Yellow pus-like vaginal discharge without pain or itching

It is well known that healthy vaginal discharge for women should be transparent, sticky and have no odor. If the leucorrhea is abnormal, it means that the woman may suffer from some gynecological disease. So what is the reason for yellow pus-like leucorrhea that is neither painful nor itchy? If the leucorrhea turns yellow and pus appears, it may be due to infection of the reproductive organs. If there is no pain or itching, it means that the disease is still in the early stages of development and has not yet caused a major impact on the body. If treated at this time, there is hope of restoring health.

Pelvic inflammatory disease refers to inflammation of the female reproductive organs, connective tissue around the uterus, and pelvic peritoneum. Chronic pelvic inflammatory disease is often caused by incomplete treatment of the acute phase. It has a long duration and is a stubborn disease. Bacteria retrogradely infect the pelvic cavity through the uterus and fallopian tubes. But in real life, not all women will suffer from pelvic inflammatory disease, only a few will develop it. This is because the female reproductive system has a natural defense function that can resist bacterial invasion under normal circumstances. Pelvic inflammatory disease will only occur when the body's resistance decreases or the female's natural defense function is destroyed due to other reasons.

Causes

1. Postpartum or post-abortion infection

After delivery, the mother is weak, the cervix fails to close in time due to lochia discharge, there is a placenta detachment surface in the uterine cavity, or the birth canal is damaged during delivery, or there are placenta and fetal membrane residues, or if she has sexual intercourse too early after delivery, pathogens invade the uterine cavity and easily cause infection; vaginal bleeding lasts too long during spontaneous abortion or medical abortion, or there are tissues remaining in the uterine cavity, or the aseptic operation of the artificial abortion operation is not strict, etc., all of which can cause post-abortion infection.

2. Infection after intrauterine surgery

For example, during the placement or removal of an intrauterine contraceptive device, curettage, hydrotubation, hysterosalpingography, hysteroscopy, submucosal myomectomy, etc., due to preoperative sexual intercourse or lax surgical disinfection or inappropriate selection of preoperative indications, acute infection may occur and spread after the operation; some patients do not pay attention to personal hygiene after the operation, or do not follow the doctor's orders after the operation, which can also cause bacterial ascending infection and cause pelvic inflammatory disease.

3. Poor menstrual hygiene

If you do not pay attention to menstrual hygiene, use unclean sanitary napkins and panty liners, take a bath during menstruation, have sexual intercourse during menstruation, etc., pathogens can invade and cause inflammation.

4. Direct spread of inflammation in adjacent organs

The most common cases are appendicitis and peritonitis. Since they are adjacent to the female internal reproductive organs, the inflammation can spread directly and cause pelvic inflammation. In chronic cervicitis, the inflammation can also spread through the lymphatic circulation and cause pelvic connective tissue inflammation.

5. Others

Acute attacks of chronic pelvic inflammatory disease, etc.

Classification

1. Hydrosalpinx and tubo-ovarian cysts

After the fallopian tube becomes inflamed, the fimbria adheres and closes, and serous fluid exudes from the tube wall and accumulates in the tube cavity to form hydrosalpinx. Sometimes, hydrosalpinx can also form after the pus of pyosalpinx is absorbed. If the ovaries are affected at the same time, a tubo-ovarian cyst will form.

2. Salpingitis

It is the most common type of pelvic inflammatory disease; the fallopian tube mucosa and interstitium are destroyed by inflammation, causing the fallopian tube to thicken and fibrose, becoming cord-like, or causing the ovaries, fallopian tubes and surrounding organs to adhere, forming a hard and fixed mass.

3. Chronic pelvic connective tissue inflammation

The inflammation most commonly spreads to the parauterine connective tissue and uterosacral ligament; the local tissue thickens, hardens, and spreads outward in a fan shape to the pelvic wall, and the uterus is fixed or pulled toward the affected side.