Pale pink discharge that appears in women in different phases menstrual cycle, may be a symptom of injuries to the vaginal and cervical mucosa, endometrial pathology, infectious process ov.
This is an inflammatory process in the cervix, caused by various pathogenic bacteria and viruses. It can be the result of both a chronic infection and a recently acquired one.
Often, cervicitis occurs on the mucous membrane where ectopia (erosion) of the cervix is located. Therefore, many gynecologists recommend getting rid of ectopia to avoid frequent inflammations cervix.
A doctor can see cervicitis during a gynecological examination; the cervical mucosa is inflamed. The number of leukocytes in the smear is increased. And if a culture is done and a smear is taken for sexually transmitted infections, it is possible to determine the exact causative agent of the disease and the treatment tactics.
The most common causes of pale discharge pink color these are: chlamydia, mycoplasmosis, vaginal candidiasis, trichomoniasis, ureaplasmosis, bacterial vaginosis. Let's briefly talk about each of these infections. All of them, except bacterial vaginosis and vaginal candidiasis, are sexually transmitted.
Chlamydia. Incubation period is up to 3 weeks. Symptoms in both men and women are erased. But they may appear after menstruation pale pink discharge if an infection has occurred. Treatment is carried out with the help of antibiotics, and if the infection has already become chronic, more than one drug may be prescribed, and the treatment itself may be long-term. It is important for both partners to be treated, otherwise there will be a re-infection, and in this case the disease can occur with complications. These include inflammation of the appendages, and as a result, infertility.
Mycoplasmosis. Infection with it can occur not only through sexual contact, but also in utero. It is he who is the culprit of urethritis (inflammation of the urethra), pyelonephritis, bacterial vaginosis in women and prostatitis in men. In case of severe symptoms, it is carried out antibacterial therapy.
Trichomoniasis. This disease can be transmitted not only sexually, but also through household contact, since Trichomonas, the causative agents of the disease, remain viable for up to several hours in a humid environment. So, you can become infected with them, for example, by using someone else's towel. The incubation period is up to 4 weeks. Then women have abundant yellow discharge from the vagina, they may have an unpleasant odor and foam. This may also be pale pink discharge in women before menstruation, especially after sexual intercourse, which is painful for women with trichomoniasis. The disease is detected in a routine gynecological smear. Treated with Metronidazole.
Ureaplasmosis. Just like mycoplasmosis, this infection can be transmitted to a girl during childbirth. And in the future cause urethritis, urolithiasis, provoke pale pink discharge during pregnancy on early stages, which are often perceived as a threat of miscarriage. By the way, the risk of miscarriage and premature birth in women with ureaplasmosis is higher than in uninfected women. Treated with antibiotics if there are symptoms of the disease (for example, urethritis). But carriage of ureaplasmosis cannot be treated.
Bacterial vaginosis. This is vaginal dysbiosis. It happens when there is less beneficial microflora, new infectious pathogens appear, against which there is no immunity yet. The main symptom of bacterial vaginosis is a foul-smelling vaginal discharge. Treatment is similar to that prescribed for trichomoniasis.
Endometriosis is the proliferation of hormone-dependent cells that normally line the inner surface of the uterus beyond its boundaries. It is for this reason that women experience intermenstrual, pink and brown discharge. Often endometriosis affects the cervix, and it begins to bleed. The doctor most often makes the diagnosis immediately after a gynecological examination of the cervix.
The causes of cervical endometriosis are abortions, diagnostic curettage, and “cauterization” of erosion performed before the onset of menstruation (endometrial cells may enter the wound after the procedure).
It is impossible to completely get rid of endometriosis. But its symptoms become invisible with menopause. Therefore, to improve well-being and stop the spread of endometrial cells, hormonal drugs are taken. Oral contraceptives (birth control pills) are also very effective. When taken regularly, intermenstrual discharge disappears.
Adnexitis is an inflammation of the fallopian tubes and ovaries, unilateral or bilateral. It is caused by various microorganisms, often gonococci and chlamydia, but there may be others. They can get there through blood or upward path- from the vagina. This can happen after medical intervention in the uterus, installation intrauterine device.
