What color is normal discharge in women? What tests can doctors prescribe for vaginal discharge? White vaginal discharge

Smirnova Olga (gynecologist, State Medical University, 2010)

Vaginal discharge in women is a consequence of certain processes in the body. Mucus from the cervical canal performs important functions of the reproductive system. And based on the state of the secreted fluid, a disorder can be diagnosed. early stage development.

What kind of discharge in women is considered normal?

There is no clear picture of what a healthy woman's discharge should be like. However, doctors claim that the norm of discharge in women has the following relative characteristics:

  1. Volume. A few milliliters per day, but not more than 5 ml. You can determine it by looking at your panty liner, on which the stain should not exceed 1 or 1.5 cm in diameter.
  2. Consistency. . Quite thick, but without lumps. Watery ones are allowed only during a certain period of the cycle, during pregnancy and with strong excitement.
  3. Structure. Homogeneous without lumps, large clots or flakes. Minor compactions up to 4 mm are allowed.
  4. Aroma. due to the environment of the vagina, but more often the odor is completely absent.

To assess your condition, you need to study what color the discharge should be:

  • transparent;
  • white;
  • beige;
  • yellow.

The importance of the secret and its composition

Many women try to get rid of any vaginal discharge, considering it unnatural and pathological. But cervical fluid or mucus plays an important role in the functioning of the reproductive system and maintenance women's health.

Normal vaginal secretion has the following composition:

  1. Cellular and fluid components. The uterine mucosa is constantly renewed, old cells die off, join the vaginal fluid and come out. Plasma and lymph transudate may be present.
  2. Cervical mucus. The cervix contains special glands that produce secretion, thereby protecting the reproductive system from penetration and further proliferation of pathogenic microorganisms.
  3. Bacteria and fungi of the vaginal flora. Sexual microflora contains not only beneficial lactobacilli, but also potentially harmful microorganisms large quantities. In a healthy girl, these pathogens die and come out along with vaginal secretions.
  4. Leukocytes. Based on their content, the presence of an inflammatory process can be diagnosed. The norm limit is 10 pcs. in the smear, but minor deviations are allowed.

Female secretions have many functions:

  • self-cleaning of the vagina;
  • maintaining healthy microflora;
  • fight against harmful bacteria, sticks, fungi;
  • natural hydration during sexual intercourse;
  • removal of dead cells;
  • protection of the fetus during pregnancy.

The most important purpose of vaginal secretion remains the early warning of a woman about unfavorable processes in the reproductive system.

What affects vaginal secretion

Ovulation. The fertile period is characterized by the release of a large amount of fluid, which easily stretches between the fingers, resembling snot or protein chicken egg. The mucus may be white, transparent, or beige in color. Sometimes an admixture of blood appears, which indicates a favorable moment of conception.

Second phase of the cycle. Vaginal secretion becomes much smaller, sometimes it disappears completely. The liquid has a creamy or jelly-like consistency.

A few days before menstruation, spotting is allowed, which signals the approach of monthly bleeding.

The nature of normal discharge in women (photo above) varies according to the time of the cycle, but this is not the rule for every case. Sometimes they continue to be produced in large quantities and remain liquid without discomfort, which indicates a hormonal surge or lack of progesterone.

Reasons for minor deviations

It is important to find out what discharge is considered normal from the vagina under certain conditions. The nature of secretion can be changed without the presence of diseases of the reproductive system:

  • pregnancy;
  • premenopause;
  • menopause;
  • recent birth of a child;
  • lactation period;
  • taking birth control pills;
  • treatment with certain drugs.

Depending on specific reason consistency, quantity and color changes natural secretions in women, but not for long. You should see a doctor if you have vaginal fluid unpleasant aroma or there are other symptoms such as itching, burning, severe pain.

How to determine the disease

The most common reason pathological discharge in women there is a violation of vaginal microbiocenosis. Changes in the normal functioning of the vaginal microflora are caused by non-compliance with genital hygiene or excessive douching with water or special solutions.

Problems with vaginal self-cleaning also arise against the background of:

  • use of antibiotics;
  • hormonal treatment;
  • taking oral contraceptives;
  • diabetes mellitus;
  • weakened immune system.

It is advisable to study the nature of discharge in girls in terms of color and smell, since these two signs will help you understand what is happening in the body and whether there is a reason to contact a gynecologist and undergo the necessary tests.

Transparent

Even colorless vaginal mucus may indicate certain disorders:
Inflammation of the endometrium or appendages. The amount of cervical fluid with an unpleasant odor increases against the background of endometritis and andexitis. In advanced cases, the mucus contains blood clots.

Dysbiosis. The disease is accompanied by redness of the external genitalia, abundant watery fluid from the vagina,.

White

The type of vaginal discharge in women plays a significant role in studying the current state of the reproductive system. Knowing the characteristics of normal vaginal secretions, you can promptly identify the disease at an early stage and, with the help of a doctor, select treatment.

Every representative of the fair sex should ask the question: “What should be the normal discharge in women?” After all, they can already be used to determine the state of women’s health. Every woman can see a small amount of discharge on her underwear every day, and this is considered quite normal. However, in some cases this may indicate the presence of serious pathologies and abnormalities in the body. From this article you will learn about what normal discharge should be like in women, as well as what indicates the presence of pathologies. Please read the information provided carefully in order to protect and equip yourself as much as possible.

What should be normal discharge in women?

