Female vaginal discharge
Changes occur in a woman's body throughout the menstrual cycle. Hormones play a major role in this. The sensitivity of the mammary glands and nipples, sexual desire and attraction, as well as the color of the cervical mucus that is secreted change.
Immediately after the end of menstruation, a woman may feel a dry vagina. Closer to the time the egg is released from the ovary, the lady notes that the discharge has become more mucous and abundant. After ovulation, hormones begin to actively work, under the influence of which cervical mucus resembles a thick cream. If pregnancy occurs, a representative of the fairer sex observes copious watery discharge.
Discharge in the form of white clots
Some women may be bothered by cervical mucus. Its production can be very abundant and cause discomfort or itching for the fairer sex. Also, discharge in the form of white clots can be large in volume and constantly stain your underwear.
Some women in this case go to the doctor. Others prefer to self-medicate or let things take their course. It is worth figuring out where the discharge in the form of white clots comes from. Is this the norm? And what can cause them to appear?
Methods of therapy
Quite often, the cause of flaky vaginal discharge is thrush. It does not take much time to treat this disease.
As the main treatment, your doctor may prescribe tablets that you take once or twice a day. Suppositories are often prescribed, the use of which involves their insertion into the vagina. In most cases, the resulting thrush goes away quite quickly and only 5% of women suffering from this disease develop a chronic form or relapse. In such cases, therapy is difficult. But still, after some time, with proper treatment, the disease recedes.
In order to exclude the development of the disease, as well as to avoid repeated episodes of its occurrence, every woman must follow certain rules: strictly adhere to hygiene, especially when menstruation occurs; when treating, combine antibiotics with drugs that prevent the development of dysbacteriosis; wear underwear made from natural fabrics that are highly breathable.
Every woman should pay special attention to her health. In no case should she lose sight of the changes occurring in the genitourinary area. If flakes of discharge appear from the vagina, you should immediately visit a doctor at a medical facility. The appearance of leucorrhoea may be a pathological sign indicating the development of a specific disease. In this case, the sooner treatment is started, the sooner the cure for the disease that has arisen will be.
Thrush
One of the most common reasons for the appearance of such cervical mucus is the appearance of a fungus. In this case, the fairer sex has discharge in the form of white clots and itching. A woman may also feel a burning sensation in the vagina, which simply prevents her from living normally. Among other things, a lady can detect a white coating between the labia. A distinctive feature of thrush is the appearance of a peculiar odor. Discharge in the form of white clots smells like bread or dairy products.
If such a pathology is detected, you must definitely see a gynecologist. After conducting a series of tests, the specialist will prescribe the necessary antifungal drugs that will help eliminate discharge in the form of white clots, itching, burning and discomfort. Treatment does not take much time; in some cases, taking one tablet is enough.
Risk factors
If there are deviations from the parameters indicated above, then we are talking about the development of some pathology in the female body. Experts identify more than 100 factors that can lead to changes in vaginal leucorrhoea in color, odor and consistency. Therefore, just by looking at the shade of discharge from the genitals, a specialist cannot accurately name the reason that provoked such changes. In any case, a woman needs to undergo a full examination in order to accurately diagnose the disease she is faced with.
Even under normal conditions, not only lactobacilli live in the vagina, but also opportunistic flora. It usually includes pathogens that, with good immunity, do not have the ability to reproduce and are not able to cause various pathologies. They cannot harm the female body. However, if this happens and the immune system fails, the body becomes weakened, then they can begin to act, provoking various inflammatory processes.
In addition to weak immunity, risk factors for diseases include:
- douching, especially with antiseptics that contain chlorine, as well as other aggressive substances. Quite often, white flakes come out when douching;
- use of contraception in the form of suppositories and tablets;
- spermicidal lubricants that contain 9-nonoxynol;
- taking various antibiotics without medical supervision for a long time;
- sedentary and unhealthy lifestyle;
- physical inactivity, which provokes stagnation of venous blood in the pelvis.
Recent unprotected sexual intercourse
Discharge in the form of odorless white clots may occur after another unprotected contact with a partner. This is a normal option and does not require treatment. This happens due to the entry of sperm into the vagina, which itself has a whitish color. Mixed with the woman's cervical mucus, sperm comes out of the vagina, and the woman may notice discharge in the form of white clots.
It is worth noting that a similar picture can be observed only after sexual intercourse. If such cervical mucus is detected after one day or more, then this is no longer a normal condition. In this case, the lady should consult a doctor as soon as possible and undergo the necessary tests.
Physiological reasons
After birth, girls may experience vaginal discharge in the form of flakes. Their appearance is explained by the remnants of maternal hormones. After a month they disappear on their own. The next time this happens is at the age of 8-10 years. During this period, the developing body of girls begins to produce its own hormones - estrogens.
The flakes that appear from the vagina have a lactic acid odor and are similar in appearance to rice water. In this case, leucorrhoea does not occur regularly and often lacks a white tint at all. At the beginning of puberty, which in girls is between the ages of 12 and 13, the first discharge appears.
