Very profuse leucorrhoea. White discharge from the vagina in girls and women. Folk remedies that alleviate discomfort with whites

Discharge in women and girls should always be - this is the natural state of the vaginal mucosa. Moreover, thanks to the secretions, the vagina is independently cleansed of various bacteria, dead cells, menstrual blood, slime. Most often natural secretions do not have color, but sometimes the appearance of white discharge in girls and women can raise a question - is this normal or are they pathological, indicating some kind of disease.

When is white discharge considered normal?

Often, white discharge in girls is somewhat more abundant than in women of reproductive, middle age, or women during menopause. This is due to the fact that the hormonal background is just being formed in girls, the hormonal background is beginning to stabilize, and in middle-aged women this process has already been completed and is more permanent. Normally, both in girls and in women before menopause, the vagina has a slightly acidic environment, due to the presence of lactobacilli, which form lactic acid. This environment is detrimental to pathogenic microorganisms, it is unfavorable for reproduction pathogenic bacteria. So, what kind of discharge can be considered the norm?

Why does a girl have white discharge with a sour smell?

White mucous discharge in girls and women is commonly called whites. They are a natural waste product of the body, since the cells that cover the walls of the vagina are constantly being updated. Dead cells are constantly sloughed off, mixed with mucus. In addition, the discharge from the cervix is ​​also part of the whites, therefore, physiologically during ovulation, the amount of discharge from the cervix increases, they become more stretchy, mucous. Therefore, it is normal if the selections are transparent or white color, while nothing more woman no worries, no, no burning, no pain.

However, if a white discharge with a sour smell appears, while the itching or discomfort is either significant or only intermittent, this may be a symptom of vaginal candidiasis. a lot - these are hormonal changes, failures, taking hormonal contraceptives, during pregnancy, thrush very often occurs, hygiene disorders, abuse of flavored and antibacterial agents intimate hygiene, color toilet paper taking antibiotics, stressful situations, climate change, nutritional errors - sweet abuse, diets, synthetic underwear, douching too often ()

What discharge may indicate a disease?

With a decrease in local or general immunity, with a violation of hygiene, taking antibiotics, with hormonal failures, opportunistic organisms that are normal in the vagina, without causing harm, can begin to multiply and lead to an inflammatory process. If a girl has the following discharge pattern, this is a symptom of any diseases or disorders and requires examination and a thorough examination by a gynecologist:

• Very profuse, white thick curdled discharge in girls. If the discharge resembles cottage cheese, while the woman experiences itching and burning in the vagina, especially sitting cross-legged, this is bright and girls. Moreover, thrush or vaginal candidiasis does not depend on whether the girl is sexually active or not.
• Foamy, profuse discharge - more than 1 teaspoon per day.
• Highlights of any pronounced color - brown discharge, yellow, green or other conspicuous shades.
• Unpleasant smell - putrid smell, sour, onion smell and others.
• Any suspicious discharge, especially when accompanied by itching, dryness, or discomfort during intercourse, redness of the vulva, pain in the lower abdomen (on one or both sides just below the navel), fever, or constant pain during and after intercourse.

If whites began to change color, smell, quantity, and irritation and discomfort appear in the genital area - this is considered pathological changes and secretions, and the cause of their occurrence should be determined. Also, the discharge can be of different origin, that is, come from different parts of the female reproductive system. The classification of secretions by origin is as follows:

• Tube whites- appear with inflammation fallopian tubes, while fluid accumulates in the tubes, which first enters the uterus, then exits through the cervix into the vagina.
• Vaginal leucorrhea- this is the most harmless discharge, when, with inflammatory diseases of the vagina, various white, yellow discharges appear, most often with an unpleasant odor - this can be trichomoniasis, bacterial vaginosis, thrush, etc.
• Cervical leucorrhea- appear with inflammation of the cervix (cervicitis) of any etiology. The cause may be mycoplasmosis, chlamydia, ureaplasmosis, gonorrhea, etc.
• Uterine leucorrhea- with endometritis of any etiology. In this case, the inflammatory exudate drains through the cervical canal into the vagina and mixes with the vaginal secretions.

Is it possible to determine the disease by the color of the discharge?

Unfortunately, the reasons causing change color and nature of discharge, may be over 100, based on external description secretions, no gynecologist without laboratory diagnostics can establish a diagnosis. Theoretically, only abundant, strong whites cottage cheese secretions in girls and women can be an unmistakable diagnosis of vaginal candidiasis. However, thrush often co-occurs with other sexually transmitted infections, so only smear and culture tests, as well as STI testing, can establish true reason changes in the discharge of a woman. The color of the discharge can only give a little hint in which direction the research should be carried out more thoroughly:

• Transparent whites, foaming can be .
• Gray shade of white with characteristic fishy smell, most often occurs with gardnerellosis,.
• Greenish discharge- discharge with such a shade speaks of a purulent process, since a large number of leukocytes give secretions green color. The stronger inflammatory process, the more leukocytes, and, accordingly, more green tint in the discharge.
• yellow discharge- this may be one of the symptoms of trichomoniasis, since inflammation in trichomoniasis is most often localized in the vagina, in which the concentration of leukocytes is lower.
• Discharge in girls white color- can both be a symptom of thrush, and be the norm. Since, with a mild degree of vaginal candidiasis, there may not be significant itching and burning, only occasionally and slightly, therefore, with the appearance of more abundant, too white, thick, curdled secretions, you should visit a gynecologist and find out if it is thrush or not.

