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Abnormal Leukorrhea

  Abnormal leukorrhea refers to abnormal changes in the color, consistency, and quantity of leukorrhea, such as the appearance of curd-like leukorrhea, thick leukorrhea, etc. Normally, the vagina and vulva have a small amount of secretion to maintain moisture, known as leukorrhea; it is composed of vaginal mucosal exudate, cervical glandular secretion, and endometrial secretion, and contains vaginal epithelial desquamated cells and leukocytes.

  Abnormal leukorrhea is one of the common gynecological diseases in women, with a very high incidence in clinical practice, which brings great distress to women.

Table of Contents

1. What are the causes of abnormal leukorrhea
2. What complications can abnormal leukorrhea lead to
3. What are the typical symptoms of abnormal leukorrhea
4. How to prevent abnormal leukorrhea
What laboratory tests are needed for abnormal leukorrhea
6. Dietary preferences and taboos for patients with abnormal leukorrhea
7. Conventional methods of Western medicine for the treatment of abnormal leukorrhea

1. What are the causes of abnormal leukorrhea

  1, Fungal vaginitis. When suffering from fungal vaginitis, the leukorrhea is yellow or white, most of the time sticky, but it may also be thin, and typically presents as curd-like or milk clot-like.

  2, Trichomonas vaginitis. The leukorrhea of trichomonas vaginitis is thin and purulent, yellow in color, with froth, or like milky water, grayish white, with an odor; trichomonas vulvitis often occurs in trichomonas vaginitis.

  3, Cervical erosion. When a woman has cervical erosion, her leukorrhea is generally yellow, sticky like phlegm, and odorless.

  4, When suffering from endometritis and pelvic inflammatory disease, the patient's leukorrhea also increases, with thin consistency, yellow color, and accompanied by abdominal pain.

  5, Tumor. Among the tumors within the scope of gynecology, abnormal leukorrhea can occur, the most common of which is cervical cancer. In the early stage, there is an increase in mucinous leukorrhea, while in the late stage, due to the necrosis and decomposition of the tumor tissue, in addition to an increase in leukorrhea, there is also a marked foul smell.

  6, Bacterial vaginosis: Excessive leukorrhea,呈灰白色稀薄、均质、面糊样改变, without purulent discharge, accompanied by a special, unpleasant smell of rotten fish and shrimp, the smell becomes stronger during or after sexual intercourse; vaginal inflammation is not obvious, therefore, it is called vaginosis rather than vaginitis. Some patients may experience varying degrees of vulvar itching and a burning sensation in the vagina.

  18. 7. Senile vaginitis. Also known as atrophic vaginitis, it occurs in postmenopausal women. Due to the decline in ovarian function and estrogen levels, the vaginal resistance is low, which is prone to pathogenic bacteria invasion and lead to vaginal inflammation. It is manifested by increased leukorrhea,呈黄水样或血性、脓性白带,accompanied by vulvar itching, burning, and pain.

17. 2. What complications can abnormal leukorrhea lead to

  15. 1. Gynecological inflammation; Abnormal leukorrhea is often a possible gynecological inflammation, such as cervical erosion, cervical polyps, cervicitis, fungal vaginitis, trichomoniasis vaginitis, bacterial vaginitis, and pelvic inflammatory disease, etc.

  14. 2. Physical health: Abnormal leukorrhea symptoms caused by gynecological inflammation. If the inflammation is not treated in time, it may cause great harm to the body. Mild cases may affect the body, while severe cases may lead to serious consequences such as infertility, and should be paid attention to.

13. 3. What are the typical symptoms of abnormal leukorrhea

  There are several types of symptoms:

  10. 1. Bloody leukorrhea: Bloody leukorrhea should be vigilant for the possibility of cervical cancer, endometrial cancer, and other malignant tumors. However, benign lesions such as cervical polyps, cervical erosion, submucosal leiomyoma, dysfunctional uterine bleeding, urethral papilloma, senile vaginitis, etc., can also cause bloody leukorrhea, and a small amount of blood caused by intrauterine contraceptives.

