Is it normal for vaginal discharge to be light pink?

When patients find that their leucorrhea is light pink, they will go to the hospital for examination immediately. Many patients think that light pink leucorrhea is leucorrhea bleeding. In fact, the light pink color of leucorrhea should also be analyzed according to the patient's physical condition. The color of menstrual blood will change before menstruation, and the leucorrhea may be light pink. When the patient has cervical disease, the leucorrhea may also be light pink. Therefore, whether the light pink color of leucorrhea is normal depends on the patient's physical condition. At this time, the patient needs to go to the hospital for a formal examination, and only after the examination can the type of disease be diagnosed. The details are as follows:

1. Medical history

You should inquire in detail about the amount of leucorrhea, whether it stains underwear or requires a menstrual belt; the color of the leucorrhea; whether there is any special odor; the time of occurrence; whether it irritates the vulva and causes itching; whether there has been a diagnosis of pathological leucorrhea in the past; what kind of treatment has been received; whether the spouse suffers from urinary and reproductive system diseases, etc.

2. Physical Examination

The examination is carried out from outside to inside. First, the vulva, urethra, paraurethral glands and Bartholin's glands are inspected visually, and then the vaginal wall and cervix are observed through a vaginal speculum.

(A) Visual examination of the vulva can help identify vaginitis. Erythema and small collar fissures around the vulva and anus may be caused by candidiasis, and vulvar edema may be caused by trichomoniasis. The vulva of patients with Trichomonas vaginitis or cervicitis is often contaminated with a large amount of purulent vaginal discharge, while in bacterial vaginosis, only accumulated vaginal discharge is seen at the vaginal opening.

(ii) Appearance of vaginal discharge Various pathological vaginal discharges have different specific characteristics that can provide diagnostic clues.

1. Physiological leucorrhea has the following characteristics: homogeneity, flocculence, high efficiency and accumulation in the sagging part of the vagina.

2. Bacterial vaginal discharge is gray, homogeneous, and has low bulging. It is often evenly attached to the surface of the vaginal mucosa on the anterior or lateral wall of the vagina. It is easy to wipe off and there is no obvious change in the vaginal mucosa.

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

4. The leucorrhea of ​​candidiasis is white, highly thick, and cheesy or tofu-like, attached to the vaginal wall. Sometimes it resembles white thrush-like patches. There may also be very little leucorrhea or it may be similar to normal leucorrhea, but the vaginal wall appears as white spots.

(III) Cervical secretions: The cervix has clear fluid-like secretions before ovulation, which become thicker during the luteal phase.

1. Cervicitis: If there is purulent cervical discharge at any stage of the menstrual cycle, the possibility of cervicitis should be considered. During the examination, the vaginal discharge outside the cervical opening should be wiped clean, and cervicitis can be diagnosed if purulent discharge is observed in the endocervical canal lining. At this time, the columnar surface of the endocervical lining becomes erythematous and more brittle, and wiping with a cotton swab often causes bleeding.

2. Chlamydial cervicitis In chlamydial cervicitis, the columnar epithelium often hypertrophies and proliferates, protruding from the squamous epithelium plane.

3. Malaria-related viral cervicitis often presents ulcerative or necrotic lesions in the columnar epithelium.

4. Gonorrheal cervicitis causes yellow, thick fluid or plugging in the cervical canal, which overflows into the vagina and causes vaginitis. It squeezes the urethra, paraurethral glands or Bartholin's glands, often causing purulent discharge.

When the leucorrhea is light pink, the patient should first undergo an examination to diagnose the type of disease. If the light pink leucorrhea is caused by a normal physiological phenomenon, the patient can ignore it. However, if the leucorrhea is light pink due to pathological reasons, the patient must receive treatment based on the examination results. Only in this way can the disease be effectively controlled. During the treatment, the patient should adjust his mentality and actively face the disease and receive treatment.