PPT/PDF on LEUCORRHOEA for Medical students, Practitioners and Ayurvedic Medical Students. It is also useful for common knowledge of Female disorders.

1. LEUCORRHOEA
WHITE DISCHARGE PER VAGINA
SWETA PRADARA
DR. RAMVEER SHARMA
DR. RAMVEER SHARMA
M.D. Ayu.(Gynae)
Professor & HOD
Prasuti Tantra & Stree Roga Deptt..
M.M.M. Govt. Ayu. College UDAIPUR
MMM oMob. No. - 9414757932
Email. ramveersharma1960@gmail.com

2. LEUCORRHOEA – WHITE DISCHARGE PER VAGINA
DEFINITION
 An increase in the amount of normal vaginal secretion is
termed Leucorrhoea.
 Means pouring out white discharge per vagina.
 This is a symptom and not a disease.
DR. RAMVEER SHARMA
SWETA PRADARA

3.  Incidence – It is a very common symptom, found in one of
every three patients.
 Vaginal infection is the commonest (19%) causes of white
discharge.
DR. RAMVEER SHARMA
SWETA PRADARA

4. Criterias for defining Leucorrhoea.
I. Excess mucoid Vaginal discharge then the normal.
II. Can wet the panty and Need to wear vulval pad.
III. Non – Purulent (Non infective)
IV. Non- Offensive
V. Non- Irritant
VI. No Pruritus
SWETA PRADARA
DR. RAMVEER SHARMA

5. PHYSIOLOGICAL CAUSES
Increased Estrogens
Sexual ExcitementPregnancy
Menstrual CycleDuring Puberty
SWETA PRADARA

6. What is the Normal Amount ? –
 1-2 ml / day which keeps the genital tract comfortably moist,
is transudent and watery.
Sources – From Vulval glands, Vaginal epithelial lining, the
Cervix , the Uterus, and Fallopian tubes.
 The secretions are dependent upon the ovarian function and
sexual stimulation
 effect. DR. RAMVEER SHARMA
SWETA PRADARA

7.  The normal secretion (in character) show increase during
 New born – Becomes due to maternal Oestrogene effects.
 Puberty – Due to various hormonal effects.
 Premenstrual and early ovulation – Variant ovarian
hormonal influence.
 Early pregnancy and – Hormonal influence.
 During sexual excitement – Hormonal and increased local
blood circulation. DR. RAMVEER SHARMA
SWETA PRADARA

8. Loss of vaginal defense
• After 10th day of birth to Puberty – Lac of oestrogen.
• During menstruation
• Following Abortion and Excessive discharge increase the pH
• Child birth.
• After Menopause – Lac of oestrogen.
DR. RAMVEER SHARMA
SWETA PRADARA

9. PATHO PHYSIOLOGY
 Increased Oestrogen
 Increased Activity of Glands
 Increased Glycogen and Shedding of Epithelium.
 Glycogen convert to Lactic Acid
 Acidic Vaginal pH.
DR. RAMVEER SHARMA
SWETA PRADARA

10. SWETA PRADARA

11. From Sources of
Discharge
Characters of
Discharge
Normal Discharge
1 -2 ml / Day
From epithelial lining Transudent &
Watery
Vulva Bartholin glands,
Sebaceous,
Sweat and Appocrine
glands
Transudent,
Viscous,
Mucus
Vagina Exudates of epithelial
layer
Semi solid Whitish
flakes
DR. RAMVEER SHARMA
SWETA PRADARA

12. From Sources of
Discharge
Characters of
Discharge
Cervix & Uterus Cervical &
uterine glands
Alkaline and watery
mucoid containing
glucose and fructose
Uterine milk
Fallopian tubes Epithelial lining Watery white ,
Rich in albumin
During reproductive
life, Acid Ph 4-4.5.
All of above Whitish to whitish
yellow, Semi solid,
transudent,
SWETA PRADARA

13. TREATMENT
 Improve general health – Rest and good diet habits.
 Counselling for – Regular bowel habits,
 Personal and genital cleanliness,
 Daily bath and changing of washed and dry cloths.
 Regular physical exercise.
 Psychological – Reassurance, Relief of anxiety and worry.
Tranquilizers may be helpful.
DR. RAMVEER SHARMA
SWETA PRADARA

14. DR.RAMVEER SHARMA