White discharge before menstruation: norm and pathology


This phenomenon in girls is considered a normal process. They occur periodically from any of the fair sex. Often the discharge indicates the onset of pregnancy, often - a translucent, thin, odorless liquid and other symptoms. Whether this is a pathology, we learn below in the article.

The main signs of pregnancy

The woman's body gives the first signals about pregnancy even before the delay of menstruation. Of course, such signs are not always 100% and are not observed in all future mothers.

Below we consider what symptoms can tell a woman that she will soon become a mother:

First signs of pregnancy

  • emotional instability
  • slight discomfort
  • swelling and chest pain
  • drowsiness
  • dizziness
  • nagging pain below the navel
  • nausea, vomiting
  • headache
  • low pressure
  • appearance or increase whiter
  • delayed menstruation
  • constipation
  • muscle cramps
  • frequent urination
  • brown or pinkish mucus

Of course, these signs are relative. Even a pregnancy test is false positive.

Such bright symptoms are observed only in the first pregnancy, in subsequent women can not guess what is in the situation.

Sometimes in women with gynecological disorders, the first symptoms of pregnancy are felt brighter, because pain in the lumbar region and appendages is possible.

What secretions are considered normal?

Every day absolutely any girl can notice the mucus on her underpants. This phenomenon is considered normal - this is the physiology of the female. Sometimes it signals that there is an infection or inflammation in the body, then the secreted secretion changes color and smell.

White has a sour or neutral smell. The secreted secretion consists of lactobacilli, since the vagina has a weakly acidic medium. The main function of mucus is the destruction of bacteria and the creation of a normal environment for conceiving a child. As well as secreted secretion provides lubrication of the external genitals. Therefore, such whites are considered the norm.

A trip to the gynecologist

There are a number of signs when a woman herself can diagnose that the secreted mucus does not belong to the pathology:

  1. Bleach varies shade depending on the period of the cycle (they are white, cream, yellowish or transparent shade).
  2. The smell is neutral or slightly sour.
  3. The secreted secret is both liquid and stinging.
  4. The amount of secreted secrets varies, but no more than a teaspoon per day.
  5. Before the onset of menstruation, after sex, or during the period of arousal, their volume increases significantly.

Remember that if the mucus does not cause burning or itching and does not have a specific smell, this is not a pathology, but a normal process.

Why does the discharge appear with a specific smell?

So, the above found that whites - a normal physiological process. However, if such secretions acquire a strong sour odor, itching also occurs (which does not necessarily bother every day) and other unpleasant symptoms, this indicates such a disease as candidiasis.

There are a lot of factors that influence the appearance of the disease:

  • hormonal imbalance
  • taking some hormonal drugs
  • the period of gestation, as the woman's immunity decreases
  • neglect of personal hygiene
  • wrong selected intimate care products
  • uncontrolled antibiotics
  • stress
  • poor nutrition and more

If there are such unpleasant symptoms, visit a gynecologist. You can not prescribe their own drugs, otherwise it will lead to irreparable consequences.

When does this occur in pathology?

With the influence of various factors, pathogenic microorganisms begin to multiply in large numbers, which further leads to inflammation.

So, what signs indicate a pathological process:

  1. The consistency of secretion secreted is similar to cottage cheese, while it is combined with various unpleasant symptoms - this indicates candidiasis.
  2. The daily amount of secreted secrets exceeds a teaspoon.
  3. The selection changed the shade to greenish, yellowish or brown.
  4. There was a peculiar smell.
  5. Pain below the navel, pain during urination, redness of the intimate area and other symptoms.

Such signs indicate the beginning of the inflammatory process in the female body.

How to identify the disease by the color of the discharge?

Unfortunately, there are too many reasons that cause a change in the hue of the secretion secreted. Therefore, the doctor can make the correct diagnosis and only after examining and passing a series of tests. Unmistakably without laboratory tests, only thrush can be identified. But here, too, there is one nuance: this pathology may well be combined with other ailments, so only a survey will determine the obvious reason for the change in whiteness.

  1. Foaming discharge - a clear sign of chlamydia.
  2. Gray with a fish-like odor, indicates bacterial vaginosis or bacterial vaginosis.
  3. Green tint indicates a clear purulent process.
  4. Yellow color indicates trichomoniasis.
  5. White cheesy discharge - thrush.
  6. Leucorrhœa without unpleasant symptoms is normal.

Do not sit at home. It is worth remembering: late treatment of some serious ailments leads to infertility.

Beli in the absence of menstruation

Leucorrhea in the absence of menstruation may be normal as well as pathological. It all depends on a number of reasons, which ones you will learn below.

    Pregnancy is considered one of the main causes of mucus. This is explained by the fact that a woman's body protects the neck from the penetration of bacteria, therefore a mucus plug forms in the vagina. She leaves her wall a few hours before the onset of labor. Cork is the main cause of the appearance of clear or translucent mucus when menstruation is delayed.

If the monthly still did not appear, but instead there were transparent discharge, it is necessary to come to the gynecologist.

Implant bleeding - what is it?

By this phenomenon is meant drops of blood from the vagina, which are associated with the attachment of zygotes to the uterine lining. Not to be confused with bleeding, because they are very few. This condition is not considered a pathological process. However, this phenomenon does not occur in every woman.

Not all women know what this phenomenon looks like. Most of the blood is low, therefore, future mothers do not notice it. Frequently, these are blood-stained streaks in secretions secreted, a couple of drops of blood on shorts, rarely - spotting. This phenomenon lasts from several hours to 2 days, but no more.

The main signs of this phenomenon:

  1. Pain below the navel. They are usually not strong and are associated with muscle contractions during the introduction of a fertilized egg.
  2. Lower basal temperature. What is basal temperature? This concept is understood to mean temperature, which is measured orally, vaginally or rectally with a thermometer immediately after sleep. During pregnancy, the basal temperature is reduced.
  3. Scanty white-pink or light brown discharge.
  4. Excessive weakness.
  5. Drowsiness.
  6. Fatigue and dizziness.

