
Discharge from the vagina is a natural and normal process that helps to keep your reproductive tract clean, lubricated and healthy, warding off any infection.
The normal discharge is usually thin, clear or whitish to light yellowish and does not have any foul smell. It usually becomes more slippery and has the consistency of egg whites during ovulation. The amount and thickness of normal discharge can also increase during sexual arousal, pregnancy and the use of oral contraceptives.
Any changes in color, consistency, volume, and/or odor could signal an abnormal discharge. This abnormal discharge along with symptoms like itching, pelvic pain, or burning sensation while urination etc can be a vaginal infection that needs immediate attention.
Vaginal infections can be prevented by following good feminine hygiene, wearing breathable cotton undergarments, and a few healthy lifestyle changes. Treatment differs depending on the cause of the infection.
Abnormal vaginal discharge is marked by change in color, consistency, volume, and/or odor. Other symptoms that might accompany abnormal vaginal discharge are:
Vaginal discharge is broadly divided into:
Vaginal discharge is a natural and normal process that helps to keep your reproductive tract clean, lubricated and healthy, warding off any infection.
The amount, color and consistency of normal vaginal discharge can vary from person to person and where you are in your menstrual cycle:
Days 1–5: During your period or menstruation, the discharge is red and bloody.
Days 6–14: Following a period, vaginal discharge is mostly white or slightly yellow, and sticky.
Days 14–25: A few days before ovulation, the discharge becomes clear, thin, slippery and stretchy, similar to the consistency of egg whites. After ovulation, the discharge goes back to being white or light yellow, and sticky.
Days 25–28: The amount of discharge reduces before the next period.
This type of leucorrhoea occurs when there is inflammation (redness and swelling) in the vagina caused by microbes.
Various types of vaginal discharge vary in color, amount, consistency, and smell. Some are normal, while others are an indication of an infection that warrants consultation with a doctor. Here you can get an idea of what different discharge can mean:
1. Clear to whitish
Watery, clear to whitish vaginal discharge is normal. It usually becomes more slippery and has the consistency of egg whites during ovulation. The amount and thickness of vaginal discharge can also increase during sexual arousal, pregnancy and the use of oral contraceptives.
2. White to cream or light yellow
White to cream or light yellow discharge is mostly a sign of healthy lubrication. However, if the white discharge has a frothy consistency like cottage cheese and is accompanied by a strong smell, it may indicate a yeast/fungal/candida infection, which can also cause severe itching or irritation.
3. Red
Red discharge occurs during a period or menstruation. However, if bleeding occurs between menstrual periods or after menopause you should consult a doctor on priority.
4. Pinkish to light brown
Pink to light brown discharge mostly occurs as spotting before a period. It can also be a sign of implantation bleeding during early pregnancy. Some pink discharge can be seen after sex if intercourse has caused tears or irritation in the vagina or cervix.
6. Yellow to green
While light yellow discharge may not indicate any illness, darker yellow to green discharge could indicate sexually transmitted infections. Sometimes, the discharge may smell fishy accompanied by itching or burning in or around the vagina.
7. Gray
When you have a gray color discharge with symptoms like pain in the pelvic region or pain while peeing and discomfort or itching around the genital area, it could be a sign of infection called bacterial vaginosis.
It is a common bacterial infection that occurs when the balance of bacteria in the vagina is altered. It can cause a grayish discharge accompanied by an intense fishy odor. It may also cause itching, redness, and swelling of the entire vaginal area.
Women who have several sex partners, or those who use a contraceptive intrauterine device, such as copper-T, are more likely to get bacterial vaginosis.
A vaginal infection that is caused by a yeast known as candida is called candidiasis. It is commonly seen in women who are taking contraceptive pills or certain antibiotics, or have conditions, such as diabetes and weakened immunity. The main symptoms are intense itching along with a thick white discharge that appears like cottage cheese.
This vaginal infection is caused by the protozoa trichomonas vaginalis. It can cause a greenish-yellow, sometimes frothy, discharge and pain during urination. This infection is usually transmitted through unprotected sex.
These are sexually transmitted infections that produce abnormal discharges by affecting the cervix. Women may experience greenish or cloudy discharge, bleeding during or after sex, and abdominal pain.
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Not every vaginal discharge is alarming but if you experience any unusual discharge marked by change in color, consistency, volume, and/or odor, see a doctor on priority. Diagnosis includes:
Your doctor may ask you about your medical history including the medicines you've been taking during the past few weeks. The doctor will also discuss your symptoms, the severity of the symptoms, and the time duration of symptoms.
Your doctor will perform a pelvic exam to look for the type of vaginal discharge. A sample of discharge might be taken for relevant testing.
Molecular tests: Sometimes specific tests are required for the diagnosis of STDs causing abnormal vaginal discharge. The standard test is the nucleic acid amplification test (NAAT), and it is generally used for the diagnosis of gonorrhea and chlamydia. This method detects and identifies the genetic materials of bacteria and other pathogens.
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Safe sexual practices are paramount to reduce the risk of sexually transmitted infections (STIs) and vaginal infections.
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Always urinate and gently wash the area around your vagina every time after indulging in sex.
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Doctors that can help with the diagnosis and treatment of vaginal discharge include:
A general physician can evaluate the symptoms of vaginal infection and start the treatment. They can refer to a specialist for further assessment. A gynecologist is a specialist in diagnosing and treating diseases that affect the female reproductive system.
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Treatment of abnormal vaginal discharge depends on the severity of the symptoms, age, and other factors, such as the underlying causes. It may be caused by STDs; therefore, treating the causative agent is important to stop its recurrence. Management includes:
1. For bacterial infections: If bacterial vaginosis is causing vaginal discharge, the following antibiotics are usually prescribed for its management:
2. For fungal infections: In case of vaginal yeast infections, antifungal medicines are prescribed, such as:
3. For protozoa infection: For protozoa infections, such as trichomoniasis, the doctor may prescribe drugs like:
Note: These medicines are available in the form of creams, ointments, or tablets. The doctor may instruct you on the route of administration of the medicine which depends on the severity and prolongation of the abnormal vaginal discharge.
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The following home remedies help in improving the vaginal microbiome and can be an adjunct to conventional treatment:
Abnormal white discharge is a sign of vaginal infections. These vaginal infections can cause several complications such as:
1. Pelvic inflammatory disease (PID): Vaginal infections due to bacteria, yeast, virus, or STDs can spread from the vagina to other reproductive organs of females, such as the fallopian tubes, ovaries, & uterus.
The symptoms of PID include chills, fatigue, fever, & abdominal pain, and can lead to reproductive complications, such as:
2. Infertility: If untreated for a long time, abnormal discharge may affect the chances of a woman getting pregnant.
Alternative therapies can provide relief to a certain extent, however, always seek advice from your doctor before trying these. Some of the complementary therapies that have proven to be beneficial include:
Essential oils like tea tree oil and lavender oil have antibacterial and antifungal effects and have shown promise in the management of vaginal discharge caused by yeast or fungi.
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A traditional chinese medicine expert will prescribe chinese oral medicines depending on the severity of the disease for correcting the body’s imbalances. Studies have shown that TCM can be effective in treating excessive vaginal discharge or itching.
Clear to white light yellow vaginal discharge is normal but its color, texture, and quantity can differ from person to person depending on their age. However, consult your doctor if you feel that it's abnormal and you are getting a heavy discharge frequently with changes in odor, color, and texture.
Though abnormal vaginal discharge can be managed with medications depending on the cause, a few important points to be kept in mind are:
Watch our expert discuss vaginal discharge in detail.