The body of each representative of the fairer sex is individual, therefore the discharge will differ in appearance, as well as in other characteristics. However, there are general features, characteristic of all healthy women. Let's look at the main characteristics:

  • The daily amount of discharge should not exceed five milliliters. It is impossible to accurately determine their volume, but approximate results can be obtained using a panty liner. The diameter of the stain from discharge on it should not exceed one and a half centimeters.
  • It is also very important to pay attention to their consistency. If the woman is healthy, they will look like egg whites or mucus. However, they should be quite thick. However, on some days of the cycle, as well as during pregnancy and sexual arousal, they may become excessively liquid. In the situations listed above, this is also not a pathology.
  • Many representatives of the fair half of humanity are interested in the question: “What should be the normal discharge in women?” It is also important to pay attention to their structure. They should not be curdled or in the form of flakes. Only a small amount of thick compaction is allowed.
  • Another indicator of discharge is the smell. IN in good condition it should be slightly sour, since the vaginal environment is acidic, or they should not have any odor at all.

Normal discharge in women by day of the cycle

As you know, little girls do not have vaginal discharge. They begin to appear only when the girl’s hormonal levels begin to return to normal. It should be taken into account that throughout the menstrual cycle the amount of discharge, its color and consistency will change. This is not a pathology, so there is no need to worry about it. The main thing is to study what secretions accompany the main phases of the cycle.

Changes in the phases of the menstrual cycle occur due to changes in the level of female hormones in the blood. Most often, a woman's menstrual cycle is 28 days. It is on this basis that we will consider what changes will occur in the female body:

  • Usually from the first to the 12th day after the end of menstruation, the first phase of the menstrual cycle begins. During this period, a small amount of discharge appears, colored whitish or yellowish. In this case, the norm is considered to be a condition when a small number of small white lumps appear in the mucus. The normal smell of women's discharge is considered sour.
  • Ovulation occurs from the 13th to the 15th day of the cycle. In this case, the woman’s discharge may increase significantly, and it will be very viscous. can be transparent, white and even cream or beige.

  • The end of the cycle occurs on the 16-20th day. During this time period, the amount of mucus produced decreases, and its consistency becomes similar to jelly. What color is normal discharge in women in this case? In the period after ovulation, leucorrhoea can be transparent, white and yellowish. Brown leucorrhoea gradually appears, which is evidence that menstruation is approaching.

Why does the female body need secretions?

The most basic task of the mucus produced by the female vagina is to protect the vagina itself, as well as the uterus, from the penetration of foreign pathogenic microorganisms. In addition, mucus will protect the vagina from drying out and cleanse the birth canal. She can also make sexual intercourse comfortable, which will contribute to successful conception. If vaginal discharge is produced in insufficient quantities, this can lead to infection of the female reproductive system, as well as to pain during sexual intercourse.

What is included in the secretions?

Every representative of the fair sex should know what discharge in women is considered normal, as well as what is included in it.

First of all, their main component is mucus, which is formed by the cervical canal. It provides reliable protection of the cervix from infectious microorganisms. The secretions also contain constantly renewed cells epithelial tissue lining the surface of the uterus.

Do not forget about the special microflora of the vagina. The composition of mucus includes a large number of different microorganisms, including pathogenic ones. If immune system women fails, the pathogenic microflora begins to multiply rapidly, and this leads to the emergence of infectious and inflammatory processes. However, the main part of the microflora is lactic acid bacteria, which provide the sour smell.

What drives change?

Photos of normal discharge in women indicate that leucorrhoea can have a different color and consistency. We have already mentioned that these parameters change depending on the phase of the cycle. They can also change when infected with infectious diseases or for a number of other reasons. Let's consider what can affect the state of the discharge.

  • If a woman is just starting to be sexually active or changes partners, then completely unfamiliar microflora penetrates her vagina (we will consider only non-pathogenic microflora). What color of discharge in women is considered normal in this case? When you change partners, the amount of discharge may increase, as well as its consistency and even color. All this is considered normal.
  • The sexual act itself contributes to the production of special secretions. After sexual intercourse without using a barrier method of contraception, the discharge looks like clots, colored white or yellowish. However, within a few hours their condition will return to normal.
  • Hormonal contraceptives taken by the fairer sex also change discharge. Such drugs act by inhibiting ovulation and changing hormonal levels. This means that against the background of their use, the amount of discharge will be significantly reduced. The same thing happens during breastfeeding. As soon as this process ends, secretions begin to be produced as before, according to the phases of the cycle.

  • Photos of normal discharge in a woman during pregnancy indicate that during this period, the production of mucus significantly increases in the fairer sex. This is due to the fact that blood circulation in the genital area is significantly accelerated. But in the last three months of pregnancy, the volume of discharge increases even more. This usually indicates that labor is imminent.

How to determine the presence of diseases?

In fact, quite often women themselves influence changes in the vaginal microflora. You can influence its condition by not following the rules of personal hygiene, as well as by frequent douching with special solutions or even plain water. The vagina can clean itself on its own. Let's consider what can lead to problems with self-cleaning of this organ:

  • Long term use antibacterial drugs.
  • Treatment with hormonal medications. This also includes the use of hormonal contraceptives.
  • Availability late stages diabetes mellitus
  • Problems with the immune system.

Please note that even clear and white discharge may indicate the presence of pathologies. Therefore, go to the gynecologist regularly and do not hide from him what is bothering you. Let's consider what the presence of discharge of one color or another may indicate.

Transparent selections

It is very important to understand what discharge in women is normal and abnormal. At first glance, transparent discharge is considered the most harmless. However, even clear mucus may indicate the presence of pathogenic processes. Thus, an excessive amount of clear mucus may indicate the presence of inflammatory processes in the appendages and endometrium. If the disease has already reached an advanced stage, then it is possible that blood clots in transparent mucus. In this case, the discharge will be extremely bad smell rotten fish.