Calculate such a day is easy. The menstrual cycle is 28 days, ovulation comes on the 14th day. In the event that fertilization does happen, this phenomenon is observed 10 days after ovulation or 7 days before menstruation.

White discharge as the main sign of pregnancy

Scientists have proven translucent mucus 3-4 days before the estimated monthly date indicates pregnancy. At the same time, mucus does not change color and does not entail a specific smell. The main thing in this period is daily washing 2 times a day. Otherwise, secreted secretion will cause bacteria to multiply.

The introduction of a single-cell embryo into the uterus wall takes about 7 days, which is the 23rd day of the cycle. This condition is accompanied by discharge of blood.

After the conception has occurred in the female body in large quantities begins to produce the hormone - progesterone. It promotes the formation of placental protection, and before that the mucus plug. That is why the woman has thick transparent discharge up to 2 trimester of pregnancy. This is the norm, not a pathological process.

Sometimes there is pink or light brown mucus, odorless and uncomfortable. This indicates attachment of the ovum to the lining of the uterus.

The fetus begins to actively change on the 21st day of the cycle and this coincides with the bright symptoms of pregnancy. In such a period, the future mother begins to react brightly to various smells. This condition is accompanied by nausea, breast augmentation and tenderness.

After the egg cell takes place, and this happens approximately on the 25th day of the cycle, the expectant mother feels a pulling pain below the navel, while there are bloody discharges, but, as a rule, there are not many of them.

In the normal cycle, on the 28th day they come monthly. Their absence and the signs indicated above speak of successful fertilization.

Slime can accompany all pregnancy. Very often, before childbirth, their volume increases dramatically. The presence of pathology indicates a change in the shade of mucus. If this happens, contact a gynecologist in a timely manner, because it is not only about your health, but also about the health of the baby.

Preventive actions

So, we found out that whiting is a normal process. In order that they do not become a source of reproduction of microorganisms, adhere to the following rules and recommendations:

  1. Twice a day to perform the procedure of washing.
  2. Properly pick up the soap for intimate hygiene.
  3. At the time of abandon sexual intercourse, especially if you are not sure of your partner.
  4. Do not swim in the ponds.
  5. Take a shower instead of a bath.
  6. Daily change linen (it should be only from natural fabrics).

The basic rule is a constant visit to the gynecologist. Only a gynecologist will be able to cure all pathologies in a timely manner.

Sometimes such a sign in the absence of menstruation may indicate a pregnancy. When a delay of more than 4 days is recommended to come to a specialist. Only a gynecologist can confirm pregnancy.

You should not sit at home, you should remember that the secret that is not always indicated indicates pregnancy and is not the norm.

What discharge should be normal?

White can be not only white. Their shade may be yellowish or cream. If they appear before menstruation, disappear quickly and cause no discomfort, then there is nothing to worry about. Their appearance is due to increased production of progesterone.

If there are traces of blood in the discharge, they become foamy, give off an unpleasant smell or bring discomfort, consult a doctor immediately. This can be a kind of signal to your body that the development of the disease begins.

Smell and odorless

Remember, only the white without odor can be considered the norm. If you feel a sharp fetid smell from them, immediately consult a doctor and undergo a gynecological examination.

Normally, menstruation should occur 2 to 3 days after the appearance of whiter. Watch carefully for their number and composition. Any changes are alarming.

Sign of pregnancy

Sometimes there is a white discharge a week before menstruation, and the bleeding itself does not occur. There are several explanations for this phenomenon, but the most likely one is pregnancy.

During this period, a serious hormonal adjustment takes place in the body of a woman. As a result, progesterone levels increase significantly. The cervix begins to produce much more secretion than before. This fluid helps protect the gestational egg.

Monthly do not come in due time. Instead, there are dense whites in large numbers. This is considered a sign of a healthy reproductive system of a woman. Thick discharge protects the uterus from penetrating inside the infection.

If a white blood impurity is detected in the white blood, an ectopic pregnancy is possible. In this case, the woman will feel a nagging pain in the lower abdomen, which over time will begin to grow.

Hormonal disorders

Disruptions in the hormonal system can be caused by:

  • exposure to stress
  • overvoltage
  • prolonged food restriction and other factors.

Strengthening the secretion produced is triggered by a lack of thyroxine and triiodothyronine hormones. When this occurs, the displacement of the menstrual cycle.

Accompanied by white cheesy discharge before menstruation. Small clots are found. At the same time whites get a greenish tint. The disease is caused by the action of yeast-like fungi. A woman feels a burning sensation and itching in the vagina.

Cervical erosion

It is possible to detect this disease by abundant white-veined white hair. After intercourse or examination of the gynecologist in the secret of an admixture of blood. In order that erosion does not develop into a tumor, it must be cauterized in time.

A few days before the onset of menstruation, abundant white discharge is observed. If the disease is not treated, it turns into a purulent form. We'll have to resort to a long course of taking antibacterial drugs.


The disease is characterized by thick leucorrhea dense consistency. They have a brown tint. If you notice such symptoms, you should immediately consult a doctor. Only timely therapy will help to avoid infertility or the development of a malignant tumor.

Endometriosis as the cause of white discharge before menstruation

Endometrial polyps

Their presence is indicated by the presence of blood impurities in secret. It is possible to get rid of the disease only with the help of surgery.

The appearance before the monthly itching and white discharge with an admixture of pus may indicate incipient gonorrhea. This infectious disease is transmitted from a partner through unprotected sex.

These diseases require timely diagnosis and proper treatment. You should not try to treat them yourself, which can lead to the development of complications.

How to determine - abundant menstruation or bleeding in a woman? Read about the symptoms of abundant menstruation and its causes, ways to reduce discharge, the need to see a doctor, diagnosis and treatment.

What are the causes of monthly brown? Details here.

Do I need to go to the doctor?

If the volume of secretions exceeds a teaspoon, they exude an unpleasant odor or they contain impurities, it is necessary to visit a gynecologist. The development of diseases is indicated by a cheesy consistency of secretions, their increased density or foaminess. In this case, the woman feels discomfort in the lower abdomen. The subfebrile temperature rises.

