Few women know that they can and should be normal vaginal discharge, and when the vaginal discharge speak about the disease.
Vaginal discharge can be varied, by color (blood-red, brown, gray, black, whitish, greenish, yellowish, pink), consistency (soft, whimsical, frothy, with the smell and without smell. Vaginal discharge can be accompanied by other symptoms (itching, irritation, pain) or it may be the only symptom of the disease. In this article we will describe the most common species 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 the problem of vaginal discharge in pregnant women.
In healthy women, the vaginal discharge consists of mucus that is produced by the glands of the cervix. Small, but persistent vaginal discharge vaginal help cleanse the genital tract of women and prevent the occurrence of infection.
The rate of vaginal secretion scanty, mucous membranes, can be a little murky because of the impurities of the epithelial cells of the vagina, if during the day, use the same daily strip — selection, and may be slightly yellowed. The nature and quantity of vaginal discharge depends on the day of the menstrual cycle: in the middle of the cycle, when approaching ovulation, the vaginal discharge becomes similar to the consistency of egg white, discharge is more abundant than normal, more alkaline. Increases the amount of vaginal discharge during the sexual arousal, especially during sexual intercourse. The normal selection does not cause discomfort and does not cause unpleasant sensations: itching, burning and irritation genital. If you pass the swab in normal secretions, then he will not be the increase in the number of white blood cells, and the flora will prevail sticks.
The smell I fresh vaginal discharge is practically non-existent, the smell of assignments appears when you breed them bacteria.
- Transparent months, viscous check, similar to the egg white, the most abundant in the middle of the cycle, the period before ovulation — is the norm.
- Cream of allocation of scarce — the second half of the buying cycle.
- Cream check the last few days of the cycle — is the norm.
- Transparent, white or slightly yellowish allocation of clots — in the first hours after unprotected intercourse, when the sperm enters your vagina — is the norm.
- Abundant liquid, the allocation of white color on the following morning, after unprotected sex — the standard.
- The white cream of allocation of scarce after sex with a condom or without ejaculation in the vagina — vaginal lubrication is the rule.
- Combine red spotting, increased — the beginning of menstruation, the first day of the standard.
- Check with the blood — alie detect striations in the middle of the cycle (between monthly) — happens very soon after ovulation in the middle of the cycle — variant normal.
- Liquid whitish light of selection, similar to milk, during pregnancy, generally, are reinforced with time is the rule, if you are not annoying outdoor sex organs and does not have unpleasant smell.
Check before monthly
The state of flora and vaginal secretion depends on the hormonal changes during the different phases of the cycle, therefore, the color and consistency of discharge can change before the monthly allocation may become more dull yellow or white and more abundant (in the sense of constant moisture), the more viscous. But keeping such assignments, and after months of age, especially if these symptoms joins the itching vaginal or abdominal pain, you should consult a gynecologist.
Brown check before monthly is an allocation with a mixture of blood. Spotting normal can receive for a day or two before the start of a heavy menstrual bleeding. If unit of allocation preceding months of age for more than 2 days or brown, pink, red-brown allocation appear in the middle of the menstrual cycle it is likely that testifies about the disease.
Brown check before monthly can to signal: hormonal violations, the presence of any infections (especially when endometritis — inflammation of endometrium), diseases haematological nature. Many times such phenomena that accompany endometrial hyperplasia, polyps of the endometrium. In particular, brown check before you monthly in conjunction with other symptoms (pain during menstruation, long-term-more than 7 days, abundant spotting with clots) are signs of endometriosis.
The brown selection in the middle of the cycle may be a symptom of progesterone insufficiency or the syndrome of polycystic ovaries, these conditions cause infertility and require treatment. Very heavy bleeding during menstruation — Have ultra-sound to evaluate the internal state of the genital organs. Similar bleeding can be symptoms of uterine fibroids, endometriosis, so it is normal thickness of endometrium (uterine mucous membrane) peeling (so-called, this procedure may not be necessary. If the cause of the bleeding hypertrophy (increased thickness) of the endometrium, polyps of the endometrium or of the cervix, the scraping, it is necessary to produce necessarily. This will stop the bleeding and will produce histological, with the exclusion of more serious pathology.
Allocation of diseases
Permanent, does not change during the cycle of selection, except during the menstruation period, happen when the woman takes hormonal contraceptives, or suffer from infertility and do not have the inflammatory processes of the vagina.
- Alie spotting a few days before the monthly — erosion of the cervix, endocervicitis.
- Alie spotting during pregnancy — detachment of a fetal egg, or the placenta, the threat of a termination of the pregnancy.
- Alie bleeding after sexual intercourse — microfractures in the vagina, formed during sexual intercourse, erosion of cervix, cervicitis.
- After a miscarriage can be bleeding, different according to the quantity and the color. After 1 week. Do not leave to consult your gynecologist and make inspection of the ultra-sound.
- Mucous membranes allocation of white color or transparent viscous selection with white stripes at the end of the cycle, before menstruation — the erosion of the cervix, cervicitis (inflammation of the canal of the cervix). The selection of mucus, in any way connected with the cervix.
- White cheesy or similar to kefir check, the film of white color or the plaque between the large and small sex lips, clitoris, usually together with bread or milk smell — thrush (candidiasis).
- White or slightly greenish, greyish in colour, loose pieces of film selection, normally in conjunction with the fish, the smell — dysbiosis of the vagina (gardnerellosis).