White discharge

Normal and abnormal discharge in women may be white in color. Most often, it is white discharge that indicates that a woman is healthy. However, they can also be evidence of the presence of pathological processes. How to distinguish normal white discharge from abnormal ones?

Be sure to consult a gynecologist if the white discharge has a cheesy consistency, is released in very large quantities, and also smells extremely unpleasant. Moreover, their occurrence is usually accompanied by itching and redness of the external genitalia. In fact there is simply huge amount causes of white pathological discharge. Let's look at the most common of them:

  • thrush or candidiasis should be put first;

  • white discharge may also indicate infection, poor lifestyle, use of hormonal therapy, or lack of timely hygiene;
  • white discharge may indicate the presence of pathologies such as colpitis or adnexitis.

Bloody discharge

Every representative of the fair sex should know what normal discharge looks like in women. Blood in the discharge is usually considered a serious pathology. The only exception is the condition before the onset of menstruation. If a woman has scarlet or brown discharge, then this may indicate the presence of a very serious disease. Let's look at exactly what pathologies can lead to bleeding:

  • cervical erosion;
  • the presence of benign and malignant neoplasms;
  • the presence of inflammatory processes in the endometrium;
  • presence of polyps.

In addition, bleeding can also be observed after an abortion, miscarriage, due to improper use of hormonal medications and for a number of other reasons. It is very important not to self-medicate and consult a gynecologist in a timely manner.

Presence of yellow and green discharge

It is very important to understand what discharge is normal in women. There are a large number of sexually transmitted diseases that can change the color and consistency of mucus. Let's look at the most common of these diseases:

  • Many women are faced with a pathology such as trichomoniasis. The disease is accompanied by copious secretion of yellowish and greenish foamy mucus, which has a disgusting odor. rotten fish.
  • In case of inflammatory processes in the ovaries or fallopian tubes a yellowish liquid is formed, which simply flows out of the vagina in very large quantities. At the same time, women do not have the normal smell of discharge.
  • The vagina itself can also become infected. At first, mucus is secreted as before, and only gradually its production begins to rapidly increase. But very serious symptoms can begin to appear only a year after infection.
  • Very unpleasant and dangerous disease considered gonorrhea. It is characterized by the presence of copious yellow-green discharge, accompanied by a foul odor.

Pap smear at the gynecologist

Every woman should go through preventive examination see a gynecologist twice a year. In this case, it is very important to take a smear to determine the condition female microflora. First of all, the doctor will take general smear, with which you can determine the cleanliness of the vagina. With its help, you can determine the state of the epithelial cells, as well as identify diseases that arise due to the presence of pathogenic microflora. Such diseases include thrush, vaginitis, vaginosis and others.

If necessary, the doctor will take a smear for hidden infections, as well as oncology.

Usually the smear collection procedure is painless. Only in some cases it can lead to mild discomfort. A smear is taken from the cervix using a brush or sterile cotton swab.

How to restore vaginal microflora?

Very often, pathological discharge in women occurs due to disturbed vaginal microflora. If other reasons are to blame for the change in discharge, it is very important to identify them and not self-medicate. In any case, visit a gynecologist. He will take all diagnostic measures and prescribe the most optimal treatment for you.

If your microflora is disturbed, you need to pay attention to your lifestyle. Stop drinking alcoholic beverages, start eating healthy and consume as much dairy products as possible.

Avoid douching completely. This will make your problem even worse. It is better to use herbal suppositories. Chamomile and calendula will produce an excellent anti-inflammatory effect and gradually normalize the microflora.

Follow all the rules of personal hygiene, if possible, refuse to use hormonal contraceptives, and you will notice how the mucus in your vagina will become desired color and consistency.

Conclusions

White discharge in women is normal, provided it is of the right consistency. Monitor your health carefully. Vaginal discharge is an indicator of women's health. If you notice any deviations in color, consistency or smell, immediately go to the gynecologist, because they may indicate the presence of very serious pathologies. Don't forget that your health is in your hands. Only you are responsible for its condition. Therefore, take care of yourself, take care of yourself and take care of yourself, and then your body will begin to take care of you. It is much easier to prevent any disease than to treat it. This should be one of the main rules in your life. Take care of yourself and be healthy!

is a natural process genitourinary system, consistency and color may vary depending on the menstrual cycle. The main thing is that there is no foreign smell or discomfort. A radical change in the color of the secreted liquid, up to a black secretion, the appearance strong smell And painful sensations indicate the development of serious diseases.

The uncharacteristic color and pungent odor of the discharge should alert you

Normal discharge in women

The constant presence of secretions from the vagina is a physiological process that is the norm. In a healthy woman, discharge can change color, consistency and abundance depending on the menstrual cycle.

Are considered natural the following types vaginal secretion:

  • transparent, mucous consistency, moderate amount, profuseness appears before ovulation, and in the middle of the cycle, the vaginal fluid is yellowish and watery;
  • discharge similar to cream or jelly appears in large quantities at the beginning of the menstrual cycle;
  • minimal secretion of jelly-like or creamy secretion is a feature of the 2nd half of the menstrual period;
  • liquid white or transparent - may appear in a woman after sexual intercourse;
  • leucorrhoea with bloody streaks is observed before the onset of ovulation;
  • Brown vaginal secretions are possible when you start taking hormonal-based contraceptive medications.

Clear discharge appears before ovulation

During pregnancy, white or colorless, odorless discharge should be normal. During the entire period of gestation, their quantity can vary from scanty to abundant.

The main condition for white, transparent, pink or brown discharge is the absence of foreign foul odor. The consistency may vary, thickness and abundance too, but normal vaginal secretion is healthy girls, women never smell rotten or fishy.

What types of discharge are there?

