Some women know what they can and should be a normal vaginal discharge and when discharge from the vagina we are talking about the disease.
Vaginal discharge may vary depending on the color (red-bloody, brown, gray, black, whitish, greenish, yellow, pink), texture (jelly-like, cheesy, frothy) with odour and without odour. Vaginal discharge can be accompanied by other symptoms (itching, irritation, pain) or may be the only symptom of the disease. In this article we describe the most common types of vaginal discharges and describe the method of diagnosis and treatment of diseases, which combined with the secretions. Also in this article we will talk about the problem of vaginal discharge in pregnant women.
Healthy women have vaginal discharge consists of mucus produced by the glands of the cervix. A small, but persistent vaginal discharge helps to cleanse the genital tract of women and prevent the occurrence of infection.
A normal vaginal discharge from the vagina, not the rich, the lining may be slightly turbid from the admixture of epithelial cells from the vagina, if during the day, to use the same daily comic — funds may become slightly yellowish. The type and quantity of vaginal discharge depends on the day of the menstrual cycle: mid-cycle when you are approach ovulation vaginal discharge becomes similar to the consistency of egg white, discharge is more abundant than usual, more alkaline. Increases the amount of vaginal discharge during sexual excitement, especially during sexual intercourse. Normal discharge does not cause discomfort, not to cause discomfort: itching, burning and irritation of the genital area. If PAP in normal discharge, then the increase in the number of leukocytes, flora and fauna will be dominated by rods.
The smell of fresh vaginal discharge from the vagina is virtually absent, smelling discharge appears, when propagated in bacteria.
- Transparent, stretchy, slippery discharge, similar to egg protein, the most abundant in the middle of the cycle, the period before ovulation is normal.
- Creamy meager selection — the second half of the cycle is the norm.
- Creamy discharge — the last days of the cycle — the norm.
- Transparent, white or slightly yellowish discharge with clots in the first hours after unprotected sexual intercourse, when the sperm gets into the vagina is normal.
- A wealth of liquid discharge of white the morning after unprotected sex is the norm.
- Moderate creamy white discharge after sex with condom or without ejaculation in the vagina — vaginal lubrication is normal.
- Purplish red spots, worse — the onset of menstruation, the first day is the norm.
- Highlight with blood red bloody streaks in the middle of the cycle (between periods) — this happens soon after ovulation at mid-cycle — normal variant.
- Liquid bright whitish discharge similar to milk during pregnancy, usually increases with the increasing of the term — the norm, if not irritating the external genitals and have no unpleasant smell.
Selection before menstruation
The Flora and the secret of the vagina is depending on the hormonal changes in different phases of the cycle, so the color and consistency of discharge can change, before menstruation, the discharge may become more turbid, yellow, or white and are more abundant (the feeling of constant humidity), the more viscous. But while the maintenance of such removal or after menstruation, especially if these symptoms join itching of the vagina or abdominal pain, you should consult a doctor, gynecologist.
Brown discharge before menstruation — is secretion mixed with blood. Bleeding can usually occur in a day or two before the start of heavy menstrual bleeding. If discharge is prior to the month for more than 2 days, or brown, pink, red-brown discharge, appear in the middle of the menstrual cycle, likely show the disease.
Brown discharge before period may signal: hormonal disorders, presence of any infection (especially in endometritis — inflammation of endometrium), hematological diseases nature. Very often such phenomena, which accompany endometrial hyperplasia, endometrial polyps. In particular, brown discharge before menstruation in combination with other symptoms (pain with menstruation lasting longer than 7 days profuse bleeding with clots) are signs of endometriosis.
Brown discharge in mid cycle may be a sign of lack of progesterone and polycystic ovary syndrome, a condition cause infertility and require treatment. Too heavy bleeding during menstruation — you Need an ultrasound to assess the status of internal genital organs. Such bleeding may be symptoms of uterine fibroids, endometriosis, under the normal thickness of the endometrium (lining of the uterus) and curettage (the procedure) may not be necessary. If the cause of bleeding hypertrophy (increase in thickness) of endometrium, polyps in the endometrium or of the cervix, the scraping should be done with caution. This will stop the bleeding and allow histological examination to exclude more serious pathology.
Selection for disease
Permanent, not changing during the cycle of selection, except during menstruation, happens when a woman takes hormonal contraceptives, or suffer from infertility and does not have inflammation in the vagina.
- Al spots a few days before menstruation — cervical erosion, endocervicitis.
- Al bleeding during pregnancy, detachment of the ovum or placenta, threatening abortion.
- Al spotting after intercourse — small cracks in the vagina caused during sexual intercourse, cervical erosion, cervicitis.
- After the raft can be spotting, various sizes and colors. After 1 week. Be sure to consult your gynecologist and not the control of ultrasound.
- Mucus white or transparent mucus streaked with white at the end of the cycle, before menstruation — cervical erosion, cervicitis (inflammation of the cervical channel). Or mucus in some way connected with the cervix.
- White or curd like yogurt selection, film white or plaque between the large and small labia, the clitoris, usually in combination with bread or sour milk smell — thrush (candidiasis).
- White or slightly greenish, gray, peeling films of the selection, usually in combination with a fish smell vaginal dysbiosis (gardnerellosis).
