Features of the female body should know every girl. Otherwise, sooner or later, its incomprehensible reaction to certain stimuli can frighten. For example, it is important to know under what circumstances the discharge appears red, but not menstrual. Quite a common phenomenon, but it still scares many. So what could be causing this phenomenon? When should alarm be sounded?
The female body is an eternal mystery, and often even for physicians. Therefore, to predict the cause of bloody discharge from the vagina is not so simple. We will have to take into account all the features and nuances, changes that have occurred in the patient's life.
As practice shows, red discharge before the onset of menstruation, especially if they do not cause pain, are not dangerous. Most likely, this is just a shift in the menstrual cycle. The reason for this may be hormonal. In any case, this should not cause concern. So no need to think that the monthly come as a clock. Even if before critical days came strictly at a certain time, no one is immune from cycle shifts. Remember - discharge at the same time may be scant in the first few days, smearing.
The next scenario is common, but it does not attach much importance. Do you have red vaginal discharge, but not monthly? Do not rush to panic. After all, if this phenomenon does not bring you any particular discomfort, much less pain, there is no reason for concern. Why?
Red discharge after menstruation (and before them) is a clear sign of the body’s stress. Flights, strong emotional stress (even with positive emotions) - all this can affect your menstrual cycle and the state as a whole. Usually, stress-induced discharge is not strong, without mucus or any other special signs. After the situation normalizes, everything returns to normal.
By the way, overwork too can be attributed here. To stop the allocation (at one point they can be confused with the monthly), you just need to relax and rest. All this is not a reason for a visit to the doctor. The maximum that you will be discharged is antidepressants. And good rest, complete isolation from stress. After all, this is how the female body displays a defensive reaction.
Red discharge, but not monthly - it is still a sign that you have some kind of disease. Just do not rush to the doctor, not in all cases it is necessary. Often the cause of this phenomenon is cervical erosion. She may bleed from time to time. As a result, any day you can begin to highlight the red color.
As practice shows, they are not abundant, smearing, without impurities and mucus. May continue up to menstruation. But also pass in some cases independently. If there is suspicion of erosion, it is best to consult a doctor. He will definitely help you decide whether this disease or not. If necessary, you can cauterize erosion, for example, radio waves. After treatment, the discharge red, but not monthly, will stop.
As practice shows, vaginal discharge in red can appear for many reasons. And you can predict them without the help of doctors. Therefore you should not go into hysterics if you notice these changes in your body.
Red discharge before menstruation (or already after them) may indicate rupture of the capillaries. Usually such a phenomenon is observed if a woman strains a lot. That is why the beautiful half of society does not recommend hard physical work.
As in all previous cases, the discharge has a smearing character, does not bring much discomfort or any painful sensations. You should only go to the doctor if the deviation is accompanied by pain or by too much blood. Just limit physical labor and rest. On average, it takes several weeks to restore the body. So do not think that one day of rest is enough for the discharge to pass.
Dark red discharge during menstruation is a sign of mechanical damage to the vagina. This phenomenon may be accompanied by any pain. For example, a pulling pain in the lower abdomen or immediate discomfort inside the vagina.
Usually, this problem worries girls after intercourse (immediately or some time later). Lack of lubrication, too fast pace, "rigidity" of the process - all this can damage the sensitive vagina. As a result, bleeding occurs.
If they do not pass several days, and are accompanied by discomfort, it is recommended to consult a doctor. The same should be done when the blood is liberated. The doctor will tell you if there are any more serious problems. If you have no diseases, then it is mechanical damage that occurs. We'll have to be patient and wait for the wounds to heal. And continue to be more careful during intercourse.
Do you have a red discharge after menstruation in a week or two? Remember what kind of sexual intercourse you had. Most likely, this is conception. It's no secret that approximately in the middle of the cycle (and this is just about 7 days after the end of menstruation on average) ovulation occurs - a favorable day for conceiving a child. After fertilization, the egg must attach to the woman's body in order to develop further. This very attachment may be accompanied by bloody discharge.
Although, as practice shows, usually conception occurs without a trace. But if you notice red-brown discharge (during menstruation, they are not so), and you had unprotected sexual intercourse, it is quite possible that in another week or two critical days will not come, and the text on pregnancy will be positive. So keep this in mind. Typically, the discharge at conception continues for several hours; no pain or discomfort is delivered.
Discharge red, but not menstrual, accompanied by severe and sharp pain, abundant and sudden may be the result of miscarriage. This is how the natural termination of pregnancy manifests itself in small terms.
Often, when you have miscarriages in the discharge, you can find a little bit of mucus. In any case, if you are pregnant, and then suddenly blood has gone from the vagina, there is every reason for panic. Try to stay calm and just go to the doctor as soon as possible. It is advisable to call an ambulance at all.
Sometimes you can easily guess why blood comes out of the vagina. The reason for this may be the most common surgical intervention. A variety of surgeries, abortions, and even the use of an intrauterine device - all this can cause bloody discharge.
Usually this kind of phenomenon is reminiscent of menses. And continues the selection of blood for about 5 days. Gradually, it becomes less plentiful and stops. There is no reason to panic. Just be prepared that after surgery, bloody masses may start to stand out from the vagina. Some discomfort also occurs. But the pain is usually in this case is not observed.
With a normal pregnancy, there is usually no red discharge. Maximum - pink, and then only at the very beginning of the process, when attaching a fertilized egg. Only by the end of pregnancy you can go to the blood from the vagina.
As practice shows, the allocation of red, but not monthly, in the last periods of the "interesting position" most often turn out to be a sign of the onset of labor. Usually blood can be seen along with mucus. Do not worry, it should be. Also, you can waste water. In principle, the discharge of mucus plug may also be accompanied by blood from the vagina.
If after a certain period of time after the detection of the discharge you feel colic pain, call your family or in an ambulance - you have started labor. It is a normal and natural phenomenon. It should not cause you to panic.
Childbirth is in itself a very difficult process. Therefore you should pay attention to the fact that after them you may have dark red discharge. With menstruation, they are not. Although light red blood also takes place in some cases. There are no reasons for panic - it is lochia. After labor, bleeding will pursue the young mother for some time. About a month and a half, if not all 2. It all depends on how quickly your body recovers from labor activity.
In the first 4-5 days, blood is liberated. Therefore, the use of special postpartum pads is recommended. But after (closer to discharge from the hospital) the amount of discharge decreases. Over time, they acquire a smearing character and disappear.
The last point worth noting is that you have any diseases, not necessarily gynecological ones. If you notice red discharge, but not monthly, which bring discomfort or suspiciously continue for a long time, then you will have direct access to a doctor. Do not hesitate!
Try to undergo a comprehensive examination and find out what the cause of the problem is. Tumors, polyps, infections and even thyroid disease can cause bleeding from the vagina. As soon as you find out the cause of the disease, eliminate it. Do you have red spots instead of menstruation? Now I understand what could be the problem. In any case, a medical consultation will not hurt.
What could it be?
The body of a woman is a mystery, which can often not even be solved by physicians. That's about the red discharge from the vagina, or rather, about the reason for their appearance, it is difficult to say at a glance. For this it is necessary to ask the patient about the changes in her state of health and in life in general.
Bloody discharge before the onset of menstruation, which does not cause pain in a woman, should not cause a strong feeling. Most likely they are associated with hormones in her body, as a result of which the usual shift of the menstrual cycle occurred. No woman is immune from this. Even those women whose monthly arrivals came "like a clock" might face a similar shift. It is important to remember that the discharge before the menstruation of this kind are of a scant, smearing character.
Discharges, but not monthly
The reasons for which women appear red discharge, are determined based on their age. So, girls from 12 to 15 years of this kind of discharge occur due to functional hormonal disorders, resulting in dysfunctional bleeding. Very rarely, they indicate a hormonally active ovarian tumor. Therefore, if young girls have a violation of the menstrual cycle, they should consult a doctor and undergo an ultrasound.
In women of reproductive age, the causes of the appearance of red secretions are much more. They can signal:
- myoma of the uterus (especially in its submucous forms, which can lead to disruption of the contraction of the myometrium),
- erosion of the cervix caused by infections, injuries, hormonal imbalances,
- endometriosis - a disease manifested by the appearance in the female body of foci, which, like the uterus, undergo changes of a cyclical nature, as a result of which blood is released from these foci,
- ovarian cyst, in which hormones are formed that provoke the growth of the endometrium,
- uterine polyps - growths in certain places of the inner layer.
