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Molluscum Contagiosum is a viral infection of the
skin that can occur anywhere on the body. In adults, it usually
occurs on the inner thighs, abdomen or genitals. It is spread by
person-to-person contact (including sexual activity) and through
contact with contaminated objected, such as shared clothing, towels,
and sports equipment.
Molluscum Contagiosum manifests as small, raised
bumps on the skin. The bumps are firm, smooth, and domed with a
central pit. The bumps are usually 2-3 mm in diameter; they do not
hurt or itch. To prevent spread to other parts of the body or to
other people, don’t scratch the bumps, practice good personal
hygiene, and avoid sexual contact until the infection has cleared.
In people with intact immune systems, spontaneous
sure is the rule. The lesions will disappear within 10-24 months,
however, they may be treated to increase healing time. Treatment
includes surgical removal, either by cutting, burning electrically
or chemically or by freezing with liquid nitrogen. There are also
topical medications available to help heal the lesions.
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Vaginitis is an inflammation of the vagina. It
may be caused by infection or other causes. The inflammation
may cause the vaginal tissues to become irritated, swollen and
red. An abnormal discharge, itching, and odor may be also
present. There are several types of vaginitis such as
candidiasis or yeast infection, bacterial vaginosis,
trichomonas vaginitis, and atrophic vaginitis. An examination
is needed to determine the type of vaginitis present and
treatment.
A yeast infection is one of the most common types and is
caused by a fungus called Candida. An overgrowth of yeast can
lead to itching and burning sensations in the vagina. There is
usually a white discharge and no odor. Treatments include over
the counter yeast medication or a prescription from your
doctor.
Bacterial Vaginosis is caused by an overgrowth of one of the
normal vaginal bacteria. The main symptom is increased
discharge with a strong “fishy” odor. Symptoms may worsen
during your menstrual cycle or after sexual intercourse.
Antibiotics are usually prescribed to treat the bacteria. This
is not considered a sexually transmitted disease.
Trichomonas vaginitis is caused by a parasite that is spread
through sexual intercourse. Symptoms include a yellow-gray or
greenish discharge and possible “fishy” odor. Pain with
urination may also be present. A single dose prescription is
used for treatment. Both sexual partners require this
treatment to prevent future infection.
Atrophic Vaginitis is caused by a decrease in estrogen.
Dryness and burning are the most common symptoms. Estrogen
and/or water-soluble lubricants are often used to help
alleviate the symptoms.
If you have any questions or symptoms please contact your
doctor for an appointment. Diagnosis cannot be made over the
phone.
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Ovarian Cysts
Cysts are fluid-filled sacs and may be formed as a
result of ovulation. Ovarian cysts are very common in women during
their reproductive years. Some types of ovarian cysts are harmless
and may go away on their own. Others are abnormal and may cause
problems.
A common cyst type is called a functional cyst. It is formed during
ovulation and usually doesn’t cause symptoms or need treatment. A
functional cyst will normally stop growing, shrink and disappear
within 1 to 3 menstrual cycles.
There are other types of ovarian cysts that are abnormal and need to
be diagnosed and treated by a physician. Examples may include
dermoid cysts, cystadenoma, endometrioma, and fibroadenoma. Rarely
ovarian cysts may represent cancer of the ovaries.
Symptoms that may occur with cysts include a dull ache, sense of
pressure, fullness in the abdomen or sharp pain. Menstrual cycles
can also become irregular. Pain during intercourse may also be
experienced.
Ovarian cysts may be felt on pelvic exams, but ultrasound is often
needed to confirm the diagnosis. Ultrasounds are used to look at the
ovaries and help to determine the type of cyst.
Treatment is dependent on several factors including type of cyst,
size, a woman’s age, and future plans for children. Treatments may
include waiting 1-3 cycles for the cyst to disappear, birth control
or possibly surgery. A surgical procedure known as a laparoscopy
allows the doctor to look into the abdomen through a small incision
in the belly button. This allows the doctor to treat or remove the
cyst if present. Patients often go home within hours after
laparoscopy and may return to work in less than 1 week.
If you have pain or symptoms similar to those described above, make
an appointment to see your doctor.
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