Unnatural secret from female organs– a symptom of inflammatory or infectious diseases of the genitourinary system. Vaginal discharge that has an uncharacteristic odor, color and consistency is considered pathological.

Highlights by color

The norm for discharge is white (uniform consistency, moderate amount) or transparent color. If the fluid from the vagina becomes cloudy and also contains impurities of pus or blood, we are talking about serious disorders in the reproductive system.

Table “Types of vaginal discharge by color”

View Reasons
Yellow Inflammation in the genitals (andexide, salpingitis)
Foci of inflammation in the mucous tissues of the vagina (vaginitis)
Infections of sexually transmitted etiology – chlamydia, gonorrhea, trichomoniasis.
Greens Bacterial vaginosis. Depending on the severity of the disease, the secretion may change shade from light green to dark
Trichomoniasis
Gonorrhea
Inflammatory processes in the pelvic organs
White discharge (copious, with an unpleasant odor) Vaginitis
Inflammation of the internal genital organs
Negative reaction to the products intimate hygiene
Candidiasis (thrush)
Long-term antibiotic therapy
Washing out healthy vaginal flora - happens when douching
Weakening of the tone of the intimate muscles (prolapse of the vaginal walls)
Insufficient physical activity
Bloody Seals in the uterus of a benign or oncological nature - fibroma, sarcoma, cancer
Cervical nodes and damage to the mucous membrane of the cervical canal - endometritis, adenomyosis, erosion. Depending on the severity of the disease, the discharge may be pink, orange, brown or dark, even black.
Growths on the genitals - papillomas, warts - can provoke scarlet and even brown discharge
Infection in the intimate area
Damage to the vaginal mucosa during sexual intercourse. The reason may be a very poor secret
Incorrect selection of contraceptive medications
The period after an abortion – brown or pink discharge is possible
Fading reproductive function. When menopause occurs, small red discharge appears at different times
Black (discharge with thick dark clots) Problems in normal functioning endocrine system or metabolic disorders
Advanced infectious inflammation in the female organs
Endometrial growth outside the uterus
Unexpected changes in weight (sudden weight loss or gain)
Stress experienced
Hormonal imbalance
Gray Dysbacteriosis, inflammation is absent. Possible itching and burning in the genitals

A change in the color of vaginal discharge is the first sign of inflammation and pathologies in the reproductive organs. If, in addition to the unnatural shade, the discharge has become much larger, the consistency has changed, and the woman feels pain, pain in the lower abdomen and itching in the intimate area, she should immediately go to the gynecologist.

By smell

Natural, healthy vaginal fluid is virtually odorless. The appearance of a stench is a sign of inflammation that occurs as a result of a bacterial infection or disease in the pelvic organs.

Pathology can be identified by a specific smell:

  1. A sour odor from the vagina may appear after a change in sexual partner or be a consequence of changes in the microflora due to stress, hormonal disorders, decreased immunity. If the stench is accompanied by milky or curd discharge with white lumps, this is thrush. A greenish or yellowish tint of leucorrhoea with an odor is a symptom venereal diseases.
  2. Putrefactive – most often accompanies inflammatory phenomena in the vaginal mucosa (colpitis) and in genitourinary organs(gardnerellel). Advanced pathologies in the uterus and cervical canal can also manifest as purulent and sanguineous discharge.
  3. A rotten fishy smell is present when dysbacteriosis develops in the genitals. The stench is sharp and persistent, especially after sexual intercourse, and the discharge is thick, with a grayish tint. Development acute inflammation due to the entry of anaerobic bacteria into the genitourinary system, it also differs rotten smell discharge.
  4. The smell of iron from the vagina appears with erosions of the cervix. Vaginal secretions often contain streaks of blood after sexual intercourse. This occurs due to mechanical trauma to the endometrium.
  5. The smell of acetone or vinegar is common in women with diabetes. The stench may also indicate a lack of fluid in the body, disruptions in metabolic processes, genitourinary infection or hormonal imbalance.

Fungal infections and the presence of pathogenic microorganisms in the vaginal microflora are indicated by discharge, the stench of which resembles garlic, onions or yeast. But a sweetish smell is not a pathology and most often occurs due to excessive consumption of sweet fruits, chocolates, and marshmallows.

By consistency and structure

In addition to smell and color, discharge changes its structure and consistency at different times of the menstrual cycle. In its normal state, it is a watery and liquid secretion. In the middle of the cycle, the consistency becomes mucous or jelly-like, sometimes like snot. If negative changes begin to occur in the genitourinary system, the discharge changes its character, based on the specific pathology.

  1. Thick, curdled vaginal fluid with flaky or granular lumps is observed with thrush.
  2. Abundant foamy discharge occurs with sexually transmitted diseases (trichomoniasis). The mucus is viscous and stretchy.
  3. Thin, cream-like liquid yellowish color characteristic of gonorrhea.
  4. Sticky, dirty mucus, which has an adhesive and thread-like consistency, accompanies acute colpitis, advanced cervical inflammation, infection with staphylococcus, E. coli.
  5. Severe gelatinous, mushy or stringy leucorrhoea from the female organs is a sign of endocervicitis. Inflammation of the mucous membrane of the cervix can occur with purulent secretion and bloody streaks.

Very scanty or dry discharge is observed during menopause. In this case, a small amount of blood may be present in the secretion. What normal and atypical discharge looks like is shown in the photo.

Thick white discharge indicates thrush

Normal female discharge

Which doctor should I contact?

In case pathological changes changes in the structure and consistency of vaginal secretions or the appearance of an odor, you should consult a doctor. Problems of the genitourinary system in women.

