The Effect of Red Betel Leaf Decoction on the Degree of Vaginal Discharge in Adolescents at

Vaginal discharge is an unusual discharge other than blood from the vaginal canal, whether it smells or not, accompanied by itching or not in the local area. This study aimed to determine the effect of boiled red betel leaves on the degree of vaginal discharge in teenagers at the Pondok Pesantren Martausshibyan, Cianjur Regency, Indonesia. This research design uses a one-group pretest-posttest experimental research design with a paired t-test with 30 respondents who carried out 2 measurements, namely measurements during the pre-test and measurements during the post-test. The results showed that there was a decrease in the degree of vaginal discharge before and after the intervention (2.23 ± 0.11 Vs 1.13 ± 0.12) with p <0.05. In conclusion, there is an effect of giving boiled water from red betel leaves on the degree of vaginal discharge of adolescents at the Pondok Pesantren Martausshibyan, Cianjur Regency, Indonesia.

genital area.Red betel leaves also have antiinflammatory properties that can help reduce inflammation and the symptoms associated with it.5][6] This study aimed to determine the effect of boiled red betel leaves on the degree of vaginal discharge in adolescents at the Pondok

Methods
This study is experimental research with a onegroup pre-post-test approach and uses primary data,

Results and Discussion
Table 1 presents the effectiveness of the pre and post-test interventions.This study shows that the intervention of giving boiled red betel leaf water is effective in reducing the degree of vaginal discharge.
There was a decrease in the degree of vaginal discharge after giving boiled red betel leaf water, and it was stated to be statistically different, p<0.05.Tannin is a phenolic compound that is often found in red betel leaves (Piper crocatum Ruiz & Pav.) and plays a role in giving this plant a bitter taste.Tannins have a number of pharmacological properties that may provide benefits in traditional medicine and herbal use.Among these properties is its potential as an antimicrobial and anti-inflammatory agent.Tannins can have antimicrobial activity, which is useful in inhibiting the growth and spread of pathogenic microorganisms, such as bacteria and fungi.This compound can help in treating infections that may cause vaginal discharge or other health problems.
Therefore, the tannins in red betel leaves may contribute to the plant's antimicrobial properties.
Tannins are also known to have anti-inflammatory properties that can help reduce inflammation in certain areas of the body.In the context of vaginal discharge or other health problems involving inflammation, tannins may help reduce the symptoms and discomfort associated with inflammation.

Conclusion
There is an effect of giving boiled water from red betel leaves on the degree of vaginal discharge in teenagers at the Pondok Pesantren Martausshibyan, Cianjur Regency, Indonesia.
Red betel leaves (Piper crocatum Ruiz & Pav.) contain the alkaloid-allocrysin as one of its main compounds.Allocrysin is an alkaloid compound that has been known to have certain pharmacological activities, including antimicrobial and antiinflammatory properties.Allocrysin has the ability to inhibit the growth and development of pathogenic microorganisms, such as bacteria and fungi.Therefore, this compound has potential as a natural antimicrobial agent.In the context of adolescent vaginal discharge, these antimicrobial properties may help overcome infections which can be one of the causes of abnormal vaginal discharge.In addition to antimicrobial properties, allocrysin also has antiinflammatory activity.This means that this compound may help reduce inflammation in the affected area.In cases of vaginal discharge caused by inflammation, allocrysin can help relieve the symptoms and discomfort associated with this condition. 7-9Flavonoids are a type of phenolic compound that is generally found in red betel leaves (Piper crocatum Ruiz & Pav.).These compounds have a number of health benefits, including strong antioxidant activity and the ability to reduce inflammation.Flavonoids are known to have strong antioxidant activity.They can help protect body cells from oxidative damage caused by free radicals.Free radicals are molecules that can damage the body's cells and tissues, and they can play a role in various diseases, including premature aging and degenerative diseases.Apart from protecting body cells from oxidative damage, flavonoids also have the ability to reduce inflammation.They can inhibit the production of proinflammatory substances, such as cytokines and interleukins, which trigger an inflammatory response in the body.This makes flavonoids have the potential to reduce symptoms of inflammation, such as swelling and pain. 10,11 A, Rahayu AS.Potential antimicrobial compounds in ethanol extract of red betel

Table 1 .
Comparison of the degree of vaginal discharge before and after intervention.