Only a doctor will be able to detect inflammation of the vaginal walls, the presence of erosion and other pathologies. Appropriate tests will help identify the infection. In some cases, you may need to study using ultrasound. Remember that self-treatment is dangerous for your health.

Preventive measures

After you have figured out what kind of discharge is before menstruation, you need to remember the basic methods of preventing diseases.

Among them are the following:

  1. Follow all the rules of hygiene genitals. In this case, you can use specialized tools or a simple soap. Especially carefully follow the hygiene during menstruation.
  2. Change your underwear every day.
  3. Before intercourse, ask your partner to wash the genitals, especially during sex during menstruation.
  4. Do not perform douching without medical advice.

Such simple measures will protect the genitals from infection and prevent the development of diseases.

On the highlight video


White discharge should be in all women, they are the result of the activity of the genitals. They secrete the epithelial glands of the vagina and cervix. Thanks to the synthesis of whiter, self-purification of the genital organs from dead cells, microorganisms and menstrual blood occurs. During sexual arousal, hypersecretion is observed, making it easier for the penis to pass into the vagina.

Physiological stimulators of whiter secretion are female sex hormones - estrogen and progesterone. After menstruation, the number of the first gradually increases, which is accompanied by an increase in discharge. At about the fourteenth day of the cycle, ovulation occurs, it is accompanied by the highest concentration of estrogen, so at this time there is a peak in the secretion of whiter.

After ovulation, the amount of progesterone increases, which also stimulates the production of vaginal discharge. Approximately 2-5 days before the next menstruation, estrogen is activated, which may lead to an increase in secretion of whiter.

Some women who are watching their body notice that from the 25th to the 30th day of the cycle, the volume of discharge increases, they signal the imminent appearance of menstrual bleeding.

Natural selections may not be just white. In some women, they have a clear, light yellow or cream color. Normally, vaginal secretions are odorless, have a watery, liquid consistency, and resemble egg white when ovulating. A week before menstruation, they can become creamy.

It is difficult to characterize their number, but at the beginning of the cycle they should not exceed the volume of a teaspoon per day. During ovulation and before menstruation, their secretion may slightly increase, but they should not cause inconvenience in the form of excessive soaking of underwear, feeling of “sputum”. Also the volume of whiter increases with sexual arousal and during intercourse.

However, some women appear abnormal vaginal discharge. Their causes are the following etiological factors:

  • allergic reactions in the body to drugs and food products,
  • psycho-emotional stress
  • impaired blood delivery to the pelvic organs (blood clots, vascular spasms),
  • obesity or rapid weight gain,
  • vaginal dysbacteriosis,
  • infectious disease of bacterial, viral, fungal etiology.

White discharge in adolescents

In adolescence, girls aged 10 to 13 years (sometimes these figures may deviate in one direction or another) hormonal stabilization occurs - secondary puberty. It is characterized by breast augmentation, pelvic bone expansion, growth arrest, and pubic hair and in the armpit. In adolescence, girls have the first menstruation - menarche.

With increased production of estrogen before menarche, adolescent girls may experience white vaginal discharge. As in adult women, they should not be accompanied by an unusual shade, smell, pain, increased secretion. Usually, whites in adolescents appear about six months or a year before the onset of the first menstruation, but some girls may not have them.

Sometimes girls in adolescence appear abnormal vaginal discharge. They are rarely associated with sexually transmitted infections, since at this age there is no sexual contact. Usually, the pathological leucorrhoea is a result of antibiotics, allergic reactions, the development of candidiasis (thrush). However, in exceptional cases, girls may develop genital infections due to non-compliance with the rules of hygiene - using a public toilet, washing with dirty hands, etc.

What are normal whites?

The main component of the discharge is mucus, which is produced by the glands located in the cervix. This viscous fluid is needed to moisturize the vagina and protect its surface from damage due to sexual contact. In addition, a plug is formed from the mucus at the entrance to the cervical canal. It is a barrier that prevents infection in the uterus.

The mucous membrane of the tube has another important role: with its help, the body regulates the process of penetration of the sperm into the uterus. Before ovulation, the mucus is liquefied, which creates conditions for the fertilization of the egg. And after 4-5 days, it becomes more dense.

The process of mucus production and changes in its character during the cycle is regulated by the ratio of sex hormones - estrogen and progesterone. Normal discharge before menstruation (2-3 days before they begin) have the following signs:

  1. The color is white (cloudy due to the impurity of the dying off parts of the uterus mucous membrane). The discharge may be creamy or yellowish. This is not a deviation and depends on the characteristics of the organism. Yellowish or even brownish spotting on the eve of menstruation is considered normal if an intrauterine device is used for contraception.
  2. Smell - very weak sour or absent altogether.
  3. The consistency is thick mucous. Allocation is not too abundant, but not scanty. If they are completely weak, then the cause may be an infectious disease. Vaginal dryness also occurs as a result of the use of soap as a means for intimate hygiene, frequent douching.
  4. Immediately after menstruation, there should not be whiter.
  5. Discharges do not cause discomfort and ailments.

Can there be no white discharge on the eve of menstruation?

This is also possible. White before menstruation may not be due to the deterioration of the secretory glands in the cervix during the period of menopause, when the production of female sex hormones gradually decreases.

The factors provoking the absence of whiter is the use of contraceptive or therapeutic hormonal drugs with a high content of estrogens. Uncontrolled use of herbal medicines containing phytoestrogens can also contribute to such a deviation from the norm.

A warning: 12-14 days before menstruation, mucus is usually abundant and watery. If it has a dense consistency at this time - this is a pathology indicating hormonal disorders. Under these conditions, conception cannot occur.

White discharge before menstruation has individual differences for each woman. It depends on the innate characteristics of physiology, age, hormonal levels in the body at the moment, the presence of stressful situations, lifestyle.

