Abnormal vaginal discharge

Introduction to leucorrhea Abnormal leucorrhea refers to the increase in the amount of vaginal secretions in women. Sometimes the increase in vaginal discharge is a normal physiological phenomenon. If leucorrhea increases with multiple symptoms, it is necessary to be alert to the occurrence of gynecological diseases. Increased vaginal discharge is divided into physiological leucorrhea and pathological leucorrhea. Pathological leucorrhea increases the amount of color, shape, and taste to predict different diseases. basic knowledge The proportion of illness: 0.12% Susceptible people: women Mode of infection: non-infectious Complications: uterine empyema pelvic inflammatory disease cervicitis vaginitis cervical cancer

Abnormal leucorrhea

Fallopian tube inflammation (15%):

Abnormal vaginal discharge is the main symptom of salpingitis and tubal blockage. According to the survey, factors such as fallopian tube inflammation and tubal blockage account for the first place in women with inflammatory infertility, and the fallopian tube is blocked or occluded to account for 1/3 of female infertility. Today, the proportion of infertility due to tubal blockage is still on the rise.

Endometritis (15%):

Abnormal leucorrhea is also an early symptom of endometritis. The endometrium plays the role of menstruation, reproduction, excretion and endocrine. Once inflammation occurs, the above functions are dysfunctional and infertility will occur. Severe endometritis, such as intrauterine adhesions, can damage the integrity and function of the intima, leading to the occurrence of female infertility.

Drug factors (15%):

Due to the application of estrogen drugs or physical weakness. Symptoms are normal appearance, vaginal discharge, and weak backache.

Bacterial infection (20%):

Often caused by trichomonas vaginitis, chronic cervicitis, senile vaginitis, endometritis, uterine effusion, vaginal foreign body and other purulent bacterial infections. It is yellow or yellowish green and has a stench.

Leucorrhea abnormal prevention

1, pay attention to personal hygiene, keep the vulva clean and dry; wash and change underwear, do not share bath towels, bath tubs with others, do not wear nylon or similar fabrics, bath towels, underwear, etc. used during the disease should be boiled and disinfected.

2. Strengthen publicity and publicity. For factories, institutions, residents, especially female workers and female students in collective dormitories, they should be regularly investigated and ruled out to eliminate the source of infection.

Leucorrhea abnormal complications Complications uterine cavity empyema pelvic inflammatory cervicitis vaginitis cervical cancer

1, trichomonas: can be complicated by trichomonas urethritis, cystitis, pyelitis, because trichomoniasis can swallow sperm, can cause infertility, affecting sexual life.

2, Candida: concurrent with other sexually transmitted diseases, such as AIDS, genital warts, gonorrhea and non-gonococcal vaginitis.

3, non-specific: cause vaginal adhesions, vaginal empyema or uterine empyema, easy to cause pelvic inflammatory disease, premature rupture of membranes and chorioamnionitis.

4, bacterial: induced genital infection, pelvic inflammatory disease, perirenal inflammation, sexual pain and so on.

5, senile: caused vaginal adhesions, vaginal empyema or uterine empyema.

Abnormal leucorrhea symptoms common symptoms vaginal discharge increased pus and vaginal discharge increased vaginal discharge

(1) leucorrhea is milky white or light yellow, purulent, more amount, odor, more with abdominal pain, usually caused by chronic cervicitis or endocervitis.

(2) The leucorrhea is yellow or yellowish green, thin and foamy, or like rice bran water, grayish white, white with odor, mostly caused by vaginal trichomoniasis.

(3) The vaginal discharge with gonorrhea is yellow pus.

(4) Most of the leucorrhea secreted by the amoeba infection is: serous or yellow viscous secretions with blood, sometimes mixed with fine rotten meat (like yellow sauce).

(5) The leucorrhea is yellowish white, most of the texture is viscous, and sometimes the texture is thin, typically milky white, like bean dregs, or like a curd-like white flake or block, mostly due to mold infection.

