Leucorrhea smells a bit like water

Leucorrhea is like water and has a slight fishy smell. This is most likely a symptom caused by vaginitis. Vaginitis is a health problem that many women have. If it is not treated in time, it will have a great impact on the health of women's entire reproductive system. When treating vaginitis, treatment methods should be tailored to the cause. Here I will introduce to you the causes of vaginitis!

1. Bacterial vaginosis

In a normal vagina, lactobacilli that produce hydrogen peroxide are dominant. Bacterial vaginosis is an endogenous mixed infection caused by a decrease in Lactobacillus and an increase in Gardnerella and anaerobic bacteria in the vagina.

2. Candidal vaginitis

(1) 80% to 90% of pathogens are Candida albicans, which grow easily in an acidic environment and are diphasic bacteria (yeast phase and hyphae phase).

(2) The patient's vaginal pH is 4.0-4.7, and usually less than 4.5.

(3) Conditionally pathogenic bacteria (yeast phase → mycelium phase).

(4) Common causes: pregnancy, diabetes, and large-scale use of immunosuppressants and broad-spectrum antibiotics.

(5) Other contributing factors: gastrointestinal Candida, wearing tight synthetic underwear, and obesity.

3. Trichomonas vaginitis

(1) Trichomonas vaginalis grows best in a humid environment with a temperature of 25℃ to 40℃ and a pH of 5.2 to 6.6.

(2) The vaginal pH changes before and after menstruation, becoming close to neutral after menstruation, making it easier for Trichomonas to reproduce.

(3) The patient's vaginal pH is generally between 5.0 and 6.5, with most cases being > 6.0.

(4) Parasitic on the vagina, urethra or paraurethral glands, bladder, renal pelvis, male foreskin folds, urethra, and prostate.

(5) Often coexists with other vaginitis.

4. Senile vaginitis

Postmenopausal women have declining ovarian function, lower estrogen levels, vaginal wall atrophy, thinning mucosa, increased vaginal pH, reduced local resistance, and other pathogenic bacteria may over-multiply or easily invade and cause inflammation, mainly aerobic bacteria.

5. Vaginitis in young girls

It is caused by poor development of the vulva, low estrogen levels and foreign objects in the vagina of infants and young children, which trigger infection. Common pathogens include Escherichia coli, Staphylococcus aureus, Streptococcus aureus, etc.