- depending on the stage of menstruation;
- from sexual arousal;
- after intimate contact;
- during the period of bearing a child.
When menstruation occurs during puberty, leucorrhoea changes depending on the stage of the cycle. Before the onset of menstruation, their volume increases, and in the first half of menstruation, the number of flakes decreases and the consistency becomes watery. Sometimes they are mucus-like and appear as white lumps.
After ovulation, the vaginal walls loosen. As a result, they become more vulnerable to germs. But the increased amount of lactic acid acts as a barrier for them, preventing the development of infections. Usually this condition lasts for 3 days and is also not a deviation from the norm.
An increase in discharge also occurs in the third trimester of pregnancy. This is a direct indication of imminent birth. Leucorrhoea usually appears 7 days before contractions. Immediately before them, the cervix dilates. A lump of mucus comes out of it. Its appearance indicates the imminent onset of labor.
If it is quite large in size and has a liquid consistency, then this may indicate that amniotic fluid is leaking. In this case, the woman should urgently see a doctor. If there is an admixture of blood in the flakes from the vagina, then this is a signal:
- about the beginning of a miscarriage;
- about premature birth;
- about out-of-wedlock ectopic pregnancy.
In such cases, you should not hesitate, otherwise everything can end quite sadly. You must quickly call an ambulance.
When a woman’s labor has come to an end and she is breastfeeding, she can take contraceptives. In such cases, vaginal flakes are quite scanty. During this period, the appearance of discharge is also normal for the female body. The inside of the vagina is covered with mucous membrane. The main product it produces is mucus.
Normally, the vagina contains lactic acid bacteria, which produce lactic acid. In addition, they take an active part in the production of secretions. Its concentration in the vagina is predominant. They provide benefits by providing a protective environment for the genitals. Normally, the vaginal reaction has an acidity level of pH no higher than 4.5. This reaction leads to the death of all pathogenic flora.
In addition, a cleansing process is constantly taking place. Along with mucus, dead uterine cells, remnants of menstrual blood and mucus secreted by the cervix leave the vagina. Normal discharge is quite often white. However, in some cases they may be clear and odorless.
Removal of the plug before childbirth
A woman may observe discharge in the form of white clots during pregnancy shortly before giving birth. This is the norm when the pregnancy is full-term and the baby is ready to meet the outside world.
During the removal of the plug, a representative of the fair sex may detect one large clot or several small ones. The plug can come out either at once or in parts over one or two weeks. The large volume of released substance should not be scary. Normally, you can detect up to two tablespoons of such discharge.
It is worth noting that cork is not always white. Sometimes there may be discharge in the form of white clots with blood. Also, the cork can be brownish, beige or completely transparent. All this is normal and does not require any treatment. However, it must be remembered that if the plug is bright red and bleeding occurs, then this is a reason to immediately consult a doctor.
When should you see a doctor?
Abundant secretion from the vagina exceeds the norm, is accompanied by discomfort, a cheesy consistency, foamy or other abnormalities are considered a reason to consult a gynecologist.
First of all, he diagnoses the woman. The doctor monitors the color of the discharge and its abundance. He asks questions that clarify the detection of a symptom of the disease. From this the duration of the disease is traced.
The specialist prescribes general tests and conducts an examination. He palpates the inner thighs, lymph nodes and perineum.
To make an accurate diagnosis, you need to pay attention to the urethra. A careful examination can reveal the presence of swelling or inflammation.
Specialists refer patients for a bimanual vaginal examination. Sometimes a rectal examination helps in establishing an accurate diagnosis of diseases or in detecting pregnancy.
Other tests and examination methods to establish a diagnosis may include the following:
- Bacterioscopic examination with taking a smear of secretion;
- Referral for a blood test that identifies enzyme-linked immunosorbent components;
- The use of PCR diagnostics helps to accurately determine where and how the infection originated;
In some cases, ultrasound hardware examinations are used. This method helps by examining the organs of the genitourinary system. The use of calposcopy helps in identifying the diseases of cervical dysplasia and its erosion.
Infections that affect the genitals
In some cases, a representative of the fairer sex may detect discharge in the form of white clots with impurities of a strange color and an unpleasant odor. In this case, a genital tract infection most likely develops. It can be obtained through sexual contact, as well as through ordinary personal hygiene items.
This condition must be corrected. Otherwise, you risk developing serious health problems in the future, which may lead to infertility.
Elimination of sexually acquired infections should be mandatory. Treatment must be carried out together with a partner. If you decide to carry out the course of correction alone, then at the very first sexual intercourse without protection you will again receive a portion of pathogenic bacteria. The only way to avoid this is to use a condom.
If you do not have a permanent partner, then you definitely need to protect yourself from unwanted conception and various infections that can be sexually transmitted.
Correct treatment
In the process of selecting a therapeutic course when mucus with white lumps appears, the gynecologist pursues several goals:
- Eliminating the cause of these symptoms. Suppositories are most often used in the treatment process. Sometimes medications may be prescribed in tablet form.
- Restoring normal microflora to prevent relapses.
- Strengthening protective functions.
- Tissue restoration.