Women over 45 years old and those who have no monthly period at all are at particular risk because of the appearance of tumors in the uterus or its cervix. Therefore, when red secretions appear in them, it is recommended to be examined to rule out cancer. If the diagnosis refutes this disease, you should look for other causes of this condition.
Hypertension becomes the second most common cause of discharge. In this disease, vascular lesions occur, and they rupture as blood pressure rises, leading to hemorrhage.
Discharges before and after menstruation
Red discharge occurs in women in different periods of their cycle, causing pathological changes.
The main causes of discharge before and after menstruation are:
- taking hormonal contraceptives,
the spiral is intrauterine,
- poor nutrition,
- severe stress
- sex hormone imbalance,
- thyroid is not functioning well.
Spotting at the occurrence of pathology may be due to:
- reduced endocrine gland function,
- endometritis inflammatory disease,
- polyposis and fibroids,
- sexually transmitted infections - trichomoniasis or ureaplasmosis,
- miscarriage in early pregnancy.
Light red highlight
Highlighting the color closer to scarlet and more liquid than during menstruation, consistency may indicate the onset of uterine bleeding, which requires urgent assistance to a woman.
So, when the appearance of light red and too heavy discharge, uterine bleeding indicates:
loss of strength when a woman is dizzy, lack of appetite, coordination of her movements is disturbed, and you want to lie all the time,
- pale skin on the hands and face,
- chills due to lack of tissue nutrition.
If the period came a week earlier than it should have been, and the woman notes the above symptoms, she needs to see a doctor very quickly for help. Even just an hour uterine bleeding can cause great harm to the female body.
Dark red discharge
Such secretions indicate mechanical damage to the vagina. Usually dark red discharge accompanied by painful sensations, namely, pulling pain in the lower abdomen or an unpleasant feeling in the vagina.
Such a nuisance occurs in girls and women immediately after having had sexual intercourse or as time passed. Damage to the vagina is often caused by a lack of lubrication, a hard act process, or the pace was too intense. Dark red discharge results from such careless actions.
As a rule, they should pass after a few days, but if this did not happen, and the discharge is too abundant and accompanied by a feeling of discomfort, you should consult a doctor to rule out more serious problems.
Other dark red discharge causes include:
too low hemoglobin in the blood, if for several cycles such secretions are repeated,
- ectopic pregnancy,
- the initial stage of cancer in the female reproductive system,
- the presence of chronic infections
- inflammatory processes in the pelvic organs.
Highlight red color
Most often the red discharge of an intense shade appears in:
- adolescents in the first couple of years from the beginning of their period, which, if there are no other bad signs, should not be worried
- women with poor blood-clotting secretions have a liquid consistency and are removed so quickly that they simply do not have time to oxidize and change color,
- women who are protected from unwanted pregnancy with oral medications or intrauterine device,
- women before menopause, which is a simple feature of their body, but still it is better to be examined to exclude the development of a tumor.
Highlight and smell
Normally, discharges from women have a slight vaginal odor, which after a hygienic procedure becomes completely invisible. But if an infection has entered the body, the discharge acquires other colors and the unpleasant smell is rotten or sour, which can be barely perceptible or so strong that even those around it feel.
Dark brown discharge with an unpleasant smell, accompanied by pain in the lower abdomen can signal an ectopic pregnancy.
If there are spots of pus or blood in the brown discharge, inflammatory diseases such as endometriosis, endometritis, and endometrial hyperplasia are suspected.
Discharges of a pale pink color with an unpleasant odor are indicative of an inflammatory process, endometrial pathology, and injury to the cervix or vagina. Very often, such discharge occurs because of inflammation - vaginosis, chlamydia, trichomoniasis, cervicitis, ureaplasmosis, vaginal and bacterial candidiasis, sexually transmitted diseases.
Pink discharge, appeared on the days of the beginning of menstruation, may indicate a threat of miscarriage, ectopic or frozen pregnancy.
Spotting at age 13
The discharge at this age is called juvenile and is observed in the first 2-3 years since the beginning of the first menstruation. Juvenile bleeding in young girls sometimes coincides with the onset of the next menstruation, but there are also cases when such discharge occurs before and after menstruation. The menstrual cycle is broken and the monthly come on a case by case basis.Most often, juvenile bleeding in girls of 13 years old occurs in winter or in early spring, when less vitamin is ingested.
The main causes of bleeding in girls 13 years old are:
- pathology in the development of genital organs,
- psychological and physical stress
- unbalanced nutrition.
Scant and smearing
If the red discharge is not large and is not related to the menstrual cycle, then they can be the causes of the following pathologies:
- menstrual cycle disorders
- erosion of the uterine cervix,
- cervical cancer,
- infection defeat - at systematically appearing bloody discharge of smearing character with unpleasant smell.
Abundant and sudden after delay
Abundant red discharge, not having any connection with the menstrual cycle can signal the presence of some serious pathology. A woman should immediately get on a visit to a gynecologist. This sign is dangerous to the life of a woman, and if you miss the time, you can bring yourself to bad consequences.
Red discharge, abundant and with sharp pain, which began suddenly, can signal a miscarriage. When a pregnancy is terminated for a short time, it is accompanied by these symptoms. Very often there is a small amount of mucus in the red discharge. Therefore, if a woman is pregnant and she suddenly started having painful bleeding, she should immediately call an ambulance.
Discharge from the vagina: causes and treatment depending on color, smell, texture and other factors
Vaginal discharge: the causes of their occurrence, as well as effective methods of therapy
Vaginal discharge are a fairly frequent condition that occasionally bothers all the fair sex without exception. In most cases, the occurrence of vaginal discharge causes a woman to fear. In fact, only a few can distinguish between normal and pathological discharge. We note immediately that vaginal discharge can be both odorless and odorless. Their color can vary from red-bloody to yellowish. The consistency distinguish cheesy, frothy, and jelly-like discharge. Along with their occurrence, women may also experience symptoms such as pain, itching, irritation. After reading the information provided in this article, you can familiarize yourself with the most common forms of vaginal discharge, as well as learn about the methods of diagnosis and therapy of the pathologies in which they are marked. In addition, this article will provide information on the problem of vaginal discharge during pregnancy.
Does vaginal discharge always indicate the presence of any disease? In what cases is vaginal discharge considered to be the norm?
Vaginal discharge can occur even in completely healthy women, and this condition is considered to be normal. Signs of healthy vaginal discharge can be counted:
- Transparent, liquid discharge (jelly-like mucus)
- Discharges not endowed with noticeable odor
- Insignificant amount of discharge
- Isolation not causing irritation of the skin and mucous membranes of the genital organs
- Discharges that are not accompanied by fever, pain or discomfort in the genital area.
If a woman is completely healthy, then vaginal discharge most often resembles mucus in its consistency, which is produced by the cervical glands. This kind of discharge is considered to be a normal phenomenon, since with their help it is possible to clean the genital tract, as well as protect the genitals from the effects of certain infections. As the number of normal vaginal discharge, and their consistency are determined not only by the general state of health of the woman, but also by the phase of the menstrual cycle. For example, a particularly large amount of liquid vaginal discharge is noted at the time of approaching ovulation.
Increasing the amount of this kind of discharge in normal health is possible in the case of excessive sexual arousal, on the background of a stressful condition or the use of certain pharmaceutical agents, due to changes in climatic conditions.
A sufficiently large amount of abundant liquid discharge is also observed in pregnant women, and in the last months of pregnancy they become even more. The increase in their number during pregnancy is easy to explain. The fact is that during this period an increase in the number of sex hormones occurs in a woman’s body.
Vaginal discharge - what can it be?
Just below, readers will be presented with information on the most common forms of vaginal discharge, as well as the reasons that provoke their development.
Vaginal discharge of various colors, smell and texture
Slightly above, we have already said that all healthy representatives of the weaker sex have watery, transparent and colorless vaginal discharge. If they acquire a different texture, specific smell or some color, then, most likely, a disease has settled in the woman’s body:
Bloody (reda) vaginal discharge - a signal that there is blood in the vaginal discharge. In most cases, this kind of discharge occurs two to four days before the onset of menstruation, after which they are converted into copious secretions along with the onset of menstruation. It is worth noting that this kind of discharge is peculiar to be noted even for several days after menstruation. If the discharge is not abundant, then it is better for the woman not to panic. Especially often this phenomenon is observed in women who wear a spiral.