After examination and thorough diagnosis, you may need to consult other highly specialized specialists:

  • (for venereal pathologies);
  • (if a cyst or tumor develops);
  • (when the abundance and smell of discharge are associated with allergic reactions of the body).
If bad discharge observed in girls before adolescence, you should contact a pediatric gynecologist or.

Diagnostics

To determine the cause of discharge with an unpleasant odor and consistency, the gynecologist prescribes a comprehensive examination:

  • visual and internal gynecological examination;
  • a smear from the vagina, urethra and cervix;
  • Ultrasound of the genitourinary system;
  • colposcopy;
  • general blood test.

Colposcopy helps to identify the cause of abnormalities

Research methods make it possible to identify pathological microorganisms in the vaginal microflora, detect cysts, lumps and growths, and inflammatory foci. In addition, diagnosis makes it possible to select the most effective therapy.

Treatment

To normalize the discharge, it is necessary to eliminate the source of pathogenic manifestations.

Based on the disease that caused bad leucorrhoea, therapy consists of several groups of drugs:

  • antifungal agents (used for candidiasis) - suppositories and tablets Clotrimazole, Fluconazole, Mikomax, Flucostat, Pimafucin;
  • antibacterial drugs (if bacterial vaginosis, various infections causing inflammatory processes) – Metronidazole, Clindamycin, Orniside;
  • systemic antibiotics (for sexually transmitted diseases) - Ornidazole, Tinidazole, Metronidazole.

Clotrimazole is an antifungal agent

The drugs are selected by a specialist individually for each patient. All the characteristics of the body, the nuances of the disease and the degree of neglect are taken into account.

Prevention

Normal discharge largely depend on the hygiene and lifestyle of the woman. To prevent the appearance of atypical leucorrhoea, it is necessary to follow simple preventive measures.

  1. Daily intimate hygiene morning and evening with moderate use special means and minimizing douching.
  2. Legibility in intimate life. The fewer sexual partners, the lower the risk of disruption of the vaginal microflora and infection.
  3. Using contraception with an unfamiliar sexual partner.
  4. Correct selection of hormonal contraceptives.
  5. Active lifestyle, moderate physical activity, minimizing stress and emotional exhaustion.
  6. Timely treatment of inflammatory processes in the pelvic organs.

Maintain intimate hygiene twice a day

Proper nutrition (fruits, vegetables, herbs, dairy products), drinking enough liquid, wearing natural underwear and minimizing bad habits - all this helps maintain healthy microflora in the vagina.

Leucorrhoea, a clear secretion or mucus, like snot in moderate quantities and odorless, secreted by women is a normal phenomenon. If the color changes from cloudy to dark, becomes thick, cheesy, foamy and is accompanied by a stench, we are talking about pathologies in the pelvic organs. Timely consultation with a doctor and high-quality diagnosis help prevent serious complications and quickly eliminate pathology.

Bacteriological study of microflora is a simple and effective analysis that allows you to detect pathogenic microflora in various systems. The microflora culture method is common in the gynecological, urological, oncological and surgical fields; it is also effectively used by dermatologists, gastroenterologists and otolaryngologists.

Bacterial culture helps identify pathogenic microflora

What does culture test for microflora show?

Bacterial culture is a laboratory analysis that allows you to obtain accurate information about the microflora of a specific organ or system in the body.

This study makes it possible to detect pathogenic microorganisms:

  • E. coli;
  • Trichomonas;
  • chlamydia;
  • staphylococcus;
  • streptococcus;
  • pneumococcus;
  • gonococcus;
  • salmonella;
  • listeria;
  • gardenella;
  • candida fungus.

Bacterial culture reveals pathogenic microorganisms, for example, chlamydia

Bakposev helps to detect nonspecific growth of microflora, helps to identify the exact number of pathogenic bacteria, and also to create an antibiogram. The test takes into account the sensitivity of microorganisms to certain antibiotics.

Indications for testing

Change bacterial culture necessary for the following indications:

  1. Blood culture is used for fevers, chills, and suspected intravascular infections. Blood cultures for sterility are also common.
  2. Stool examination is used to determine dysbiosis in cases where a simple stool analysis does not reveal the causative agent of the infection.
  3. Bacterial examination of urine is carried out for infections of the genitourinary system and urinary tract: cystitis, urethritis, pyelonephritis, etc.
  4. Sputum donation is required when diagnosing diseases of the lower respiratory tract, as well as for tuberculosis.
  5. A smear from the ENT organs is taken in case of inflammatory bacterial diseases ear, upper and lower respiratory tract.
  6. Analysis of the urethra in men reveals sexually transmitted diseases, infectious diseases of the reproductive system and causes of infertility.
  7. Vaginal analysis is done in gynecology for inflammatory processes in the genitourinary system, for infertility, and also during pregnancy planning.

Culture test for cystitis

Preparing for bacterial sowing

In order for the results of a bacterial study to be accurate and informative, it is necessary to follow the rules for preparing for the analysis. These rules vary depending on the organ receiving the material.

1-2 days before taking a smear from the vagina or cervical canal, women should not:

  • have sex;
  • douche;
  • use gels and soaps for intimate hygiene;
  • use vaginal forms of drugs;
  • wash in the bathroom.

Do not use intimate hygiene gels before taking a vaginal smear

Before the procedure, you should not wash your face, and it is also advisable not to urinate in the last 2-3 hours before the procedure.

To take a smear from the urethra in men, the following preparation is required:

  • stop taking medications prohibited by your urologist within a week;
  • exclude sexual contacts for 2 days;
  • in the evening before the examination, thoroughly wash the genitals;
  • 2-3 hours before the collection, try not to empty your bladder.

When sowing on flora from oral cavity follows:

  • do not use antibiotics for a week;
  • give up antimicrobial sprays and rinses in 2-3 days;
  • do not eat in the morning before the examination;
  • do not drink 2 hours before the test;
  • do not brush your teeth, do not gargle.

