Discharges from a healthy woman of reproductive age usually have the appearance of a slim, transparent or whitish, homogeneous, odorless discharge.
The change in the intensity of discharge, the appearance of uncharacteristic discharge that interferes with the usual life – one of the complaints with which women go to the doctor. The most frequent problems are:
- itching and cheesy discharge
- cheesy discharge with a sour odor,
- Cheesy discharge in different colors.
Often, women are any kind of cheesy discharge automatically taken for manifestations of thrush ( vaginal candidiasis ), using the whole arsenal of means against it – popular and pharmaceutical.
Unfortunately, in addition to candidiasis (thrush), as a cause of cheesy discharge, there is still a fairly large list of problems, one manifestation of which is odorless cheesy discharge or having a specific odor and color, often accompanied by itching, burning and impairment of well-being, problems in intimate life.
A classic disease that occurs with a tiny or cheesy discharge , with an acidic milky smell, itching, discomfort and redness of the genital organs, is thrush or candidiasis . It occurs as a result of the activation of conditionally pathogenic fungus of the Candida genus with a decrease in the immune defense of the mucous membranes of the genital tract or the general body resistance.
Especially often with thrush there are women with heavy physical exertion, stress, often and long ill, taking hormonal contraceptives, losing weight on diets and having excess weight.
Frequent cheesy discharge during pregnancy.
When candidiasis is combined with erosion, pink cheesy discharges (release of fresh blood from an eroded surface) can occur in the cervix , due to contact bleeding and exacerbation of the process against the background of infection. Sometimes with a combination of thrush and hormonal imbalance, brown cheesy discharge may occur (due to the admixture of coagulated blood).
Cheesy yellow discharge may occur against the background of a completely different pathology other than candidiasis. They are usually odorless, occurring as a result of microbial infection of the appendage area, fallopian labor, or uterus.
In the acute course of the process, in addition to abundant cheesy yellow discharge, there may be fever, abdominal pain, malaise, discomfort; after sex, the discharge increases dramatically.
In chronic infection, except for cheesy discharge, poorly amenable to traditional therapy, no other manifestations may be present.
Also, yellow cheesy discharge can be a sign of a bacterial infection of the vagina, including sexually transmitted infections, then they are accompanied by a burning sensation, itching, redness of the genital organs and an unpleasant smell. This may be a sign of gonorrhea.
Greenish cheesy discharge or yellow-green – this is one of the frequent manifestations of purulent infection and defeat microbial microflora related to sexually transmitted infections.
One of the typical causes of such discharge can be trichomoniasis . In addition, such a discharge can be a sign of other genital infections, including mixed etiology.
Cheesy excreta themselves are not a reason for treatment, especially self-treatment.
To make a correct diagnosis, the color and consistency of secretions do not play a role, it is necessary to conduct a number of special studies to establish the causes and pathogens.
First of all, it is necessary to identify the relationship of discharge:
- with hygienic procedures (washing, douching, tampons, candles),
- with sexual relations (change of partner, dangerous sex),
- with common diseases of the body (acute and exacerbations of chronic pathologies, hypothermia, insolation),
- connection with pregnancy, hormonal changes.
With the appearance of cheesy discharge without other symptoms or in combination with other manifestations, it is necessary to conduct:
- vaginal swabs on the flora,
- seeding the vaginal flora on the sensitivity to medication,
- colposcopy ,
- cervical to oncology analysis
- PCR smear,
- analysis of hormones (if necessary)
- Ultrasound of the pelvic organs ,
- blood test for exclusion of infections.
According to the results of the examinations, the gynecologist prescribes an individual scheme and the duration of the treatment with further control tests.