Not all STIs have vaginal symptoms. Some STDs do present with rectal symptoms (that 'back door itch'), which is definitely a different sort of itch. Granted simple skin conditions, yeast infection and other non-STD conditions can cause itching as well. But if you have rectal itching, still see your gyno to get checked for STDs. Yes, it's probably something like a rash or a hemorrhoid, but if not there are STD causes. Most often the STD in the rectal or anal area would be HPV if it is any condition like that at all, but actually, those cases are typically not symptomatic, those cases are typically found on examinations, often just routine examinations. But individuals with rectal irritation, itching, discomfort (proctitis) may in fact have GC, CT, a form of CT called LGV, syphilis or Herpes (HSV). HPV infection can occur there as well, but isn't usually itchy. All these conditions can be tested for. Its not a bad idea to do some home remedies, one of the oldest is to bathe you hemorrhoids in witch-hazel, or for those that protrude try to push them back in with a generous dollop of boric ointment. And if you are still uncomfortable, a an ounce of the witch-hazel in a cold water enema could be soothing as well. So if you have a different sort of itch, be sure and see your gyno for appropriate testing. These conditions can be cured and are important to know about. Patient have to remember with a condition like gonorrhea it is important to have your care supervised by your gyno because there is antibiotic resistance. GC resistance to the antibiotic penicillin became known in the 1970s but by the 1980s was wide spread. Again we have started to cross off antibiotics that are less helpful to use because they do not work. And making sure we get appropriately checked for STDs is important and has been a part of the Healthy People 2010 objectives and has been retained in the Health People 2020 objectives that are now closed for comments, but can be read on line.
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...
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