Increased vaginal discharge after menopause

Introduction Increased vaginal discharge after menopause refers to increased secretion of leucorrhea in postmenopausal women, beyond normal levels. Leucorrhea is a female vaginal discharge. The leucorrhea of normal women is an odorless, slightly acidic viscous substance. It has the functions of moistening the vagina, excreting waste, and inhibiting the growth of pathogenic bacteria. It is a normal physiological phenomenon. Increased vaginal discharge in healthy women is directly proportional to the increase in estrogen levels in the body. Such as ovulation or vaginal discharge during pregnancy, in the case of excessive growth of the endometrium, or the use of estrogen drugs can appear similar leucorrhea.

Cause

1, one of the reasons for increased leucorrhea after menopause, estrogen leads to increased vaginal discharge after menopause: vaginal mucosal hyperplasia after menopause, vaginal discharge, such as the same age of childbirth, often suggest that there is estrogen in the body. Occasionally, it is found that postmenopausal ovarian follicles grow and secrete estrogen. But it is more important to note that some ovarian tumors and adrenal tumors also secrete hormones, which are medically called functional tumors. Hormone levels should be determined and the necessary examinations removed to remove the tumor.

2, the cause of increased vaginal discharge after menopause 2 senile vaginitis: vaginal mucosa thinning after menopause, anti-infection and anti-friction ability is greatly reduced, so it is easy to infect pathogenic bacteria. When postmenopausal vaginal discharge increases, accompanied by local itching, burning sensation, and even local tenderness, often suggest senile vaginitis.

3, the cause of increased leucorrhea after menopause, the three drug factors with the improvement of living standards, the elderly use tonics increased, many longevity, nutritional drugs have hormones, nourishing Chinese medicine often have a lot of external kidney drugs, these Both can cause an increase in vaginal discharge after menopause.

4, the cause of increased vaginal discharge after menopause four gynecological tumors: postmenopausal vaginal discharge increased women if there is watery vaginal discharge, bloody vaginal discharge or purulent vaginal discharge after symptomatic treatment is not good, to consider gynecological tumors.

an examination

Related inspection

Gynecological ultrasound examination vaginal gynecological routine examination gynecological routine examination

Symptoms: Menopause and vaginal discharge increase gynecological examination can directly understand the situation of the vagina, cervix, if necessary, use a scraper, suction and cervical biopsy to help diagnose.

Leucorrhea routine examination test sheet (including 5 items):

1. pH: The normal pH is about 4.5. The vagina is weakly acidic, which is the self-purification of the vagina and prevents the growth of pathogenic bacteria. If you have trichomonas or bacterial vaginitis, the pH rises, which can be greater than 5-6.

2, vaginal cleanliness: divided into four degrees, I ~ II degrees are normal, III ~ IV degrees for abnormal leucorrhea, indicating inflammation of the vagina.

3, mold and trichomoniasis: leucorrhea after treatment can be found under the microscope with trichomoniasis or mold, such as the presence of trichomoniasis or mold are represented by "+". This symbol only indicates that you have been infected with trichomoniasis or mold and does not indicate the severity of the infection.

4. Amine test: A method of examining bacterial vaginosis. A diagnosis can be made by responding positively to the amine test in the vaginal discharge.

5. Clue cells: A method for examining bacterial vaginosis. Many bacteria condense around the vaginal epithelial cells, making the edges blurred. This is the clue cell, which is the most sensitive and specific sign of bacterial vaginosis.

Differential diagnosis

The difference between leucorrhea and normal menstrual women:

Increased vaginal discharge is a vaginal discharge of the lesion, which has the following types:

First, purulent vaginal discharge: yellow or yellowish green, viscous or foamy, smelly, mostly caused by vaginal inflammation, of which trichomonas vaginitis is the most common, mostly genital itching. Can also be seen in chronic cervicitis, senile vaginitis, endometritis, meningeal effusion or foreign bodies in the vagina.

Second, cheese-like vaginal discharge or bean curd-like leucorrhea: mostly a typical phenomenon of fungal vaginitis, often accompanied by severe genital itching.

Third, bloody vaginal discharge: mixed with blood in the vaginal discharge, should be alert to the possibility of cervical cancer, endometrial cancer and other malignant tumors. But cervical polyps, cervical erosion, submucosal fibroids, dysfunctional uterine bleeding, urethral meat sputum, senile vaginitis and other benign lesions can also lead to bloody vaginal discharge, less caused by intrauterine device is bloody vaginal discharge is also more common .

Fourth, yellow watery vaginal discharge: more often after continuous vaginal bleeding, vaginal discharge of a large number of purulent odor leucorrhea, should first consider advanced cervical cancer, endometrial cancer or submucosal fibroids with infection. Paroxysmal discharge should pay attention to the possibility of fallopian tube cancer.

Five, dysuria with increased vaginal discharge: typical gonococcal infection in the vaginal discharge and urethral secretions increased, yellow purulent, showing a fierce inflammatory response. Chlamydia caused by cervicitis, vaginal discharge, low viscosity, and increased white serous cervical secretions. Excessive leucorrhea, increased vaginal discharge is a syndrome group. Prevention and treatment is first of all to pay attention to personal hygiene. At the same time, all leucorrhea (except physiological) should seek medical treatment promptly. Under the guidance of doctors, find out the cause, make timely treatment and treatment, and achieve early detection, early prevention and early prevention. Treatment, early recovery, must not blindly abuse drugs.

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.