User:VeeBabzel/sandbox

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?