Vaginal discharge: what to do?


Vaginal fluid loss or vaginal discharge (vaginal discharge) is a common complaint that often causes a lot of anxiety through fear of STDs, cancer and so on. Healthy women can have several times a year complaints about abnormal vaginal fluid loss, sometimes they do not find a clear cause. Usually, it is a transitory phenomenon that will disappear spontaneously after one to several weeks, and for which no treatment is needed. Sometimes it is, however, necessary to apply treatment.

In this article, We will look at
Vaginal discharge: what to do?, 

  1.  When is vaginal discharge not normal?
  2.  Causes of abnormal vaginal discharge
  3. When you should see the best doctor?
  4. How to deal with vaginal discharge?
  5. When is vaginal discharge is not normal?

It is absolutely normal if you often times lose a little bit of vaginal fluid. The wall of the vagina and the cervix make fluid and mucus every now and then comes some of that to the outside.
Normal secretion is liquid, transparent and whitish. When it dries, it becomes a little yellow. Usually, it smells somehow acidic, but it can also be odorless. One woman produces less, the other a little more. That is it is different with different women. Also in young girls is a low normal vaginal discharge. Many girls have a slightly yellowish discharge which is sometimes seen in the underwear.

Factors that may influence the secretion

  •  Around the monthly ovulation, which usually falls in between menstrual periods, there is more moisture. Also, color and odor of the exchange separation under the influence of the cycle.
  • Sexual arousal provides extra moisture.
  • During pregnancy, there is often more secretion.
  • Birth control pills can affect the secretion.
  • After the transition, the vagina is drier and there is usually less secretion.

Common Symptoms of abnormal discharge

  •  There may be more discharge than normal.
  •  The secretion is crumbly.
  • The color can be different: green or yellow snow. It may also be a little bloody (outside the menstrual period).
  • The odor may be unusual or dirty (often a fishy odor).
  • The discharge causes itching, irritation, redness or burning in and around the vagina. Pee and love making sometimes may hurt.

2. Causes of abnormal vaginal discharge

Vaginal discharge can have different causes. In about 30% of the cases, one finds not a specific cause in research. This is called physiological fluorine, there is abnormal discharge and itching but no red inflamed vaginal wall.

Abnormal vaginal discharge may be caused by fungi or bacteria that occur normally in the vagina (so-called commensals) but which, for one reason or another extra multiply.

A fungal infection by Candida (candidiasis) or other fungi is the most common cause of abnormal loss of moisture. Of premenopausal women 70-75% at least once get a candida infection. In children, this is extremely rare.
In addition to a bad smelling, crumbly white discharge, vaginal wall is red inflamed.

A vaginal yeast infection is usually quite harmless condition that naturally heals after one to several weeks, but it may come back several times. A treatment with a fungicide product is only necessary nuisance complaints.

Bacterial infection (bacterial vaginosis)
A bacterial infection is the second most common cause of vaginal moisture loss. It is usually caused by overgrowth of the bacteria Gardnerella vaginalis. Typically, the vaginal wall which usually is not inflamed red.
These infections usually heal spontaneously, treatment is required only when the symptoms are disturbing. If you are pregnant, consult or a physician. Have you previously had a premature birth, only requires treatment.

Possible causes of such an overgrowth of bacteria or fungi are:
• By the use of soap in or around the vagina can increase the number of fungi and bacteria and, an inflammation.

• Do not use too much soap when washing the vagina. It is sufficient to rinse the pubic area in the shower with lukewarm water.
• Do not use intimate sprays or vaginal douches.
• Poor hygiene can promote the growth of fungi or bacteria.