However, it is not necessary to unambiguously regard the color of whiter as a diagnosis of the disease, only tests can establish accurate diagnosis with pathological discharge.

When to see a doctor for white discharge?

If the white discharge from a girl or woman is not more than a teaspoon per day, is not accompanied by other unpleasant symptoms, then you should not worry. However, if the discharge becomes very copious, cheesy, frothy, thick, appears, changes color to yellow, green, gray, any bad smell, especially if any of the above is supplemented by itching, burning, pain, not even high, subfebrile temperature- This is a reason to see a doctor:

• First, the gynecologist conducts an examination on the chair. In the mirrors, you can see the walls of the vagina and the cervix - in what condition they are, inflamed or not, whether there are pathological discharges from the cervix and what they are.
• In some cases, a doctor may perform a colposcopy to rule out or confirm cervical dysplasia or erosion.
• If you suspect an STI, in addition to the usual smear for flora and bakposev, the gynecologist can send a smear for analysis PCR method.
• If the patient complains of pain, menstrual irregularities, etc., if inflammatory diseases of the uterine appendages or the uterus itself are suspected, a transvaginal ultrasound is indicated, which can help in establishing a complete clinical picture.

Beli is quite normal.

Their release is directly related to the work of the reproductive system.

But for many women, discharge is a discomfort.

Why they bother so often, and whether they are a cause for concern at all, we will find out in this article.

Beli: reasons

If everything is normal, then the leucorrhea should be completely colorless and there should not be an unpleasant odor from them.

If their color and consistency changes, one can judge the presence of many diseases. The main causes that provoke the occurrence of leucorrhoea are sexual infections and physiological processes.

Physiological causes

For the first time, discharge appears in girls in adolescence when puberty occurs. AT this case, white, it's only hormonal changes in the body.

In women of reproductive age, clear-colored discharge from the genital tract can often be observed. First of all, this indicates the approaching ovulation. At the moment when the egg is released from the ovary, best time to conceive a fetus. In a healthy woman, the amount of leucorrhea during this period reaches its maximum. If you feel strong smell from secretions, most likely we are talking about poor hygiene.

At the time of strong sexual arousal, the amount of leucorrhoea also increases, against the background of this, there is an increase in the secretion of the vagina naturally.

The beginning of pregnancy - the amount of viscous discharge in this moment will also be increased. Moreover, you can find that their color has changed slightly and turned yellow.

Over the course of 9 months, the amount of discharge can either increase or decrease. All this is connected with the ongoing changes in the body.

What diseases provoke leucorrhoea

Strong secretions, constantly irritating the skin of the genital organs and the mucous membrane, indicate the presence of diseases. In this case, we are talking about inflammatory processes or chronic infections.

Due to violation normal microflora, white discharge appears, having sour smell. This speaks of gardnerellosis or candidiasis.

Sexually transmitted infections are manifested primarily by the release of leucorrhoea. They become unnatural in color - yellow, green or even brown and have a rather unpleasant odor. Such infections include: gonorrhea, chlamydia or trichomniasis.

Inflammation in the fallopian tubes or uterus is another cause copious discharge.

Allocations can also provoke those diseases that have nothing to do with the reproductive system. For example, this is diabetes. because of advanced level sugar, the microflora of the vagina is disturbed, colpitis develops, and with it leucorrhoea is released.

How to get rid of whiter: drugs and devices

In order to save women from whiter, doctors prescribe treatment simultaneously in several directions:

1. Etiotropic treatment(there is an impact directly on the cause). It can be antifungal, antibacterial, antiviral, it all depends on the type and type of pathogen.

2. Pathogenic treatment, first of all, it is aimed at restoring the normal microflora of the vagina.

3. Physiotherapy.

For antibiotic therapy experts prescribe antibiotics, they need to be selected taking into account the pathogen, as well as based on sensitivity to drugs. For example, it may be tetracycline, macrolide.

If a fungus has been identified, antifungal drugs should be prescribed.

Many mothers are concerned about the question of how to get rid of the whiteness of their daughters. As a rule, they are prescribed the same drugs, but the dose is reduced accordingly.

As noted above, white discharge may be the result of infections that are transmitted through sexual contact, which is why such patients are tested for STIs. After identifying a specific pathogen, appropriate treatment is prescribed.

It is unlikely that you will be able to get rid of the disease on your own, since it is important to know exactly the cause of the occurrence. similar condition. Therefore, after the discharge began to disturb, it is necessary to seek the advice of a gynecologist.

How to get rid of whiter: folk remedies

Many girls and women prefer folk remedies rather than drug treatment. Many antibiotics prescribed by doctors in this case lead to the fact that the intestinal microflora is irritated, immunity decreases, and the body becomes susceptible to various infections and diseases. Beli appear as a result of the fact that infections and pathogenic microbes enter the genitals. Folk remedies do no harm.

It is recommended to use many herbs, based on them, a solution for douching is brewed, washing takes place, baths are taken. For example, one can take the usual pine buds and pour them with boiling water, then put on fire and boil for about 30 minutes. With this composition, you can take baths, and it is possible to do this every day.

In order to speed up the healing process, you can combine the intake of compounds inside and the use of baths. Juniper berries are quite useful. You can chew a few berries every day. But a session of such therapy cannot be continued for more than 10 days. This recipe is contraindicated for those who have kidney problems.

Chamomile has been famous for its beneficial properties for several centuries. It has a good anti-inflammatory property, which is why it can not only eliminate the whites themselves, but also the cause of their occurrence.

