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Grain stain of vaginal discharge showed numerous gram positive cocci, gram negative cocci bacilli, squamous and pus cells. Conclusion?

gram stain of vaginal discharge revealed the following result: Gram stained smear shows numerous gram positive cocci in singles and in pairs, numerous gram negative coccobacilli and occasional gram negative bacilli. numerous squamous cells and numerous pus cells noted. fungal elements present (spores). I am a 21 year old female who had multiple sex partners and is currently in a 3 year relationship with a 23 year old male who also has had multiple sexual partners before me. Condom is our mode of contraception . my first sexual experience was when i was 17 years old. no history of being pregnant. no diabetes or any other disease. no asthma . history of ovarian cancer on my maternal grandmom. what does the result most likely imply? thanks.
Asked On : Fri, 5 Oct 2012
Answers:  1 Views:  466
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Question is related to
Diseases and Conditions
Pathologist and Microbiologist 's  Response
Hello and welcome to HCM
The results of examination of vaginal discharge shows presence of infection with multiple bacteria and fungus.
Under normal conditions, at low pH Lactobacillus is the bacteria which is found in the vagina.
When there is infection by various organsms, the pH is increased and clinically the women suffers from features of discharge.
You need a course of antibiotics and antifungals.
Topical application may also be added in case of local irritation.
It is good to abstain from sex till the time the discharge disaapears.
Your partner should also undergo the treatment as the infection may have been transmitted.

Thanks and take vare
Dr Shailja P Wahal
Answered: Sun, 7 Oct 2012
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