Before taking bacterial cultures from the oral cavity, you should not brush your teeth.

Sperm collection for analysis requires:

  • abstaining from sex for 5-7 days;
  • refusal alcoholic drinks for 3-4 days;
  • ban on antibiotics for 2 weeks;
  • careful hygiene of the genital organs before collecting material.

Submitting feces and urine for bacterial culture requires careful hygiene of the relevant organs and maximum sterility when collecting material. Women should not take tests during menstruation: the presence of blood impurities in the test material will distort the result.

When analyzing nasal microflora, the use of nasal sprays, drops and ointments should be avoided 3-4 hours before taking a smear.

Collecting sputum, blood and ear smears do not require special preparation: for these tests it is enough not to use antibiotics a week before the test.

How is bacteriological research carried out?

For bacterial culture, various secretions from the human body are taken:

  • sputum;
  • sperm;
  • blood;
  • urine;
  • mucus from the upper respiratory tract;
  • discharge from the cervical canal, vagina;
  • pus;
  • contents of wounds, ulcers and erosions.
Material is collected from the genital, urinary, digestive and ENT organs, as well as from the skin.

The method of conducting a bacteriological examination depends on the sampling organ: a smear from the ENT organs is obtained faster and easier than material from the urethra or vagina.

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Normal discharge in women

Contents of the article:

The nature of vaginal discharge depends on hormonal levels and the presence/absence of genital infection. Normal discharge in a woman is light, transparent or milky in color, not accompanied by any discomfort, with a characteristic sour odor. Changes in color, quantity, or consistency do not always indicate a pathological process, but any symptom of trouble should be alarming, so it is important to visit a gynecologist. Let's look at the most common causes of pathological vaginal discharge. They may be the following:

Non-infectious (allergies, use of vaginal suppositories, local contraceptives);
caused by ectopic ureter; fistulous course;
against the background of STIs (chlamydia, trichomoniasis, gonorrhea, mycoplasmosis, etc.);
for cervical erosion;
associated with the presence foreign body in the vagina, for example, with a forgotten tampon;
nonspecific inflammatory process;
for candidiasis (thrush), bacterial vaginosis;
against the background of neoplasms of the uterus and its cervix:
after surgical interventions, for example, after cauterization of cervical erosion.

Some increased discharge from the vagina during pregnancy are physiological, since increased secretion occurs against the background of hormonal changes. Pathology does not include discharge during arousal, during the release of the egg, during and after intimacy. This is true if there is no discomfort, redness of the mucous membrane and blood in the absence of menstruation.

Why is vaginal discharge necessary?

Their main functions are maintaining local immunity, participation in the processes of natural cleansing and moisturizing the walls of the vagina. The secretion is produced by glands located in the mucous membrane of the vestibule of the vagina and cervix. A certain amount of fluid exudes from the feeding vessels, and discharge from the uterus (a small amount of fluid and desquamated epithelium) comes out transvaginally. All this is leucorrhoea. The vagina is inhabited by many beneficial and opportunistic microorganisms. Lactobacilli contribute to the creation acidic environment, which prevents the proliferation of pathogenic and opportunistic flora. The mucus produced by the cervical glands protects the cervix from infection. Normal vaginal discharge ranges from 1 to 5 ml/day.

In smaller quantities compared to lactobacilli, fungi, cocci, enterobacteria, etc. are present in the vagina.

Important! Physiological watery or thick discharge from the vagina are a consequence of natural processes and indicate the reproductive health of a girl or woman.

Vaginal discharge in girls

The physiology of a girl is somewhat different: before the onset of puberty, there should normally not be any pronounced secretion from the vagina. Scanty allowed liquid discharge.

Wet underwear is a reason to consult a doctor. The urethra and rectum are located close to the vagina; if the discharge appears from there, this is a sign of pathology. In addition, if there are developmental abnormalities, for example, when the external opening of the ureter into the vagina, there will be constant leakage of urine.

Watery discharge is allowed 12 - 14 months before the onset of menarche - the first menstruation. An attentive mother will pay attention to the enlargement of the mammary glands, signs of hair growth in the armpit area and in the intimate area of ​​her daughter.

How does the nature of vaginal discharge change during the cycle?

Conventionally, the following phases of the menstrual cycle are distinguished: the first half, ovulation and the second half. Each woman's cycle averages from 28 to 32 days. In the first half, the discharge is liquid, of uniform consistency, often transparent, but a whitish or slightly yellowish tint is allowed. There is no smell or has a sour note.

During the period of ovulation (the release of a mature egg from the follicle), on days 13–15, the appearance of vaginal mucus changes: it becomes transparent, stretches well, the color can be white or beige, and its quantity increases.

In the second half of the menstrual cycle, the volume of discharge decreases and the consistency resembles jelly. Color – whitish, with yellow tint, but there may also be transparent discharge. A few days (1 – 2) before the onset of menstruation, the discharge becomes mucous and acquires a rich creamy hue. This is how the uterus prepares for the rejection of the endometrium.

If fertilization occurs in this cycle, then under favorable conditions pregnancy develops, and there may be increased discharge in the form of mucus. As hCG and progesterone increase, white, odorless discharge appears or, conversely, with sour smell. This depends on the initial composition of the vaginal microflora.