Many doctors in gynecological practice use some folk remedies. To do this, you can prepare a decoction based on sage, rosemary, yarrow. Plants can be brewed individually or used all at once.

But still the most effective way is douching, because this is a targeted effect on the main source of excretion. good remedy for the preparation of the solution is St. John's wort. Many healers say that it must be collected on Friday, before the sun rises. It was then, in their opinion, the plant has healing properties.

Another way to eliminate secretions, oddly enough, is the usual trip to the bath. It is better if you do it regularly, and you need to combine it with some kind of treatment at the same time.

Any woman should monitor and take care of her health, but in no case should everything be left to chance.

How to get rid of whites: step by step instructions

Good help various decoctions and tinctures for drinking. You can cook them based on the recipes below:

1. Tincture based wormwood. Place 20 grams of finely chopped wormwood root in a container and fill with one glass hot water. Cover with a lid on top and put in a dark place so that the product is infused. Record four hours and strain. Take the tincture three times a day, one tablespoon. Thanks to this, you will not only get rid of whites, but also from many inflammatory diseases as well as severe pain in the lower abdomen.

2. In the presence of pathological discharge, it is useful to drink next remedy- roots of sweet clover or peony brewed with boiling water.

3. Viburnum or barberry juice is considered an effective remedy. To positive result was noticeable as soon as possible, you need to drink 50 grams of juice every day.

Products for external use

Pathological leucorrhoea capable of causing severe discomfort in the genitals, there is a burning sensation, itching, pain is felt when urinating. To make everything easier unpleasant symptoms and get rid of them, it is necessary to apply different formulations for washing, as well as douching:

1. Eucalyptus is a plant that has an anti-inflammatory effect. In order to carry out douching, a solution of two glasses of eucalyptus mixed with one glass of water is enough. In order to prepare a solution, you need to take 30 grams of crushed leaves and steam them in a glass of water. Under no circumstances should the solution be used in pure form otherwise irritation of the mucosa may occur. You can not only douche, but also prepare tampons, and then insert them into the vagina for 5 hours.

2. If discomfort began to appear more and more often, but there is not a single drug at hand, ordinary soda can help. The prepared solution should be strong, one and a half liters warm water you need to take one tablespoon of soda. Twice a day, wash the genitals with the resulting product. Burning and itching will pass quickly enough.

3. With abnormal whites, a real ambulance is a decoction of St. John's wort. Take three spoons of grass and pour two liters boiled water. The broth should be boiled over low heat, and then douche them.

How to get rid of whites and not hurt yourself

One of common problems that experts hear is profuse vaginal discharge. This is not always a sign of any disease. Normal whites should be a maximum of 2 ml. The color can also range from white to slightly yellowish. Often the smell resembles sour milk products, or it is not at all.

If suddenly the discharge has become more abundant than before, an unpleasant odor has appeared, there is a burning sensation and itching, you need to run to the gynecologist as soon as possible. Self-medication can be dangerous, as leucorrhoea is most likely caused by some disease.

It is possible to use folk remedies for the treatment of leucorrhea, but it is better to do this after an examination by a doctor, when the exact cause of this condition is clarified.

It is also worth noting that nutrition plays an important role. It is advisable to eat less sweets, do not drink coffee.

Treat your health more carefully, try to visit specialists more often for routine preventive examinations.

The presence of vaginal discharge is considered normal. Thanks to the secretion of the mucous membrane of the vagina, the internal and external genital organs get rid of mucus, bacteria, dead cells of the epidermis, blood residues after menstruation. White discharge in women warns of malfunctions in the reproductive system. The amount, smell, color, consistency of secretion may change periodically, depending on various factors. Let's try to figure out the causes of mucous whites, which of them are the norm for the body of a healthy woman.

Causes of whiteness from the vagina

Many of the fair sex are interested in the origin of the clear, watery secretion from a woman's vagina. Let's try to cover this topic in as much detail as possible. According to experts, there are many reasons for the appearance of white discharge in women. The determining "culprits" of the occurrence of whites are considered natural processes physiology, infectious diseases. Vaginal secretion is normally odorless. If a bad aroma is felt, this is one of the first signals of health problems.

With smell

foul-smelling white selection in girls and women of reproductive age, it signals the presence of bacteria in the genitals. Often the following factors become the sources of such troubles:

• Thrush or urogenital candidiasis. The causative agent of this ailment is the Candida fungus. The main symptoms of the disease are heavy discharge curdled consistency, for which the characteristic severe itching and burning in the vagina. Leucorrhea caused by thrush has a sour, pungent odor.
• Itching in the vagina and white discharge causes dysbacteriosis (bacterial vaginosis) of the genital organs - a disorder in the connection of different beneficial microbes. Vaginosis is characterized by profuse, sometimes frothy discharge. gray shade. The disease is recognized by the repulsive "aroma" of whites, similar to the smell of fish.
• Next obvious reason the appearance of purulent, thick, foamy discharge greenish color- Trichomonas colpitis disease. It is dangerous and requires urgent medical attention.
• Often, white, copious discharge in girls or women becomes a sign that elementary proper hygiene of the genitals is not observed. This leads to rapid proliferation of bacteria, plus serious illness female reproductive organs.

Without smell

Often, odorless whites stand out for the following reasons:

• The vaginal secretion takes on a more liquid, watery consistency, becoming more abundant during ovulation (the stage of the menstrual cycle when a mature egg is released from the ovaries).
• Thick white discharge, odorless and itchy, accompanies sexual intercourse. The vagina produces a natural lubricant for easy entry of the male genital organ inside. Thanks to this, partners will not feel discomfort during intercourse.
• The amount of white non-dangerous discharge in women increases during the period of bearing a child. it necessary measure for effective protection fetus and mother from infection in the body.
• Sometimes whites are provoked by the use of intrauterine devices, creams, similar contraceptives.