Quite often, the bleeding is endowed with a blackish or brown color, which signals the fact of oxidation, as well as destruction of the blood in the vagina.
There are also cases when a woman has spotting that contains a small amount of blood. As a rule, near-menstrual bloody discharge does not have a specific smell.
Sometimes weak bloody discharge occurs at the time of ovulation, as well as in women who wear a spiral or use oral contraceptives. In the case of the constant occurrence of this phenomenon on the background of wearing an intrauterine device or using contraceptives, it is necessary to discuss this fact with the gynecologist, having previously registered him for a consultation.
If the bloody vaginal discharge is in no way associated with the menstrual cycle, then they can be considered a signal of the presence of any pathology.
In most cases, this kind of discharge makes itself felt:
- For violations of the menstrual cycle
- Endometriosis (adenomyosis)
- Cancer or cervical erosion. In this case, the selection is particularly abundant after sexual intercourse.
If a woman has a bloody vaginal discharge that is in no way associated with menstruation, then she should immediately discuss the matter with a doctor.
As for the sudden red discharge, they can be triggered by an unexpected miscarriage in the first months of pregnancy. In the case of an ectopic pregnancy, women have very strong prolonged bleeding. If, in addition to the discharge, the woman also has some symptoms of pregnancy, then she should be immediately taken to the hospital.
Yellow, as well as whitish vaginal discharge, especially often observed with the development of certain infectious pathologies, which tend to be sexually transmitted. Yellow or whitish color due to the accumulation in the discharge of a large number of white blood cells and microbes.
Purulent vaginal discharge noted in such infectious pathologies as chlamydia, trichomoniasis, thrush, gonorrhea and others. As a rule, this kind of discharge also causes a feeling of discomfort in the genital area and itching. Sometimes women complain of pain in the lumbar region or lower abdomen. During pregnancy, whitish viscous vaginal discharge is considered to be a normal condition if there are no other symptoms of the disease in the future mom.
Cheesy, frothy, thick vaginal discharge
A change in the consistency of vaginal discharge is also considered to be one of the obvious signs of the presence of a particular pathology. Slightly above, we already said that normal discharge must be liquid, similar to mucus. If the discharge is white cheesy or frothy, then, most likely, the woman has any infectious disease.
Vaginal discharge with an unpleasant smell
The occurrence of vaginal secretions endowed with a specific smell indicates the presence of an infectious pathology. The smell in this case can be either sour or rotten or resemble the smell of fish. It occurs against the background of vital activity of pathogenic microorganisms, which tend to decompose nutrients, while emitting gases endowed with a very unpleasant odor.
Vaginal discharge before and after intercourse
At the time of sexual arousal, the vaginal glands of the fair sex tend to intensively synthesize vaginal lubrication, so that a large amount of liquid transparent discharge, which is noted before and during sexual contact, is considered to be the norm. Women should not be frightened by the appearance of thick and abundant secretions after sexual contact. The fact is that if sexual intercourse occurred without the use of a condom, then it is quite possible that in this way the vagina is trying to clear itself of sperm. In most cases, this kind of discharge disappears in a fairly short period of time.
If a woman has bloody discharge during or after sex, then, most likely, she has cervical erosion.
The appearance of yellow, purulent, white, gray or greenish discharge a few days or weeks after sexual contact is considered to be a signal of the occurrence of any infectious disease.
Vaginal discharge as a symptom of infection
Vaginal discharge is considered to be a clear sign of the development of an infectious pathology of the genital tract in only a few cases. The greatest number of pathologies in which vaginal secretions are noted are infectious and are transmitted during sexual contact.
The most common causes of vaginal discharge include:
- Candidiasis (thrush)
- Urogenital trichomoniasis
- Bacterial vaginosis
Urogenital trichomoniasis as the cause of vaginal discharge
Urogenital trichomoniasis is an inflammatory pathology of the genital tract of men and women, which is infectious. This disease occurs as a result of exposure to the human body microorganism Trichomonas vaginalis . Infection with this pathology occurs during sexual intercourse. A clear sign of the development of this disease is considered to be inflammation of the mucous membrane of the vagina. In medicine, this condition is called vaginitis. In the case of the development of vaginitis, a woman has very strong foamy vaginal discharge, endowed with a very specific smell. In chronic vaginitis, discharge becomes thick yellow or white. In most cases, in addition to the discharge, the woman is also worried about very severe itching in the area of the external genital organs.
Diagnosis of urogenital trichomoniasis
It is impossible to make an accurate diagnosis of urogenital trichomoniasis, considering only the presence of discharge and some other symptoms of this pathology.
To identify this pathology should conduct such studies as:
- Cultural research method - the cultivation of colonies of microorganisms taken from the vagina, on special nutrient media and their further study.
- Microscopic examination of unpainted (nativea) smear taken from the vagina.
- PCR (polymerase chain reaction) research method involving the study of genetic material Trichomonas vaginalis .
- Microscopic examination of a stained vaginal smear. Paint it with special dyes.
Therapy of urogenital trichomoniasis is possible only if the woman was given a truly accurate diagnosis of this pathology. Among the most effective drugs used in the fight against this pathology can be counted: Nimorazole , Metronidazole, Ornidazole , Tinidazole other. It is very important that the therapy of this disease is carried out under the watchful supervision of a physician. Self-treatment in this case is not recommended, as this pathology with irrational treatment can become chronic. As a rule, during the treatment of urogenital trichomoniasis, the vaginal discharge initially becomes weaker, and then disappears completely. It is also important to draw the attention of readers to the fact that the lack of discharge is not a fact of complete healing, so the treatment must be carried out to the end. How long it will last will be determined by your doctor.
Bacterial vaginosis as a cause contributing to the development of vaginal discharge
Bacterial vaginosis is called a very common pathology, accompanied by secretions that are endowed with an unpleasant odor. This disease occurs as a result of a very strong growth of bacteria directly on the mucous membrane of the vagina. In a healthy state, these bacteria are also present in the vagina, but only in very small quantities. Among them can be ranked as Peptococci so and Gerdenerellu vaginalis , Bacteroids other. With the development of this pathology in women there are white vaginal discharge, endowed with the smell of fish. To make a diagnosis of bacterial vaginosis is not enough only information about the presence of discharge.
Diagnosis of bacterial vaginosis involves the use of such research methods as:
- Microscopic examination of unstained smears taken from the vagina.
- Research under a microscope stained with special dyes smears taken from the vagina.
- pH-metry, or the identification of the acidity of the environment of the vagina. In the normal state, the vagina has an acidic environment, but in the case of bacterial vaginosis, it becomes alkaline.
As soon as the diagnosis is made, the doctor immediately prescribes an effective treatment for this disease.
Therapy for bacterial vaginosis involves the use of local drugs, namely:
- Clindamycin Vaginal Candles (one hundred milligrams) - must be inserted into the vagina once a day for six days.
- Gel metronidazole seventy-five percent - must be inserted into the vagina once a day for five days.
There are also such cases when systemic medications are used in the fight against this pathology:
- Ornisid forte should be taken orally for five hundred milligrams in the morning and evening for five days.
- Clindamycin take in capsules of three hundred milligrams in the morning and evening for seven days.
- Metronidazole (Trichopol) in the form of tablets of two hundred and fifty milligrams. You should take two tablets in the morning and evening for seven days.
Urogenital candidiasis (thrush) as a cause of vaginal discharge
Urogenital candidiasis is an inflammatory pathology of the genital organs in women and men, resulting from exposure to the organism of fungi of the genus Candida. Women with the development of this disease are observed white thick discharge. In addition, they may be disturbed by discomfort, as well as itching in the genital area. Quite often, this disease causes more pain and pain during urination.
Diagnosis of thrush involves the use of the following research methods:
- Microscopic examination of unstained smears taken from the vagina.
- Research under a microscope stained with special dyes smears taken from the vagina.
- Mycological research involving the detection of the species of fungus that provoked the development of urogenital candidiasis.
Therapy for urogenital candidiasis is determined by the pathogenesis of the disease: if a woman has infrequent exacerbations of this disease, then to fight it, she is prescribed medications such as:
- Clotrimazole Vaginal Tablets to two hundred milligrams - must be entered into the vagina once a day for three days.
- Clotrimazole Vaginal Cream one percent should be injected into the vagina once a day for seven to fourteen days.
- Isoconazole - Vaginal suppositories of six hundred milligrams. It is recommended to enter into the vagina once.