The nature of whiter in adolescent girls

Leucorrhea appears in girls about 1.5 years before the onset of the first menstruation. Subsequently, until the hormonal background is stabilized and the cycle is not established, the nature of the discharge may vary. During this period, both liquid and viscous leucorrhoea are considered the norm. Their volume, color and texture are due to the genetic characteristics of the development and puberty of the girl.

A sign by which you can guess that the first menstruation should begin, is an increase in the intensity of secretions compared to the one that was before. Since at first menstruation occurs irregularly, special attention should be paid to the nature of discharge before menstruation, since pathologies are possible at any age.

Beli with delayed menses

Delay in the first place, may be a sign of pregnancy. If, before the expected menstruation, the whites become more abundant and thick, this indicates a hormonal shift that occurs in connection with pregnancy. Due to the increase in progesterone level, the activity of mucus producing glands increases. This protects the uterus and the fetus from infection. The process of renewal of the cells of the mucous membrane of the vagina is also accelerated, due to which the density of the released transparent whitish mucus increases.

Another reason for the delay may be hormonal disruption in the body, caused by severe stress or vitamin deficiency. Diets that exclude the use of fats and many of the substances necessary for the body, also lead to the delay of menstruation. At the same time, the woman continues to allocate abundant whiter instead.

Inflammatory diseases of the genital organs

Vaginitis - inflammation of the vaginal mucosa, accompanied by swelling, itching and burning in this area, as well as pain in the sacrum. The abundant liquid whites are yellow. Leukocyte count increased. Such discharge may appear about 1 week before menstruation.

Cervicitis. Inflammation of the mucous membranes of the cervix. White discharge before menstruation becomes very abundant, liquid. In them pus can be formed, the unpleasant smell appears.

Endometritis - inflammatory process in the uterus. Turbid discharge has an unpleasant smell. A woman has symptoms such as cramps during urination, lower abdominal pain, and fever. Inflammation can spread to the tubes and ovaries. The chronic process leads to the appearance on the eve of monthly whiter with a greenish color and a heavy smell.

Diseases associated with the violation of the vaginal microflora

Bacterial vaginosis. A characteristic sign of whiter with this disease is a strong fishy smell, yellowish tint. On the eve of menstruation, they become even more intense. A woman feels a constant burning and itching in the vagina, pain during sexual intercourse. The disease occurs due to a violation of the composition of the microflora in the area of ​​the external genital organs.

Urogenital candidiasis. The disease occurs due to penetration into the genitals of the fungus Candida, which destroys mucous membranes. There are inflammatory processes in the vagina, urinary organs. The symptoms of this disease are very characteristic. Allocation abundant, especially on the eve of menstruation. Have the appearance of a white curd mass. They smell of sour milk, as in the process of vital activity of the fungus lactic acid is formed. A woman is worried about severe itching and irritation in the vagina. Reproduction of the fungus contributes to uncontrolled treatment with antibiotics. They are capable of killing beneficial lactobacilli, creating disastrous conditions for pathogens.

Erosion of mucous membranes, neoplasms in the uterus

Cervical erosion. Damage to the mucous membrane of the cervix and the glands located in it leads to the fact that the whites that increase before menstruation become colorless and contain mucus clots. Formed on the surface of the cervical bleeding, so the monthly appears brownish tint. Often there are delayed menstruation.

Endometriosis. An abnormal proliferation of the mucous membrane of the uterus occurs. The structure of the endometrium is disturbed, the blood vessels are damaged. Leucorrhea containing bloody impurities may be a sign of this disease. The appearance of a pulling pain in the lower abdomen is also characteristic.

Polyps in the uterus. They are growths on its mucous surface. Before menstruation, the endometrium loosens and swells. There is damage to the polyps, it is possible torsion of the legs. This leads to the fact that whites become bloody. The appearance of polyps is not always possible to notice, because, apart from the discharge of a pathological nature, there may be no other manifestations of the disease.

Malignant tumors of the uterus. They often develop covertly, and only by the presence of fetid whiter before the onset of menstruation can their suspicion be formed. Discharges acquire different shades, contain particles of blood.

A warning: Gynecologists and oncologists always warn: if a woman noticed the appearance of watery pink or brownish white with a foul odor that increases several days before menstruation, then it is likely that there is a tumor of the uterus. The sooner the examination is completed, the greater the chance that the disease will be managed.

Venereal diseases

Infections are sexually transmitted. Accordingly, such diseases (trichomoniasis, chlamydia and others) may appear in women who have sex. At the first sign of the presence of such diseases, it is necessary to consult a doctor and undergo a course of treatment simultaneously with the sexual partner. Bleach is usually turbid, frothy, with a gray, yellow or green tint. Have a bad smell. Strengthened before menstruation, do not stop completely after them.

Endocrine disorders

The nature of the discharge before menstruation changes in the presence of diseases of the thyroid, pancreas and other organs of the endocrine system. So, in women with diabetes mellitus, whites are thicker and more abundant than normal. The reason is not only a hormonal shift due to the inadequate functioning of the pancreas, but also a violation of the acidity of the vaginal environment, a weakening of protection against bacteria. In diseases of the thyroid gland, ovarian dysfunction, whites before menstruation are usually abundant, colorless.

Careful observation of the nature of premenstrual discharge, timely access to a doctor in case of deviations from the norm are measures to prevent serious problems with the reproductive health of women.

Pathological vaginal discharge

Whitish discharge from the female genital organs is not always the norm, they can be diagnosed in the following 9 diseases:

Thrush is often the etiological factor in the change of character whiter. Discharge from the vagina with the disease acquire a cheesy consistency, their number increases. Quite often, in case of candidiasis, the woman is disturbed by intolerable itching in the small and large labia. Sometimes during thrush there is discomfort during a trip to the toilet. In some patients, the disease goes away independently after the arrival of menstruation, however, when the above symptoms appear, it is recommended to consult a specialist and donate a smear for the flora, since candidiasis tends to recur.

