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WH-1 A Breakthrough in the Treatment of Vaginitis
(White discharge in women)
WH-1 is an Ayurvedic Herbal Formula developed by
Dr. V.R. Bapat, Bangalore, India. For his profile click here
He has experience of treating with this formulation over
a period of 35 years in his clinical practice.

Advantages WH-1 Treatment

Useful in all the types of vaginitis. (BV, VC, and TM)
No recurrence
Useful in Mixed infections as well
Saves cost of consultation fees of Gynecologist
Saves cost of laboratory investigations
Avoids inconvenience of physical examination experienced by woman
Treatment could be done by primary care physician or OTC
Especially useful in third world countries where lab facilities are not available
Cost effective
  Vaginitis
   
  What is Vaginitis?
 

Vaginitis is described medically as an irritation or inflammation of vagina. Vaginitis (Shweta Pradara) is a common disease affecting millions of women each year. If left untreated it can lead to various complications. The current medical therapy may temporarily reduce infection but tend to disrupt the normal vaginal flora or cause recurrent episodes. Hence herbal therapy for the treatment of vaginitis is gaining popularity an account of its reduced side effects and restoration of normal vaginal flora...
 
 

What are the symptoms of Vaginitis?

Abnormal vaginal discharge with burning or itching is the presenting symptom. The discharge is called abnormal because it has bad odor or is irritating in nature. The irritation is in the form of itching or burning or both. Itching may be present any time of the day but aggravates in the night. Both the symptoms of itching and burning may become worse after intercourse.

The disease caused by these pathogens is called Bacterial Vaginosis (BV), Vaginal Candidiasis (VC) and Trichomoniasis (TM) respectively. Here are their important symptoms.

   
 
Type of Vaginitis
Symptoms
Bacterial Vaginosis A thin grayish-white vaginal discharge with strong fishy odor. This odor more noticeable after intercourse
Vaginal Candidiasis White lumpy vaginal discharge looks similar to cottage cheese. Usually causes the vagina and vulva to be very itchy and red.
Trichomoniasis Yellowish green, foamy vaginal discharge that smells foul. Pain with sexual intercourse or urination. Sometimes abdominal pain. Usually spread by sexual contact. Hence sexual partner to be treated as well. Symptoms may become worse after menstrual period.
 
 

Bacterial Vaginosis (BV)

BV is the most common type of vaginitis. BV develops when some of the bacteria like Gardnerella vaginalis that live in the vagina in small colony become more virulent than the normal and friendly bacteria like Lactobacillus. It is important to note that half of women with bacterial Vaginosis have no symptoms at all and the Vaginitis is only discovered during a routine gynecologic exam. BV frequently persists even after treatment. The National Institute of Child Health study in US has found that nearly 50% of pregnant African-American women had Bacterial Vaginosis. (Annals of Internal Medicine Vol.148.3) This is similar to the rate found in non pregnant women. Incidence of BV in general population is about 40 to 50% in child bearing age. BV is more common in communities of low socio-economic status.

Researchers have documented the association between BV and adverse pregnancy outcomes resulting in increased risk of upper genital tract infection and spontaneous abortion.

 
 

Vaginal Candidiasis (VC)

Yeast infection of the vagina is what most women think of when they hear the term “Vaginitis”. Since yeast is normal in a woman's vagina, what makes it cause an infection? Usually this happens due to a change in the delicate balance in the woman's body system. For example a woman may take an antibiotic to treat her urinary tract infection but the antibiotic kills her “friendly” bacteria which normally keep the yeast in leash. As a result yeast overgrows and causes infection. Other factors which upset the delicate balance include pregnancy which changes the hormone levels and diabetes which allows too much sugar in the urine and vagina, high estrogen contraceptive, thyroid disorder and corticosteroid therapy. Normal causative organism is Candida albicans.

It is estimated that 75% of women suffer from this disease at some point of time during their reproductive period and 5% -8% have recurrent episodes. Approximately 3 million women in US have recurrent Candida infection. The prevalence of VC is expected to raise due to the growing number of non-C albicans species (Which are immune to antifungal medication) who have wide spread antifungal resistance. PMID: 15898312 PubMed-Indexed for MEDLINE

BV and VC contribute more to the HIV epidemic than previously thought.

 
 

Trichomoniasis (TM)

Trichomoniasis, commonly called “Trick” is caused by a single celled protozoan parasite by name Trichomonas vaginalis. Incidence of occurrence is 10-15%

TM like BV is associated with upper genital tract infection.

   
 

Incidence of Vaginitis

 
Type of Vaginitis Incidence
Bacterial Vaginosis 40-50%
Yeast of Candida 15-30%
Trichomoniasis 10-15%
   
 

How to treat Vaginitis?

A patient is examined in the doctor's office and a specimen of the vaginal discharge is collected. It is sent to Pathology laboratory for identification of the causative organism. Treatment is then prescribed depending upon the lab report.

Since the causative organisms of the vaginitis are different, it naturally follows that the treatment needs to be specific to the cause. Different medicines are needed to treat different infections. A drug that is appropriate for the treatment of yeast infection is not effective against bacterial infection. Often there are mixed infection which is more bothersome from the point of treatment. Sometimes a clinician finds frank vaginal discharge on vaginal examination but the vaginal smear shows normal vaginal flora. Conversely, a woman may not present any symptoms at all, but the vaginal smear shows evidence of infection.
   
 

What are the shortcomings of the modern treatment?

 

Infection clears up after treatment but then the exact symptoms recur again after some period. This is called chronic recurrent infection.

Treatment becomes difficult when more than one type of infection is seen.

Disrupts normal vaginal flora.

The patient has to visit Doctor's office for physical examination and collection of vaginal swab.

Recurrent infections cause complications.
   
   
 
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