2. Vulvo vaginitis
• It is one of the most
common reasons for a
women to seek
Gynecological care.
• If left untreated, can
lead to more serious
conditions such as PID,
endometritis, post
surgical complications
and spread of AIDS
3. Normal Vaginal Discharge
A normal vaginal discharge consists
of about a teaspoon (4 ml.) a day
that is white or transparent , thick to
thin and odorless. It is sufficient to
lubricate the vagina and labia
minora without staining or
moistening the underclothes
6. Conditions that may alter
the vaginal acidity:
Click to edit• Master title style
Menstruation
• Sexual activity
• Antibiotic therapy
• Click to edit Master text styles
• Vaginal infections
– Second level
• Obstetrical and
• Third level
gynecological procedures
– Fourth level
» Fifth level• Postpartum
6
9. A Vicious Circle with poor perineal hygiene
Infections /
Recurrent
Infections
Antibiotics
(Systemic /
Topical)
Poor
Perineal
Hygiene
Flora & pH
Disturbance
10. Role of Perineal Hygiene
Vicinity of Potentially Infected Organs
• Urethra
• Anal Canal.
Proper Perineal Hygiene plays a definite
preventive role!
ACOG 2004.
12. Patient Education & Counselling
• The perineal area of the woman is extremely
delicate & susceptible to infections.
• Because of the close proximity of the vagina
to the rectum the Golden rule in cleaning the
perineal area is “Front to Back”.
13. For good Perineal Hygiene
antiseptic liquids
excessive soap
tissue paper
anti-perspirants
deodorants
talcum powder
tight nylon undergarments
Special attention in monsoon season
14. Managing pubic hair hygiene
* Trimming
This is the ideal method. Take care not to cut too close to the skin.
* Shaving
Must make sure that you use a disposable blade.
Could create cuts & abrasions which serve as an entry point for
bacteria
* Hair removal creams
Creams contain chemicals and can cause itching & irritation.
* Waxing
One must be very careful to wash away all wax residues as it may
lead to itching/rashes.
15. Perineal Hygiene During Menstruation
• Sanitary napkins should ideally be made of cotton
lining.
• Avoid the nylon-lined ones or those that are heavily
deodorized.
• Douches & Tampons should be discouraged
– Alters pH, suppress endogenous bacteria, and
introduces microbes
• Change of napkins frequently
• Keep the vulval area clean & dry.
17. Summary
• There exists a dynamic vaginal ecosystem
which maintains perineal health aided by
natural defense mechanisms
• Perineal hygiene plays a very important and
definitive role in maintaining and restoring
good perineal health
18. Care of the body
• Beautiful outside
• Beautiful inside
19. Take Home Messages
‘ for good genital health’
1. Perineal Care
2. Perineal Care
3.Good Perineal Care
20. &
ADDRESS
35 , Defence Enclave, Opp. Preet Vihar
Petrol Pump, Metro pillar no. 88, Vikas
Marg , Delhi – 110092
CONTACT US
011-22414049, 42401339
WEBSITE :
www.lifecarecentre.in
www.drshardajain.com
www.lifecareivf.com
E-MAIL ID
Sharda.lifecare@gmail.com
Lifecarecentre21@gmail.com
info@lifecareivf.com