(6) If blood is present in the vaginal discharge, it is common in cervical polyps, side effects caused by intrauterine devices, submucosal uterine fibroids, severe chronic cervicitis.

(7) In the case of fallopian tube cancer, the leucorrhea is intermittent, clear, yellow-red liquid due to tumor stimulation of the oviductal epithelial exudate and pathological tissue necrosis, and flows out from the vagina for a while.

(8) After women suffer from cervical cancer, vaginal cancer, uterine body cancer and other diseases, the "leucorrhea" when they are secreted, most of them are: leucorrhea, gold, me, rice, water, turbid and stench, sometimes Mixed with blood is pale pink, the amount is large.

Leucorrhea abnormal examination

The examination was performed from the outside to the inside. The vulva, urethra, paraurethral gland and vestibular gland were first examined by visual inspection, and the vaginal wall and cervix were observed by a vaginal speculum.

(A) vulva inspection: see the identification of vaginitis. The erythema and small collars around the vulva and anus may be candidiasis, and the genital area of patients with trichomoniasis may be trichomoniasis vaginitis or cervicitis often contaminated by a large amount of purulent vaginal discharge. In bacterial vaginosis, only accumulated vaginal discharge is seen at the vaginal opening.

(B) the appearance of vaginal discharge: a variety of pathological vaginal discharge with different specificity can provide diagnostic clues.

1. Physiological leucorrhea is fair, flocculent, highly effective and accumulates in the vagina.

2. The bacterial vaginal innocence band is gray, homogeneous, and has a low tympanic pressure. It is often attached to the surface of the anterior wall of the vagina or the side wall. It is easy to wipe off and the vaginal membrane has no obvious change.

3. Trichomonas vaginitis leucorrhea is yellow or even yellow-green, obviously purulent, often foamy.

4. Candidiasis leucorrhea is white, highly porcine thick, in the form of case or bean curd, attached to the vaginal wall, sometimes similar to white goose-like plaque, may also have little or similar leucorrhea, However, the vaginal wall is leukoplakia.

(C) Cervical secretions: The cervix has a clear liquid-like secretion before ovulation, which is thicker in the luteal phase.

1. Cervicitis at any stage of the menstrual cycle, the presence of purulent cervical secretions should consider the possibility of cervicitis, the vaginal discharge outside the cervix should be swabbed during the examination, and the purulent secretion of the endocervix can be diagnosed. For cervicitis. At this time, the columnar upper degree of the cervical canal is erythematous, and the fragility is increased. The swab can often cause bleeding.

2. Chlamydia cervicitis Chlamydia cervicitis when the columnar epithelium often hypertrophy, prominent squamous epithelial plane.

3. Malaria Toxicity Cervicitis often presents with ulcerative or necrotic lesions in the columnar epithelium.

4. Gonorrhea cervicitis in the neck tube appears yellow thickening or liquid plug, overflowing the vagina and causing vaginitis, squeeze the urethra, paraurethral glands or vestibular glands often have purulent overflow.

Leucorrhea abnormal diagnosis

1. pH: The pH value is usually used to indicate the pH, and the pH is 4.5 at normal. The pH of the leucorrhea rises when it is trichomoniasis or bacterial vaginitis, which can be greater than 5-6.

2. Vaginal cleanliness: III degree: There are a small amount of vaginal bacteria under the microscope, and there are a lot of pus cells and bacteria. IV degree: No vaginal bacillus was observed under the microscope, except for a small amount of epithelial cells, mainly pus cells and bacteria. Grade III to IV is an abnormal leucorrhea, indicating vaginal inflammation. I to II degrees are normal.

3. After treatment, the mold and trichomoniasis leucorrhea can be found under the microscope according to its shape. Whether there are trichomoniasis or mold, no matter how many quantities are represented by "+", the symbol "+" is only Explain that the woman is infected with trichomoniasis or mold and does not indicate the severity of the infection.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.