В случае если обострения урогенитального кандидоза отмечаются более четырех раз в год, при этом у женщины наблюдаются очень сильные густые белые выделения, тогда используются системные препараты в форме таблеток:
- Итраконазол (Ирунин, Орунгал) следует принимать по двести миллиграмм один раз в сутки в течение трех дней.
- Флуконазол (Дифлюкан, Флюкостат, Микомакс) - used in several regimens: one hundred fifty milligram once, or one hundred milligrams on the first, fourth, and seventh day of therapy.
In the fight against the severe forms of this pathology, quite complex combinations and schemes of antifungal medications are used, which are prescribed to the patient by his attending physician.
Self-medication for any of the aforementioned ailment is impossible. Sometimes vaginal discharge is the result of several infectious pathologies immediately. Under such circumstances, a course of therapy can only be prescribed by a specialist and then after he has the results of all the necessary research.
Vaginal discharge during pregnancy
Vaginal secretions are particularly alarming future moms, because in this period they are responsible not only for themselves, but also for the child. In fact, every pregnant woman should with special attention to monitor the nature of vaginal discharge, so that at the right moment "to sound the alarm."
Discharge in early pregnancy
A little higher, we already said that the abundant transparent discharge in the first months of pregnancy, which are not endowed with a specific odor, is normal.
If a woman has bloody discharge in this period, then this may be a signal of an unexpected miscarriage or ectopic pregnancy.
Whitish or purulent vaginal discharge in early pregnancy is considered to be a sign of the development of an infectious disease.
Discharge in late pregnancy
In the second trimester of pregnancy in a healthy pregnant woman, vaginal secretions may acquire a thicker and more viscous consistency. This phenomenon is the norm. If the vaginal discharge is bloody, it can serve as a signal of the onset of premature birth or miscarriage, so in such cases it is recommended emergency hospitalization of the future mom. Brown vaginal discharge in late pregnancy is quite often due to minor bleeding from the cervical vessels. In this case, a pregnant woman should also visit a doctor.
When should I see a doctor for vaginal discharge?
Every woman and girl can have normal and abnormal vaginal discharge. Normal discharge due to natural physiological processes in the body, and therefore are not signs of pathology and do not require a visit to a doctor. But pathological discharge due to various diseases, so when they appear, you need to consult a doctor. Accordingly, in order to understand when it is necessary to consult a doctor for vaginal discharge, it is necessary to know which excretions are pathological and which ones are normal.
Normal discharge in a small volume, translucent, transparent or whitish color, watery, creamy or jelly-like consistency, with a slight sourish odor. Normal discharge does not irritate the genitals, does not cause discomfort, itching, redness or swelling. Also, normal discharge does not produce a sharp or unpleasant smell (for example, the smell of fish, strong sour smell, etc.).
In addition, minor bloody or brownish discharge for 2 to 4 days before and after menstruation is considered normal. Also considered slack bleeding for several days during the ovulation period is normal.
Considered pathological bleeding is not before or after menstruation, and not during the period of ovulation. In addition, pathological are the allocation of greenish, yellowish, grayish, earthy colors, containing impurities of pus, blood, flakes, bubbles, having a cheesy or other heterogeneous consistency, publishing an unpleasant odor or causing itching, burning, swelling, redness and discomfort in the genital area organs.
Which doctor should be treated for abnormal vaginal discharge?
For any abnormal discharge, a woman should consult a doctor. obstetrician-gynecologist (to register). If the discharge causes a feeling of discomfort, itching, redness, burning, or swelling in the genital area, then the woman can consult an obstetrician-gynecologist or venereologist (to register), as these symptoms indicate the presence of an infectious-inflammatory process that can be treated by both a gynecologist and a venereologist.
If within two weeks after sexual intercourse, the nature of the discharge has changed, impurities of pus, mucus, flakes or bubbles appeared in them, they turned greenish, yellowish, grayish or earthy in color, they began to produce an unpleasant odor, the woman may also consult a venereologist or a gynecologist, since such discharge indicates infection by an infectious disease.
What studies can appoint doctors with vaginal discharge?
The list of tests and examinations that can be prescribed by the doctor for vaginal discharge depends on the nature of the discharge, associated symptoms and gynecological examination results.
First of all, for any type of discharge, the doctor prescribes a gynecological bimanual examination (with hands) and examination of the tissues of the vagina and cervix in the mirrors. These studies are considered routine and are mandatory when a woman visits a medical institution for vaginal discharge of any kind.
Further, if there is a rather heavy bleeding (blood discharge, as in menstruation, in the same or more), the doctor usually prescribes ultrasound (ultrasound) (sign up) and / or separate diagnostic scraping (enroll). And first, an ultrasound is performed, and if, according to the results of an ultrasound, a tumor in the uterus (for example, fibroids, polyps, etc.) or endometriosis is detected, then separate diagnostic curettage is not performed because it is not needed. In such a situation, if a neoplasm is detected, the doctor may prescribe hysteroscopy (enroll) or suggest surgery to remove the formation. If endometriosis is detected, the doctor prescribes the determination of the concentration of luteinizing hormone (LH), follicle-stimulating hormone (FSH) and testosterone in the blood of a woman. In addition, in some cases, when endometriosis is assigned diagnostic laparoscopy (enroll). If the ultrasound results on the background of bleeding revealed endometrial hyperplasia, miscarriage, etc., then curettage is indicated.
If the bleeding is insignificant or has the nature of bleeding, the doctor during the examination determines the condition of the cervix and vaginal tissues. If there is damage on the cervix, for example, erosion, trauma by the endometrial spiral or other object, then colposcopy (enroll) and sampling cytology smear (to sign up)as well as the removal of a traumatic object and, if necessary, wound closure. In addition, in the presence of cervical erosion, the doctor may prescribe tests for the presence of herpes viruses, human papillomavirus (enroll), cytomegalovirus (enroll)Epstein-Barr virus. If the cervix is undamaged, hysteroscopy, diagnostic curettage and ultrasonography are also prescribed with minor bleeding / bleeding.
In case of pathological secretions of inflammatory nature (with greenish, yellowish, grayish, earthy color, containing impurities of pus, blood, flakes, vesicles, having a curdled or other heterogeneous consistency, producing an unpleasant odor or leading to itching, burning, swelling, redness and discomfort in the genital area) the doctor always always prescribe smear on flora (to sign up), which allows to identify a number of the following infectious diseases: candidiasis, trichomoniasis, gardnerellosis (bacterial vaginosis), gonorrhea (enroll). These sexually transmitted infections are most common compared to others, and therefore at the first stage, the doctor does not prescribe more expensive and complex tests, because a simple smear on the flora allows them to be detected.
If the results of the smear could detect candidiasis, trichomoniasis, gardnerellez or gonorrhea, then the doctor can go two ways - either immediately prescribe treatment, or take a smear from the vagina for bacteriological and mycological culture, to determine which antibiotics and antifungal agents will be the most destructive for available in the specific case of the pathogen. If immediately prescribed treatment is ineffective, the doctor prescribes bacteriological or mycological seeding.
If, according to the smear results, no infectious agents were detected, but there is a picture of inflammation, then the doctor prescribes more complex tests to detect pathogenic microbes. Usually, in the first place, the analysis of vaginal discharge for the presence of Trichomonas and gonococci is prescribed by PCR and blood test for syphilis (pale treponema) (enroll), as these pathogens are the most common. If the results of the analysis are found, then treatment is prescribed.
If gonococci, trichomonads or pale treponemas are not found, then appointed analysis of ureaplasma (enroll), Chlamydia (to sign up), mycoplasma (to enroll), gardnerell, bacteroids. Analyzes of these pathogens can be different - bacteriological culture, PCR, ELISA and various methods of sampling and staining of vaginal smears. The choice of analysis is carried out by the doctor and depends mainly on the technical capabilities of the medical institution or on the financial capabilities of the patient, since the most accurate analyzes often have to be taken in private laboratories for a fee.
If the results of the tests revealed the absence of trichomoniasis, gonorrhea, syphilis, candidiasis, ureaplasmosis, chlamydia, mycoplasmosis and gardnerellelosis, but there is an inflammatory process in the genitals, the doctor may prescribe tests for the presence of herpes virus 1 and 2 types, the human papilloma virus, cytomegalovirus, Epstein-Barr virus, which are also able to provoke inflammation in the female genitals.