- Yellowish or greenish, profuse discharge, acute bacterial infection of the vagina, acute adnexitis (inflammation of the ovaries), acute salpingitis (inflammation in the fallopian tubes).
- Scanty yellow or greenish discharge — bacterial infection of the vagina, cervical erosion, chronic adnexitis (inflammation of the ovaries), chronic salpingitis (inflammation in the fallopian tubes).
- Purulent discharge, green, thick, in combination with mucus, amplifying the voltage, after the tomb — purulent cervicitis.
- The allocation of large clots during menstruation — a tilted cervix, blood clotting — tendency to thrombosis, a lack of vitamins from the group b, the pathological process in the uterus (polyp, endometriosis, fibroids). Also this discharge comes, if the woman has intrauterine device.
Assign during pregnancy
During pregnancy vaginal discharge especially afraid of the women. Really, at the time of pregnancy should be especially careful about the presence of secretions and to follow their nature.
Selection in the early stages of pregnancy. Vaginal discharge in early pregnancy, as mentioned at the beginning of the article, it may be more abundant than usual, this is normal, if the performance remains transparent, odorless and is not accompanied by other symptoms, such as itching or pain in the genital area. The appearance of vaginal bleeding in early pregnancy may indicate miscarriage and ectopic pregnancy. Purulent, or a whitish discharge from the vagina in early pregnancy may indicate the presence of infection.
White discharge during pregnancy is usually signs of thrush.
The brown spotting discharge during pregnancy is a very unfavorable symptom. This is a sign of threatened abortion. Other diseases that are here and. You can increase the secretions in the days of the expected menstrual period, the color of the discharge can be yellowish. The restriction of sexual activity in this period, to prevent danger to the life raft.
Distribution in the later stages of pregnancy. In the middle of pregnancy in the later stages of a normal vaginal discharge can become more viscous and thick. Sudden spotting can mean the start of a miscarriage or premature birth, so it is immediately after the detection of should seek doctor's help. brown discharge during pregnancy can indicate bleeding from small vessels in the cervix and also require a medical examination.
Discharge after giving birth
In just a few weeks after giving birth, until the reconstruction of the lining of the uterus (endometrium), a young mommy has stored genital discharge - vaginal. When will it end? Towards the end of pregnancy your uterus weighs about 1 kg. As soon as the child is born and the placenta is dramatically reduced, and you will lose about 250-300 ml of blood. This loss of blood is considered to be physiological, that is normal and does not pose a threat to life.
Occur regardless of whether you gave birth naturally or by caesarean section. Usually up to 10 days lochia stains, later to become bright and lasts for 5-6 weeks. While selection continues, doctors recommend that women wash after each visit to the toilet. For this, it is appropriate to use a small bottle of water. While continuing the selection, you wash in the shower, not the bath. Swimming with 5-6 weeks after the examination by a gynecologist. However, if the uterus is too slow or too fast to reduce the outflow from it may be broken. Sometimes it is a blockage of the uterus with blood clots, and inflammation starts.
Immediately notify your doctor:
- If you have every hour to completely soak up the blood from the sanitary pad and it takes more than four hours;
- If the secretions smell bad;
- If you have a fever;
- If you feel feverish;
- If you feel constant pain in the lower part of the abdomen.
All of these symptoms can be associated with obstruction of the cervical blood clots and the degradation of drain from him. For the treatment doctors prescribe tools that reduce the uterus, and relieving the inflammation. If uterine infection develops, antibiotics are prescribed. In this case, you do not need to stop breast-feeding. Many antibiotics do not penetrate into breast milk and harm the baby. Please consult with a gynecologist and a pediatrician. The pediatrician can give the child the biological products that will protect the intestines from the action of antibiotics.
Vaginal discharge from the vagina before and after sex
During sexual arousal the glands of the vestibule of the vagina in women start actively developing the so-called vaginal lubrication. Therefore, the presence of a liquid crystalline secretions just before sex or during sex, it's normal.
Look thick heavy discharge (maybe with unpleasant odor) immediately after sex (or other day) may be associated with the cleaning of the vagina from the sperm (this is possible if the sexual act was complete, the male orgasm and not a condom was used). Typically, such a selection of quick stop. Bleeding from the vagina during sexual intercourse or immediately after it, may indicate the presence of cervical erosion.
The look of the white, yellow, gray or green purulent vaginal discharge a few days or weeks after sex may indicate the development of infection. If the mucus acquires a special color, smell, required the assistance of a trained professional, because this trait speaks of the pathology of the pelvic organs. The smell can be a sign of purulent process, but it is a yellowish-green discharge. This symptom is characteristic of gonorrhea, trichomoniasis.
These diseases are transmitted through unprotected sex or blood transfusions. 1-3 weeks after infection there are other symptoms: itching, burning sensation in the vagina, in the urethra, pain during sexual intercourse. Contact bleeding (after intercourse), may be due to cervical pathology (detected by gynecological examination) or pathology of the uterus — polyps, hyperplasia, fibroids, etc For clarifying the reasons that you need to do an ultrasound in the different periods of the cycle may need to tests of functional diagnostics.