2. Cervical erosion.

The disease very rarely has obvious clinical signs, but if there is a lot of light discharge or if there are whitish veins, they should immediately make an appointment with a gynecologist. When eroded, the whites acquire a slimy character, they can come out in the form of clots. Sometimes there are brownish inclusions in the discharge. The menstrual cycle with cervical erosion is often elongated. Insidiousness of the disease lies in the fact that it can malignantly.

3. Malignant neoplasms.

This group of pathologies of the pelvic organs may not manifest itself for a long time with clinical symptoms. Sometimes cervical tumors are accompanied by a brownish discharge with a rotten odor. In cancer of the uterine epithelium, the leucorrhoea becomes very liquid, watery. We should not forget that malignant neoplasms are successfully treated in the early stages, so women should carefully monitor their health, including vaginal secretions.

This disease, accompanied by increased secretion of whiter. They can become watery, accompanied by pain in the lower abdomen, common symptoms - fever, headaches, fatigue, etc. If untreated, cervicitis develops into purulent inflammation, which leads to severe intoxication.

This pathology is accompanied by a violation of the integrity of the capillaries of the uterine epithelium; therefore, blood streaks are observed in the belaya, sometimes they become brown. Endometriosis may be accompanied by lower abdominal pain. Against the background of the lack of treatment, the disease leads to female infertility, in the most severe cases - to malignant neoplasms.

Characterized by the processes of inflammation in the uterine appendages. In the presence of this disease, women mark the appearance of whiter with blood patches, or the discharge changes its shade to brown. Adnexitis is accompanied by pain in the abdomen and back. Sometimes the disease provokes the development of discomfort during a trip to the toilet and during sexual intercourse.

Pathology is accompanied by an increase in whiter production, sometimes they change their shade to yellowish and greenish. The disease is accompanied by a feeling of scabies, burning sensation, pain in the pelvis.

8. Bacterial vaginosis.

At violations microflora whites become more dense. Often they change their color and smell. Bacterial vaginosis sometimes provokes the development of pain during intercourse and urination.

9. Sexually transmitted infections.

This group of inflammatory pathologies most often manifests itself after menstruation, since it is a breeding ground for the reproduction of microorganisms. Vaginal discharge with STIs are extremely diverse, they can become abundant, thick, accompanied by the smell of rotten fish and pain in the lower abdomen. If you change the nature of whiter should immediately consult a doctor.

How the secretion changes during the cycle

The described products are characterized by a small volume and consistency, resembling a cream or thin sour cream.

The secretion features are controlled by a certain hormone. In the first phase of the cycle estrogen dominates, which dilutes the cervical fluid. After ovulation up to menstruation, a large amount of progesterone is noted in the body. It is he who makes vaginal mucus thick.

The occurrence of minor deviations will be affected by:

  • the stability of the menstrual cycle
  • ovulation period
  • age of woman
  • having bad habits
  • food features
  • the presence of stressful situations
  • physical overstrain
  • Lifestyle,
  • sexual activity,
  • current state of the vaginal microflora.

Normally, the duration of white discharge without odor before the planned monthly is two or three days, after which monthly bleeding should appear. Some women do not have this vaginal mucus.

Most often, shortly before menstruation, blood begins to be present in the daily secret, so the day before menstruation white habitual discharge acquires a pink or brown tint. This is normal if there are no discomfort in the perineum, abdomen and lower back.

Когда наблюдаются белые или прозрачные выделения при задержке месячных и при отрицательном тесте на беременность можно предположить гормональные нарушения, гинекологические и не гинекологические заболевания или ошибочный результат самого теста. In what should be done in a similar situation, read the article on the link.

Signs of the norm

In a healthy non-pregnant woman, vaginal mucus should have the following characteristics:

  1. Hue. White, transparent, the color of milk (see photo above). After drying, the stain on the daily strip becomes yellowish or beige.
  2. Volume Not more than one teaspoon (up to 5 ml). The average is 2-3 ml shortly before monthly bleeding. Visually, the diameter of the speck on the daily strip should not be more than 5 cm.
  3. Consistency. Uniform with whitish or transparent veins. Small lumps are allowed, which are rejected tissue of the vaginal epithelium.
  4. Smell. The complete absence or sensation of a light acidic odor of discharge in women due to the pH of the vaginal microflora.
  5. Additional signs. There should be no itching, swelling, burning and redness of the external genital organs.
  6. Duration Depends on hormonal levels. Most often they disappear on the second or third day, but a slight deviation is allowed - the presence of secretion up to five days.

The natural characteristics of secretion are affected by its composition, in which the following components must be present:

  • cervical mucus of the cervix,
  • fluid glands of the uterus and vagina,
  • single white blood cells
  • physiological transudate
  • bacterial microflora,
  • parts of the epithelium torn away.

Probability of conception

If white discharge before menstruation is a sign of successful conception, then it will be supplemented with certain symptoms.:

  1. Implant bleeding (bleeding before menstruation - 6–12 days after conception).
  2. Daily white discharge after conception is produced more intensively.
  3. Large amount of thick liquid.
  4. The appearance of white mucous discharge a week before menstruation.
  5. Tingling in the uterus.
  6. Pulling sensations in the abdomen and lower back.
  7. Reduced immunity.
  8. Fatigue.
  9. Change in appetite.
  10. Unstable emotional background.
  11. Increase or sharp decrease in libido.

Many of these symptoms can also indicate gynecological diseases or a common cold. Therefore, when any suspicion is necessary to visit a doctor and pass a blood test for hCG. Thrush can also be the cause of delayed menses.

It is necessary to do a test before the delay, but only with a sensitivity of 10–15 mIU / ml. Because a standard test strip with a label of 20–25 mIU / ml accurately demonstrates whether a woman could become pregnant, only from the first days of the delay.

It can not be denied that white vaginal discharge before the planned periods and pregnancy are related. With the help of an increased amount of dense fluid, the reproductive system protects the fetus from getting into the uterus of pathogenic microorganisms. Thick, heavy discharge from the vagina with white color indicates a fairly high level of progesterone in the body. It is essential for the development of the fetus and its safe carrying.