At acute process women feel weak, unusual discharges appear from the vagina, including those mixed with blood, body temperature rises, and they suffer from pain in the uterus and ovaries. If treatment is not started, inflammation may spread to the peritoneum, and then peritonitis will begin. Adnexitis is also fraught with the formation of adhesions in fallopian tubes, which leads to infertility and ectopic pregnancy.
The diagnosis is made based on the patient's complaints. Antibacterial therapy and, if necessary, painkillers are prescribed. Non-steroidal anti-inflammatory drugs, for example, Indomethacin rectally, are often recommended.
Ovulation, the period of “birth” of an egg from a follicle, is sometimes a quite noticeable process for a woman. Based on this, for many decades, women have been building contraceptive schemes and calculating the most successful period for sexual intercourse, which should lead to conception. During ovulation, a short-term decrease in some sex hormones occurs, which entails a very slight endometrial detachment. Well, a woman can notice it in the form of pinkish discharge on about 12-16 days of the cycle.
Ovulation is determined in different ways. Of course, this can be most accurately done with an ultrasound if you regularly undergo folliculometry. Or do ovulation tests (sold at the pharmacy), 2 times a day, following the instructions.
At home, a measurement technique is used basal temperature. Every day, without getting out of bed after a night's sleep, a woman measures the temperature in the rectum and writes down all the data obtained. Immediately before ovulation, there is a slight decrease in temperature, and after ovulation it rises by 0.4-0.5 degrees.
In addition, during ovulation, a woman may experience a slight tingling pain, usually on one side, in the area of the ovary where the follicle ruptured. In this case, the discharge becomes abundant and mucous. A woman's sex drive increases.
If you have pale pink vaginal discharge instead of your period, but this phenomenon is not typical for you, you need to take a pregnancy test, if possible. The fact is that this kind of discharge in the early stages of conception may indicate a threat of miscarriage, and sometimes is a sign of a frozen or ectopic pregnancy. Normally, there should be no bleeding during pregnancy.
The causes of spotting can be infections, which we wrote about earlier, and cervical pathologies. But all this is perfectly diagnosed. The main thing is to get to the doctor.
Normally there is mucus streaked with blood. expectant mother appears shortly before labor and is a sign of its imminent onset.
For this reason, spotting can occur in both pregnant and non-pregnant women. And if there were no rude actions on the part of the partner, then the culprit is infections and (or) insufficient hydration of the vagina. In turn, the reasons for this low hydration are:
Infections can be treated, foreplay lengthened, lubricant used, perhaps different sexual positions tried - and intimate life will shine with new colors.
Bleeding, and this is how pink discharge can be characterized, is a signal from the body about some kind of trouble. Listen to him.
The female reproductive system is a complex complex of organs that not only ensures the birth of children, but also plays a vital role in the female body. Whether all organs cope genitourinary system Women with their functions ultimately depend on their well-being, mood, and in some cases, their overall health.
The most common diseases affecting women reproductive organs, include, in particular, cervical ectopia, endometriosis and uterine fibroids.
Cervical ectopia (the term “ectopia” has long replaced the outdated term “erosion”) can have different origins. This ectopia of the cervical epithelium, cervical pseudo-erosion, cervical erosion, endocervicosis. In the practice of a gynecologist, there are ectopias that are traumatic in nature, but much more often specialists have to deal with ectopia infectious origin. The most common cause of the development of cervical ectopia is viral infections(mainly human papillomavirus, HPV), less often - bacteria.
The main difficulty in treating diseases of this group is timely diagnosis: Unfortunately, despite the abundance of information about the importance of regular visits to the gynecologist, many patients still skip annual preventive examinations, applying for medical care only on late stages diseases.
The problem of cervical ectopia is extremely common: one or another disease from this group affects every second woman who visits a gynecologist with complaints of discomfort, pain during sexual intercourse, and bloody discharge during sexual intercourse (the so-called contact discharge). The latter already indicates that the process is neglected. If the cause of ectopia is an infectious process, then the woman is worried about the discharge.
If cervical ectopia is suspected, a PCR test is performed to detect the human papillomavirus, as well as bacterial culture to detect staphylococcus, streptococcus, e. coli and other bacteria that can cause inflammation of the cervix - endocervicitis. Patients are also checked for the presence of cytomegalovirus infection and herpes virus. All these tests can be performed in the Zdorovye network of clinics, as well as transvaginal ultrasound examination. It is advisable for patients with ectopia to undergo extended colposcopy with various tests to exclude malignant changes in the cervix.
