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TITLE:

CLINICAL PRESENTATION OF CHRONIC VAGINAL DISCHARGE AMONG WOMEN LIVING IN RURAL AREAS

AUTHORS:

Dr. Inshal Khaliq

ABSTRACT:

Objective: To study clinical presentation of women having chronic vaginal discharge, diagnosis and their management with outcomes. Design and duration: This is a cross sectional study completed in eight months from January to August 2020. Setting: Bolan Medical Complex Quetta. Patients and Methods: This study was conducted in obstetrics and gynecology unit of study institution. Total 200 cases were included in this study belonging to underdeveloped areas around Quetta city presenting with vaginal discharge for more than 6 months duration. These cases were reported in outpatient door of gynecology unit. Ages of these cases were 20-40 years. Patients with pregnancy, abnormal vagina or cervix and having growth of cervix were not included in this study. Permission was obtained from all cases for including them in this study. All data collected was analyzed in Microsoft office and version 20 and expressed via tables and graphs. Results: Total 200 cases were included in this study presenting with the history of vaginal discharge with more than 6 months history. Their age range was 20-40 years with mean age of 22.4±5.8 years. Presenting complaints in study group were vaginal discharge in all (100%) cases, lower back pain in 45(22.5%), lower abdominal pain in 41(20.5%), itching in 35(17.5%), dysuria reported in 29(14.5%), dyspareunia in 21(13%) cases and post coital bleeding reported in 18(11.3%) cases. Mean parity of cases in study group was 3±1. Vaginal infection was resolved in 60% cases after treatment with first line antibiotics and recovery rate increased up to 92% after treatment with 2nd line antibiotics. Various side effects of drugs were reported in study group. Most common side effects were anorexia in 23(11.5%) cases, nausea in 18(9%) and abdominal discomfort was reported in 5.6% cases. Conclusion: There is very high rate of sexual transmitted diseases among women living in peripheral under developed areas due to lack of proper awareness and high illiteracy rate among women. WHO recommended Symptomatic management is very effective in these cases. Key Words: Chronic vaginal discharge, sexually transmitted diseases, women of underdeveloped areas

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