Few women know what it could be or should be a normal vaginal discharge, when discharge from the vagina talks about the disease.
Vaginal discharge may vary in color (red-blood, brown, gray, black, whitish, greenish, yellowish, pink), material (jelly-like, cheesy, foam) smell, without smell. Vaginal discharge may be accompanied by other symptoms (itching, irritation, pain), or it could be just the symptoms of the disease. In this article, we will describe the most common vaginal discharges, and describes the methods of diagnosis, the treatment of the diseases, which are accompanied by phlegm. Furthermore, in this article we will talk about the problem of vaginal discharge in pregnant women.
Healthy women vaginal discharge consists of mucus produced by the glands of the cervix. A small, but persistent vaginal discharge from the vagina, help cleanse the genitals and the women to prevent the infection.
Normal vaginal discharge not abundant, mucous membrane, it may be slightly confusing in the admixture of epithelial cells of the vagina, if during the day, the same daily strip — allocation may become slightly yellowish. The nature and quantity of vaginal discharge depends on the day of the menstrual cycle: mid-cycle, when you approach ovulation vaginal discharge becomes a similar consistency to egg whites, the discharge is much greater than generally, more alkaline. Increase of vaginal discharge during sexual excitement, especially during sexual intercourse. Normal discharge does not cause discomfort, not to cause discomfort: itching, burning, irritation, of the genital organs. If a PRIEST is in normal discharge, then the greater will be the number of white blood cells, flora will be dominated by the bots.
The smell of fresh discharge from the vagina is virtually absent, smelling discharge appears when propagated in the bacteria.
- Transparent, stretchy, slippery discharge, similar to egg protein, the most abundant in the mid-cycle period before ovulation is normal.
- Creamy small selection — in the second half of the cycle is the norm.
- Creamy discharge — the last days of the cycle — the norm.
- Transparent, white or slightly yellowish on the blood clots in the first hours after the unprotected intercourse, when the sperm is placed in the vagina normal.
- Abundant fluid discharge white the morning after unprotected sex the norm.
- Less creamy, white discharge after sex with condom or without ejaculation in the vagina — vaginal lubrication to normal.
- Scarlet red spotting, worse — the onset of menstruation, the first day of the norm.
- Highlight with blood red, bloody streaks in the middle of the cycle (pause)— that it happens soon after ovulation at mid-cycle — normal version.
- Liquid clear whitish discharge similar to milk during pregnancy, in general, the increasing term — the norm, if you don't irritate the external genitals, there is no unpleasant smell.
Selection of of menstruation before
The flora of the secret, the vagina depends on the hormonal changes, the different phases of the cycle, so the color and consistency of discharge can change the menstrual period, the discharge may become more turbid, yellowish, or white, and more abundant (it feels like the constant humidity), more viscous. But while such discharge or after menstruation, especially if these symptoms are connected to itching of the vagina or abdominal pain, seek the advice of a doctor, a gynecologist.
Brown discharge before menstruation — this is the secretion mixed with blood. Bleeding normal can appear one or two days before the start of heavy menstrual bleeding. If sealing is preceded by each month more than 2 days, or brown, pink, red-brown river appear in the middle of the menstrual cycle probably disease.
Brown discharge before menstruation signs can be: hormonal disorders, presence of any infections (especially endometritis — inflammation of endometrium), hematological diseases nature of. Very often such phenomena are accompanied by endometrial hyperplasia, endometrial polyps. Especially brown discharge before menstruation in combination with other symptoms (pain in the menstruation longer than 7 days, profuse bleeding of a blood clot) signs of endometriosis.
Brown river in the middle of the cycle is the sign of a progesterone deficiency, polycystic ovary syndrome, the condition is causing infertility, treatment. Too heavy bleeding during menstruation — you Need an ultrasound to the status of the internal genital organs. Such bleeding can be the symptoms of uterine fibroids, endometriosis, under the normal thickness of the endometrium (lining of the uterus) and curettage (procedure) is not required. If it is, because the bleeding hypertrophy (increase in thickness) of the endometrium, polyps of the endometrium or of the cervix, the scraping carefully should be done. It stops the bleeding and allows histological examination to exclude more serious pathology.
Selection diseases
Constant, does not change during the cycle of the selection, except during menstruation, what happens when a woman takes hormonal contraceptives, or suffer from infertility, there is inflammation of the vagina.
- Al spotting a few days before menstruation — cervical erosion, endocervicitis.
- Al bleeding during pregnancy, detachment of the ovum or placenta, complications.
- Al spotting after intercourse — small cracks in the casing, formed during sexual intercourse, cervical erosion, cervicitis.
- Abortion after can sealing, various sizes, color. After 1 week. Be sure to consult your gynecologist, as well as a follow-up ultrasound.
- Mucus white or transparent mucus streaked white at the end of the cycle before menstruation — cervical erosion, cervicitis (inflammation of the cervical canal). The mucus in some way related to the cervix.
- You're white, like cottage cheese yogurt selection, film, white color, or the table in between, be it big or small labia, the clitoris, is usually combined with the bread, or the sour milk smell — thrush (candidiasis).