Why white discharge appears

If clear or white mucous discharge appears before menstruation, during sexual intimacy, or during pregnancy, this should not be cause for concern. Such a reaction of the body is characteristic. If whites cause discomfort, have an unpleasant odor, change color, then you should definitely consult a doctor. Atypical discharge indicates diseases that are best treated on initial stage.

Before menstruation

White discharge in healthy women is observed during the menstrual cycle. Natural leucorrhoea is created using the secret of the genital organs, assists in moisturizing them, and blocks the appearance of harmful bacteria. If there is no infection in the body, then the discharge is transparent, whitish in color, and moderate in amount. The consistency of whiter often varies, depending on hormonal level and secretion activity.

White discharge without itching, burning, odors, which have a slightly cloudy color - this is the standard. In this way, the vagina gets rid of dead skin cells. Smearing whites before the onset of menstruation can notify the appearance of pathology. If the discharge is viscous, curdled, accompanied by a delay in menstruation, then you should immediately contact a gynecologist for advice.

During pregnancy

White discharge during pregnancy is referred to as normal reaction body, which occurs due to an increase in the amount of hormones and increased blood circulation in the vaginal area. If whites are abundant, then it is better to refuse to wear tight clothes (synthetics) for the duration of the baby's bearing. It is advisable to more carefully monitor personal hygiene, use daily pads. Such vaginal discharge does not affect childbirth, the condition of the unborn child.

Sometimes there are white yellow discharge in early pregnancy, which in some cases serve as a signal of vaginal infectious diseases and similar ailments. The most common ailments in pregnant women include fungal infections that cause leucorrhea of ​​an atypical color. Allocations outside the norm are found in venereal diseases. If it is found that the vaginal secretion does not correspond to natural whites, then you should immediately go through medical examination. An easy, fast healing process is guaranteed.

During or after intercourse

The amount of secretion secreted by the vagina during and after sexual intercourse always increases if the woman does not have problems with urogenital function. Vaginal leucorrhoea plays the role of a lubricant that helps to avoid discomfort and pain when a man inserts the penis into the vagina. But, if the female secretion released during arousal changes color, texture or acquires an unpleasant odor, a doctor's consultation will not be superfluous.

Such signs are harbingers of sexually transmitted diseases and not only. For example, cheesy, white and too strong vaginal discharge indicate the appearance of thrush. Symptoms of very unpleasant and dangerous disease- trichomoniasis are greenish or yellow vaginal secretion of a foamy consistency and severe itching. Do not risk your health and start the disease. Immediate treatment will help achieve Get well soon.

What vaginal discharge is considered normal

Normal vaginal discharge includes:

• vaginal secretion of a non-abundant nature;
• clear white vaginal secretion;
• odorless leucorrhoea (they have only a barely perceptible, specific aroma, individual for each woman);
• a secret that does not irritate the skin and mucous membranes of the genital organs;
• discharge that does not cause pain, burning and discomfort in general.

What diseases are indicated by white discharge

As mentioned earlier, white mucous discharge from the vagina of a healthy woman does not differ in a special color and smell. Periodically, the density of secretion changes, which in some situations signals the appearance of diseases.

thick

Vaginal discharge that has a dense, creamy consistency indicates the likelihood of getting into female body harmful microbes. The sooner the disease is detected, the more likely it is to get rid of its development and avoid typical consequences. The source of the appearance of atypical strong leucorrhoea is often fungal, viral, bacterial ailments (less often more serious diseases that require surgical operation). The most common "culprits" of such secretions are thrush, infections of the urethra.

Liquid

Fluid vaginal secretion is considered normal only during ovulation or the luteal period. Permanent watery discharge with whitish streaks can serve as symptoms of an inflammatory process in the cervical canal or its erosion. white liquid with a bad aroma and a yellow-green tint, it warns of the possible appearance of trichomoniasis, chlamydia, gonorrhea and similar diseases.

Mucous

In the case of mucous secretions, there are two options: the norm or a signal of illness. In what situation is it necessary to seek medical help? If the whites do not stop throughout the entire menstrual cycle and resemble a stretching, dense snot, then you should urgently consult a specialist. Often, mucous secretion with an unpleasant odor, the appearance of which begins to itch and itch the vagina, indicates infection with chlamydia, trichomoniasis, vaginosis, thrush, gonorrhea.

Reasons for the appearance of an uncharacteristic mucous secretion that are not related to infection:

• dermatitis of the vulva;
• polyps on the cervix;
• foreign objects in the vagina (for example, part of a tampon or pad);
• malignant formations organs of the reproductive system.

Abundant and curdled

White abundant discharge of a curdled consistency is not normal, they confirm the presence serious problems with health. Main reasons:

• Curdled leucorrhoea, characterized by a smell sour milk- the first sign of the development of candidiasis (thrush). This ailment occurs due to the inflammatory process of the vaginal mucosa caused by a fungus.
• The odorless "cottage cheese" of a yellow tint informs about inflammation of the ovaries, fallopian tubes, or damage to the appendages bacterial infection. Sharp forms adnexitis, salpingitis or oophoritis are accompanied by copious discharge, chronic stages- on the contrary, small.
• Green and yellow-green leucorrhea are signs of trichomoniasis, bacterial vaginosis, colpitis, inflammation of the urethra, urinary system.