Pregnant women with suspected leakage of amniotic fluid is usually prescribed vaginal smear test for scales. In addition, there are pharmacy, ready-to-use tests for leakage of amniotic fluid, which, by the principle of action, are similar to pregnancy tests. A pregnant woman can use such tests independently. Otherwise, when inflammatory vaginal discharge appears, pregnant women are prescribed the same tests as non-pregnant ones. And when bleeding occurs during pregnancy, women are sent to the hospital for examination, since in such a situation they can be a sign of pregnancy complications.
Understand the red discharge: everything from “A” to “Z”
Every girl should be thoroughly acquainted with all the features of the female body. This will avoid fright or even worse panic if various situations arise. The red highlights are similar to this situation, but not as with monthly ones, and the causes of this phenomenon can be counted in dozens.
Norm and pathology
Dark brown discharge between menstruation may be a symptom of a number of diseases in the following cases:
- if a woman does not take hormonal drugs (during 3 months from the moment of treatment such failures are allowed),
- if they are accompanied by pain in the lower abdomen, itching, burning sensation in the region of the external genital organs and vagina, fever and discomfort during sexual intercourse,
- in the period of menopause, when there were no monthly periods for more than a year,
- when they appear after sex.
Dark discharge is a variant of the norm in the following cases:
- occurred a few days or hours before menstruation,
- observed for several days after menstruation,
- in the middle of a cycle in women taking hormonal drugs
- after rough sex,
- at the first sexual contact.
Why dark selections appear in the middle of a loop
In the absence of pathologies and with their insignificant volumes, the discharge may indicate ovulation and are a variant of the norm. Otherwise, there is either uterine bleeding or intermenstrual bleeding.
Uterine bleeding in the middle of the cycle may occur due to the following pathologies:
- Cervical erosion,
- Cervical or uterine cancer
- Appendage tumors,
- Internal adenomyosis,
These diseases pose a great danger.
With regular appearance of mucus after sex, erosion or cervical cancer can be suspected, and for pain, inflammation of the inner layer of the uterus.
Causes of intermenstrual bleeding can be hormonal drugs (pills, rings, patches), which are used the first three months.
Otherwise, pathology provokes one of the following reasons:
- Drugs that affect the cycle, for example, estrogen supplements,
- Use of drugs for emergency contraception (Pr. Postinor, Ginepriston),
- Intrauterine device,
- A dysfunction of the thyroid gland, accompanied by a low level of its hormones,
- Inflammation of the vagina with STDs, genital infections,
- Hormonal imbalances, such as progesterone deficiency, hyperprolactinemia,
- Genital trauma,
- Polycystic ovary,
- A number of gynecological procedures
- Strong stress, shock, emotional shock, as well as abrupt climate change.
If a woman often has unprotected sex with different sexual partners, an STD can be suspected. In this case, there are other symptoms: pain in the abdomen, itching, burning during urination. It may also indicate ectopic pregnancy or miscarriage. These conditions have a very strong pain syndrome.
Dark discharge that occurs before menstruation and after
1-3 days before menstruation, this is considered a variant of the norm.
Before standard menstruation, the appearance of separate brown or red strokes is allowed.
If it lasts much longer, there is a dark brown discharge instead of menstruation, the presence of pathology can be suspected. The main causes of this phenomenon are: severe stress, climate change, hormonal imbalance, hormone therapy, uterus polyps, endometrial hyperplasia and endometriosis (adenomyosis) of the cervix or the entire uterus.
Dark discharge after abortion
The secret that appears after this procedure differs from ordinary menstruation. That is why it is important to know what is normal and what is pathology. The consequences of abortion include menstrual dysfunction.
And if during the month after the procedure there was unprotected sex, you need to undergo an ultrasound scan and exclude a new pregnancy.
It is also recommended to choose a contraceptive that will regulate the cycle and prevent the development of complications.
The secret that arises after an abortion, is the same monthly, but brown. It testifies that the bleeding is not intense, the blood has time to clot. Normally, the discharge after an abortion lasts about 10 days. If they have clots, impurities, it is necessary to carry out an ultrasound to make sure that the uterus is completely clean.
Excessively intense bleeding after the procedure should alert. Its presence is evidenced by the use of two shims per 4 drops per hour. In this case, urgent hospitalization and appropriate therapy.
If the hue of the cut changes, it acquires a sharp, unpleasant smell, it is possible to suspect the presence of complications - an infection.
Dark secretions in different trimesters during pregnancy
In the first weeks this phenomenon may be a sign of the implantation of the ovum in the uterus. This process is associated with damage to the small blood vessels, so the discharge that appears is rather scarce. Their distinctive feature is a single character. In addition, they do not cause discomfort, are not accompanied by unpleasant symptoms.
Sometimes a woman who does not know about her pregnancy might think that a failure in the menstrual cycle has occurred. But if you take a closer look at your body, then you can quite early inquire about your situation.
In the first trimester, they may occur due to an imbalance of hormones. Generally, discharge occurs at the time when the next menses should begin. This condition is not dangerous, does not cause discomfort, but requires consultation with a specialist. They, as well as after the implantation of the ovum, are scarce, have no sharp smell and last for a short time.
Also, discharge during pregnancy may be a symptom of a miscarriage that begins.
In this case, they can be both scanty and moderate, with or without mucus, and, as a rule, indicate detachment of the ovum. The detachment is accompanied by other symptoms: pain, nausea, up to vomiting. In such a situation it is necessary to urgently call emergency assistance.
Regardless of the trimester, this phenomenon sometimes indicates erosion of the cervix or infectious / inflammatory processes. Erosion is not treatable during gestation. Что касается инфекций и воспалений, то терапия в каждом случае заболевания может существенно отличаться.
In the second and third trimester, the brown color of the vaginal mucus may indicate the aforementioned placental abruption or its presentation.
In the first case, quite heavy bleeding can be observed. Exfoliation in the middle of pregnancy is not amenable to treatment, and doctors resort to cesarean section. Sometimes the latter can be postponed until a later date.
With placenta previa, the fetus, as it grows, weighs more and more on it. As a result, the vessels located in it are damaged. In this case, it is necessary to carefully monitor the condition of the child in the womb, as there is a risk of oxygen starvation due to compression of the placenta.
Do not make a diagnosis yourself! Be sure to contact a specialist and adhere to the recommendations assigned to them. Health to you!
A very important reason that can lead to bleeding, but not monthly - is the presence of any disease in the reproductive organs of the woman’s system, or in any other part of the body. If there are red secretions that cause discomfort, or lasts too long - you should immediately contact a specialist for consultation.
Most likely, you will have to go through a whole range of diagnostic procedures and establish the exact causes of the problems. Neoplasms, polyps, infectious processes and even the pathology of the thyroid gland - can be a predisposing factor to the beginning of vaginal discharge. As soon as the cause of the discharge is determined, the doctor will immediately prescribe the treatment.
General symptom characteristic
The level of female hormones is constantly fluctuating: during menstruation, the amount of estrogen increases, after critical days it is small, closer to the middle - it increases again. After ovulation, there is a tendency to an increase in progesterone, and by the end of the cycle, on the eve of menstruation, its content falls, yielding to estrogen. Under the influence of this hormone, the endometrium, the inner mucous layer of the uterus, swells, stimulating the surrounding tissues, as a result of which the work of the glands becomes more intense and more mucous secretion is produced. This explains the appearance of all kinds of discharge to menstruation. Their character depends on such factors:
- Age of the woman. A year before the menarche, the first menstruation, the girl had a noticeable appearance of different secretions associated with hormonal changes. In the first year after menarche hormonal slides will be observed, changing the composition and amount of mucus that the reproductive system produces. This is especially noticeable in the period of ovulation and a few days before menstruation.
- The presence and activity of sexual life.
- Lifestyle and quality of food.
- Present aggravated and chronic diseases.
- The state of hormonal and immune system.
- Use of contraceptive drugs and hormone-based emergency contraception.
Given these factors, it is impossible to give a definite answer, what should be the allocation before menstruation. For each woman, these criteria are different.
White discharge before critical days.
Light color of mucus to menstruation is a sign of both the norms and a certain physiological state of the female body, and pathology. It all depends on its characteristics and the joining symptoms.
All women take natural whites, especially in the second half of the menstrual cycle. They include:
- The natural secret that the glands of the cervical canal and vagina must excrete.
- The microflora consisting of lactobacilli and opportunistic microorganisms.
- Dead cells of the epithelium, which in large concentrations give a white shade of secreted mucus.
