Name It, Don't Shame It | Dr Lizelle Nortje

What is the vagina?

The vagina is part of the female pelvic reproductive system. Situated as a passage from the exterior (the vulva) to the interior (cervix and uterus). It is not the entire female genital area, just the structure in between.

It functions as a passage:

For menstrual blood flow to leave the body.
For sexual intercourse and sexual wellbeing.
For immune regulation, clearing pathogens through the vaginal flora.
A way of childbirth, relying on the opening of the cervix in the final stage.

Internal female reproductive anatomy — uterus, ovaries, fallopian tubes, cervix, vaginal canal — Internal female reproductive anatomy — Source: The Femedic

External female anatomy — vulva diagram labelling clitoris, labia, urethra and vaginal opening — External female anatomy — Source: The Femedic

The cellular components of the vagina.

The vaginal skin or epithelium is composed of the following:

A regenerative layer, the deepest layer, to rebuild cells.
An intermediate layer made from immature cells, as well as cells that are formed during pregnancy.
Superficial layers that are breaking down in the passage of the vagina.

The other components are blood vessels and nerves, as well as a muscular layer.

The pH of the vagina.

This is the very essence of the "healthy vagina" versus the "unhealthy vagina" argument.

The pH balance guides acidity or alkalinity; in the case of the vagina, it is acidic. (Values from 3.8 to 4.5).

Here is the answer to all problems regarding vaginal discharge…

Key Principle · Women's Health

If it is smelly, the pH is off balance!

Vaginal discharge: Can it be normal?

DEFINITELY!

It can occur during the ovulation time as a thick, transparent mucus plug — signalling the time your body releases a dominant follicle, indicating it is ready to allow a pregnancy to occur.

On a daily pattern, the vagina has a minimal visible discharge to allow protection against bacterial infections.

Just remember, it should not itch, burn, or smell like ammonia (fish-like scent).

What is the "high key" message?

Get to know the right names for the right parts of your body.
Understand the role each part plays in the female pelvic reproductive system.
Keep track of your cycle to look out for certain normal events. Once familiar with the normal events, the abnormalities will be easier to see and investigate.