• Swap regular underwear.
• Change regularly your pad or tampon.
• It is not proven that panty liners and nylon panties make worse the secretion. Yet to wear cotton panties is often advised and not to use panty liners. This prevents a “sultry” climate in which fungi and bacteria feel at home.
• Do not wear tight clothes constantly.
• Fungi can multiply added at a reduced resistance (eg. Treatment with immunosuppressive drugs etc.)
• Diabetes increases the risk of a fungal infection
• If you use antibiotics fungi multiples.
• During pregnancy, there is more chance of a yeast infection the hormonal changes in the body.
• Multiple sexual contacts (especially orogenital) may increase the likelihood of a fungal or bacterial infection.
• An IUD can increase the risk of bacterial vaginosis.

Vaginal discharge can also be caused by fungi, bacteria or parasites that do not belong in the vagina. Often times it is Sexually Transmitted Infections (STI).

Trichomonas is a sexually transmitted infection caused by infection with a parasite (Trichomonas vaginalis). It is one of the most common sexually transmitted infections: it occurs in 3 to 5% in the young (15-40 years) sexually active population.
Trichomonas gives a yellow-green, smelling, frothy discharge, a red inflamed vagina, itching, burning and pain during urination or intercourse.
Trichomoniasis is transmitted through sexual contact. But you can also be infected by a contaminated toilet seat with urine or semen.
Trichomoniasis can be easily treated with antibiotics (a single dose of metronidazole). Since it concerns a SOA should also have your sexual partner (s) to be treated.

Other STDs
Other STDs such as chlamydia, gonoerroe, syphilis, herpes, etc. can also cause an abnormal discharge with pain and itching.

Sometimes there can be also occur infection by bacteria that naturally occur in the intestines and thus also in the bowel movement, such as streptococci, staphylococci, Shigella, E. coli, …
it allows bacteria from the bowel into the vagina.


Always wipe yourself from front to back after bowel movements (thus the vagina to the anus).
In women after menopause, is often the cause of an infection of the vagina (atrophic vaginitis) and the outer part of the urinary tract by reducing and thinning of the vaginal wall and the drying of the vagina. This may be accompanied by bloody discharge and painful urination and sex. Here it is not therefore an infection by fungi or bacteria.
Atrophic vaginitis after menopause could possibly be treated with topical or oral estrogen hormones. Because of the possible side-effects (eg. Slightly increased risk of breast cancer), these drugs shall be used only for a limited period (maximum 6 months).

Don’t Fuck while the vagina is dry, it can irritate mucous membrane. Let the vagina first be moist or use a lubricant during intercourse.
• A spermicide can irritate the vagina. Use condoms and lubricants where no spermicide is added.

• In children, vaginal discharge can be caused by vent worms. They crawl up from the anus and cause itching and irritation. They are usually visible to the naked eye in the feces.
A worm infection is treated with a vermifuge means (mebendazole, brand name Vermox).
• When children with persistent separation is sometimes blood and pain, consideration should be given that there is a foreign object in the vagina. That can be anything from beads to even small toys.
Removal is always done under general anesthesia.
• In children with vaginal discharge, especially if an STD is diagnosed, one should always check that there is no sexual abuse.

Other causes
• Some skin diseases (psoriasis, eczema …) can cause vaginal discharge.
• Mechanical or chemical stimulation by irritants (eg. Soap, deodorants, detergents …) or foreign bodies (eg. A forgotten tampon, a sheared condom).
• Some cancers may be accompanied by vaginal discharge.

When you need to see the best doctor?
Although vaginal fluid loss is usually mild and resolves spontaneously after one to several weeks, it is still appropriate in some CIRCUMSTANCES to consult your doctor:
• if symptoms persist or worsen;
• a burning sensation when urinating;
• if a change in the secretion in color or odor (white or yellow-green, foul smelling);
• with bloody discharge (outside of menstruation);
• if the symptoms recur regularly;
• if you are pregnant;
• Children who are not yet sexually active;
• If you think you might have a sexually transmitted disease;
• If you have pain in the lower abdomen.

 How to deal with vaginal discharge?

