Few women know what can and should be normal vaginal discharge, and when discharge say about the disease.
Vaginal discharge can be very different for color (blood red, brown, grey, black, white, green, yellow, pink), texture (gelatinous, cheesy, frothy) with smell and without smell. Vaginal discharge can be accompanied by other symptoms (itching, irritation, pain) or it can be the only symptom of the disease. In this article we describe the most common types of vaginal discharge, and describe the methods of diagnosis and treatment of diseases, which are accompanied by secretions. Also, in this article we will talk about a problem of vaginal discharge in pregnant women.
In healthy women vaginal discharge consist of mucus, which is produced by the glands of the neck of the uterus. Small, but constant vaginal discharge from the vagina help to cleanse the female genital tract and prevent the onset of infections.
Are normal vaginal discharge and measured, the mucous membranes, may be a bit clouded due to impurities of the cells of the vaginal epithelium, if during the day and use the same paper strip selection on it may be slightly yellowish. The nature and quantity of vaginal discharge depends on the day of the menstrual cycle: in the middle of the cycle, when approaching ovulation, vaginal secretions become a similar consistency to egg white, the selection is more abundant than usual, more alkaline. Increases the amount of vaginal discharge during the sexual arousal, especially during sexual intercourse. The normal selection does not cause discomfort, do not cause the unpleasant sensations of itching, burning and irritation of the genitals. If you are going to smear normal secretions, it will not be a greater amount of white blood cells and flora will prevail sticks.
The fresh smell of vaginal discharge is practically absent, the smell of the secretions appears when the breeding of these bacteria.
- Transparent, long, mucus, like white of egg, more abundant — in the middle of a cycle period before ovulation — norm.
- Low-fat cream selection — the second half of the cycle — the norm.
- Creamy selection — the last days of the cycle — the norm.
- Transparent, white or slightly yellowish selection clots — in the first hours after an unprotected intercourse, when the sperm enters the vagina — norm.
- Abundant body fluid of a white colour in the morning after an unprotected intercourse — the norm.
- Creamy white skinny selection after having sex with a condom or without ejaculation in the vagina — vaginal lubrication — is the norm.
- Scarlet red spotting, increased — the beginning of menstruation, the first day — the norm.
- Highlight with blood — scarlet, locate the veins at mid-cycle (including monthly) — arrival after ovulation at mid-cycle — variant rules.
- Whitish liquid highlighting, similar to milk, during pregnancy, they are usually amplified with the increase of the period of practice, if not irritate the external genitalia and do not have an unpleasant odor.
Selection before the cycle
The status of the flora and vaginal secretion depends on the hormonal changes during the different phases of the cycle, so that the color and consistency of the secretions may change before the cycle, selection may become more clouded, yellowish or white, and the most abundant (feeling of permanent moisture, viscous. But during the saving of these issues and after menstruation, especially if these symptoms joins vaginal itching or pain in the lower abdomen, consult a doctor gynecologist.
The brown to highlight the first of the cycle is highlighted with a hint of blood. Spotting is normal, can appear for a day or two before the start of a strong menstrual bleeding. If spotting preceding months for more than 2 days, or brown, pink, red-brown selection appear in the mid of the menstrual cycle is probably indicative of the disease.
The brown highlight before the cycle can include: hormonal disorders, the presence of any infections (especially when endometritis — inflammation of endometrium), diseases of character hematology. Very often, these phenomena may accompany endometrial hyperplasia, endometrial polyps. In particular, the brown highlight before the monthly in combination with other symptoms (pain during menstruation longer than 7 days, abundant spotting with clots) are signs of endometriosis.
The brown highlight in the middle of the cycle can be a symptom of insufficiency of the progesterone or polycystic ovary syndrome, these conditions cause infertility and require treatment. Too strong bleeding during menstruation — you Need to ULTRASOUND to assess the state of the genital organs internal. Similar bleeding can be symptoms of uterine fibroids, endometriosis, and then, during the normal thickness of the endometrium (lining of the uterus) scraping (this is the name of this procedure) may not be necessary. If the cause of the bleeding hypertrophy (increase in thickness) endometrial, polyps of the endometrium or of the cervix, scraping, must produce necessarily. This will stop the bleeding and allow you to perform the histologic examination, for the elimination of more serious pathology.
Selection diseases
Permanent, does not change during the selection cycle, with the exception of the period of menstruation, when a woman takes hormonal contraceptives and / or suffers from infertility and has no inflammatory processes in the vagina.
- Scarlet spotting a few days before the cycle — cervical erosion, endocervicitis.
- Scarlet spotting during pregnancy — separation of the gestational sac or placenta, the threat of termination of pregnancy.
- Scarlet spotting after sexual intercourse — microfractures in the vagina, formed during sexual intercourse, cervical erosion, cervicitis.
- After an abortion may be spotting, different for number and color. After 1 weeks. Make sure to consult with your gynecologist and to pass the ULTRASONIC testing.
- The mucus is white or clear mucous discharge with white streaks in it at the end of the cycle, before menstruation — cervical erosion, cervicitis (inflammation of the cervical canal). Secretion of mucus in one way or another connected with the neck of the uterus.
- White cheesy or the like on the kefir selection, of film, of a white colour, or plaque between the large and small lips, the clitoris, usually in combination with bread or fermented milk, the smell of thrush (candidiasis).
- White or slightly greenish-grey in colour, peeling film of the selection, usually in combination with an odor of fish — dysbiosis vagina (gardnerellosis).