The appearance of the secret whitish shade helps the girl to understand how soon the first menstruation can begin. Menorche is a precursor to abundant liquid or viscous leucorrhoea. Most often they occur four or five months before the first monthly bleeding.

During the first year, the female cycle may be unstable. Because of this, a slight delay, lack of secretion or increased mucus secretion is allowed.

Seek help from a gynecologist for the following complaints:

  1. Increased vaginal dryness.
  2. Severe pain syndrome.
  3. Delay over three months.
  4. Change the white shade of the liquid to yellow or green.
  5. Discomfort due to secretion.


Shortly before the onset of menopause in the female body gradually decreases the level of estrogen. This hormone not only affects the profusion and regularity of menstruation. Minor hormonal disruptions affect the nature of normal discharge before menstruation. The amount of secretion gradually decreases, and the white shade of mucus in the second half of the cycle may be replaced by pinkish or brown secretions.

During premenopause, the pathology is almost as pronounced as in the reproductive age. Therefore, any negative changes in the vaginal mucus should be a reason to visit the hospital and undergo an examination. Indeed, during this period, the female reproductive system is predisposed to many gynecological diseases.

Why there is no discharge before the arrival of menstruation

The scarcity of vaginal mucus cannot be considered a pathology. You should start worrying if your vagina is very dry. Why there is no white secretion to menstruation?

The main reasons for the lack of secretion:

  1. Hormone failure (a clear estrogen deficiency).
  2. Infection.
  3. Improper hygiene product.
  4. Bad habits.
  5. Approaching menopause.
  6. Acceptance of antihistamine drugs.
  7. Use OK only with progesterone.
  8. Allergy to gaskets.
  9. Using tampons is not only during menstruation.
  10. Incorrect work of the sex glands.

Negative changes

Change the structure, volume, shade of discharge shortly before menstruation can:

  • increased number of pathogenic organisms (infections, bacteria, fungi),
  • hormonal imbalance (the influence of the environment or drugs),
  • problem with vaginal microflora,
  • improper functioning of the reproductive system.

Whitish secretion should not go constantly. During the month, cervical mucus changes, then increases, then decreases in quantity.

Violation of the vaginal biocenosis

Abundant white discharge before menstruation is the first sign of an imbalance of microflora in the vagina. The following reasons can cause such a negative state:

  • hypothermia of the genital organs (inflammatory process),
  • hormonal disruptions of various etiologies,
  • abrupt climate change
  • systematic stress
  • frequent change of sexual partners
  • antibiotics,
  • improper use of personal care products (pads, tampons, gels),
  • abuse douche
  • incorrect treatment (use of traditional medicine without a doctor's prescription),
  • gastrointestinal tract diseases
  • diabetes,
  • penetration of pathogenic microorganisms
  • infectious and inflammatory diseases,
  • sexually transmitted infections.

Abundant secretion

Strong discharge before menstruation with an unpleasant smell and painful sensations occur in most cases with the following diseases:

  • candidiasis (thrush),
  • bacterial vaginosis
  • cervicitis,
  • various types of vaginitis (colpitis),
  • inflammation of the labia (vulvitis).

Many of these diseases can exist simultaneously. Their symptoms in such a situation are very difficult to isolate, so it’s possible to speak about an accurate diagnosis only after a smear has been taken.

Signs of thrush

A direct indication of the predominance in the microflora of the vagina of the fungus Candida are cheesy discharge before the month. Heterogeneous secretion with pronounced lumps may appear at any time during the cycle. Most often this occurs with a sharp decrease in immunity, as well as against the background of a small amount of beneficial lactic acid bacteria in the vagina.

Basic symptoms of candidiasis:

  • the appearance of abundant white discharge curdy consistency before menstruation,
  • pain during and after sex,
  • discomfort during urination,
  • redness, itching, burning, swelling of the external genital organs,
  • very sour smell.

The signs of candidiasis have much in common with the course of bacterial vaginitis and trichomoniasis. The last two pathologies are often accompanied by a sharp smell of rotten fish and frothy secretions with pus, which may increase before menstruation.

In chronic diseases, the appearance of a pathological secret is most often associated with a decrease in immunity.

Only a gynecologist can determine the exact provoking factor. To do this, a woman must pass tests.


When white no ordinary discharge appears, but thrush is excluded, they suggest the development of bacterial vaginosis. During this disease a decrease in the total number of beneficial microorganisms in the vagina may occur against the background of the growth of pathogenic bacteria. Pathology is not accompanied by an increase in the number of leukocytes, therefore, inflammation does not occur.

With this disease, whitish discharge occurs after menstruation. They have a viscous, thick character, milky or grayish-yellow hue, and also smell unpleasant. May increase after intercourse, especially unprotected.

It is worth remembering that thrush and bacterial vaginosis create favorable conditions for other harmful microorganisms. This is especially true for infections that are sexually transmitted.

Discharge after menstruation

At the beginning of the cycle there is no significant secretion. In medicine, the absence of any discharge after the critical days is called the dry period. At this time, thick mucus is produced. It forms a cork that protects the internal organs of the reproductive system from the ingress of harmful microorganisms.
But vaginal fluid is allowed if it has the following characteristics:

  1. Small volume (2-4 ml).
  2. Thick consistency (cream, jelly).
  3. Slight volatility.
  4. Homogeneous structure with transparent veins.
  5. Lack of smell, itching, burning.


The appearance of white discharge after the end of menstruation in a large volume, causing unpleasant sensations, may be associated with the following diseases:

  • thrush,
  • violation of the vaginal microflora,
  • thyroid malfunction,
  • pancreatic dysfunction,
  • diabetes,
  • hormonal disorders,
  • adhesions or folds in the cervix.

When the help of a doctor is needed

Secretion may begin several times during the entire cycle. Before and after menstruation, the maximum whitening time should not exceed five days. Suspect a violation is the following symptoms at the end and beginning of the cycle:

  1. Phlegm contains pus, large lumps and flakes.
  2. Daily pads quickly get wet.
  3. Fluid is indicated permanently.
  4. There are pain during intercourse.
  5. Beli accompanied by itching and burning.
  6. There are problems with urination.
  7. Vaginal fluid has an unpleasant, rotten smell.
  8. Cycle failure occurs.