  9. Yellow watery leukorrhea: It often occurs after persistent vaginal bleeding, with a large amount of purulent, malodorous leukorrhea flowing out of the vagina. It should first be considered as advanced cervical cancer, endometrial cancer, or submucosal leiomyoma with infection. Those with intermittent discharge should pay attention to the possibility of fallopian tube cancer.

  8. Purulent leukorrhea: Yellow or yellow-green, thick or foamy, with an odor, mostly caused by vaginal inflammation, among which trichomoniasis vaginitis is the most common, with vulvar itching. It can also be seen in chronic cervicitis, senile vaginitis, endometritis, hydrosalpinx, or vaginal foreign bodies, etc.

  7. Cheese-like or bean curd-like leukorrhea: The leukorrhea is abundant, like bean curd in絮状, often accompanied by vaginal itching. This kind of leukorrhea is often caused by vaginal fungal infection or diabetes.

  6. Urinary disorders accompanied by increased leukorrhea: In typical gonorrheal infections, leukorrhea and urethral secretions are both increased, yellow purulent, and show intense inflammatory reactions. The leukorrhea caused by chlamydia-induced cervicitis is less sticky, and there is an increase in white serous cervical secretions.

  5. Colorless paste-like leukorrhea: The leukorrhea is sticky like paste, with a large amount, often soiled on the underwear. Patients may feel lumbago, but have no other symptoms, and it is more common in chronic endometritis. In addition, women who use a lot of estrogen preparations may also have this kind of leukorrhea.

4. How to prevent abnormal leukorrhea

  1. Pay attention to personal hygiene: In addition to washing before having sex, women should also urinate and wash their lower body again after having sex. Pay special attention to personal menstrual hygiene, wash the vulva with warm water every day, and change underwear frequently. In daily life, you should also pay attention to separating the towels and basins used for washing from the foot towels and foot basins.

  2. Pay attention to public health. Public places may hide a large amount of mold everywhere. When you are out, do not use the hotel's bathtub, wear long pajamas, and use toilet paper before using the toilet. At the same time, choose appropriate personal cleaning and care products, and do not be stingy with sanitary napkins.

  14, Abstain from excessive cleaning. Frequent use of antiseptic soaps and disposable sanitary napkins containing drug ingredients can easily destroy the weak acidic environment of the vagina, while the weak acidic environment of the vagina can maintain the self-cleaning function of the vagina. In fact, a female care liquid with a pH of 4, which is a weak acid formula, is more suitable for daily cleaning and maintenance.

  13, Pay attention to maintenance during pregnancy. During pregnancy, the levels of glycogen, sex hormones, and acidity in the vagina of women will increase, making pregnant women prone to fungal invasion. For pregnant women, it is not recommended to use oral medications, and it is better to choose local preventive and auxiliary treatment plans.

  12, Pay attention to the washing machine. basically, each washing machine has hidden mold. The more frequently the washing machine is used, the more mold it will have. To remove the mold in the washing machine, we can use hot water around 60℃ to clean the washing tub, and use laundry disinfectant regularly to clean the washing tub.

  11, Correct contraception. Estrogens in commonly used contraceptives have the effect of promoting fungal invasion. If patients have recurrent candidal vaginitis, they should try to avoid drug contraception.

  10, Treatment for partners. If you are infected with candidal vaginitis, not only you but also your partner need to be treated to achieve the expected therapeutic effect. Therefore, while using female care liquid in your daily life, do not forget to prepare male care liquid for him.

  9, Wear cotton underwear. Tight synthetic underwear can easily increase the local temperature and humidity of the vagina, which is a 'living' environment that fungi are happy about! Therefore, it is hoped that you can choose cotton underwear as much as possible.

  8, Control blood sugar and clean the external genitalia properly. Women with diabetes have a higher content of glycogen in the vagina than normal people. Under the action of glycogen, fermentation will produce alkaline substances, which will cause the normal vaginal pH value to deviate from about 4.0 to 5.5, thus destroying the self-cleaning function of the vagina and making it prone to fungal infection. Therefore, while controlling blood sugar, women should also pay attention to cleaning the external genitalia every day and should choose a female care liquid with a pH of 4, which is a weak acid formula.

