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Gynaecological Problems
Sexually transmitted diseases are a major cause of vaginal problems. Symptoms include a smelly discharge, painful intercourse and sometimes a burning sensation when urinating. Male sexual partners must also be treated. Medical attention should be sought and remember in addition to these diseases HIV or hepatitis B may also be acquired during exposure. Besides abstinence, the best thing is to practise safe sex using condoms.
 
Antibiotic use, synthetic underwear, sweating and contraceptive pills can lead to fungal vaginal infections when travelling in hot climates. Maintaining good personal hygiene, and loose-fitting clothes and cotton underwear will help to prevent these infections.
 
Fungal infections, characterised by a rash, itch and discharge, can be treated with a vinegar or lemon-juice douche, or with yoghurt. Nystatin, miconazole or clotrimazole pessaries or vaginal cream are the usual treatment.
 
Pregnancy
It is not advisable to travel to some places while pregnant as some vaccinations normally used to prevent serious diseases are not advisable in pregnancy eg yellow fever. In addition, some diseases are much more serious for the mother (and may increase the risk of a stillborn child) in pregnancy eg malaria.
 
Most miscarriages occur during the first three months of pregnancy. Miscarriage is not uncommon, and can occasionally lead to severe bleeding. The last three months should also be spent within reasonable distance of good medical care. A baby born as early as 24 weeks stands a chance of survival, but only in a good modern hospital. Pregnant women should avoid all unnecessary medication and vaccinations, and malarial prophylactics should still be taken where needed. Additional care should be taken to prevent illness and particular attention should be paid to diet and nutrition. Alcohol and nicotine, for example, should be avoided.
 
 
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