- Yellowish or greenish copious secretions — acute is a bacterial infection of the vagina, the cutting edge annessite (inflammation of the ovaries), sharp salpingitis (inflammation in the fallopian tubes).
- Color yellow or greenish-poor selection — bacterial infection of the vagina, cervical erosion, annessite (chronic inflammation of the ovaries), salpingitis (chronic inflammation in the fallopian tubes).
- Purulent green in color, thickness, in combination with mucus, increase the voltage, after defecation — purulent cervicitis.
- Selection of large clots during menstruation — the curvature of the cervical spine, disorders of blood coagulation — the tendency to thrombosis, deficiencies of vitamins, vitamins of group b, the pathological process in the uterus (polyp, endometriosis, fibroids). Also similar to the selection, if a woman is worth the spiral intrauterine.
Selection during pregnancy
During pregnancy, vaginal discharge and above all, fear of women. In fact, during pregnancy should be particularly careful with regards to the presence of secretions and to monitor constantly their character.
The selection to the beginning of the pregnancy. Vaginal discharge in pregnancy, as already mentioned at the beginning of this article may be more abundant than usual, it is normal if the allocation remain transparent, do not have bad odors, are not accompanied by other symptoms such as itching, or pain in the genital area. The appearance of bleeding in early pregnancy may indicate a miscarriage and ectopic pregnancy. Purulent or whitish vaginal discharge in pregnancy may indicate the presence of infection.
White during pregnancy is often signs of thrush.
Spotting brown to highlight during the pregnancy — is a very unfavorable symptom. This is a sign of threatened miscarriage. Other diseases there enters nothing. The possible increase of the secretions in the days of the presumed menstruation, the color of the discharge may be yellowish. Restrict the sexual activity in this period, to avoid the danger of interruption of pregnancy.
Selection in pregnancy. At mid-pregnancy in pregnancy in normal vaginal discharge can become more hard and dense. Suddenly appeared spotting may indicate the start of a miscarriage or premature birth, and then once to the detection of to consult a doctor. the brown to highlight during the pregnancy may indicate a slight bleeding of the vessels in the neck of the uterus, and also require the inspection of the doctor.
Selection after giving birth
Within a couple of weeks after giving birth, while you are in the recovery of the mucosa of the uterus (the endometrium), the young mother saved download from the genital tract vaginal. When they are finished? Towards the end of pregnancy the uterus weighs about 1 kg. Immediately after the birth of the baby and the placenta is drastically reduced, and with this you lose about 250-300 ml of blood. This blood loss is considered to be physiological, that is normal and is not a danger to life.
They appear independently from the fact of having given birth is natural or by caesarean section. Usually up to day 10 lochia the bloody, later to become clear, and stop at 5-6 weeks. While the current selection, doctors recommend that women as well as wash after each visit to the toilet. For this it is convenient to use a small plastic bottle with water. As they continue to highlight, wash under the shower and not the bathroom. Make the bathroom with 5-6 weeks after the visit to the gynaecologist. However, if the uterus is too slow or, conversely, too rapid a decline, the outflow of it can be stopped. Sometimes occurs the blockage of the uterus, the blood clots and starts the inflammation.
Contact your doctor immediately:
- If you have each and every time completely waterproof from the blood of a sanitary towel and this one has lasted more than four hours;
- If you do not select a bad smell;
- If you increase the temperature;
- If you are the chills;
- If you feel constant pain in the lower part of the belly.
All of these symptoms can be associated with obstruction of the neck of the uterus, blood clots and deterioration of the outflow of her. For the treatment, doctors will prescribe products that minimise the uterus and relieve the inflammation. If the uterus develops an infection, is prescribed antibiotics. In this case, not necessarily the launch of the breastfeeding. Many antibiotics do not penetrate into breast milk and is not harmful to the child. Consult with the gynecologist and the pediatrician. The pediatrician may prescribe a child's biological, that protect the gut from the action of antibiotics.
Vaginal discharge before and after sex
During sexual excitement, breast the vestibule of the vagina in women are beginning to produce the so-called vaginal lubrication. Therefore, the presence of transparent liquids and secretions directly before sexual intercourse or during sex is normal.
The emergence of a thick copious secretions (perhaps with an unpleasant smell immediately after sex (or second day) may be associated with the cleaning of the vagina of semen (this is possible if the report was complete, the male orgasm and you have not used a condom). Tend to quickly highlight stop. The appearance of bleeding from the vagina during sexual intercourse, or immediately after him, may indicate the presence of cervical erosion.
The appearance of white, yellow, green, gray, or purulent discharge from the vagina after a few days or weeks after sex can indicate the development of infections. If the mucus acquires a color, a smell, you need the assistance of a qualified technician, as this is a sign that speaks of the pathology of the pelvic organs. The appearance odour odour can be a symptom of a process, in this marked with the yellow-green selection. This symptom is typical for gonorrhea, and trichomoniasis.
These diseases are transmitted through unprotected sex or blood transfusions. After 1-3 weeks after infection you experience other symptoms are: itching, burning sensation in the vagina, the urethra, pain during sexual intercourse. Contact spotting (after sexual intercourse) can be the result of cervical pathology (detectable pelvic exam) or pathology more the uterus, polyps, hyperplasia, fibroids, Etc To clarify the causes you need to do an ULTRASOUND in the different periods of the cycle, perhaps, need of test of functional diagnosis.