal discharge in healthy volunteers" BJOG
- "European (IUSTI/WHO) guideline on the management of vaginal discharge, 2011"
- sociology articles on ppl's perception of vaginal discharge as nml/abnml?
- "Vaginal discharge-comparison of clinical, laboratory and microbiological findings" ACTA obgyn scandinavica
Section options:
(BARBY WILL DO INTRO PARAGRAPH) - need good image of normal
Physiologic (BARBY)
- Normal composition, amount, appearance.
Shifts in vag dc through reproductive life stages (SPLIT UP)
- childhood (BARBY), adolescence / menarche, ovulatory years, pregnancy, (MARGOT) peri-menopause & menopause (Barby).
Pathologic (MARGOT)
• Infections causing changes in vaginal discharge : BV, Candida, Trich.
Other ideas
• changes with birth control use?
• review article about douche-ing?