What is normal leucorrhea?
The amount of leucorrhea varies with age, menstrual cycle and physical condition. Generally speaking, normal leucorrhea is colorless, tasteless and odorless, and won't wet underwear. But two or three days before ovulation in the middle period, leucorrhea will be two to three times more than usual. At this time, it is normal if too much secretion wets underwear. As for the amount of vaginal discharge at ordinary times, it actually varies from person to person, so I suggest that every girl should have a vaginal discharge in self-observation after menstruation every month. In addition, it is also observed once between two menses, and then based on these two times. It is normal if the amount of leucorrhea is not greater than that after menstruation during the whole menstrual cycle. As for ovulation day, even if there are two or three leucorrhea, it is normal. Many girls are very sensitive, and when they find themselves approaching ovulation day, they are anxious to seek medical advice everywhere. In fact, if they usually observe the amount of leucorrhea, they will not be nervous even if they find that the secretion has increased by two or three times during ovulation. Leucorrhea anomalies can be simply summarized into the following categories. Inflammatory leucorrhea Many gynecological inflammatory diseases are accompanied by increased leucorrhea, and the main symptom of some diseases is excessive leucorrhea. Common inflammatory leucorrhea is as follows. Elderly female patients with senile vaginitis have low estrogen level, thin vaginal epithelium, low glycogen content in epithelial cells and high vaginal pH value, which leads to the lack of self-cleaning function of vagina and low resistance, which is easy for germs to invade and infect. When suffering from senile vaginitis, leucorrhea is purulent, serous or bloody, and the vaginal mucosa is congested, which may appear scattered in bleeding spots. Infants and young children can have inflammation like elderly women because of estrogen deficiency and low vaginal mucosal resistance. The main symptom of trichomonal vaginitis is increased leucorrhea, which is yellow or yellow-green, thin and foamy leucorrhea. In the acute stage, the vaginal wall is congested, and punctate bleeding spots may appear. Besides leucorrhea, it is often accompanied by pruritus vulvae. The main pathogen of fungal infection caused by fungal vaginitis is Candida albicans. After the vagina is infected by mold, leucorrhea is cheese-like or bean curd residue-like, the vaginal wall is flushed, sometimes the mucosa can be covered by white membrane, and its lower mucosa can be red erosion. Often accompanied by obvious vulvar itching. Acute gonococcus vaginitis in gonococcus vaginitis is sometimes accompanied by gonococcal urethritis, with symptoms such as fever, frequent micturition and urgency, in addition to increased leucorrhea. Chronic gonococcal infection has no other symptoms except increased leucorrhea, and the vaginal mucosa has no obvious congestion, but purulent mucus plug can be seen in the cervix. Bacterial vaginosis was once called nonspecific vaginitis, also known as Haemophilus vaginalis vaginitis. According to the research, the disease is mainly infected by Gardnerella, and there are many kinds of bacteria mixed infection. This disease is common among women who have multiple sexual partners. There are a lot of lactobacillus in normal vagina, which keeps the acidic environment of vagina. If estrogen is low, there are many sexual partners, frequent sexual intercourse, alkaline semen accumulation or alkaline liquid washing vagina will increase vaginal pH, inhibit lactobacillus, lead to flora imbalance, and make Gardnerella and various anaerobic bacteria grow. The main symptom is an increase in leucorrhea, which is a thin white secretion with foam and a special foul smell, especially during sexual intercourse. When pelvic inflammatory disease suffers from endometritis and adnexitis, besides lower abdominal pain or fever, leucorrhea often increases, mostly purulent or watery stool, sometimes with blood. Other common inflammation causes leucorrhea, cervical erosion and cervical polyps, which often lead to symptoms of increased leucorrhea; Cervical chlamydia or mycoplasma infection, leucorrhea is often the only symptom. In addition, intrauterine devices (IUDs), especially those with tail wires, often have increased leucorrhea, and thick purulent secretions can be found on the tail wires during inspection. Due to surface degeneration, necrosis and infection, a large number of purulent or watery, sometimes bloody, foul-smelling secretions, such as submucous myoma of uterus, cervical cancer and endometrial cancer, can occur in benign or malignant reproductive tract tumors caused by tumors. Tubal cancer can appear intermittent leucorrhea.