About vaginal discharge you usually no need to worry. It almost always pass on its own in one to three weeks. Whether or not a treatment is needed and what treatment, depends on the cause and severity and frequency of symptoms.

Yeast infection (candidiasis)
Treatment is only recommended for nuisance complaints (disturbing odor, severe itching …).

What treatment?
• Single administration of high-dose antifungal cream or vaginal tablets (1200 mg of miconazole or clotrimazole 500 mg) is usually sufficient. At the one-day treatment, the symptoms can after treatment still take several days.
• Insufficient result in severe symptoms and may require prolonged treatment (2-3 days).
• If the short-term treatment fails, is a longer treatment (7-14 days) to consider a lower dose.
• During pregnancy deserves a local treatment with miconazole (Gyno-Dactarin) for 3 to 7 days is preferred over a single administration.
• In case of repeated infections (4 or more per year) requires long-term treatment (ten to fourteen days).
• Optionally, may be used a preventative vaginal treatment repeated infections:
– Clotrimazole or miconazole oral or vaginal, once a month on day five of the menstrual cycle for three to six months.
– Fluconazole orally weekly for six months.

other measures
• Keeping dry the vagina area
• Avoid soap and other local resources
• Avoid Irritating products (colored toilet paper, bubble baths …)
• Alternate cooling or hot sitz baths, with or without soda, to alleviate the itching
• Cotton underwear, non-tightening clothing
• Drinking yogurt with lactobacilli could potentially accelerate healing and help prevent recurrence.
• Vaginal creams can damage the rubber of condoms and diaphragms, making them less safe to 3 days after using the cream.

Bacterial vaginosis
Bacterial vaginosis usually pass on its own without treatment. Treatment is recommended only for bothersome symptoms, such as a strong smell or itch.
In pregnant women at high risk for preterm birth, treatment of bacterial vaginosis reduces this risk. The treatment should only be considered until after the first trimester (14th week).

What treatment?
• Metronidazole (Flagyl), tinidazole (Fasigyn) or clindamycin (Dalacin) orally (by mouth) or intravaginal (vaginal cream, gel) for 7 days.
• Pregnant women should be treated only as of the second trimester (14th week).
• Vaginal therapy with metronidazole twice weekly recurrence rate goes up against, but only as long as the treatment lasts.
• Local treatment with lactic acid can potentially accelerate healing and prevent recurrence of vaginosis.
• The use of antiseptics such as chlorhexidine or hydrogen peroxide is not recommended due to a lack of evidence about its impact.

Andre measures
• Keeping dry pubic area
• Avoid soap and other local resources
• Avoid Irritating products (colored toilet paper, bubble baths …)
• Alternating cool or warm sitz baths, with or without soda to alleviate the itch
• Cotton underwear, non-tightening clothing
• Do not use tampons
• Vaginal creams can damage the rubber of condoms and diaphragms, making them less safe to 3 days after using the cream.

Infection with trichomonas should always be treated even if there are no complaints. Both women are treated as her sexual partner (s).

What treatment?
• The preferred treatment is a one-time intake (oral) of a high dose of metronidazole (Flagyl), tinidazole (Fasigyn), nimorazole (Naxogyn) or ornidazol (Tiberal).
Local treatment with a vaginal cream is not sufficiently effective.
• During the first trimester of pregnancy, these drugs should not be used. It is recommended to wait until after the 14th week of pregnancy.
• These drugs are not recommended during breastfeeding. As should be treated during lactation, designated short-term cessation of breastfeeding (for 12-24 hours).

other measures
If a trichomonas infection is established, is best you do other STD testing.

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I write about Men's health, Relationships etc. Love is the greatest thing in all the world. Sex an expression of love and exposure to the inner realm of the human spirit. honorable in marriages and destructive when done outside wedlock. A big reason I want to write about Men's health is because we have gone through a rough time as couples. We couldn't find any advice online and friends and counselors kept the talk out of the prep.

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