Which doctor to contact

Often, women who find themselves with atypical vaginal discharge do not know which doctor to go to for a consultation. Such information is very important. Timely detected and cured disease is an excellent insurance against complications and health problems in the future. If the vaginal secretion smells unpleasant, looks strange, plus there is discomfort in the genitals, then you should immediately contact an obstetrician-gynecologist. The doctor will be able to identify the exact cause of the appearance of uncharacteristic discharge and prescribe therapy with vaginal suppositories, tablets.

Video: what does white discharge mean in women

We recommend to consolidate the result from the information read above and watch the video. After watching the video, it will become more clear where the discharge comes from and what their role is in the body. A gynecologist will tell you about the types of leucorrhea, the main causes of their appearance, the diagnosis of diseases, preventive measures and in what cases it is necessary health care. Timely consultation with a gynecologist and competent therapy will help you quickly get rid of the ailment.

Does vaginal discharge always indicate the presence of any disease? When is vaginal discharge considered normal?
Vaginal discharge can be observed even in completely healthy women, and given state considered to be normal. Signs of healthy vaginal discharge include:

• Clear, liquid discharge jelly, slime)
• Discharge without a noticeable odor
• A small amount of discharge
• Allocations are not irritating skin and mucous membranes of the genital organs
• Discharge, not accompanied by fever, pain or discomfort in the genital area.

Vaginal discharge - what can it be?
Below, readers will be provided with information on the most common forms of vaginal discharge, as well as the reasons that provoke their development.

Vaginal discharge of various colors, odors and textures
A little higher, we have already said that all healthy women have watery, transparent and colorless vaginal discharge. If they acquire a different consistency, a specific smell or some color, then, most likely, some disease has settled in the woman's body:

Bloody (red) vaginal discharge - are a signal that there is blood in the vaginal discharge. In most cases, this kind of discharge occurs two to four days before the onset of menstruation, after which they are converted into copious discharge along with the onset of menstruation. It is worth noting that this kind of discharge tends to be observed even a few days after menstruation. If the discharge is not plentiful, then it is better for a woman not to panic. Especially often this phenomenon is observed in women who wear a spiral.
Quite often, spotting is endowed with a blackish or brown color, which indicates the fact of oxidation, as well as the destruction of blood in the vagina.
There are also cases when a woman has spotting discharge, which contains a small amount of blood. As a rule, perimenstrual bloody discharge does not have a specific smell.

Sometimes mild spotting occurs at the time of ovulation, as well as in women who wear a spiral or use oral contraceptives. When permanent occurrence this phenomenon against the background of wearing intrauterine device or the use of contraceptives, it is necessary to discuss this fact with a gynecologist, having previously signed up for a consultation with him.
If bloody vaginal discharge is in no way connected with the menstrual cycle, then they can be considered a signal of the presence of any pathology.
In most cases, this kind of discharge makes itself felt:

• For menstrual irregularities
• Endometriosis ( adenomyosis)
• Cancer or erosion of the cervix. In this case, the discharge is especially abundant after sexual intercourse.

Purulent vaginal discharge noted in such infectious pathologies as chlamydia, trichomoniasis, thrush, gonorrhea and others. As a rule, this kind of discharge also causes a feeling of discomfort in the genital area and itching. Sometimes women also complain of pain in the lumbar region or lower abdomen. During pregnancy, whitish viscous vaginal discharge is considered to be a normal condition if other symptoms of the disease in future mother not visible.

curdled, foamy, thick discharge from the vagina
A change in the consistency of vaginal discharge is also considered to be one of the clear signs of the presence of a particular pathology. A little higher, we have already said that normal secretions must be liquid, similar to mucus. If the discharge is white curdled or foamy, then most likely the woman has some kind of infectious disease.

Vaginal discharge with an unpleasant odor
The appearance of vaginal discharge, endowed with a specific odor, indicates the presence of an infectious pathology. The smell in this case can be both sour and rotten or resemble the smell of fish. It occurs against the background of the vital activity of pathogenic microorganisms, which tend to decompose nutritional components, while emitting gases endowed with a very unpleasant odor.

Vaginal discharge before and after sexual intercourse
At the time of sexual arousal, the vaginal glands of the fair sex tend to intensively synthesize vaginal lubrication, so a large amount of transparent liquid discharge that occurs before and during sexual intercourse is considered to be the norm. Women should not be afraid of the appearance of thick, abundant discharge after sexual contact. The fact is that if sexual intercourse took place without the use of a condom, then it is quite possible that in this way the vagina is trying to clear itself of sperm. In most cases, this kind of discharge disappears in a fairly short period of time.
If a woman has spotting during or after sex, then most likely she has cervical erosion.
The appearance of yellow, purulent, white, gray or greenish discharge a few days or weeks after sexual intercourse is considered to be a signal of the occurrence of an infectious disease.

Vaginal discharge as a symptom of an infection
Vaginal discharge is considered to be a clear sign of the development of an infectious pathology of the genital tract in only a few cases. The largest number pathologies in which vaginal discharge is noted, are infectious and are transmitted during sexual contact.
To the most common reasons development of vaginal discharge can include:

• candidiasis ( thrush)
• Urogenital trichomoniasis

Diagnosis of urogenital trichomoniasis
It is impossible to make an accurate diagnosis of urogenital trichomoniasis, considering only the presence of discharge and some other symptoms of this pathology.
To identify this pathology, it is necessary to conduct such studies as:

• The cultural method of research is the cultivation of colonies of microorganisms taken from the vagina on special nutrient media and their further study.
• Microscopic examination of unstained ( native) swab taken from the vagina.
• PCR (polymerase chain reaction ) research method involving the study of genetic material Trichomonas vaginalis .
• Microscopic examination of a stained vaginal smear. It is dyed with special dyes.