Normal discharge before menses
Normally, such secretion should produce about 5 ml per day. After ovulation due to the increased content of progesterones may increase its volume. Especially there is a lot of white discharge on the panties to the regul when taking hormonal drugs.
Such secretion performs a protective function of the genital tract from the penetration of foreign microorganisms, cleans the vagina from the waste products of the glands and serves as a natural lubricant during sexual contact.
Off-white discharge after sex with similar symptoms on the eve of menstruation are evidence of bacterial vaginosis.
If vaginal itching is added to the light discharge before the menstrual period, they acquire a cheesy consistency, a fermented milk smell, then a fungal disease, Candida, is suggested.
White discharge before menstruation, similar to paper that has slipped, may indicate such phenomena:
- Reaction to vaginal suppositories.
- Inserted particles of sanitary napkins, toilet paper.
Symptom is indicated during pregnancy, when a woman does not yet know about it and is waiting for the onset of menstruation.
Liquid secreted mucus up to critical days without a specific odor and accompanying discomfort can begin due to the use of hormonal contraceptives.
If watery discharge occurs along with itching and burning, difficulty urinating, swelling and redness of the external genitalia, this indicates inflammation or an infectious disease. Read in one of our articles about diseases that cause heavy white discharge before menstruation.
Brown and black highlights
Dark and brown discharge means that there is blood in them, which coagulated and combined with oxygen and acquired a similar color. Fluid of this color is the norm during ovulation and in the first days after conception. You should also not worry if your period begins with a brownish discharge. This feature is considered natural.
This means that the endometrium is ready to be renewed after the intrauterine device is inserted in the first month, and the reproductive system responds in a similar way to the use of hormonal contraceptives.
The presence of brown and black discharge before the menstrual period of 2 days before the appearance of the first drops of red blood is acceptable, but not earlier, and provided that they are not abundant, are not accompanied by abdominal pain and spasms. Otherwise, you should consult a gynecologist, as in the reproductive system of a woman there may be such pathologies:
- Endometritis is an inflammation of the inner layer of the uterus.
- Endometriosis is the growth of endometrial tissue.
- The erosive process in the cervix, a sign of which is a discharge a week before menstruation. Often they appear in the form of mucous discharge with streaks of blood and after menstruation.
- A lot of brown mucus is produced by endometrial polyps, especially on the eve of the beginning of a new menstrual cycle, as this endometrium swells, affecting the neoplasm.
- Uterine fibroids - indicated by dark brown secretions or clots after regul and before them. In 43% of patients with this diagnosis, characteristic discharge begins 3 to 5 days before menstruation.
Discharge with unpleasant odor before menstruation
To understand which discharge is the norm before menstruation and which is pathology, one should pay attention to their smell and other symptoms. If the mucus smells unpleasant, then this is a clear sign of an inflammatory or infectious process and the growth of pathogenic microorganisms in the microflora.
A few days before the menstruation, the glands in the mucous membranes of the genitals work more actively, so more mucus is secreted, respectively, the symptoms are more pronounced.
The smell of rotten fish from secretions means bacterial vaginosis, trichomoniasis. Sour-milk flavor indicates candidiasis. Onion or garlic, rotten smell indicates chlamydia. Purulent or rotten - an inflammatory process or tissue rot. The smell of iron will tell you about the presence of blood in small quantities or inflammation.
Smell-smelling mucus is often supplemented by various uncomfortable sensations, in the form of vaginal itching, burning during urination, pulling pains in the lower abdomen. Protracted inflammations cause fever, general weakness and malaise.
Discharge with an unpleasant odor can occur in the vast majority of cases due to pathological processes.
To avoid the appearance of the described feature, you need to follow simple rules:
- Observe personal hygiene.
- To wash regularly (twice a day).
- Use daily pads, change them every 3-5 hours.
- To be protected in the absence of a permanent sexual partner.
- Regularly visit a gynecologist.
- Do not self-medicate.
Briefly about the main thing
Changes in the quality and quantity of secretion before menstruation can occur for various reasons, both physiological and due to various disorders. Normal discharge before menstruation may have a transparent, white, milky, yellow, green, brown, pink shade. They are slimy and have a uniform consistency. They have no unpleasant smell and they do not have additional unpleasant symptoms. Deviation from these characteristics indicates a gynecological problem requiring a visit to the doctor.
When are white secretions considered normal?
Often, white discharge in girls is somewhat more abundant than in women of reproductive, middle-aged, or women in menopause. This is explained by the fact that girls just form, hormonal background begins to stabilize, and in middle-aged women this process is already finished and is more permanent. Normally, in both girls and women before menopause, the vagina has a slightly acidic environment, due to the presence of lactobacilli that form lactic acid. This environment is destructive for pathogenic microorganisms, it is unfavorable for the reproduction of pathogenic bacteria. So, what kind of discharge can be considered the norm?
The color of the selection should not be particularly noticeable, most often they are transparent, but the appearance of a little cream, white or slightly yellowish tint is possible.
- Normal discharge must be odorless.
- The consistency should be watery, liquid, not thick, in the middle of the cycle during ovulation can be transparent, stretching mucous secretions
- The rate of discharge per day - should not be more than a teaspoon
- The amount of discharge may increase before menstruation, during sexual arousal and after intercourse.
Why does a girl have white discharge with a sour smell?
White mucous discharge from girls and women is called Beli. They are a natural product of the vital activity of the organism, since the cells covering the walls of the vagina are constantly renewed. Dead cells are constantly exfoliated, mixed with mucus. In addition, whites also contain a discharge from the cervix, so physiologically during ovulation the amount of discharge from the cervix increases, they become more stretching, slimy. Therefore, it is normal if the discharge is clear or white, while the woman is not disturbed by anything else, neither itching in the vagina, nor burning, nor pain.
However, if there is a white discharge with a sour odor, and itching or discomfort are either significant or only intermittently disturbing, this can be a symptom of vaginal candidiasis. There are a lot of causes of thrush in women - hormonal changes, failures, hormonal contraceptives, during pregnancy very often thrush, hygiene disorders, abuse of aromatic and antibacterial intimate hygiene, colored toilet paper, antibiotics, stressful situations, climate change, nutritional errors - abuse of sweets, diets, synthetic underwear, too frequent douching (douching at thrush with soda, chamomile, potassium permanganate - not enough stimo)
What secretions may indicate a disease?
With a decrease in local or general immunity, in violation of hygiene, taking antibiotics, with hormonal disruptions, conditionally pathogenic organisms that are normal in the vagina, without causing harm - can begin to multiply and lead to an inflammatory process. If a girl has the following nature of discharge - this is a symptom of any diseases or disorders and requires examination and careful examination by a gynecologist:
- Very rich, thick white curdled discharge from girls. If the discharge resembles cottage cheese, then a woman experiences itching and burning in the vagina, especially sitting on one leg - this is a clear symptom of thrush in women and girls. Moreover, thrush or candidiasis of the vagina does not depend on whether the girl has sex life or not.
- Foamy, heavy discharge - more than 1 teaspoon per day.
- Highlight any pronounced color - brown discharge, yellow, green, or other noticeable shades.
- Unpleasant smell - discharge with the smell of fish, putrid smell, sour, smell of onions and others.
- Any suspicious discharge, especially in combination with itching, dryness or discomfort during sexual intercourse, redness of the external genital organs, pain in the lower abdomen (on one side or on both sides just below the navel), burning, pain during urination, fever or persistent pain during and after intercourse.
If whites began to change color, smell, quantity, as well as irritation and discomfort in the genital area - this is considered pathological changes and secretions, and the reason for their appearance should be determined. Also, the discharge may be different in origin, that is, come from different parts of the female reproductive system. The classification of discharge by origin is as follows:
- Pipe Beli- appear in inflammation of the fallopian tubes, while the tubes accumulate fluid, which first enters the uterus, then through the neck goes into the vagina.
- Vaginal Beli - this is the most innocent discharge, when inflammatory diseases of the vagina, there are various white, yellow, discharge, most often with an unpleasant odor - this may be trichomoniasis, gardnerellez, thrush, etc.
- Cervical whites - appear in inflammation of the cervix (cervicitis) of any etiology. The cause may be mycoplasmosis, chlamydia, ureaplasmosis, gonorrhea, etc.
- Uterine leucorrhoea - with endometritis of any etiology. When this inflammatory exudate through the cervical canal flows into the vagina and mixed with vaginal secretions.