When HPV of high oncogenic risk is detected, patients are necessarily prescribed treatment to prevent the development of cancer. However, cervical cancer is not the only problem associated with ectopia: patients often complain of decreased fertility and libido (sex drive), so cervical diseases must be treated regardless of the presence or absence of a risk of developing cancer due to ectopia. If necessary, doctors at clinics in the Zdorovye network perform cauterization of ectopia using electrocoagulation and pharmaceuticals.
Another extremely common gynecological problem is endometriosis, a condition clinically manifested by chronic nagging pain in the lower abdomen. The pain may be constant. Endometriosis is also characterized by the presence of brown spotting discharge before and after menstruation. Menstrual bleeding itself becomes heavy and painful due to endometriosis.
Endometriosis is a consequence varicose veins pelvic veins, circulatory disorders in the pelvis. This is why endometriosis is often detected in professional athletes, young and practically healthy women: intense physical activity can provoke circulatory problems, which, in turn, lead to endometriosis.
To diagnose endometriosis, the Zdorovye network of clinics performs an ultrasound examination, in which the doctor usually detects an enlarged uterus with characteristic growths.
You can prevent the development of endometriosis by limiting physical activity and avoiding activities that require excessive effort. Such prevention is especially important for women whose relatives suffer from endometriosis: it has been proven that a predisposition to this disease is inherited.
To treat endometriosis, the Zdorovye clinic network uses drugs that relax the uterus. If endometriosis develops against the background of inflammation, we also treat the cause of the inflammation, and in the later stages of endometriosis we use hormonal drugs. However, it is better to organize treatment in such a way that the need for prescription hormonal drugs did not arise.
Untreated endometriosis can cause infertility or uterine fibroids. The latter is a fairly common complication of the nodular form of endometriosis, but can also develop as an independent disease.
In general, uterine fibroids are benign tumor, arising in the muscular layer of the uterus, myometrium. Characteristic manifestations of fibroids are pain in the lower abdomen, intermenstrual bleeding, heavy and prolonged periods and pain during bowel movements.
Uterine fibroids often develop in young girls, including those who have not given birth and are not sexually active, as well as in adult women aged 25 years or more. Since it is impossible to predict the appearance of fibroids, all women, starting from the moment their periods appear, should regularly visit a gynecologist and undergo all necessary examinations, including ultrasonic ones.
If a fibroid is detected, we begin to monitor it. Signs of active tumor growth are an indication for use. medicines, including drugs that cause a reversible condition similar to menopause. Since the growth of fibroids depends on female sex hormones, it stops during artificial menopause.
In advanced cases, the myomatous node can become necrotic and cause septic conditions, a fatal condition. But even in the absence of such serious complications fibroids can significantly worsen the quality of life, for example, causing infertility.
Prevention, diagnosis and treatment of gynecological diseases should become an integral part of life modern woman who takes care of herself and values her health. That is why you should not put off visiting a gynecologist, even if there is no reason to worry.
By character female discharge you can judge the health of the sexual sphere. Normally, the formation of some mucus occurs every day, and the woman knows what color and in what quantity her daily vaginal discharge occurs. If the color or other properties of vaginal mucus change, one may suspect the presence of an inflammatory process or other problems. The appearance of pink discharge indicates that a certain amount of blood has entered the secretion of the genital tract, which cannot be considered normal.
The pink color is due to blood entering the vaginal secretion. This occurs when the mucous membrane of the genital tract or internal genital organs is injured. In most cases, such injuries are caused by pathological processes and very rarely can be explained by any non-dangerous conditions. The main reasons for the appearance of pink discharge include the following:
When menstruation has already ended, the discharge should return to its normal parameters - transparent white color, small amount and viscous consistency. If a woman continues to notice pink spots on underwear or panty liners, you should pay attention to this and make an appointment with a doctor.
Too long menstrual period indicates a hormonal imbalance, which is easily eliminated and does not lead to dangerous consequences at timely treatment. If a woman also notices other unpleasant symptoms, such as itching, unpleasant odor or pain in the lower abdomen, then you should not delay a visit to the doctor, since the situation may indicate the presence of an inflammatory or infectious process.
