Leucorrhea after abortion is like tofu dregs

In fact, after a woman has an abortion, it causes great harm to her body. If the leucorrhea after an abortion looks like tofu dregs, you should pay attention, because it may be caused by fungal infection, which is one of the more common gynecological diseases. The body is actually quite weak after an abortion, and if not properly cared for, it will be easy for germs to invade.

1. Why does vaginal discharge look like tofu dregs after abortion?

Tofu-like leucorrhea is a typical fungal infection. Vaginal candidiasis is a common vaginal inflammation in gynecology, which belongs to the category of "vaginal itch" in traditional Chinese medicine. The disease is prone to relapse. The causes of candidal vaginitis are increased glycogen in the vagina, increased acidity, and massive reproduction of Candida albicans among the fungi. Once discovered, you should seek medical attention as soon as possible and take a sample of leucorrhea for testing to eliminate the cause.

Okara-like or curd-like leucorrhea, accompanied by unbearable itching of the vulva. Even in public, one cannot help rubbing the vulva with hands to relieve the itching. Common in candidal vaginitis. Tofu-like leucorrhea refers to the discharge that looks like tofu dregs, which is white and lumpy. Because most leucorrhea is sticky and yellow, it is easy to distinguish. Tofu-like leucorrhea is a characteristic of candidal vaginitis, but it is generally not easy to flow out and mostly remains in the vagina

2. How to check and diagnose leucorrhea that looks like tofu dregs after abortion

2.1 Bacterial culture test

A smear test of vaginal secretions is performed, and the results are available in 20 minutes. It can detect the pathogenic bacteria of bacterial vaginosis. If there is no mold or trichomonas and the cleanliness level is above 3, testing is required.

2.2 Mycoplasma and Chlamydia Detection

Cervical mucus testing can confirm non-gonococcal vaginitis caused by mycoplasma and chlamydia infection. If you have sex, especially if you have pain during intercourse, lower abdominal distension, more than two sexual partners, if your condition does not improve with continuous medication or recurs, or if you have cervical erosion, you need to be checked. Virgins are generally not infected and do not need to be checked.

2.3. Routine testing for leucorrhea

Leucorrhea is a mixture of vaginal mucosal exudate, cervical canal and endometrial gland secretions, and its formation is related to the action of estrogen. The general routine leucorrhea test list has the following test items, mainly including pH value test, vaginal cleanliness test, microscopic test for Trichomonas or fungi, amine test, and clue cell test.

2.4 Gynecological examination

Through routine gynecological examinations, possible sexual diseases are preliminarily screened, and secretion samples are taken for necessary examinations.

2.5. Vaginal secretion examination

Check the cleanliness of the vagina and whether there is fungal, trichomonas, or bacterial (clue cells and pus cells) infection.

3. How to treat leucorrhea that looks like tofu dregs after abortion

Drug treatment: Wash the vulva or take a sitz bath with 1:5000 potassium permanganate solution, and apply 2% gentian violet solution locally. In recent years, the application of nystatin has achieved remarkable results.

Usage: 100,000 U vaginal suppository, once in the morning and once in the evening, inserted deep into the vagina for 5 days. Wash the vulva and apply nystatin ointment (100,000 U/g) topically 2 to 3 times a day. After treatment, in order to promote vaginal epithelial regeneration, a small amount of estrogen (0.25-0.5 mg/day of ethinyl estradiol for 3-5 days) can be used. In recurrent cases, digestive tract bacteria should be considered, and nystatin 500,000 U/time, 4 times a day can be added.

No nystatin-resistant Candida albicans has been found so far. Relapses are mostly caused by insufficient medication dosage, incomplete treatment, or failure to strictly enforce abstinence during treatment; or men are not treated. In addition, the use of fungicides such as ketoconazole, trichostatin, and clotrimazole in recent years has been effective in treating candidal vaginitis.

People with recurrent fungal infections or those who cannot be cured for a long time should undergo a comprehensive body examination to rule out diabetes and other organ infections. At the same time, pay attention to the irrational use of antibiotics and hormone drugs. If necessary, you can take oral drugs such as nystatin and ketoconazole under the guidance of a doctor.