Vaginal Discharge
Vaginal discharge may be normal, (so-called physiological - the vagina produces a clear discharge arising from mucous glands in the cervix and which increases at ovulation) or abnormal in the presence of infection with agents such as the yeast Candida (causing thrush and an itchy discharge) or an overgrowth of bacteria such as a Gardneralla, producing a condition called bacterial vaginosis. Severe and malodorous discharge may be a consequence of a foreign body such as a retained tampon. Discharge which is troublesome requires investigation and treatment. Candida infections commonly arise as a side effect of treatment with antibiotics for infections elsewhere: the antibiotics kill off the bacteria that normally exist in the vulva and vagina, and the Candida happily takes over the space and causes symptoms.
Vulval irritation and vaginal discharge in young girls may be a consequence of poor hygiene and over-tight clothing, together with sensitivity to scents in soaps or washing powders. Girls should be taught to wipe their bottoms from front to back, to use pure soap without scent, and wear looser clothing.
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