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Dr. Tamar K. Gottfried, MD.

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obgyn in mesa az

When is vaginal discharge abnormal?

October 20, 2011 by Dr. Tamar K. Gottfried Leave a Comment

For many women, vaginal discharge is a common occurrence. It can be difficult to know which discharge is normal and which needs medical attention. Many women try to diagnose themselves, based either on their prior experience or on over the counter tests. However, more than half of women who self diagnose a yeast infection are incorrect in their diagnosis. Additionally, the otc tests, which rely on the pH or acid/base balance of the vagina can be difficult to read and interpret. Results can be confused by other factors as well.

A general rule with vaginal discharge is that it should not be smelly or cause itching or irritation. A discharge that has an unpleasant or fishy odor, and/or is bubbly or frothy could be Bacterial Vaginosis, an upset in the chemical balance of the vagina, which requires prescription antibiotics to treat. An extremely bad smelling discharge can also be a sexually transmitted infection such as Trichomonas, Chlamydia or Gonorrhea. If a discharge causes itching or burning, it could be any of the above. It could also be yeast or even an allergic reaction. While many yeast infections have the typical curdy white thick discharge, some present with other symptoms and can be more challenging to diagnose.

In an Ob Gyn office, the diagnosis of vaginal infection is made not only by examining the discharge, but usually by doing a confirmatory lab test that can detect even low levels of bacteria or fungus. These tests take at least 24 hours for the result to come in and then, if positive for infection,  a prescription can be called in to the pharmacy if needed.

Sometimes a vaginal discharge is examined and the tests do not confirm an infection. A mucousy/ slimy clear discharge can actually be normal since the vagina cleanses itself by producing discharge.  Some people produce more discharge than others do due to factors such as medications, the use of an IUD (intrauterine device) or changes in the menstrual cycle.

In conclusion, there are a wide variety of vaginal discharges, some normal and some not. The best way to distinguish which is which is a trip to the Gynecologist for an exam and testing. While over the counter tests and creams can seem to be time savers, their use sometimes delays making the correct diagnosis and getting the correct treatment for a vaginal infection.

Tamar Gottfried is a Board Certified Obstetrician/ gynecologist  practicing  general Ob/gyn in Mesa Arizona and affiliated with Banner Desert and Banner Gateway Medical Centers. She can be contacted at 480-545-0059. This is a general interest article only and is not intended to be medical advice. See a medical professional before making medical decisions.

 

1520 S Dobson Rd
Suite 316
Mesa, Arizona 85202

Filed Under: Mesa Obgyn Tagged With: mesa obgyn, ob gyn in mesa az, ob gyn mesa, obgyn in mesa az, obgyn mesa, vaginal discharge

When do I take a pregnancy test?

October 15, 2011 by tamargottfried Leave a Comment

Urine pregnancy tests check for the presence of a chemical in urine that is produced in larger and larger amounts during the first months of pregnancy. They can be positive as early as a few days before a period is missed and stay positive throughout a pregnancy. A woman should take a pregnancy test if her period is late or if it is lighter than usual and there is a chance she could be pregnant. Pregnancy tests are more likely to be positive if the urine is concentrated- that is why the first urination of the morning is often recommended, especially if it is very early in the pregnancy. If the urine is very dilute, very watery, the test may still be positive around the time of the missed period, but the positive sign may  be lighter. If a urine pregnancy test is negative, it may be too early, or the urine may be too dilute. If the period doesn’t come, or if there are other signs of pregnancy, the urine pregnancy test should be repeated in a few days or at a time when the urine is more concentrated.

Why do a pregnancy test at a doctor’s office? At our Mesa obgyn office, the urine pregnancy tests work similarly to the ones at home. Many people are unsure if they’ve done the test right, or if they can trust their home test, so they come in to do it at an Ob office and this is fine! At our office, if your test is positive, we can start you out with some vitamin samples and schedule your first Ob visit. If the test is negative and we want more precise information, we can order and draw a blood pregnancy test. Coming in to do a pregnancy test in an Ob office can give you peace of mind and it is free and doesn’t cost  a cent!

Tamar Gottfried is a Board Certified Obstetrician/ gynecologist  practicing  general Ob/gyn in Mesa Arizona and affiliated with Banner Desert and Banner Gateway Medical Centers. She can be contacted at 480-545-0059. This is a general interest article only and is not intended to be medical advice. See a medical professional before making medical decisions.

Tamar K. Gottfried, MD
1520 S. Dobson Road, suite 316
Mesa, AZ 85202

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