Discharge during menopause is normal

Natural aging of the body, decline in reproductive function and a decrease in the content of female sex hormones are associated with menopause. Discharges undergo changes during this period: against the background of hypoestrogenism, their number decreases, the composition of the microflora changes: there are fewer lactic acid bacteria, and more coccal representatives. During premenopause, colpitis often occurs - inflammation of the vagina. Over time, the condition returns to the physiological norm, as the hormonal levels stabilize. The menstrual cycle begins to go astray - periods come earlier or are delayed, the discharge is abundant or scanty, spotting. The menstrual period ranges from 2 to 12 days. This may continue until your periods stop completely. Each woman has her own period of menopause, in lately doctors note a trend towards early manifestation(38 - 40 years) of its symptoms.

Many women report hot flashes (a feeling of unexplained heat), mood swings, insomnia, urinary incontinence, and increased blood pressure.

During menopause, there is practically no vaginal discharge. Some patients complain of vaginal dryness and fragility of blood vessels. In this case, the gynecologist may suggest replacement hormone therapy, subject to a confirmed decrease in estrogen levels and the absence of contraindications to hormone replacement therapy.

When the nature of vaginal discharge may change

Beginning of sexual relations

With the onset of sexual activity, the vaginal glands begin to work more intensely. In addition, during arousal before insertion of the penis and during frictions (penetrations), the secretion of mucus increases significantly; its consistency is viscous, transparent, and stretches well. After the first sexual intercourse, there may be an increased amount of discharge for 3 days. Discomfort and the presence of brownish veins are a consequence of the rupture hymen. If it bothers you greatly, you can take a bath with chamomile or douche with soda, everything will go away in a few days.

Abundant mucous discharge during sex is normal and indicates a woman’s hormonal levels are well saturated.

After sexual intercourse without a condom, with ejaculation into the vagina, after some time yellowish spots with a specific odor are noticeable on the underwear. Sperm liquefaction is a natural process; if pregnancy is planned, it is better to lie on your back for 1 – 2 hours. Otherwise, contraception and hygiene procedures are sufficient.

Changing sexual partners and the likelihood of sexually transmitted diseases

As you know, each person has his own qualitative and quantitative set of bacteria and microorganisms. When partners have been together for a long time, the microflora has long adapted, and there are no pathological manifestations after sex, provided that everyone is healthy.

During orgasm, sperm along with the man’s microflora enters the vagina; if immunity is reduced, then the development of vaginal dysbiosis, thrush, and nonspecific inflammation is expected. If vaginal discharge is present for more than 3 days, it is better to take smear tests. Often increased secretion with discomfort accompanies sexually transmitted diseases.

Taking oral contraceptives

Copious liquid discharge may occur while taking hormonal drugs. The action of contraceptives is based on suppressing the maturation of the egg, so the vaginal discharge is modified, i.e., there is no production of stretchy mucus (reminiscent of egg white) in the absence of ovulation.

Poor hygiene habits

The desire to achieve sterility in the vagina, with frequent washing out of all beneficial microflora, and even using aggressive detergents- a path to colpitis, dysbacteriosis, vaginal dryness. For intimate hygiene, it is better to buy a product with a neutral environment.
Copious discharge with a sour odor and itching is most likely symptoms of thrush.

What's in the article:

A woman's genitals constantly secrete a small amount of fluid to moisturize the mucous membranes. Copious transparent discharge may appear at some points in a woman’s life.

Standard options

Clear, odorless mucous discharge is normal. The amount of mucus increases at certain points in a woman’s life. This is a reaction to temporary hormonal changes. This type of discharge is called “leucorrhoea”. Sometimes they may be cloudy or white shade.

Copious transparent discharge in women can appear during sexual arousal, during ovulation, during pregnancy, and before menstruation. All of the above conditions are variants of the norm.

You should be wary if transparent mucous discharge is constantly formed in large quantities. And also if there is an unpleasant odor, itching, burning or pain in the lower abdomen. In this situation, it is better to visit a gynecologist, since these symptoms may be signs of disease.

Clear discharge during ovulation

Ovulation is the release of an egg from the ovary. At this time, the amount of sex hormones estrogen increases, which provokes advanced education mucus in the vagina. During ovulation, mucus is released in greater volumes and becomes similar to liquid snot. This helps sperm move faster through the woman’s internal organs.

A small amount of pinkish streaks may be observed in the clear mucus. If there is a small amount of blood, this is normal.

Increased mucus production during ovulation can last 1-3 days. Then there is less mucus, and its secretion returns to normal levels.

It should be noted that in some months ovulation may not occur for physiological reasons, so an increased amount of mucous discharge will not occur.

If the discharge of mucus during ovulation is accompanied by pain, an unpleasant odor or temperature, this is a reason to consult a doctor.

Discharge before menstruation

Before menstruation, the discharge increases in volume and becomes snot-like. Heavy white discharge before menstruation can also be normal, provided there is no unpleasant odor.

Before the onset of menstruation, leucorrhoea may have a pinkish tint. This indicates that your period is approaching soon.

Deviations from the norm are considered to be an unpleasant odor and a yellow-green color of the discharge before menstruation. Such symptoms are a reason to visit a doctor.

After the end of menstruation, pink or brown mucus, similar to snot, may be released for some time. This is not a cause for concern, as it is a sign of the end of menstruation.

Discharge during pregnancy

The amount and nature of the discharge partly depends on the stage of pregnancy. When pregnancy occurs, the amount of discharge increases. This is the result of major hormonal changes. Abundant transparent or white discharge during this period is not a pathology. At normal development pregnancy, the amount of leucorrhoea is reduced

Throughout pregnancy, clear mucous discharge similar to snot is considered normal. Mucus discharge may also have a cloudy, yellowish or white tint. This is also not a cause for concern if the woman has nothing else to worry about.

If the mucus appears reddish or brown tint, this may threaten pregnancy, so you should see a doctor immediately.

In infectious diseases, the discharge may have a yellow-green color, similar to snot. These signs should be reported to your doctor.

