Leucorrhea with odor, no itching or pain

Leucorrhea is a secretion from the female reproductive system. Generally speaking, leucorrhea is colorless and odorless. If it has an odor, even if it does not itch or hurt, you need to go to the hospital for a gynecological examination in time. Generally speaking, the most common cause of leucorrhea with an odor and no itching or pain is bacterial vaginosis. This gynecological disease needs to be treated in a timely manner. The main treatment method is medication. In addition, female patients themselves need to take good care of their private parts. Here I will introduce you to bacterial vaginosis.

1. Causes

1. Indirect contact infection: Contact with toilets, bathtubs, bath seats, towels in public toilets contaminated with bacteria, and using unclean toilet paper can cause infection.

2. Sexual transmission is one of the causes of the disease. At least 10% of men with symptoms in women have bacterial urethritis.

3. Excessive attention to hygiene. In order to maintain hygiene, some women often use medicated washes to irrigate the vagina, which can easily destroy the acid and alkaline environment of the vagina and make it easy to get infected with bacterial vaginitis.

4. Taking large amounts of antibiotics changes the vaginal microenvironment, causing pathogenic bacterial pathogens to multiply and lead to localized bacterial vaginitis.

2. Typical symptoms

Most patients with this disease are women of childbearing age. The disease has a slow onset and the subjective symptoms are not obvious, with the main manifestation being increased leucorrhea. Vaginal secretion examination has the following characteristics:

1. The pH value reaches 5.0-5.5, which is higher than normal.

2. The leucorrhea is gray or gray-green, homogeneous, with a paste-like consistency, and may contain bubbles.

3. There is a foul smell like rotten fish. The odor of women becomes worse after menstruation or sexual intercourse, and their sexual partners' genitals may also emit the same odor.

4. Patients with combined Trichomonas or Candida infection may experience vulvar itching, vaginal burning sensation or pain during sexual intercourse.

Treatment

1. Treatment strategy

Treat comorbidities and treat sex partners simultaneously. Keep clean to avoid cross infection.

2. Drug treatment

1. Metronidazole is currently considered to have reliable therapeutic effects and should be taken twice a day for 7 consecutive days.

2. Take meprobamate (clomiphene) for 3 days.

3. Thiamphenicol (Sulfamycin) is effective against a variety of Gram-negative and Gram-positive bacteria, and has a good effect on anaerobic bacteria, so it can also be used.

4. Cleansiacin and ampicillin. Cleansiacin and ampicillin can also be used. In recent years, it has been advocated that no treatment is needed for asymptomatic people.

3. Other treatments

Keep the vulva clean and dry and avoid scratching. Change your underwear frequently and wash it with warm water. Do not mix it with other clothes to avoid cross infection. Sex partners are treated at the same time.