If pinkish discharge appears instead of menstruation, the doctor may suspect pregnancy. In this case, the body has not yet completely adjusted to the new hormonal background, and the fertilized egg is not firmly implanted into the uterine mucosa. The implantation period itself is also accompanied by a small gap blood vessels and a high risk of miscarriage. In the absence of the usual menstruation and the appearance of slight bleeding from the genitals, a woman should urgently consult a doctor.
In the middle of the cycle, a woman’s hormonal levels change from the first phrase to the second. During this period, ovulation occurs, and the body prepares to receive a fertilized egg.
Against the background of the peak hormonal changes Pinkish discharge is often observed. They are explained by the fact that under the influence of estrogens the endometrium is extremely tense and some blood vessels may burst. At the same time, the follicle ruptures, from which the egg is released, which can also be accompanied by minor damage to small vessels and the appearance of pink-brown discharge. If a woman experiences similar symptoms for one to two days in the middle of her menstrual cycle, this can be attributed to some variant of the norm. The main thing is that the color of the mucus released is not too intense, and the duration of the symptom is no more than 2 days.
If pregnancy does not occur, the body prepares for the next menstrual bleeding. In some cases, contraction of the endometrium and rupture of small vessels may begin earlier, resulting in a small amount of blood in the daily discharge. Such conditions are not dangerous and are more often caused by unfavorable life situations, for example, stress, strong emotions, excessive physical exertion, prolonged exposure to heat and other similar factors.
Do not worry if such a failure occurs once. If the smearing begins a few days before the start of menstruation during each cycle, the woman is advised to undergo full examination to exclude gynecological diseases, in particular inflammatory processes and hormonal deficiency.
Thus, pale pink discharge with normal consistency and not intense color can be considered physiological and does not require treatment. However, they should not be accompanied by unpleasant sensations or odor, and should also occur immediately before the onset of menstrual bleeding.
A woman should be alerted to the intense color of the discharge, regular appearance blood in the mucus, as well as copious amounts of vaginal secretion. If the symptom is severe, the likelihood that it is caused by non-dangerous physiological conditions is very small.
If other changes in the color of the discharge are accompanied by pathological symptoms, For example, painful sensations, itching, discomfort, swelling or irritation in the genital area, then contacting a doctor is mandatory for timely elimination of the pathology.
Pink discharge may appear due to inflammatory processes. One of the most common is. Minor bleeding can occur in a woman on any day of the menstrual cycle, and is also accompanied by nagging pain in the lower abdomen and discomfort during sexual intercourse.
Pain in the pelvic area often indicates uterine fibroids or.
Unpleasant sensations during pathological processes can often radiate to neighboring areas, which complicates diagnosis, since the woman assumes another cause of pain. For example, problems in gynecology can cause disturbances in the urinary system or intestines.
The appearance of malignant and benign neoplasms not uncommon in the field of gynecology. Such diseases are rarely diagnosed at the initial stage, although one of the first manifestations is menstrual irregularities and the appearance of bleeding in the discharge. Such pathologies can be identified in a timely manner through annual preventive examinations, which a woman is highly discouraged from skipping. As additional research A colposcopy is performed with examination of cells and tissues under multiple magnification, as well as a cytological smear.
Diseases urinary tract can be transmitted to a woman's genitals. Inflammatory processes in the urethra in some cases cause problems with the vagina and cervix. In this case, a woman may notice abnormal discharge from the urethra and severe pain when urinating. Blood in the discharge appears as a result of irritation and injury to the mucous membrane from the inflammatory process.
Often the inflammatory process develops with a decrease in local immunity and revitalization pathogenic microflora. In this case, the discharge first becomes yellow-green in color and acquires an unpleasant odor. Pink shade appears mainly if the process moves to a more advanced stage.
Inflammation cervical canal most often manifested by the following symptoms:
One of dangerous conditions is, which is often discovered by chance and at an advanced stage if a woman does not consult a doctor in time. Typical symptoms are:
The shade of pink discharge may vary slightly - the more intense and rich the color, the more blood has entered the mucous secretion. A scarlet tint is more typical for premenstrual discharge, which is not a cause for concern. Minor bleeding may occur during the implantation period, installation of an intrauterine device, or exacerbation. More brown or brown characteristic of postmenstrual discharge, as well as infectious and inflammatory processes.