Therapy for urogenital trichomoniasis is possible only if a woman has been given a truly accurate diagnosis of this pathology. Among the most effective medicines, used in the fight against this pathology, can be considered: Nimorazole, Metronidazole , Ornidazole, Tinidazole and others. It is very important that the therapy of this disease is carried out under the vigilant supervision of a doctor. Self-treatment in this case, it is not recommended to carry out, since this pathology, with irrational treatment, can become chronic. As a rule, during the treatment of urogenital trichomoniasis, vaginal discharge first becomes weaker, after which it disappears completely. It is also important to draw the attention of readers to the fact that the absence of selections is not a fact. complete healing, so that the course of treatment must be carried out to the end. How long it will last, your doctor will determine.

Bacterial vaginosis as a cause contributing to the development of vaginal discharge
Bacterial vaginosis is a very common pathology, accompanied by secretions that are endowed with an unpleasant odor. This disease occurs as a result of a very strong growth of bacteria directly on the mucous membrane of the vagina. AT healthy condition These bacteria are also present in the vagina, but only in very small quantities. Among them can be counted as Peptococci, and Gerdenerella vaginalis , Bacteroids and others. With the development of this pathology, a woman has white vaginal discharge, endowed with the smell of fish. To make a diagnosis of bacterial vaginosis, it is not enough just to know about the presence of secretions.

Diagnosis of bacterial vaginosis involves the use of such research methods as:

• pH-metry, or detection of the acidity of the vaginal environment. Under normal conditions, the vagina has acidic environment, but in the case of bacterial vaginosis, it becomes alkaline.

Therapy for bacterial vaginosis involves the use of local drugs, namely:

• Vaginal suppositories clindamycin ( one hundred milligrams) - must be inserted into the vagina once a day for six days.
• Gel metronidazole seventy-five percent - must be inserted into the vagina once a day for five days.

• Ornisid forte should be taken orally five hundred milligrams in the morning and evening for five days.
• Clindamycin take in capsules of three hundred milligrams in the morning and evening for seven days.
• Metronidazole(Trichopol) in the form of tablets of two hundred and fifty milligrams. Take two tablets in the morning and evening for seven days.

Urogenital candidiasis (thrush) as a cause contributing to the occurrence of vaginal discharge
Urogenital candidiasis is an inflammatory pathology of the genital organs in women and men, resulting from exposure to the body of fungi of the genus candida. In women, with the development of this disease, white thick discharge is observed. In addition, they may be disturbed by discomfort, as well as itching in the genital area. Quite often, this disease also causes pain and cramps during urination.

Diagnosis of thrush involves the use of the following research methods:

• Microscopic examination of unstained swabs taken from the vagina.
• Examination under a microscope of swabs stained with special dyes taken from the vagina.
• A mycological study involving the detection of a type of fungus that provoked the development of urogenital candidiasis.

• Clotrimazole vaginal tablets two hundred milligrams - must be injected into the vagina once a day for three days.
• Vaginal cream clotrimazole one percent should be injected into the vagina once a day for seven to fourteen days.
• Isoconazole- vaginal suppositories of six hundred milligrams. It is recommended to enter into the vagina once.

• Itraconazole (Irunin, Orungal) should be taken two hundred milligrams once a day for three days.
• Fluconazole ( Diflucan, Flucostat, Mycomax) - is used according to several treatment regimens: one hundred and fifty milligrams once, or one hundred milligrams on the first, fourth, and also the seventh day of therapy.

Vaginal discharge during pregnancy
Vaginal discharge is especially alarming for expectant mothers, since during this period they are responsible not only for themselves, but also for the child. In fact, every pregnant woman should special attention monitor the nature of vaginal discharge in order to “sound the alarm” at the right time.

Discharge in early pregnancy
A little higher, we already talked about the fact that abundant transparent selection in the first months of pregnancy, which are not endowed with a specific odor, are normal.
If a woman has spotting during this period, then this can serve as a signal of an unexpected miscarriage or an ectopic pregnancy.
Whitish or purulent vaginal discharge in the early stages of pregnancy is considered to be a sign of the development of a particular infectious pathology.

Allocations to later dates pregnancy
In the second trimester of pregnancy in a healthy pregnant woman, vaginal discharge may become thicker and more viscous. This phenomenon is the norm. If the vaginal discharge is bloody, this may signal the onset of preterm labor or miscarriage, so in such cases, emergency hospitalization of the expectant mother is recommended. Vaginal discharge Brown color in late pregnancy quite often occur due to minor bleeding from the vessels of the cervix. In this case, a pregnant woman should also visit a doctor.

When should you see a doctor for vaginal discharge?

Normal secretions are in a small volume, translucent, transparent or whitish in color, watery, creamy or jelly-like consistency, with a slight sour smell. Normal discharge does not irritate the genitals, does not cause discomfort, itching, redness or swelling. Also, normal secretions do not emit a strong or unpleasant odor (eg fishy odor, strong sour odor, etc.).

In addition, minor bloody or brownish discharge 2 - 4 days before and after menstruation. It is also normal to have mild spotting for several days during the ovulation period.

