Skip to main content

Breaststroking STD That's Not Herpes

Trichomonas

Do you occasionally itch down there? Not every itch has to be a disease of course! But, there may be a common parasite breaststroking around in your vagina. This parasite is called Trichomonas vaginalis, or just the nickname “trich” to the initiated into the logo of those of us in the medical ‘know.’ It has four short front arms (flagella, if you must know) and a 5th appendage that is more tail than leg. The tail propels it through the marsh of the vaginal moisture and the arms sort of flail around in fairly jerky movements that wouldn’t be considered good technique in any pool. But then they are fairly easy to recognize when your gynecologist peers into a microscope onto a saline flooded drop of this moisture.

Do we recommend scratching and bearing it? Resoundingly no, and for the rest of you who carry trich and are asymptomatic, you need treatment too. Untreated, yes, it probably will go away; but spontaneous clearance can take 5 years! While often asymptomatic, it is no less contagious than when symptomatic. Sex when bleeding? It is not ever prohibited to have sex when you bleed, but interestingly you can catch it more easily on your period as the iron in the menstrual blood makes trich more easily attach to the vaginal wall which is the initial onslaught of attack. And all these critters need is the vaginal wall to attach, so after a hysterectomy it is much more difficult to get the GC and CT infections formally known by lots of colorful explicative such as the Clap, and after a hysterectomy you can still catch the critters: there is no reduced risk to getting trich after the uterus has been removed. It is generally very treatable, although a few of the trich species have become resistant to the

While always regarded as more of an annoyance than a serious disease, there is new evidence to the contrary. Not only do women have an easier time picking up STDs like herpes (HSV), HIV, and HPV (Human Papilloma Virus), they have a harder time clearing organisms the immune system may often be able to resolve. For those who don’t clear the HPV virus they are more likely to have precancerous changes of the cervix. At best estimate trich can be responsible for just a minute number of cervical cancer cases each year, and probably only a co-factor if this data is even accurate.

And what about odor, and more odor? Even if you've been cleared of any prior infection, some just persist in having an odor without any more breaststrokers swimming around in the vagina.
Apparently your genetics can factor into this odor problem and if you have the sort of biochemistry that makes you unable to metabolize this stuff called trimethylaminine and concentrations build up and even spill into your urine causing: trimethylaminuria, or cause the stuff to pour out of your sweat glands. So some women may get odor without infection, or have worse odor with even mild infections, or just due to normal fluctuations in the bacteria counts. And your diet provides the precursors that your body makes into this odorous compounds. Reducing dietary precursors, like taking the antibiotic orally might help those women get rid of their odor although clearing the infection works just as well with the antibiotic vaginal creams.

Comments

Popular posts from this blog

Passing Your Uterine Lining, Menstrual Period Norms

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...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...