Work can also affect hormonal levels. This organ influences all metabolic and endocrine processes in the body. In the absence gynecological problems and the presence of a menstrual cycle disorder, it is recommended to examine.
If a couple of days before menstruation the appearance of pink discharge can be considered normal, then blood getting into the mucus too early should alert you. About a week before the expected menstruation, a woman's discharge should be normal - white-transparent in color, viscous and mucous consistency. Changes during this period may be caused by the following reasons:
The appearance of pink discharge in the middle of the cycle is often a pathological condition, so with this symptom you should definitely consult a doctor for a more detailed examination.
If pink discharge appears due to a delay in menstruation, there is a high probability of pregnancy, as well as the threat of miscarriage. Pink discharge may appear due to implantation of the fertilized egg into the endometrium, as well as against the background of progesterone deficiency. To find out the exact cause, a woman needs to do a hormone test and consult a gynecologist.
If the pregnancy test showed a negative result, and the usual menstruation still does not occur, the cause of pink discharge may be hypomenorrhea. This is a condition in which menstrual bleeding is very light and lasts short period time. As a rule, it occurs against the background hormonal imbalance or diseases of the reproductive system.
Activation of fungi of the genus Candida is known for the appearance of discharge in a woman white and cheesy consistency. However, due to severe irritation, the vaginal mucosa is damaged and may bleed a little, which will give the discharge a pinkish tint.
During an exacerbation, the mucous membrane is easily injured, especially if a woman tries to get rid of discomfort using douching. Self-medication in such situations is not recommended. The only over-the-counter drug available is in a dosage of 150 mg, which is taken once. If such therapy does not lead to the desired result and symptoms persist, it is necessary to undergo a more detailed examination.
Untimely treatment of microdamages to the mucosa can lead to deterioration of the patient’s condition, spread of the inflammatory process, additional infection and changes in tissue structure.
So, the appearance of pink discharge indicates that a small amount of blood has entered the mucus. The patient cannot independently determine the cause and source of bleeding, therefore, when similar symptom It is better to consult a doctor immediately.
Ovulation discharge or pink discharge from a woman's genital tract is not normal pathological process. They appear approximately two weeks before the start of menstruation. This is a physiological phenomenon that means that ovulation has occurred, that is, a mature egg has left the ovarian follicle and is ready for fertilization. Ovulation discharge may not necessarily be pink; small amounts of bloody, transparent, brown, white, and mucous discharge are also acceptable.
During the period of egg maturation, the hormonal background of a woman’s body changes. When a mature egg is released from the ovarian follicle, it enters the uterus for fertilization. At this time, an increased release of the hormone estrogen into the blood begins. This is necessary for the uterus to accept the fertilized egg. At this stage, changes occur in the endometrium. It becomes “loose”, blood circulation increases, the vessels become permeable and erythrocytes (red blood cells) penetrate through the walls of the vessels into the uterine cavity, and then into the vagina they mix with the mucous discharge and a specific discharge is formed. Depending on how many red blood cells have penetrated the vessel wall, the color of the discharge depends, which can vary from light pink to red and dark brown.
Pink discharge may also be associated with taking hormonal hormones. contraceptive drugs . When using an intrauterine device. These methods of contraception are hormonal; a certain dose of hormone is constantly released into the blood. . Under the influence of hormones, the endometrium changes its properties and begins to bleed. Please note that during use hormonal contraceptives pink discharge is normal and may appear instead of menstrual bleeding, as well as after it. If discharge occurs constantly at different times, then this may indicate that this method Contraception is not suitable for a woman. In this case, there is no need to postpone your visit to the doctor.
After conception, in the first month, scanty pink discharge may appear instead of menstruation. This suggests that the woman’s body has not yet completely adjusted to carrying a pregnancy. The prepared uterus received the fertilized egg. Therefore, spotting in the second or fourth week of pregnancy instead of menstruation is normal.