Clear discharge during intercourse

Almost all women experience natural hydration of the vagina during sexual intercourse. The glands of the vagina are activated by hormones and begin to produce clear, stretchy mucus (like snot). The more excited a woman is during sexual intercourse, the more intense the “lubricant” is released.

It is a natural fluid that helps reduce friction during sex. It has neither color nor smell. But in some cases, the mucous fluid may turn white.

Other causes of discharge

All of the above reasons for the occurrence of copious colorless or white discharge in a woman are caused by physiological processes in the body. But there are many reasons why a discharge of this nature may appear:

  • Allergic reactions to hygiene products. If the mucous membranes are particularly sensitive, hygiene products can cause allergies, manifested by the formation of pathological fluids.
  • Lack of regular hygiene. This is very important aspect. Some women neglect personal hygiene. This is especially dangerous during menstruation. Blood is a favorable environment for the development of various diseases.
  • Stress. Long-term stress or nervous tension can cause changes in the microflora of the vagina, which in turn will provoke the appearance of stretchy mucus, similar to snot.
  • The presence of a foreign body in the vagina (fragments of a tampon or sanitary napkins).
  • Sexually transmitted infections (the most common cause of pathological discharge).
  • Oncological diseases of the female reproductive system.
  • Fungal infection.
  • Inflammatory processes in the uterus, fallopian tubes or ovaries.

Types of clear discharge in diseases

Abundant transparent mucous discharge can also be a sign of certain diseases. Depending on the pathology, they may acquire additional characteristics:

  • Transparent mucous discharge with cheesy impurities. Most often, this type of secretion indicates thrush. With this disorder, itching and burning are also associated.
  • Copious colorless discharge, similar to snot, with an unpleasant smell of rotten fish. Such symptoms may be caused by vaginitis or bacterial infections of the vagina.
  • Copious mucous discharge streaked with blood. Such clinical picture characteristic of cervical erosion, inflammatory processes of the internal genital organs (salpingitis, adnexitis, oophoritis). If there is a lot of blood, this may be a sign of cancer.
  • Copious yellow-green mucus with an unpleasant odor (similar to snot) may be a sign of trichomoniasis or other infectious diseases of the genital organs.
  • Abundant watery discharge. In rare cases, watery discharge occurs in large quantities with an unpleasant odor. Along with this, unbearable itching, burning and redness of the vaginal mucous membranes occur. These signs may appear when the vaginal microflora is disturbed or harmful microorganisms enter.
  • Purulent mucus with an unpleasant odor, similar to snot. This type of discharge is especially unpleasant and signals an active inflammatory process.
  • Mucus brown speaks of slight bleeding in the woman’s internal genital organs.

For any deviations from the norm, you need to visit a doctor. If unpleasant mucous discharge appears, it means that the disease has already developed enough and can cause serious harm to the body.

Diagnostics

Diagnosis of any gynecological diseases in modern medicine is well established. Discharges of any kind are taken for analysis, with the help of which the cause of their occurrence can be determined. Laboratory tests There are several types:

  • Flora smear. An analysis to identify the types of bacteria that live in the vagina. The study allows you to determine the disease, the symptom of which is unpleasant copious discharge.
  • Smear for cytology. This test can detect the presence of abnormal cells on the cervix or vagina that should not be there. A timely cytology smear will allow you to determine the presence of cancer in the early stages.
  • PCR swab. Allows you to determine with the highest accuracy which disease caused heavy discharge from the female genital organs.
  • Blood for the presence of various infections. Venous blood is donated, the analysis of which will show the presence or absence of sexually transmitted diseases. Almost all diseases can be identified using this analysis.

In addition to examining biological material from a woman’s genital organs, ultrasound is used for diagnosis. It allows you to identify various neoplasms, signs of an inflammatory process in the uterus and appendages.

Also an informative study is endoscopy of the uterus. Such a study allows you to assess the condition of the internal surfaces of the uterus and detect polyps or neoplasms.

Treatment

Pathological discharge should be treated by a specialist. Self-medication is unacceptable, as it can aggravate the development of the disease, and it can become chronic.

The doctor can begin treatment only after a qualitative diagnosis of the disease. In general, treatment of infections can be carried out at home or in a day hospital.

Treat advanced cases inflammatory diseases internal organs reproductive system of a woman, it is better to carry out in a hospital.

Treatment of gynecological diseases can be of two types: drug therapy And surgery. With the help of therapy, infectious and fungal diseases, as well as inflammatory processes in the internal genital organs.

Surgical treatment is used to remove tumors.

Additional treatments may include:

  • Phytotherapy. Herbal treatment is of great importance in gynecology. Herbs are also used to prevent the occurrence of inflammatory processes.
  • Physiotherapy. It has proven itself well in the treatment of chronic inflammatory processes.

To get rid of the disease as quickly as possible, you must follow the doctor’s instructions.

Prevention

To prevent the appearance of copious colorless discharge, you need to adhere to some rules of behavior:

  • It is necessary to maintain genital hygiene. Linen must be changed daily.
  • Underwear should be made from environmentally friendly materials. The fabric should be highly absorbent and free of harmful fibers.
  • Sexual life should be with a regular partner. For casual sexual contacts, it is necessary to use barrier methods contraception.
  • Taking antibiotics that can cause dysbacteriosis of the vaginal microflora should be under the supervision of a doctor.
  • You can't catch a cold. In the cold season, you need to dress warmly.

The amount of mucus varies for each girl. For some, a significant amount of mucus during physiological processes is considered normal. Other girls produce scant mucus. But every woman will unmistakably determine the appearance of pathological discharge. In this case, you do not need to self-medicate, but make an appointment with a doctor.