http://www.alife.org.sg She looked worried and upset when she stepped into my consultation room. “Doc, my menses has a fishy smell for the past 2 months.” She said. “Am I having a growth in my vagina?” T, a 32-year-old housewife had been married for 5 years. Her husband worked in a neighboring country and returned home for a week every 2 to 3 months. She last had sexual intercourse with him 2 months ago. On further questioning, T also noticed yellowish, sometimes greenish vaginal discharge on and off for the past 6 months. The discharge was accompanied by occasional itchiness and burning sensation around her vulva. On examination, her vulva was inflamed and red. The vaginal discharge was creamy yellow and foul-smelling. The cervix was angry looking with red hemorrhagic spots. A microscopic examination of the vaginal discharge demonstrated the presence of the parasite, trichomonas vaginalis as shown in Figure 1 below. Figure 1 T was suffering from trichomoniasis, a diseas...
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