An examination of a pregnant woman by a gynecologist can provoke a discharge of this nature. During pregnancy, pink discharge may also be observed for three months. This is due to the fact that reproductive system During this period, it is intensively washed with blood.
In addition, pink discharge often appears before childbirth. This is due to the fact that there was a mucus plug in the cervix. It protected the fetus from infection entering the uterine cavity. With the beginning labor activity The mucus plug comes off, causing discharge.
The symptom of pink discharge is not always harmless. It can be quite difficult to distinguish the border of pathology from the norm. In what cases should you sound the alarm about this?
Pink discharge is double in nature. In one case they can be safe, but in another case they can be a symptom of extremely dangerous pathological conditions. Only a doctor can diagnose these conditions. Since some of the listed diseases can only be eliminated operative method, while others require special therapy carried out under the supervision of a specialist.
Vaginal discharge is divided into physiological, normal for a certain age and stage of the menstrual cycle, and pathological associated with genital diseases. It is impossible to make an accurate diagnosis and prescribe a course of treatment based on a single symptom, but the appearance of a discharge different from the norm gives reason to contact a gynecologist and undergo an examination.
Normal the discharge consists of a mixture of mucus, dead epithelium and microbial cells, the secretion of the Bartholin glands located in the vestibule of the vagina. Contain glycogen - nutrient for beneficial microflora, and lactic acid - a waste product of lactobacilli. Glycogen levels are highest on the day of ovulation. Normally present transparent discharge or whitish, the consistency is mucous, with small lumps or homogeneous, without an unpleasant odor, in volume up to 4-5 ml per day.
Abundant vaginal discharge or scanty, but atypical in character or smell, are called leucorrhoea. Leucorrhoea is created constant feeling moisture, burning and itching in the perineal area. Reasons heavy discharge– inflammatory processes ( , ); infectious diseases urogenital organs, nonspecific or STDs; tumors or injuries of the internal genitalia; allergic reactions for latex, spermicidal lubricants, lingerie and hygiene products for intimate areas.
By origin, vaginal discharge is distinguished, uterine and tubal (watery, large in volume) and cervical (thick, scanty).
Leucorrhoea with pus - symptom of inflammation, bloody ones are often associated with the development of a tumor; curdled or white flakes are characteristic of thrush; orange and greenish with a putrid odor - for gardnerellosis (bacterial vaginosis);foaming ones appear with trichomoniasis.
Leucorrhoea may appear after long courses contraceptives, after douching with antiseptics; for constipation and a static lifestyle leading to stagnation venous blood in the small pelvis. Prolapse of the vaginal walls, microtrauma of the genitals after sexual intercourse, and ruptures of the perineum also cause the formation of leucorrhoea.
The first mucous discharge is observed in newborn girls, the appearance of secretion is associated with residual amounts of maternal hormones. After 3-4 weeks, the discharge disappears and appears again by the age of 8-11 years, when the production of one’s own estrogens increases. Mucus is released periodically, looks like raw mucus egg white or rice water, the smell is sour, color - white with a yellowish tint.
Next, during puberty, cyclic vaginal discharge appears. The beginning of the cycle is considered the first day of menstruation; in the 1st half of the cycle and until its middle, which coincides with ovulation, there is less discharge. They are mucous or watery, homogeneous, possibly with small lumps. In the middle of the cycle - mucous and abundant, viscous consistency, possibly beige or brownish tint.
After ovulation Jelly-like discharge, similar to jelly. The content of lactic acid, which is produced by lactobacilli, increases in them, and the discharge acquires a sour odor. Increased acidity protects the vaginal mucosa, which during this time period is more loose and vulnerable to infection. Before menstruation, the volume of mucous discharge increases again.
Discharge during pregnancy liquid and abundant, whitish or transparent. Before childbirth, the cervix dilates, and the cervical plug comes out in the form of a rather large clot of mucus, possibly mixed with scarlet blood. Usually the release of the plug coincides with the first contractions. If there is more vaginal secretion than usual, then you should go to the gynecologist: perhaps amniotic fluid is “leaking.”
The presence of liquid blood or bloody clots in the discharge suggests ectopic pregnancy, threat of interruption pregnancy, atypical position (presentation) or placental abruption. All options are dangerous; at any moment they can be complicated by bleeding and result in death. A pregnant woman who notices the appearance of scarlet blood from the vagina should immediately lie down, then immediately call an ambulance.