Spotting is considered pathological not before or after menstruation, and also not during ovulation. In addition, discharges of a greenish, yellowish, grayish, earthy color, containing impurities of pus, blood, flakes, vesicles, having a curdled or other heterogeneous consistency, emitting an unpleasant pungent odor or causing itching, burning, swelling, redness and discomfort in the genital area, are pathological. organs.

Which doctor should I contact with pathological vaginal discharge?

If within two weeks after intercourse the nature of the discharge has changed, impurities of pus, mucus, flakes or vesicles have appeared in them, they have turned greenish, yellowish, grayish or earthy in color, they have begun to emit an unpleasant odor, then the woman can also contact a venereologist or a gynecologist, since such discharge indicates infection with an infectious disease.

What tests can doctors prescribe for vaginal discharge?

First of all, for any nature of the discharge, the doctor prescribes a gynecological bimanual examination (with hands) and an examination of the tissues of the vagina and cervix in the mirrors. These studies are considered routine and are carried out in without fail when a woman contacts a medical facility for any kind of vaginal discharge.

Further, if there is enough heavy bleeding(discharge of blood, as during menstruation, in the same or more quantity), the doctor usually prescribes ultrasound procedure(ultrasound) (endometrial hyperplasia. If the cervix is ​​not damaged, then even with minor bleeding / spotting, hysteroscopy, diagnostic curettage and ultrasound are prescribed.

With pathological discharge inflammatory nature(with a greenish, yellowish, grayish, earthy color, containing an admixture of pus, blood, flakes, vesicles, having a curdled or other heterogeneous consistency, emitting an unpleasant pungent odor or leading to itching, burning, swelling, redness and discomfort in the genital area) the doctor always prescribes swab for flora (make an appointment), which allows you to identify a number of the following infectious diseases: candidiasis, trichomoniasis, bacterial vaginosis, gonorrhea (sign up). These genital infections are most common compared to others, and therefore, at the first stage, the doctor does not prescribe more expensive and complex tests, because a simple smear on the flora allows them to be detected.

If, according to the results of the smear, it was possible to identify candidiasis, trichomoniasis, gardnerellosis or gonorrhea, then the doctor can go in two ways - either immediately prescribe treatment, or take a smear from the vagina for bacteriological and mycological culture to determine which antibiotics and antifungal agents will be the most detrimental to the infectious agent present in the particular case. If the immediately prescribed treatment is ineffective, then the doctor prescribes a bacteriological or mycological culture.

If, according to the results of the smear, no infectious agents were found, but there is a picture of inflammation, then the doctor prescribes more complex tests to identify pathogenic microbes. Usually, first of all, an analysis of the vaginal discharge for the presence of Trichomonas and gonococci is prescribed by PCR and blood test for syphilis (pale treponema) (make an appointment), since these pathogens are most common. If, according to the results of the analysis, those are found, then treatment is prescribed.

If gonococci, Trichomonas or pale treponemas not found, then assigned analysis for ureaplasma (sign up), chlamydia (sign up), mycoplasma (sign up), gardnerella, bacteroids. Analyzes for these pathogens can be different - bacteriological culture, PCR, ELISA and various ways sampling and staining of smears from the vagina. The choice of analysis is made by the doctor and depends mainly on the technical capabilities of the medical institution or on the financial capabilities of the patient, since the most precise analyzes most often you have to take it in private laboratories for a fee.

If the results of the tests revealed the absence of trichomoniasis, gonorrhea, syphilis, candidiasis, ureaplasmosis, chlamydia, mycoplasmosis and gardnerellosis, but there is an inflammatory process in the genitals, then the doctor may prescribe tests for the presence of viruses - herpes virus types 1 and 2, human papillomavirus, cytomegalovirus, Epstein-Barr virus, which are also capable of provoking inflammation in the genitals of a woman.

Pregnant women with suspected amniotic fluid leakage are usually prescribed a vaginal smear test for scales. In addition, there are pharmacy, ready-to-use tests for amniotic fluid leakage, which are similar in principle to pregnancy tests. A pregnant woman can use such tests on her own. For the rest, when inflammatory discharge from the vagina, pregnant women are prescribed the same tests as non-pregnant women. And when bleeding occurs during pregnancy, women are sent to the hospital for examination, since in a similar position they can be a sign of pregnancy complications.

What will the discharge in early pregnancy tell about?

Normally, a healthy woman excretes daily a small amount of vaginal secretion. This is a mucous discharge, which may vary in degree of density.

It is formed due to the secretion of the glands of the vestibule of the vagina, cervix, endometrium. Microorganisms that form the biocenosis of the vagina participate in the formation of fluid.

AT certain periods life, the amount of vaginal discharge may increase. Sometimes they change color, texture and smell, become pathological.

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1. Why does the selection change?

Vaginal discharge becomes more abundant under the influence of estrogen. This is clearly visible during the period of ovulation, when there is more fluid, but it resembles transparent, light mucus or egg white. This is the normal state.

Sexual arousal dilates blood vessels, increases blood flow to the pelvic organs. Some of the plasma leaks out of the capillaries into the vagina. At the same time, the secretions become larger, they are more liquid. Sometimes an increase in secretion is noticed before the onset of menstruation.

During pregnancy, under the influence of hormones, the amount of discharge also increases, they can be white, creamy, viscous, but do not cause irritation and are not accompanied by itching and burning. In smears, inflammatory changes should not be observed.