It must be remembered that whites perform useful functions in the body, and may not always indicate a pathology. They must be present in order for the reproductive system to fully function. Also, daily vaginal mucus helps in time to pay attention to violations in the genitals.

It is necessary to begin treatment only under the supervision of a physician, and the information from the article should be used as a preliminary assessment of the state of health. Only a specialist can accurately establish the diagnosis, help relieve unpleasant symptoms and prevent re-development of the pathology.

Can there be white discharge before menstruation?

Leucorrhoea is a discharge from the female genital tract. Their occurrence is due to regular physiological processes. Bleach protect genitals from pathogenic microflora.

The leucorrhoea includes mucus produced by the glands of the cervical canal of the cervical uterus. The secret performs a protective function, preventing the penetration of harmful microorganisms into the uterus. The mucus forms a kind of plug in the canal, which also represents an obstacle for spermatozoa on unfavorable days for conception. In addition, the viscous consistency of mucus ensures the implementation of sexual intercourse.

The secret on the eve of menstruation has the following characteristics:

  • white, yellowish or creamy,
  • weak sour smell or lack of it,
  • thick consistency
  • average profusion
  • no discomfort.

Why are there white discharge before menstruation

The appearance of a white secret to menstruation is physiologically conditioned. The formation of whiter is regulated by female hormones, in particular, estrogen and progesterone. Violation of the production of sex steroids can lead to dryness in the vagina, which is often observed in menopausal women.

White highlights in the middle of the cycle

Mucus is heterogeneous throughout the cycle, which has follicular and luteal phases. It is known that the dominant sex hormones of the first phase ensure the growth of the follicle and the maturation of the egg, as well as the preparation of the uterine cavity for conception in the form of growth of the endometrium.

By the middle of the cycle, the white secret becomes more fluid in order to allow sperm to pass through the cervical canal. Discharge in its appearance and texture resemble egg white. Women observe an increase in the amount of secretion that becomes slimy and has a whitish hue.

White discharge a week before menstruation

After ovulation, the white secret becomes more dense. Its quantity is also reduced. Some women note the absence of white discharge before menstruation. As a rule, this is associated with endocrine changes on the background of menopause or taking combined oral contraceptives and other hormonal drugs.

White thick discharge before menstruation

White discharge on the eve of menstruation should normally be thick and not abundant. However, the character of whiter has a significant impact on the lifestyle of a woman, the method of contraception, age characteristics, and the presence of stress. Creamy discharge before menstruation is considered normal in the absence of signs of pathology.

Cheesy discharge before menses

This symptom indicates the presence of candidiasis or vagina. The odorless cheesy discharge before menstruation is caused by excessive reproduction of the Candida fungus, which is possible due to the disruption of the composition of the intimate microflora. With a weakening of the immune system, stress, personal hygiene, opportunistic microflora is activated, causing white clots before menstruation.

Signs of unhealthy whiter

Whitish discharge before menstruation is often accompanied by the development of inflammatory and infectious processes. With the penetration of pathogenic microorganisms into the cervical canal, the glands function changes, the number of lactobacilli supporting the optimal acidity of the vagina decreases. This leads to hyperemia of genital tissues, an increase in the production of secretions and changes in its consistency.

Milky discharge before the monthly pathological nature have the following signs:

  • profusion
  • liquid, cheesy consistency,
  • the presence of an unpleasant smell
  • burning and itching of the mucous,
  • pain and pain when urinating,
  • discomfort during sexual intercourse,
  • pain in lower abdomen.

Possible pathologies

In favor of diseases of the gynecological nature is evidenced by a change in color, texture, smell and amount of secretion. There is discomfort in the form of dryness, burning, which is aggravated by the implementation of hygiene procedures and sexual acts.

Beli of a pathological nature appear in the following diseases:

  1. Vaginitis The term involves the inflammatory process of the vaginal mucosa, which is accompanied by hyperemia, discomfort and soreness. The secret is distinguished in yellow by increasing the number of leukocytes. Often, vaginitis appears 2 days before menstruation with white secretions.
  2. Cervicitis. When inflammation of the cervical tissue occurs, there is an abundant white discharge in the middle of the cycle and before menstruation. Usually whites are distinguished by an unpleasant smell and an admixture of pus.
  3. Endometritis. The lack of timely treatment of endometritis with time leads to a complication in the form of endometritis. Infection that penetrates the uterus in an ascending direction causes inflammation of its cavity. The disease includes severe pain, fever, dull leucorrhoea with an unpleasant odor. Chronic endometritis often causes infertility.
  4. Bacterial vaginosis. The characteristic smell of intimate microflora is the characteristic smell of spoiled fish, as well as liquid abundant leucorrhoea. There is dryness and hyperemia of the mucous membranes of the vagina.
  5. Candidiasis. Another pathology is called thrush because of the curd whiter with a sour smell. Candidiasis appears in response to a decrease in immunity during periods of treatment with antibacterial drugs, pregnancy, menopause. Essential are psycho-emotional states and a violation of the diet with a predominance of confectionery, fatty foods. Leucorrhoea is accompanied by burning and redness of the mucous membranes, aggravated by contact with water and intimacy.

When to see a doctor

Every woman should watch for changes in cervical mucus. The nature of the secret indicates not only the presence of infectious processes, but also the adequate functioning of the endocrine system. Any unusual discharge is a cause for concern.

Many diseases of the female genital tract are asymptomatic and have similar symptoms. For example, creamy discharge before menstruation can be both the norm and a sign of endometriosis or cervicitis. Differentiate the physiological state from pathological possible after examination. White-like cream discharge before menstruation should not be abundant and cause discomfort.

Signs of normal vaginal discharge

Isolation before menstruation is a sign of the normal functioning of the reproductive system of a woman, associated with the work of the ovaries and cyclic changes in the work of the organism as a whole.