- Improving microcirculation and blood supply.
The selection of drugs and methods of therapy is carried out on an individual basis, taking into account the characteristics of the body, the woman’s age, the presence of concomitant pathologies and a tendency to allergic reactions.
If hormonal medications are used during treatment, it is additionally recommended to consult an endocrinologist.
The most common cause of discharge with clots is considered to be thrush, but it is not the only one that manifests itself with similar symptoms. At the slightest suspicion of this disease, you should do a thrush test and consult a specialist.
In some cases, such changes are considered a variant of the norm. If concomitant clinical manifestations are present, then there is a high probability of pathology developing. In this case, medical assistance is needed. Self-medication is unacceptable.
Hormonal disorders
As you know, in the second phase of the cycle, a woman may experience creamy white discharge. They are normal and do not require treatment. However, in some cases, such cervical mucus is not cyclical, but is constantly present. What could be causing this?
Most likely, the woman has a hormonal imbalance. In this case, such discharge is accompanied by an irregular cycle, fatigue, irritability, and poor health. In this case, it is necessary to visit a qualified specialist as soon as possible to carry out the appropriate correction.
Diagnostic methods
To determine what disease a woman has, self-diagnosis as such is excluded. It all starts with collecting a detailed history, after which the most common research methods are used, including a gynecological examination using speculum. This form of examination allows you to identify discharge formed on the walls of the vagina and cervix.
This method provides an opportunity for a more detailed study of the nature of the release. After this, a bimanual examination of the vagina, uterus and ovaries is performed. During a digital examination, the other hand presses on the abdominal wall, which makes it possible to determine the structure and size of the organs being tested.
Discharge in the form of white clots: how to treat?
If you are concerned about this type of cervical mucus, then first you need to contact a good specialist. Depending on what caused the appearance of white clots discharged from the genital tract, appropriate treatment will be prescribed.
First, you will need to take some tests. They will help determine the state of the microflora and detect the presence of infections transmitted through sexual contact.
If you are diagnosed with thrush, the doctor will prescribe a course of antifungal drugs, for example, Flucostat, Fluconazole. The use of medications that enhance immunity will also be recommended. After all, it is during a decrease in the body’s immune defense that various pathological phenomena occur.
In the event that there are some infections, you will be prescribed a course of antibacterial drugs. After this, the doctor will prescribe the intake of beneficial bacteria, which will help normalize the vaginal microflora and improve immunity.
If a woman suspects a hormonal imbalance, treatment may take a long time. In this case, the lady first needs to undergo tests to determine the level of certain hormones. After the study and evaluation of the results, the doctor selects an appropriate treatment method and prescribes a course of medications.
Signs of pathologies
Before talking about the signs of diseases that flakes from the vagina may indicate, it is necessary to dwell on the classification of these phenomena. According to their origin they are as follows:
- pipe The inflammatory process occurs in the fallopian and fallopian tubes. When a focus of the disease appears in them, fluid accumulates, which enters the vagina through the uterus, causing the formation of leucorrhoea in a large volume of watery consistency;
- uterine. Their appearance occurs in the uterine cavity. For example, with endometritis, colpitis. Through the cervix they end up in the vagina;
- vaginal. They have an unpleasant odor and occur with thrush, trichomoniasis, chlamydia;
- cervical Such discharge is thick and occurs in small quantities. Their appearance occurs with the development of a disease such as cervicitis, which appears due to the activity of mycoplasma, chlamydia and ureaplasma.
In order to accurately make a diagnosis and prescribe adequate treatment, it is necessary to have obvious symptoms of the disease and the presence of a large number of leukocytes in the smear, as well as the causative agent of the disease. Certain signs indicate the development of a disease in a woman’s body. Doctors take them into account when making a diagnosis:
- a large volume of white flakes coming out of the vagina;
- the consistency of the discharge has little to do with physiological reasons. They are distinguished by their thickness or are a watery, foamy mass;
- Often leucorrhoea, depending on the pathogen that provoked its appearance, has a certain color. For example, with thrush, the curdled masses are colored white, with trichomoniasis - yellow or green, and brown or bloody flakes become brown or bloody if a woman has cancer;
- presence of odor in the discharge. Quite often it is unpleasant: it has the character of putrefaction, onion or rotten fish;
- discharge with flakes and odorless itching is complemented by burning and other unpleasant sensations. The genitals are waterlogged, there is a fever, and there is also pain in the lower abdomen;
- changes in leucorrhoea two days, a week or half a month after intercourse indicate their pathological nature.
When the appearance of white flakes from the vagina is caused by staphylococcus, they are always liquid and sticky. When gonorrhea develops, this disease is recognized by yellow or greenish discharge. In diseases of fungal etiology, leucorrhoea always looks like cottage cheese, lumps, and its appearance is accompanied by itching.
If there is an admixture of blood in them, then this indicates the onset of oncology. Specialists will not limit themselves to just one examination when making a diagnosis. The thing is that similar symptoms are characteristic of many diseases. Therefore, to make an accurate diagnosis, a detailed examination is necessary.