Female Condom

One of the newer contraceptive devices, the female condom allows the woman to protect herself from unwanted pregnancy and sexually transmitted diseases. There is encouragement for the use of the female condom from WHO and UNAIDS since it is effective in attending to the reproductive health needs of women. It can be effective in the prevention of HIV and AIDS and STDs. Female condoms are made of polyurethane and are about 17 cms long with a flexible ring at both ends. This contraceptive device is worn by a woman and acts a barrier method of preventing pregnancy.

Pyuria

The medical term for cloudy, frothy and foul smelling pus in the urine is pyuria. It means the presence of significantly elevated level of white blood cells (leukocytes) in urine. White blood cells work with the immune system to defend against infectious diseases. A small number of white blood cells are normally present in the urine. But elevated levels indicate urinary tract problems signaling possible damage to the kidneys, ureters, urethra or bladder, inflammation or a contaminant.

Pyuria symptoms

Pyuria can be symptomatic or asymptomatic. Pyuria due to bacterial infection is symptomatic unless partially treated. Pyuria is asymptomatic when related to chronic infection from tuberculosis or mycoplasma, long-time indwelling catheters, inflammatory conditions like hemorrhagic cystitis, tubulointerstital nephritis or chronic prostatitis in men, or a contaminant such as vaginal secretions, vaginitis, cystocele etc. Asymptomatic pyuria goes away on its own, even without treatment.

• Cloudy or milky urine
  
• Foul-smelling urine
  
• Frequent urgent need to urinate
  
• Discomfort when urinating
  
• Fever

Time to test

The test is done when individuals notice symptoms and seek medical attention. A physical examination is followed by laboratory urine test for pyuria urinalysis. If the test indicates pyuria, a culture of urine is suggested to detect the strain of bacteria that causes pyuria. To detect kidney abnormalities or infection, an intravenous pyelogram or ultrasound imaging of kidney is done. The presence of more than 3-5 white blood cells per high power field in the spun urine confirms pyuria.

Pyuria Causes

Urinary tract infection: The chance of urinary tract infection is high in men and women who are diabetic. As the urethra in women is comparatively shorter than men, it is easier for microorganisms to enter the female urinary tract and cause infection which increases the chance of women contracting urinary tract infection.

Sexually transmitted diseases: Men and women with sexually transmitted diseases are prone to pyuria.

Other causes: Other causes can be infectious or non-infectious.

• Viral infection
  
• Fungal infection
  
• Anaerobic infection
  
• Fastidious bacteria
  
• Infection in prostate glands in men
  
• Chemical poisoning
  
• Kidney Stones
  
• Tuberculosis of the urinary tract
  
• Cancer of the urinary organs or genital organs

Non infectious: Medications, advanced age, pregnancy, tumors either benign or malignant can cause pus in the urine. Any other underlying problem in the kidney can also result in excessive levels of white cells in the urine.

Pyuria Treatment

The cause for pyuria determines treatment. For urinary tract infections, doctors prescribe antibiotic medicines. If the cause is due to sexually transmitted diseases, hygiene and other precautionary measures is recommended. Drinking plenty of water, juices sans sugar, avoiding fried foods, practicing good hygiene, not delaying for too long the urgency to urinate are proven precautionary measures of pyuria.

Vulvovaginitis

Vaginal itching, burning, vaginal pain, soreness in the vaginal area, cutting, ripping, swelling of the vagina, lumps in and around vagina, ulcers in vagina and vaginal discharge - all these best describe vulvular discomfort. Teen girls or menopausal women - vulvovaginitis, irritating vaginal itch, troublesome vaginal burning causes emotional trauma to women of all ages. Women are more prone to urethral or vaginal infections at one point or another in their lives. So, feminine hygiene is a very important aspect of a woman's life. If compromised, it can lead to serious consequences.

A change in normal vaginal discharge could be due to one or a combination of these conditions.

• Inflammation or infection of the vagina, vulvovaginitis.
  
• Infections of the vagina, such as yeast infection, bacterial vaginosis trichomoniasis, human papillomavirus (HPV) or herpes.
  
• Infection of the cervix (cervicitis)
  
• An object in the vagina (like a forgotten tampon)
  
• Sexually transmitted diseases such as chlamydia or gonorrhea can be a major cause of vaginal irritation.
  
• Using certain antibiotics or douching.
  
• Stress, illness and hormone changes can make the vagina more vulnerable to irritation.