During puberty, vaginal discharge may be a result of inflammation intestines, bladder, uterus or ovaries. These episodes contain pain associated with urination, intestinal colic or pulling sensations in the lower abdomen and lumbar region. The temperature may rise, a blood test will show signs of inflammation (leukocytosis, increased ESR): then treatment for inflammation will be needed.
10-12 months before the onset of the first menstruation, the vaginal mucosa reacts to hormonal changes and liquid, transparent or white discharge is formed, the color of very diluted milk, odorless or sour. No measures need to be taken if there are no complaints of burning or itching in the perineum, and the discharge does not take on a cheesy appearance.
After the onset of sexual activity, the consistency and composition of the discharge changes, the reason is the addition of the partner’s microflora, which differs in composition from the vaginal flora. It takes time to adapt, different in each case, and the situation will return to normal again. During the adaptation period, the volume of secretion increases, the discharge becomes more liquid, with a pale yellowish or whitish tint. A change in sexual partner is almost always associated with a change in the nature of vaginal discharge.
After unprotected sexual intercourse, the discharge normally first takes the form of yellowish or white clots, and after 5-8 hours the secretion turns into liquid and abundant. After protected intercourse, white and thick discharge, resembling lubricant.
Taking contraceptives or breastfeeding reduces normal secretion: vaginal discharge is scanty and thick, white or yellowish in color.
gives white curdled discharge, abundant, sour in smell. Sometimes the discharge resembles yellowish curd lumps or white flakes. The disease is accompanied by itching and swelling of the genitals, irritation of the skin of the perineum. The development of candidiasis is a sign of decreased immunity.
curdled white coating in the vagina with thrush
Thrush is often combined with STDs(, gonorrhea, trichomoniasis) and, manifests itself in metabolic diseases ( diabetes mellitus) and tumors. Candidiasis definitely requires treatment.
“Colored” vaginal discharge occurs with STDs, bacterial vaginosis(gardnerellosis), with nonspecific genital inflammation.
With STDs, leucorrhoea is always accompanied by pain and burning associated with urination.
: when examining the vagina, visible yellow discharge, emerging from the cervical canal and flowing down the walls of the vagina. Leucorrhoea is accompanied by pain in the lower back and lower abdomen, and enlargement of the Bartholin glands. The diagnosis is confirmed by PCR analysis.
: leucorrhoea profuse, foamy, greenish or yellowish, with a pungent putrid odor. May drip onto the perineum, inner side thighs and cause skin irritation.
: the volume of discharge is moderate, color yellowish-white. May be accompanied by bleeding that does not correspond to the cycle, pain of the “lowered belt” type - lower back, lower abdomen, inner thighs. Common in gonorrhea putrid smell whiter; a change in their color from grayish-white to yellow indicates a transition acute stage diseases into chronic ones.
: Leucorrhoea profuse, grayish-white, with the smell of rotting fish. Sticky, yellow-green and even orange discharge is typical for an untreated, long-term disease. The itching is not severe and occurs periodically. All symptoms worsen immediately after sexual intercourse.
Nonspecific vaginitis(colpitis): with this disease, leucorrhoea is the main symptom. The type of vaginal discharge varies depending on the severity of the process. When the vagina is inflamed, the secretion becomes acidic in reaction, viscous and stretchy in consistency, or copious and liquid, and loses transparency. Cloudy white shade give leukocytes,the yellowish-green color is due to the presence of pus,yellowish-pink – blood. At the initial stages of inflammation, serous leucorrhoea is liquid, watery; then they transform into purulent ones - thick, green, with a strong putrefactive odor.
and adnexitis: inflammation of the fallopian tubes and ovaries. May manifest as specific complications caused by ascending venereal infection with STDs, or “ordinary” inflammation of the internal genitalia. Discharge is always accompanied by abdominal pain; in the acute period - periodic, cramping and strong, in chronic stage– medium and low intensity, constant, dull, pulling.
Let's summarize. Causes of yellow and green leucorrhoea:
Associated with the presence of blood in vaginal discharge; may appear for physiological or pathological reasons.