Is it possible to determine the disease by the color of the discharge?
Unfortunately, there can be more than 100 reasons causing a change in the color and nature of the discharge, and on the basis of an external description of the discharge, no gynecologist can make a diagnosis without laboratory diagnosis. Theoretically, only abundant, strong white curd discharge from girls and women can be an unmistakable diagnosis of vaginal candidiasis. However, thrush is often combined with other genital infections, so only smear and bacterial inoculation, as well as STI tests, can establish the true cause of the change in discharge from a woman. The color of the discharge can only tell a little in which direction the research should be done more thoroughly:
- Transparent whitesFoaming can be a symptom of chlamydia in women.
- Gray shade whiter with a characteristic fishy odor, most often with gardnerella, bacterial vaginosis.
- Greenish highlights - discharge with such a shade speaks of a purulent process, since a large number of white blood cells give the discharge a green color. The stronger the inflammatory process, the more leukocytes, and, accordingly, more green shade in the discharge.
- Yellow discharge - this may be one of the symptoms of trichomoniasis, since inflammation in trichomoniasis is most often localized in the vagina, in which the concentration of leukocytes is lower.
- Female discharge white color - can both be a symptom of thrush, and be the norm. Since with mild candidiasis of the vagina significant itching and burning may not be, only occasionally and slightly, therefore, when more abundant, too white, thick, cheesy discharge occurs, you should visit the gynecologist and find out whether it is a thrush or not.
However, it is not worthwhile to unambiguously regard the color of the whiter as a diagnosis of the disease, only analyzes can establish an accurate diagnosis for pathological secretions.
When do you have a white discharge to see a doctor?
If the white discharge in a girl or woman is no more than a spoonful per day, not accompanied by other unpleasant symptoms, then you should not worry. However, if the discharge becomes very abundant, cheesy, foamy, thick, there are brown discharge in the middle of the cycle, the color changes to yellow, green, gray, any unpleasant smell appears, especially if any of the above is complemented by itching, burning, pain, not even a high subfebrile temperature is a reason to go to the doctor:
- First, the gynecologist conducts an examination on the chair. In the mirrors you can see the walls of the vagina and the cervix - in what condition they are, inflamed or not, are there any abnormal secretions from the cervix and what are they.
- В некоторых случаях врач может провести кольпоскопию, для исключения или подтверждения дисплазии шейки или эрозии.
- При подозрении на ИППП, кроме обычного мазка на флору и бакпосев, гинеколог может направить на анализы мазка методом ПЦР.
- If the patient complains of pain, irregular menstruation, etc., if inflammatory diseases of the uterus or the uterus are suspected, a transvaginal ultrasound is indicated, which can help establish a complete clinical picture.
Hello! I often had problems in genecology. Back in the age of 14, I caught a cold and then over the years problems, inflammations began, and so on. I have weak immunity and I lose weight when treating, I have a weight of 42-44 kg at 23 I started having pains in the lower abdomen again, whining like during menses and discharge thick like cottage cheese! But no smell !! And sometimes arbitrary urination. Of course a little, but even after I go to the toilet. I want to ask what it is more like and I will first turn to? urologist to check urinary or gynecologist? Thanks
Did you read the article or not? It is said: there can be a lot of reasons. Go to the doctor and do not fool around. He will examine you, interview, assign tests. Your symptoms are similar to the presence of any infection. So hand over another for hidden infections analysis (if you are having a sex life). And then you can safely begin treatment in accordance with the recommendations of the doctor,) good luck and do not get sick)
Do you have inflammation of the appendages (chronic) earned it in your youth, they say for good reason take care of your health with the young
Hello, I am 16 years old and I have strong discharge with a smell .. but without pain the mucous membranes are white, I always have a month at the wrong time, I haven't come for 3 months, please tell me what to do in the early days, thank you.
Faster go to the doctor! Delay of 3 months is a lot
I advise you to consult a doctor homeopath. Homeopathy helps very well. I have homanal disorders, and I get cured by homeopathy, and I get better. Madina, you definitely need to be treated without delay, this is very serious. I hope you'll get better soon.
Good evening. The article is very useful and at the same time soothing. There is a question: what better to choose hygiene products, so as to maximally (from this side) secure the appearance of thrush. And the truth is that the economic soap is a great tool in this business? thank
If they are not accompanied by pain, an unpleasant smell or swelling of the genitals, then there is nothing to worry about. Such a selection suggests that the uterus is prepared for the rejection of the endometrium. That is, it is a normal stage of the body before the onset of menstruation.
About the disease on the background of such discharge indicate such features:
- foreign odor
- redness and itching of the genitals.
A white composition with unpleasant sensations can indicate the presence of the following pathologies:
- cervical erosion,
- diabetes mellitus, discharge in which can be regarded as one of the symptoms.
If they are not accompanied by unpleasant sensations, you should not worry - this is just the same stage of preparing a woman's body for menstruation. But the unpleasant smell accompanying the discharge already speaks of the possible onset of vulvovaginitis.
If the pain in the abdomen is added to the smell, you should consult a doctor. So unpleasantly beginning periods can indicate the presence of an inflammatory process on the tubes of the uterus or in the ovaries.
They sometimes appear at a time when menstruation is about to begin. Often this phenomenon is caused by hormonal drugs, which is usually warned in the instructions to the pills, or the addiction reaction of the organism to the recently inserted intrauterine device.
If menstruation has not yet begun, and the pink discharge is accompanied by pain, fever and an unpleasant odor, we can talk about the inflammatory process of the internal organs of the reproductive system or the possible appearance of a tumor. In addition, pink discharge, accompanied by unpleasant sensations, can signal ectopic pregnancy.
When they appear, be sure to consult a doctor. Spots can be light or dark red-brown. These are possible symptoms of ectopic pregnancy or endometriosis - too abundant division of endometrial cells. In such cases, the selection may not be accompanied by any unpleasant sensations.
If brown spots that appear before menstruation have an unpleasant odor and are accompanied by pain in the lower abdomen, possible loss of strength and increased body temperature, they indicate the development of serious diseases of the reproductive system. It is about chlamydia, endometritis or endometrial hyperplasia that can lead to the development of a cancer.
When the menstruation should begin soon, and red-brown spots appear on the underwear, it is not necessarily a symptom of any disease. Lactating secretions indicate the separation of cells of the old mucous membrane of the uterus or the first endometrial cells.
If red spots appeared on shorts more than a week before the onset of menstruation, this is a reason to contact a gynecologist. And in any case it is not recommended to arrange checks and wait for the next repetition of the cycle, hoping that the situation will not happen again. Red blood stains before menstruation, but not menstruation itself, is a dangerous symptom of diseases of the female reproductive system.
What may indicate red discharge before menstruation
In girls aged 12 to 15, when menstruation has just begun, and the cycle is established, the red discharge may indicate a hormonal failure. But even with a failure in the menstrual initial cycle, you should contact the specialists for advice.
In reproductive age, the appearance of red discharge in women is even more dangerous. This may be a symptom of such diseases:
- a serious hormonal failure caused by taking hormonal drugs or the wrong choice of contraceptives,
- ectopic pregnancy, which is also manifested by severe spasmodic pain in the lower abdomen,
- cervical erosion resulting from hormonal imbalance or injury, and also caused by infection,
- polyps of the uterus, growths on the inner layer of the walls of the uterus,
- uterine fibroids,
- ovarian cyst.
In the latter case, against the background of a cyst, hormone production increases, and the growth of the endometrium begins, as well as its enhanced detachment.
Any of these pathologies requires early diagnosis and treatment. If red secretions began to appear in women at the beginning of menopause or after its onset, when menstruation ceases, this indicates a possible development of cancers of the reproductive organs.
Diagnosis of diseases
When referring to a gynecologist, a patient survey is conducted and studies are scheduled. In the conversation, the doctor finds out all the details of the woman's sex life, how many times she was pregnant, how the pregnancies proceeded. The periods of the menstrual cycle are clarified, when failures were noted, and what caused them. According to the medical card, it turns out that there are diseases of the genital organs in the past.
Further, the usual examination on a gynecological chair. With the help of mirrors, the walls of the vagina and cervix of the patient are examined, and smears are also taken. In any case, when discharge occurs before menstruation, an ultrasound examination is performed. Be sure to pass a complete blood count. It will show the presence of inflammation, determine the possible lack of hormones in the body, and at the same time help you figure out which method of drug hormone treatment can be used.
