What is the reason for thick white vaginal discharge

Leucorrhea is a common secretion from the female body. Normal leucorrhea is transparent or white, similar to a liquid in the state of egg white, and has no peculiar smell. Thick and white leucorrhea may be a manifestation of abnormal leucorrhea. This may be a phenomenon caused by gynecological inflammation and gynecological diseases. It needs to be treated in time and you should pay more attention to your body.

What is the reason for thick white vaginal discharge?

Normal leucorrhea is colorless, transparent or white, slightly sticky, small in amount, without odor, and without changes in color and properties. If the leucorrhea feels thick, it is important to check whether there is a change in color or smell, and whether the consistency is bean curd-like or curd-like. Consider the possibility of inflammation. If not, you should consider whether there is cervical erosion, and the leucorrhea will also be thick and white. Routine examination of leucorrhea is required, and the medication for vaginal application should be based on the examination results, and the treatment should be based on syndrome differentiation to determine which type of vaginal inflammation it is, and then choose the medication for vaginal medication treatment. During treatment, there should be good medication compliance, and Lactobacillus vaginal capsules should be used to adjust the vaginal microecology. The medication should be applied for no less than 7 days, and sexual intercourse should be avoided during the medication period.

examine

To check whether the leucorrhea is normal, you need to observe the amount, color, texture and smell.

1. Gynecological 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. Check the appearance of vaginal discharge and cervical discharge.

2. Laboratory examination

(1) pH value: The normal pH is 3.8-4.4. The pH value of leucorrhea increases when suffering from trichomoniasis or bacterial vaginitis.

(2) Vaginal cleanliness: Grade III: A small amount of vaginal bacilli, a large number of pus cells and miscellaneous bacteria are seen under the microscope. Grade IV: No vaginal bacilli are seen under the microscope, and except for a small amount of epithelial cells, there are mainly pus cells and miscellaneous bacteria. Grades III to IV are abnormal leucorrhea, indicating vaginal inflammation. Grades Ⅰ to Ⅱ are normal.

(3) Fungi and Trichomonas: If Trichomonas or fungi are present, regardless of the quantity, they will be indicated by a “+”. The “+” symbol only indicates that the woman is infected with Trichomonas or fungi, and does not indicate the severity of the infection.

Differential Diagnosis

1. Cheese-like or tofu-like leucorrhea: It is candidal vaginitis, often accompanied by severe vulvar itching or burning pain.

2. Thin, purulent, yellow-green, foamy, and foul-smelling leucorrhea: a characteristic of Trichomonas vaginitis, accompanied by vulvar itching.

3. Grayish white, thin, fishy-smelling leucorrhea: a characteristic of bacterial vaginosis, accompanied by mild vulvar itching.

4. Purulent leucorrhea: yellow or yellow-green in color, sticky, and often has a foul odor, caused by bacterial infection. It can be seen in Neisseria gonorrhoeae vaginitis, acute cervicitis and endocervicitis. Vaginal cancer or cervical cancer complicated with infection, pyometra or foreign body residue in the vagina can also lead to purulent leucorrhea.

5. Purulent and bloody leucorrhea: consider acute pelvic infection, cervical cancer, vaginal cancer with infection, pyometra, foreign body in the vagina, etc.

6. Watery leucorrhea: Vaginal discharge that is thin, like water or rice water, and has a fishy odor: It is seen in advanced cervical cancer, vaginal cancer, or submucosal myoma with infection. Intermittent discharge of clear, yellow-red or red watery leucorrhea should be considered as a possible cause of fallopian tube cancer.