Pathological whites have other characteristics:

1. 1 The color changes from transparent to white, sometimes with other shades.
2. 2 The consistency becomes viscous, liquid, foamy, .
3. 3 The number increases in different proportions, sometimes there are a lot of them.
4. 4 May appear foreign smell(, pronounced sour, rotten).
5. 5 According to the physical properties of leucorrhoea, it can be assumed which microorganism provoked the disease.

White discharge in women is observed more often than others. The main reasons for their occurrence are changes hormonal background(early pregnancy, ovulation, etc.), infection (, cervicitis), erosion and ectopia of the cervix.

2. Candidiasis

This fungal infection is the most likely cause of white discharge. Most often they resemble cottage cheese, thick and grainy, but can be slimy and viscous, odorless. Additional symptoms are itching and burning in the vagina and urethra.

3. Bacterial vaginosis

grayish white, stringy discharge, sometimes having a yellow tint, are observed at.

6. Ectopia and erosion of the cervix

These diseases are also often accompanied by abundant light, clear or white discharge, their number naturally increases before menstruation, after intercourse and during ovulation.

A woman often has intermenstrual bleeding and there is a slight bleeding after sex (additional trauma to the epithelium is accompanied by the appearance of brown and creamy discharge).

These pathologies require mandatory observation by a gynecologist, diagnosis and timely treatment (electrocoagulation, laser coagulation, cryodestruction or conization).

7. Additional features

White discharge is not a single symptom of the disease. Often they are accompanied by the following symptoms:

1. 1 Itching in the intimate area different intensity. Sometimes it appears before a copious discharge. With candidiasis and trichomoniasis, itching is observed more often than with bacterial vaginosis, mycoplasmosis.
2. 2 Swelling and redness are signs of an inflammatory reaction.
3. 3 Increased bleeding. In the inflamed mucosa, the vessels are easily damaged, slight bleeding after intercourse, gynecological examination and so on.
4. 4 The smell can also change. Normal female discharge odorless, less often with slightly sour. With candidiasis, the sour smell becomes more pronounced, sharp. Gardnerellosis is accompanied by an unpleasant fishy smell. A sharp, heavy odor is observed when purulent inflammation(gonorrhea, trichomoniasis).

The appearance of white vaginal discharge may be accompanied by dyspareunia - painful sensations during intercourse. They are also observed during examination. Pelvic pain occurs when organs are involved in the inflammatory process top floor(mucosa of the uterus, appendages).

Dysuric disorders mean involvement of the urethra and bladder (urethritis and cystitis).

A change in the nature of the discharge against the background of a delay in menstruation may be the first sign of a pregnancy.

8. Diagnostic methods

The described symptoms are the main reason for visiting a gynecologist. Before the examination, he must find out:

1. 1 The time of appearance of whites.
2. 2 Whether this was preceded by unprotected intercourse, a change of partner, and so on.
3. 3 The intensity of the discharge.
4. 4 Additional complaints (itching and burning, soreness, cycle disorder, frequent painful urination, etc.)
5. 5 The presence of odor in intimate place and its enhancement during hygiene procedures, after sex.
6. 6 Intensity of pelvic pain.
7. 7 Whether any self-treatment was carried out. This may impair diagnosis.

Then the examination is carried out on the chair. It is carried out even during menstruation. girls with pathological secretions should be seen in the presence of parents. Girls who didn't have sexual relations, bimanually examined through the rectum. Inspection of the vagina is performed without mirrors, so as not to damage the hymen.

During the examination, pay attention to the condition of the mucous membrane, its swelling and hyperemia. White coating can tightly attach to the walls of the vagina, and when you try to separate it with a spatula, bleeding appears. Such symptoms are characteristic of candidiasis.

The main stage of diagnosis is. This technique allows you to identify fungi, gardnerella, Trichomonas, gonococci and prescribe suitable treatment. In some cases, bacteriological culture and PCR diagnostics are required (complex real-time PCR, Femoflor test).

9. What can be treated?

The correct treatment tactics depends on the causative agent of the infection:

1. 1 Vulvovaginal candidiasis should be treated antifungal agents. If the entrance to the vagina is very itchy, then you can eliminate the itching with the help of local funds. For the treatment of thrush, candles Clotrimazole, Pimafucin, Miconazole, Butoconazole are most often used. Inside, you can use Fluconazole (Difluzon, Diflucan, Flucostat).
2. 2 Bacterial vaginosis should be treated with antibiotics. Metronidazole (Trichopolum), Tinidazole are effective. They are used in the form of tablets (by mouth, orally) or as vaginal form(gel, vaginal suppositories, capsules).
3. 3 With trichomoniasis appoint Metronidazole, Ornidazole, Tinidazole. Both sexual partners should be treated. Trichomonas vaginitis often becomes chronic, then recurs. Therefore, the effectiveness of treatment must be confirmed by PCR 30 days after the end of the course.
4. 4 In chlamydia and mycoplasmosis, the most effective are macrolides (Josamycin, Azithromycin) and Doxycycline (Unidox Solutab, course - 1 week).
5. 5 Vaginitis and cervicitis caused by opportunistic bacteria are treated with vaginal suppositories, gels containing antibiotics a wide range(Polygynax, Terzhinan, Clindamycin) and antiseptics (Hexicon, Fluomizin, Betadine). The average course duration is 7-10 days.

After a course of antibiotics and antimycotics, it is recommended to restore the balance of the vaginal microflora. In case of recurrent candidiasis, it is necessary to isolate a culture of fungi, determine their sensitivity to drugs, look for the cause of a decrease in immunity and eliminate it.