LEUKORRHEA

Andrianto
C11040250
Yudi Febriadi
C11040253
Iwan Nugraha

DEFINITION
Leukorrhea / vaginal discharge / fluor
albus

blood-free discharges from the female

genital tract

PHYSIOLOGY
Discharges from

vulva, vagina, cervix,

uterus, tuba

Desquamated epithelial cells : vagina&cervix

Mucus : originating mainly from the cervical glands
Bacteria and fluid : transudate from the vaginal wall
(>95% the bacteria present: Lactobacilli)
vaginal epithelium metabolizing glycogen
production of lactid acid
vaginal pH of < 4,5

ETIOLOGY
LEUKORRHEA
PHYSIOLOGY

Newborn baby
Premenarche
Before and after menstrual period
Ovulation period
Pregnancy
Sexual stimulation
Psychological factor
Anemia, fatigue

PATHOLOGY

Infection
Foreign body
Hormonal
Cancer
Atrophican Vaginitis

Physiological discharge
white, becoming yellowish on
contact with air, (due to oxidation),
itching (-), odour (-)

Pathological discharge
volume , may be specific odour (+),
changes in consistency, changes in
color

DIAGNOSIS

PHYSIOLOGICAL OR PATHOLOGICAL
Anamnesis, clinical criteria,
lab&mikrobiology

The Key for the success in the lekorrhea

management

CANDIDIASIS

THICK, CURDLED WHITE DISCHARGE,

PRURITUS VULVA
VAGINAL PAIN , DISPAREUNIA, VULVA
IRITATION
INFLAMMATION (VULVA) : ERITEM (+),
EDEM (+), DISCRET PUSTULOPAPULAR
LESSION (+), DERMATITIS VULVA
LAB : VAGINAL PH< 4,5, WHIFF TEST (-)
MICROSCOPIC : WET,KOH 10% OR GRAM:
YEAST (+) DAN PSEUDOHIFA (+) 50-70%
OF THE CASES

CANDIDIASIS

CANDIDIASIS

TRICHOMONIASIS

FOUL, FROTHY DISCHARGE

COLOR : WHITE, YELLOW OR PURULENT
CONSISTENCY : HOMOGEN, WET, FROTHY
INFLAMMATION: ERITEM IN THE VAGINAL
MUCOSA AND ITROCOITUS VAGINA,
SOMETIMES PETECHIE ON THE CERVIKS,
DERMATITIS VULVA
2-5% STRAWBERRY CERVIX
LAB : PH VAGINA 4,5
MICROSCOPIC : MOTILE
TRICHOMONADS ON WET MOUNT, CLUE
CELL CAN BE (+)

TRICHOMONIASIS

TRICHOMONIASIS

BACTERIAL VAGINOSIS

Fishy odour
Volume: moderate , homogen,
white
Non inflammatpry discharge
Lab: pH >4,5 dan Whiff test (+)
Mikroskopik: clue cell (+)

Vaginosis bacterial

THERAPY
Candidiasis

THERAPY

Clotrimazole 100 mg/daysi

intravaginal, 7 days
Nistatin 100.000-200.000 unit/day
intravaginal,14days
Tiokonazole 300 mg peroral, single
dose or 100mg/day, 3 days
Mikonazole 100 mg/day
intravaginal, 7 days

Bacterial Vaginosis

Metronidazole 3x250
mg/days peroral, 7 days
Ampicillin 4x500mg/day
peroral, 7 days

Trichomoniasis

Metronidazole 3x250
mg/day peroral, 7 days
Clotrimazol 100 mg/daysi
intravaginal, 7 days

TERIMA
KASIH