If there is a suspicion of an ovarian cyst or the development of other diseases that affect the level of growth and detachment of the endometrium, take a scraping from the uterus.
Additionally they perform a biopsy of the cervix, as well as the ovaries themselves. After clarifying the diagnosis, treatment is prescribed based on the results of all studies.
Possible treatment options
If the cause of the discharge was a hormonal failure, only medical treatment was prescribed to eliminate the pathology. Most often it is a course of hormonal drugs. In addition, with the help of tablets or candles, you can cure some sexually transmitted diseases or minor injuries, cervical erosion.
The doctor will prescribe a comprehensive drug therapy. Painkillers will be included in it if the patient expresses complaints of pain in the period of discharge before menstruation and during the menstruation itself. It is also necessary to take anti-inflammatory tablets prescribed by a specialist, as well as candles that act directly on the walls of the cervix. Then, an individual course of hormonal preparations will be selected, contributing to the normalization of the female reproductive system.
If tumors or cysts are found, surgery will be required, as in the diagnosis of ectopic pregnancy.
In any case, with timely visits to doctors, correct and quick diagnosis, with strict adherence to the recommendations of specialists, undergoing a full course of treatment, the woman will fully recover and be able to have a normal sex life, and if desired, can become pregnant and bear a healthy baby.
Causes of red discharge in women
The most likely causes of red discharge in women depend on her age. According to statistics, in young girls (aged 12-15 years), most often their appearance is due to functional hormonal disorders.
Over time, they lead to dysfunctional bleeding. In rare cases, the cause of bleeding at a young age can be ovarian tumors with hormonal activity.
Young girls, in violation of the menstrual cycle, it is recommended to conduct an ultrasound examination.
In the reproductive age, the list of conditions, when the red discharge appears (but not monthly), expands.
A similar symptom may indicate a number of diseases:
- Uterine fibroids, especially its submucosal forms that violate the process of contraction of the myometrium,
- Cervical erosion (it can cause injuries, infections and hormonal imbalance),
- Uterine polyps (local growths of the inner layer),
- Ovarian cyst, accompanied by the formation of hormones that stimulate the growth of the endometrium,
- Endometriosis, characterized by the presence of foci in the body that undergo cyclical changes, like the uterus, which leads to the release of blood from them.
If there is a red discharge in women older than 45 years old - this may be the first sign of a malignant tumor of the uterus or its cervix.
Therefore, such patients are always recommended a comprehensive examination to detect cancer pathology, the likelihood of which at this age is increased.
Only after neoplasms are excluded can polyps and uterine myomas be considered as the cause of hemorrhages. The reverse approach is wrong, because can lead to diagnostic errors when serious life-threatening diseases are missed.
A similar principle is followed in women with stopped menstruation (menopausal age).
What do the red highlights mean to them?
In this age group, the risk of oncopathology is even higher. Therefore, cancer of the uterus and its cervix are considered as the primary cause.
The second place is occupied by arterial hypertension, in which the vessels are affected, and their rupture occurs on the background of the next increase in pressure. This leads to bleeding in the menopausal age in the absence of any gynecological pathology.
Red discharge after menstruation
Quite often, women ask the question: "Why do the red discharge after menstruation continue or appear again?" This gives them discomfort, incl. and in the intimate sphere.
The main reasons leading to prolonged blood loss are varied. They may be:
- Adhesions in the uterine cavity (Asherman syndrome that develops after curettage of the uterus),
- Chronic inflammatory process of the uterine lining (most often it is a result of urogenital infection and manifests itself with red-white secretions due to the admixture of leukocytes in them),
- Endocervicosis (this is the second name for cervical erosion),
- Polycystic ovaries characterized by increased testosterone production,
- Hypothyroidism - a decrease in thyroid function is accompanied by persistence (long-term existence) of the corpus luteum.
A new, but still undiagnosed pregnancy can also cause the appearance of red discharge. In some women, this occurs at the time of implantation of the egg into the uterus.
Therefore, bleeding after menstruation, appearing over several menstrual cycles, requires a number of studies:
- Vaginal examination
- Ultrasound diagnostics of the uterus and its appendages, the thyroid gland,
- Colposcopy - visualization of the neck under a microscope,
- Analysis of blood or vaginal contents for urogenital infections - mycoplasma, chlamydia, ureaplasma,
- Analysis of the hormonal profile (female and thyroid hormones).
Red highlight in the middle of the cycle
Red discharge in the middle of the cycle may indicate ovulation has occurred. Their appearance is due to a sharp decrease in the level of sex hormones, which is particularly significant in some women.
The result is a rupture of the capillaries of the uterine lining. The risk of such bleeding (albeit minimal) increases with the wearing of a spiral.
It provokes an inflammatory process in the uterus, with which its contraceptive effect is connected. On its background, the vascular wall becomes thinned and easily broken.
In addition to the spiral, the risk of ovulatory red secretions increases if:
- The woman has repeatedly performed abortions and scraping of the uterus,
- Endometritis developed after childbirth or abortion
- In the body, abrupt jumps in female hormones occur, deviating from the norm,
- The thyroid gland functions with violations.
Therefore, patients who are worried about bleeding in the middle of the cycle are advised to confirm their association with ovulation.
For this, special tests can be used (the peak of luteinizing hormones is determined) and ultrasound examination (diagnostic markers of follicle rupture are available).
If a direct connection is revealed between the appeared hemophysis and the ovulatory phase of the cycle, further examination is not required. Otherwise, the changes occurring are regarded as a violation of the cycle.
This implies a diagnostic search to determine the true cause of this condition.
Red highlight before monthly
Red highlight before menstruation is always scanty. An important diagnostic criterion is the presence or absence of pain. If it is present, and the discharge is red-brown, then endometriosis can be considered the most likely cause of this condition.
It is characterized by intense pain, which is especially pronounced in the first days of menstruation. Then they gradually subside and pass by the third - fourth day.
Of the drugs, nonsteroidal anti-inflammatory drugs (Ibuprofen and others) are the most effective for stopping them. If the disease is not treated, this leads to a gradual psycho-emotional exhaustion of the woman.
But for an adequate selection of therapy requires the establishment of the correct diagnosis. For this purpose, an ultrasound examination (on the eve of menstruation) and diagnostic laparoscopy are performed.
Spotting before menstruation, which are not accompanied by pain, is a variant of the norm. The uterine lining during menstruation can not be rejected at once, so the discharge increases gradually.
In the early days, they may be merely smearing, scanty.
Red discharge during pregnancy
Red discharge during pregnancy in most cases indicate its complicated course, which may pose a threat to the fetus.
A variant of the norm is the appearance of the so-called “implant bleeding”. This is the presence of ACCIDENT bleeding at the time of introduction of the egg into the endometrium.
This condition is not observed in all pregnant women. Often, when such a symptom occurs, the woman still does not even know that she is in an “interesting” position. Therefore, patients of a young age, with the presence of such a complaint, are recommended to perform a pregnancy test.
Red discharge during early pregnancy may indicate a number of complications:
- Threat of interruption (miscarriage),
- Low location (in the uterine cervix) of placental tissue,
- Erosion on the cervix (in this case, the risk to the fetus is minimal).
Spotting in the second half of pregnancy is a sign:
- Changes in the cervix occurring with the threat of premature birth,
- Detachment of normally located placental tissue,
- Exfoliation of the presenting (low-lying) placenta.
In addition to these causes, the bright red color seen on the pregnant woman’s underwear may be due to hemorrhoids or the inflammatory process in the urogenital system (urethritis, vaginitis).
Чтобы провести дифференциальную диагностику, гинеколог выполняет влагалищное исследование и ряд дополнительных обследований:
- Микроскопия влагалищного секрета,
- General urinalysis,
General clinical blood test to determine the level of hemoglobin (low value indicates a chronic, repetitive nature of blood excretion),
- Ultrasound examination that evaluates the length of the neck and its diameter.
Depending on the established diagnosis, further treatment is carried out.
With the threat of interruption, agents are prescribed that reduce the tone of the uterus and correct hormonal disorders. Detachment of placental tissue requires the appointment of hemostatic and antispasmodic drugs.
Periodically bleeding erosion is not treated during pregnancy. Her treatment should be done 1.5 months after delivery, when the cervix will return to its normal state after involutive processes.
Usually either cryodestruction (exposure to low temperatures) or coagulation with electric current is performed. In pregnant women, the impact of these physical factors may adversely affect the development of the fetus.