  7, Pay attention to physical exercise: Do not overwork and stay up late, pay attention to physical exercise, and enhance resistance.

5. What laboratory tests are needed for abnormal leukorrhea

  One, Vaginal cleanliness: It is generally divided into four degrees, usually Ⅰ and Ⅱ degrees are normal, while Ⅲ and Ⅳ degrees indicate the presence of vaginitis, that is, a large number of white blood cells or pathogenic bacteria can be seen in the smear of the secretion.

  Two, Vaginal pH value: The normal vaginal pH value is between 4-4.5, showing a weak acidity, which can effectively prevent pathogenic bacteria from reproducing in the vagina and play a certain self-cleaning role. When suffering from trichomoniasis or bacterial vaginitis, the pH value of the vaginal discharge usually rises, with most of them between 5-6. For candidal vaginitis, the pH value can be within this range.

  Three, Amine test: Women with bacterial vaginosis may have a fishy odor in their vaginal discharge, which is caused by the volatilization of amines present in the vaginal discharge after alkalinization with potassium hydroxide.

  Four, Microbial examination: It will check for fungi, trichomonas, Neisseria gonorrhoeae and other items. If there are corresponding microorganisms found, they will be indicated as '+' on the results, and '-' if not.

  Five, clue cells: Clue cells are the most sensitive and specific indicator of bacterial vaginosis. Clinical doctors can make a diagnosis of bacterial vaginosis based on the positive amine test and the presence of clue cells.

6. Dietary Taboos for Patients with Abnormal Leukorrhea

  1. In terms of diet, it is advisable to eat less spicy, greasy, and cold foods, and to eat more foods that benefit the spleen and kidneys and clear heat and promote diuresis.

  2. White sesame bean tofu stew: 10 white sesame seeds (remove the kernel), 100 grams of tofu, stew and eat.

  3. Three Seed Soup: 10 white sesame seeds, 50 grams of Job's tears, 50 grams of winter melon seeds, boil, take half bowl of soup, once a day.

  4. Lotus Root and Chicken Crown Flower Soup: Half bowl of lotus juice, 30 grams of chicken crown flower, boil, mix with brown sugar and take twice a day.

  5. White Bean Decoction for stopping leukorrhea: 30 grams of white bean, 30 grams of山药, appropriate amount of brown sugar. Soak the white bean in water and peel it, boil it with山药 until cooked, add appropriate amount of brown sugar, take twice a day.

  6. Pepper Egg: 7 grains of pepper, 1 egg, first fry the pepper to a dark brown, grind it into powder. Then pierce a small hole in the egg, fill the pepper powder into the egg, seal the hole with thick paper, place it on the fire to cook, remove the shell and eat, twice a day.

  7. Guizhi Egg Soup: 5 grams of cinnamon, 10 grams of附子, 1 egg. Boil cinnamon and Fu Zi, remove the residue, beat in the egg, eat the egg and drink the juice after it is cooked, twice a day.

7. Conventional methods of Western medicine for treating abnormal leukorrhea

  Western Medicine Treatment:

  3. Abnormal leukorrhea caused by candidal vaginitis: Candidal vaginitis causes severe vulvar itching that is hard to bear, vaginal stinging pain, a lot of leukorrhea, showing a curd-like or lumpy appearance. Nystatin suppositories can be used, inserted into the vagina once a night, for a course of 10 days.

  1. Abnormal leukorrhea caused by bacterial vaginitis: Bacterial vaginitis has yellowish discharge, a lot of odor, accompanied by redness, swelling, burning pain of the vulva and urinary frequency, urgency, and dysuria. Enhancing sulfa tablets can be taken twice a day, two tablets each time.

  2. Abnormal leukorrhea caused by trichomonal vaginitis: If the amount of discharge is large, yellow foamy, accompanied by vulvar pruritus, it may be trichomonal vaginitis; there is vulvar itching and tingling, even a sense of crawling, with a significant increase in leukorrhea, containing white foam and acid smell. Metronidazole tablets (Ganmao) can be taken three times a day, 200 mg each time.

Recommend: Dysmenorrhea , Menstrual Irregularity , Cervicitis , Complications of Pregnancy , Premature Birth , Abnormal pregnancy

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