- Yellowish or greenish abundant selection acute is a bacterial infection of the vagina, sharp adnexitis (inflammation of the ovaries), sharp salpingitis (inflammation in the fallopian tubes).
- Yellow or greenish, the meager selection is a bacterial infection of the vagina, the erosion of cervix, chronic adnexitis (inflammation of the ovaries), chronic salpingitis (inflammation in the fallopian tubes).
- The purulent green, thick, along with the mucus, of the intensification of tension, after defecation — purulent cervicitis.
- The allocation of large clots during the month — the curvature of the neck of the uterus, bleeding of blood — the tendency to thrombosis, hypovitaminosis b complex vitamins, the disease process in the uterus (polyp, endometriosis, fibroids). In addition, these allocation happens, if the woman is worth a spiral intra-uterine.
Check during pregnancy
During pregnancy, vaginal discharge, especially, of fear of women. Really, during pregnancy should be particularly careful in relation to the presence of secretions, and continuously monitor your character.
Allocation at the beginning of the pregnancy. Vaginal discharge in early pregnancy, as it was already said at the beginning of this article may be more abundant than normal, it is normal if the allocation to remain transparent, do not have unpleasant smell and is not accompanied by other symptoms such as itching or pain in the genital area. The emergence of bloody assignments at the beginning of pregnancy may indicate a miscarriage and extra-uterine pregnancy. Purulent or whitish vaginal discharge in early pregnancy may indicate the presence of infection.
White allocation during pregnancy, the most common signs of picking up with frequency.
Brown spots allocation during pregnancy is a symptom. This is a sign of a threatened miscarriage. Other diseases here, nor with the subject. Perhaps the gain of the assignments, in the days of supposed menstruation, the color of the discharge can be yellowish. Limit sexual activity during this period to avoid the threat of a termination of the pregnancy.
The selection of the pregnancy. In the middle of pregnancy on the recent life cycle, normal vaginal discharge can become more viscous and dense. Suddenly, there appeared stains may indicate begins the abortion, or premature birth, so, immediately after the discovery should consult your doctor. brown check during pregnancy can point to a small bleeding vessels of the cervix and also require inspection doctor.
Check after the birth
Within a few weeks after the birth, until the recovery of the mucosa of the uterus (endometrium), the young mother saved allocation from the genital tract - vaginal. When will it end? Until the end of your pregnancy the uterus weighs about 1 kg. Immediately after the birth of the child, and the separation of the placenta it is drastically reduced, and with this, 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 danger to life.
They appear does not matter, had you naturally or via a caesarean. Normally, up to the 10th day of the lochia to find, later on, they become clearer and cease 5-6 weeks. Until the allocation continues, the physicians recommend that women wash after each visit to the bathroom. For this, it is convenient to use a small plastic bottle with water. While continuing the selection, you wash under the shower, and not in the bathroom. Taking a bath can be from 5 to 6 weeks after the inspection has the gynecologist. However, if the uterus is too slow or, vice-versa, is also decreasing rapidly, the output thereof may be impaired. Sometimes, it occurs to occlusion of the uterus, blood clots, and starts the inflammation.
Contact your doctor immediately:
- If you have every hour, fully if it soaks down into blood hygienic strip and this continues for more than four hours;
- If you exhaust to smell bad;
- If you go up the temperature;
- If you shiver;
- If you feel a constant pain in the lower belly.
All these symptoms may be associated with obstructed neck of the uterus, blood clots and loss of churn out of it. For the treatment, doctors prescribe the means that reduce the uterus and remove inflammation. If in the womb develops the infection, prescribe antibiotics. When you do this, you do not necessarily need to play the breastfeeding. Many antibiotics do not penetrate into breast milk and does not harm the baby. Talk with your gynecologist and a pediatrician. The pediatrician can assign a child's biological, that will protect your intestine from the action of antibiotics.
Vaginal discharge before and after sex
When sexually aroused the breast the arches thereof were of the vagina in women who are starting to produce the so-called vaginal lubricant. Therefore, the presence of clear fluids assignments before sexual intercourse or during sex is normal.
The emergence of dense abundant secretions (maybe with unpleasant odor) immediately after the sex (or second day) may be related with the purification of the sperm from the vagina (this is possible if the sexual act was a man experienced an orgasm and not used a condom). Generally, this allocation quickly disappear with time. The emergence of bloody vaginal discharge during intercourse or soon after it, may indicate the presence of erosion of the cervix.
White, yellow, grey greenish or purulent discharge vaginal after a few days or weeks after sex, can indicate the development of an infection. If the mucus acquires a specific color, the smell, you need the help of a qualified expert, since this sign says about the pathology of the pelvic. The appearance of the odor can be a sign purulent process, when they are celebrated yellowish-green selection. This symptom is characteristic of gonorrhea, trichomoniasis.
These diseases are transmitted through unprotected sex or through blood transfusions. Through 1-3 weeks after infection, occur other symptoms: itching, burning sensation in the vagina, the urethra, pain while sexual act. Contact spotting (after sex) may be the result of pathology of cervix of the uterus (it is detected when a gynaecological inspection) or pathology most of the uterus — polyps, hyperplasia, fibroids, and t. D. To determine the reason for the need to do the ultrasound in different periods of the cycle, may require functional diagnostic tests.