**4. Vaginal discharge**

Most of the causes of vaginal discharge in palliative patients were discussed in previous paragraphs. Evaluation of new discharge is always warning as it may stand for fungal or bacterial infection, which can be treated in the same way as in common gynaecology practise with local disinfectants, antibiotics and antimycotics, together with good hygiene and probiotic supplementation to reinstall the normal


#### **Table 3.**

*Types of vaginal discharge, etiology and treatment options in palliative patients.*

microbial environment of vagina [1]. In those cases where the discharge represents disease progression (in addition with bleeding and fistulas), a plan for hygiene and for treatment options has to be collaboratively developed (considering surgery procedures, conservative approach, pain relief etc.). See **Table 3**.
