excessive cervical discharge

excessive cervical discharge
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Melanie Whittaker
Message 1 of 6 , Oct 22 10:42 AM
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Did a routine pap recently on a new patient. There was a really excessive amount of mucus/exudate that I thought was coming from the cervix. Cultured and checked for all diseases and it came back normal vaginal flora. Patient is now HPV hi risk positive-she says no one has told her this before. She gets paps yearly usually and she is in her 50s. There was too much exudate to get a PAP reading. So I will see her again in 3 months. I'm going to send for records. Patient is an appropriate weight for height with no health issues.

 Patient only has noticed sometimes a different odor. The discharge had no odor. I figure with that much discharge she could easily have odor sometimes.

I don't know what to do about helping decrease this discharge and I really think that needs to happen.

Melanie Whittaker ND
Stanwood, WA


Emily Kane
Message 2 of 6 , Oct 22 10:57 AM
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Melanie
Look to diet. Funky vagina with no obvious infection usually improves with cleaner eating due to reduction in mucosal irritation.
Emily Kane ND
Juneau AK


Melanie Whittaker
Message 3 of 6 , Oct 22 11:33 AM
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Thanks, Emily.

 I am doing that already and if that works - great. I will have another discussion with her for sure.
Melanie Whitaker, ND
Stanwood, WA


Chrissy Amicone
Message 4 of 6 , Oct 23 3:48 AM
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Hi Melanie,
Did culture show high lactobaccilus species? You could look into cytolytic vaginosis. This shows acidic pH, high lacto, and is treated with baking soda douche.
Chrissy Amicone, N.D.
Watertown, CT



Mona Morstein
Message 5 of 6 , Oct 23 8:24 AM
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Is the patient herself concerned about the mucous? Does it bother her? If it doesn’t bother the patient, and it’s normal healthy vaginal flora, then it may not be something that has to be “fixed”.

Have you simply discussed hygienic techniques with patient? Does she sweat a lot “down there”? Wear pantyhose? Wear non-cotton undies? Bubble bath? Any lubricants or other sexual lotions used? New partner? etc. Lots of other things to consider with occasional odor “down there”.

Mona Morstein, ND, DHANP
Tempe, AZ


Erin Holston Singh, N.D.
Message 6 of 6 , Oct 23 9:18 AM
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If you have commenced treating her the discharge could very well be a healing process.  This is how a woman cleanses her reproductive organs! through a discharge!

If it is not malodorous this may very well just be the process of detoxification that your naturopathic treatment as initiated.

Erin Holston Singh, ND
Cleveland