Abstract
ObjectiveWe performed a prospective 1-year study to identify the clinical and microbiological characteristics of liquid and creamy leukorrheas. Design and methodWe classified leukorrheas into liquid and creamy, according to their appearance and characteristics in vaginal examination with a speculum. Samples were taken for cervicovaginal cytology. A further sample was taken with a cotton-swab for transfer to a medium for microbiological culture. ResultsThe mean age of the women was 30 years (range, 16-62 years). Fifty percent were nulligravidas. The leukorrheas were found in the second phase of the menstrual cycle in 60% of the women and were more frequent in spring (March and April). The leukorrheas were white in 50% and yellow in 25%. Pruritus was found in 25%. The vulvas were depilated in 25%. Sixty percent of the women used no contraception. Twenty-three percent were foreigners. Cytology was positive in 35%. The most frequent diagnosis was bacterial vaginosis in 17%. Culture was negative in 88%. In positive cultures, the most frequent organisms were Gardnerella vaginalis in 37% and Candida albicans in 31%. ConclusionsLiquid leukorrheas were more physiologic as cultures were negative in 50%. The most frequent organisms were G. vaginalis and C. albicans, each being found in 17.30% of patients. Creamy leukorrheas were more pathologic, with positive culture in 61.42%. The most frequent organisms were G. vaginalis in 22.85%, Candida spp in 21.25%, and C. albicans in 14.28%.
Published Version
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