Pathological causes may be: sexually transmitted diseases (gonorrhea), endometritis, uterine tumors, endometrial hyperplasia, polyposis, cervical erosion, endometriosis.
For gonorrhea the infection rises from the vagina upward, affecting the uterus, fallopian tubes and ovaries. Appearance blood in the form of veinsamong mucopurulent discharge and intermenstrual bleeding are signs of an ascending gonococcal infection. A confirmed diagnosis is made after the test, which must be positive for gonorrhea, or after the detection of gonococci in it.
– inflammation of the functional uterine layer, which is updated after each menstrual cycle. Brown leucorrhoea, associated with endometritis, appear before and after menstruation; it is also possible to discharge brownish mucus in the middle of the cycle. Almost always, inflammation of the endometrium is combined with its hyperplasia (proliferation) and menstrual bleeding, often the cycle is shortened. Heavy bleeding lead to anemia, the hemoglobin content drops to 50-70 g/l (the norm for women is 120-140 g/l). The woman feels constant fatigue, shortness of breath and dizziness appear even with minor physical effort.
Endometrial hyperplasia is considered a precancerous condition.
To return the endometrium to normal, you must first cure the inflammation. The course of antibiotics lasts at least 3 months, drugs are prescribed for 3 menstrual cycles.
Endometriosis – overgrowth of glandular tissue (endometrium) in the cervix and muscular layer of the uterus (myometrium), fallopian tubes, ovaries, and abdominal organs. Endometrial cells end up in unusual places during abortion, during instrumental examinations of the uterus, during childbirth and during the return of menstrual mass. Endometriosis spreads i, leads to numerous local inflammations and formation adhesions; common complication – infertility.
Typical nagging pain during menstruation, bloody discharge from all foci of endometrial growths. At colposcopy small multiple nodules or cysts, bluish or red stripes are visible on the cervix. Bloody brown leucorrhoea becomes lighter after menstruation, its volume decreases during this period and increases again before the next menstruation. Endometriosis of the abdominal organs – common reason internal bleeding and subsequent surgery (laparotomy).
Cervical erosion: violation of the integrity of the mucous membrane; during examination, acetic acid, 3-5% solution, is used to determine the boundaries of erosion. After smearing the surface with acid, erosion is visible as a whitish spot on a pink background. When erosion occurs, small bloody discharge appears, and its amount increases after sexual intercourse.
Endometrial hyperplasia accompanied by spotting brown or bloody discharge before and after menstruation. Acyclic uterine bleeding is possible: it lasts for a long time, up to several weeks or even months, and leads to anemia. The disease develops due to hormonal imbalance, problems with lipid and carbohydrate metabolism (obesity, diabetes mellitus), hypertension, after gynecological operations, at hereditary predisposition, as a consequence of STDs - after inflammation of the uterus, with endometritis.
For treatment, combined estrogen/progestin drugs are used; in case of severe bleeding, endometrial curettage is used. A biopsy is required to assess the degree of cellular atypia and proliferation of glandular tissue. If cancer is suspected, the examination is repeated.
Polyps in the uterus– these are elongated growths of the endometrium, symptoms of polyposis often become brown discharge and postmenstrual bleeding. There may be discomfort during sexual intercourse, and immediately after it there may be spotting brownish discharge. The causes of the formation of polyps are considered to be an imbalance of estrogens and gestagens, inflammation of the endometrium and cervical canal. Small polyps are discovered by chance; large ones (more than 2 cm) are manifested by pain in the form of contractions and increased menstrual blood loss. The main complication is infertility; transition of polyposis to malignant tumor not proven.
Tumors in the uterus in the later stages they are manifested by bleeding, in the early period – by spotting vaginal brown discharge . Tumors of the uterus are divided into benign(polyps, fibroids and fibroids) and malignant(endometrial cancer and myosarcoma, cervical cancer). Leucorrhoea with pus and scarlet blood, possibly foul-smelling, is characteristic of the disintegration of a tumor; with cervical cancer, thick discharge appears, scanty, streaked with blood. Submucosal fibromatous nodes always give heavy bleeding, that is, they are clinically malignant. Cervical cancer quickly metastasizes, spreading to the pelvic lymph nodes, liver and lungs, and can spread to the vaginal walls.
