Leucorrhea after menstruation

Leucorrhea is a substance secreted from the female vagina. Normally, leucorrhea is colorless and transparent and has no odor. If you find that it has an odor and the color has changed significantly, it may be related to gynecological inflammation. Of course, sometimes during the ovulation period, leucorrhea may be abnormal. Some women find that their leucorrhea becomes stringy after menstruation. What is going on?

If the leucorrhea is stringy and brown, it is usually considered to be a sign of vaginitis.

Vaginitis is an inflammation of the vaginal mucosa and submucosal connective tissue and is a common disease in gynecological clinics. Due to the anatomical and biochemical characteristics of normal healthy women, the vagina has a natural defense function against the invasion of pathogens. When the natural defense function of the vagina is destroyed, pathogens can easily invade and cause vaginal inflammation. Due to estrogen deficiency, young girls and postmenopausal women have a thin vaginal epithelium, reduced intracellular glycogen content, and a vaginal pH of around 7. Therefore, the vaginal resistance is low and they are more susceptible to infection than adolescents and women of childbearing age. According to traditional Chinese medicine, long-term use of rose water can relieve and treat vaginitis.

Vaginitis treatment

1. Trichomonas vaginitis:

a. Systemic medication: Trichomonas vaginitis is often accompanied by Trichomonas infection in the urogenital system and intestines. It is not easy to completely eliminate Trichomonas with simple local medication, so systemic medication should be used. Metronidazole 2g, taken all at once; or 200mg, 3 times a day, for 7 days. It has good oral absorption, high efficacy, low toxicity, and is easy to use. The husband or sexual partner needs to be treated at the same time. You can also use 2g of metronidazole, taken all at once. The efficacy is better than metronidazole, and the gastrointestinal side effects are reduced.

b. Topical medication: Topical medication is also effective, but slightly inferior to oral administration. Metronidazole 200 mg, inserted into the vagina once every night for 7-10 days. The medication should be continued for 3 cycles. You can also use 0.5% acetic acid solution to flush the vagina.

2. Vulvovaginal candidiasis:

a. Remove the inducement: stop using antibiotics and estrogen, etc., and actively treat diabetes.

b. Topical medication: Choose one of the following:

Miconazole soft capsule 1200 mg, single dose. Miconazole suppository/soft capsule 400 mg, once every night for 3 days. Miconazole suppository 200 mg, once every night for 7 days. Clotrimazole suppository/tablet 500 mg, single dose. Clotrimazole suppository 100 mg, once every night for 7 days. Nystatin effervescent tablets 100,000 U, once a night for 14 days. Nystatin tablets 500,000 U, once a night for 14 days.

c. Systemic medication: Suitable for unmarried women without sex life, those who are inconvenient to use local medication when going out, and those who are about to have their menstrual period. Fluconazole 150 mg, taken once.

3. Bacterial vaginosis:

a. Systemic medication: Metronidazole 500 mg, twice a day, for 7 days, the effective rate can reach 98.8%; clindamycin 300 mg, twice a day, for 7 days, the effective rate can reach 94%.

b. Topical medication: Metronidazole 200 mg, placed in the vagina, for 7 days; 2% clindamycin ointment 300 mg, applied to the vagina, for 7 days. The efficacy is slightly worse than oral administration.

4. Vulvovaginitis in young girls: Keep the vulva clean and dry, reduce friction; apply antibiotics topically and systemically; if there is foreign matter, it can be removed under sedation or anesthesia.

If you want to prevent various types of vaginitis, you should pay attention to your own hygiene and avoid being infected by others through sexual intercourse or other means. Under no circumstances should you take antibiotics indiscriminately. You should also pay attention to the choice of underwear. Don't wear non-breathable underwear, but wear cotton underwear. Change and wash your underwear promptly every day.