- White or slightly greenish, grayish, peeling film of the selection, usually in combination with fish smell vaginal dysbiosis (gardnerellosis).
- Yellowish or greenish, abundant discharge, acute bacterial infection in the vagina, acute adnexitis (inflammation of ovaries), acute salpingitis (inflammation of the fallopian tubes).
- Scanty, yellow or greenish discharge — bacterial infection of the vagina, cervical erosion, chronic adnexitis (inflammation of ovaries), chronic salpingitis (inflammation of the fallopian tubes).
- Purulent discharge, green, thick, in combination with mucus, and boost the voltage, after defecation — purulent cervicitis.
- The distribution of large clots during menstruation, — a tilted cervix, blood clotting — tendency to thrombosis, deficiencies of vitamins of the b group, the pathological process in the uterus (polyps, endometriosis, fibroids). Furthermore, this discharge comes, if the woman is the intrauterine device.
Distribution of the pregnancy
During pregnancy your vaginal discharge, particularly from the women. Indeed, the pregnancy should be particularly careful in the presence of secretions, and to follow nature.
Selection of the early stages of pregnancy. Vaginal discharge in early pregnancy, as mentioned at the beginning that the article can be much larger than usual, this is normal, if the discharge remains clear, no smell, not accompanied by other symptoms, such as itching or pain in the genital area. The appearance of vaginal bleeding in early pregnancy may indicate the spontaneous abortion, 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.
Spotting brown discharge during pregnancy is a very unfavourable symptom. This is a sign of threatened abortion. Other diseases here. Can increase the secretion of days before the expected menstrual period, the color of the discharge could be yellowish too. Limit your sexual activity during this period, to avoid the threat of miscarriage.
Allocation in the later stages of pregnancy. In the middle of the later stages of pregnancy normal vaginal discharge is also increasingly a hard, thick. Sudden spotting can indicate the beginning of a miscarriage or premature birth, and therefore immediately detected, the ask for help from the doctor. brown discharge during pregnancy can indicate bleeding in the small vessels of the cervix is also a need for a medical exam.
Discharge after the birth
Within a few weeks after birth, until the restoration of the uterine mucosa (endometrium), the young mother saved genital discharge, vaginal. When will it end? Towards the end of pregnancy uterus weight: 1 kg. Immediately after the child is born the placenta is dramatically decreased, to approximately 250-300 ml of blood. This blood loss is considered to be physiological, that is normal, not dangerous for life.
It seems, regardless of whether you gave birth naturally or by caesarean section. Usually a 10-day loch in the spotting, later they become light takes 5-6 weeks. While the selection continues, doctors recommend that women wash after each visit to the toilet. That it is advisable to use a small plastic bottle of water. While still in the excretion wash in the shower, not a bath. Take a bath 5-6 weeks after the examination by a gynecologist. However, if the uterus is too slow, or too fast, reduce the outflow might be broken. Sometimes there is a blockage in the uterus of blood clots and the inflammation begins.
Contact your doctor immediately:
- If every hour to completely soak the blood on the sanitary pad is longer than four hours;
- If the mucus smelly;
- If you have a fever;
- If you feel feverish;
- If you feel constant pain in the lower abdomen.
These symptoms can be associated with obstruction of the neck of the blood clots and the worsening of the outflow. The treatment doctors tools that reduce the uterus, and relieve the inflammation. If uterine infection develops, antibiotics are prescribed. In this case, you don't have to stop breastfeeding. Many antibiotics do not penetrate the breast milk to harm the baby. Consult a gynecologist, pediatrician. Your child's doctor may give the child the biological products, which protects the intestines from the action of antibiotics.
Vaginal discharge before sex after
The sexual excitement the glands, the hallway, the vagina, the women start actively developing the so-called vaginal lubrication. Therefore, the presence of a liquid crystalline secretion immediately before sex or during sex is normal.
The appearance of a thick discharge (maybe with unpleasant odor), immediately after sex (or second day) may be related to cleansing of the vagina, the sperm (this is only possible if the sexual act was complete, the man's orgasm, not a condom was used). Typically, such selection fast stop. The bleeding from the vagina during intercourse or immediately after may indicate the presence of cervical erosion.
The appearance of white, yellow, gray or greenish, purulent discharge from the vagina a few days or weeks after sex may indicate infection formation. If the secretion you get a particular color, smell, required the support of a trained professional, because this trait speaks of the pathology of the pelvic organs. Smell may be a sign of a purulent process, but there is a yellowish-green discharge. This symptom is characteristic of gonorrhea, trichomoniasis.
These diseases are transmitted through unprotected sex or blood transfusion. 1-3 weeks after infection there are other symptoms: itching, burning sensation in the vagina, the urethra, the pain during intercourse. Contact bleeding (after intercourse) may be due to cervical pathology (detected by gynecological examination), or pathology of the uterus — polyps, hyperplasia, fibroids, etc. Clarify the reasons you need to do the ultrasound in the different periods of the cycle, it may be necessary tests of functional diagnostics.