Signs of the norm are:

  1. Amount. Depending on the day of the menstrual cycle, the volume of discharge may vary, then increasing, then decreasing. Abundant discharge before the onset of menstruation is not a pathology.
  2. Consistency. Before the onset of monthly discharge (leucorrhoea), they become watery, slightly viscous and resemble mucus. And after menstruation, they become more liquid (creamy).
  3. Structure. Leucorrhea before menstruation may be of a uniform structure, or with small clots (transparent white or creamy white). Clots - particles of epithelial tissue, which, updated, peel off from the walls of the vagina.
  4. Colour. Normal discharge before menstruation can be transparent, white, dull white or pale yellow.
  5. Smell. Before menstruation, whites may acquire a weak sour odor, as the composition and acidity of the secretions changes.
  6. Duration The increase in whiter occurs 3-4 days before the onset of menstruation. With the advent of menstruation, the volume, consistency and color of the discharge changes.
  7. No additional symptoms: itching, irritation on the skin, swelling, unpleasant smell, bloody clots.

The above symptoms before the onset of menstruation are a sign of the normal functioning of the reproductive function of women.

There are possible minor deviations that depend on:

  • Age of women. In women of premenopausal period, the nature of the secret may differ slightly from the mucus in young girls. This is due to changes in hormonal levels and the predominance of the hormone estrogen, as well as failures in the menstrual cycle.
  • The presence of bad habits (alcohol abuse, smoking), stress, depression.
  • Sedentary lifestyle. With prolonged sitting, women develop congestion in the pelvis, which can affect the nature and intensity of the cervical secretion. There may also be a weak sour smell of discharge before menstruation.
  • Nutrition Excessive consumption of certain foods can affect the composition, color and consistency of premenstrual whites, for example: strong coffee, black tea, chili pepper, fried foods, smoked meats, pickles, etc.
  • Lifestyle, physical activity.
  • Period of onset of ovulation, the stability of the menstrual cycle.
  • Sexual activity.

Possible deviations affect the nature of white secretions, but do not pose a threat to the body, because are the norm.

Before the menstrual period, abundant white discharge without a strong odor, normal structure, consistency, and no clots similar to curd flakes are normal. Abundant cervical secretions of young women may differ slightly from the secret of adult women before the onset of menopause. Such changes are also the norm.

Abundant discharge during pregnancy

There are situations when the discharge before the expected date of the onset of menstruation becomes watery and abundant. This may indicate a successful conception and the onset of pregnancy. In such a discharge will be accompanied by the following possible symptoms:

  • Whites are becoming more intense
  • The nature of the secret becomes more slimy,
  • Feeling of light pricking in the uterus,
  • Weak nagging pain in the abdomen, extending to the lower back,
  • Change emotional background
  • A sharp increase or decrease in libido,
  • Fatigue, change in food habits.

If you suspect a possible pregnancy, you must donate blood for hCG, which will confirm or not confirm the pregnancy. If pregnancy is not confirmed, you should seek medical help and go through the full range of laboratory tests to confirm that secreted secretion is the norm.

Pathological whites before menstruation

On the pathological nature of discharge from women indicate:

  1. Bloody leucorrhoea with scarlet veins before menstruation. Such discharge may be a sign of cervical erosion, threatened miscarriage, uterine myoma, endometritis.
  2. Brown, brownish discharge, which may be a sign of hormonal disorders, endometrial hyperplasia.
  3. Abundant foaming discharge with a yellowish-green color, which may indicate infection of the genital organs of the reproductive system (fallopian tubes, ovaries, vagina) and sexually transmitted diseases.
  4. Thick leucorrhoea of ​​purulent character. May be a sign of purulent tsvetitis.
  5. Liquid discharge before menstruation dull gray with a sharp smell of rotten fish.
  6. Thick whites cheesy consistency, which indicate the development of vaginal candidiasis. Such whites are accompanied by itching of the external genital organs, burning sensation, white bloom on the external genitals, which causes discomfort and irritates the skin.
  7. The appearance of secretions unpleasant (offensive) smell.

A dramatic change in the nature, intensity, consistency of whites may indicate the pathological nature of the vaginal secretion.

The main reasons for the occurrence of menstruation of the pathological nature of the discharge can be:

  • Violations of the vaginal microflora due to non-compliance with the rules of personal hygiene,
  • Malfunctions of the endocrine system, in particular the thyroid gland,
  • Diabetes,
  • Hormonal disorders
  • Gynecological diseases: endometritis, vaginal candidiasis, bends (adhesions) in the cervix, inflammatory processes of the female reproductive organs, cervical erosion
  • Venereal diseases.

Only a qualified gynecologist can determine the pathological nature of the discharge and the reasons for their appearance on the basis of the smears taken from the woman.

Possible complications

Late request for medical help and late treatment of the appearance of heavy white discharge before menstruation may trigger the development of such pathologies as:

Imbalance of vaginal microflora occurs due to:

  • Hypothermia, the development of the inflammatory process,
  • Hormonal changes
  • Abrupt climate change,
  • Long-term use of antibiotics
  • Constant stress, depression, overwork,
  • Improper use of personal care products (long wearing of tampons, use of pads with aromatic chemical additives, the use of poor-quality hygiene products),
  • Frequent douching.

Sexually transmitted diseases are:

  • cervical erosion,
  • gonorrhea,
  • trichomoniasis
  • polyps
  • chlamydia
  • Gardnerellosis
  • mycoplasmosis
  • ureaplasmosis,
  • genital herpes.

Diseases of the genitourinary system:

Regular examination by a gynecologist, as well as timely complex treatment, will help to avoid the transition of the acute form of the disease to a chronic one. It is important to remember that the disease is easier to prevent than to treat it, especially if it is a disease of the female reproductive system. Some diseases can lead to infertility, not carrying a pregnancy, the development of defects in the fetus, congenital genetic pathologies.

In case of suspicious non-typical symptoms accompanying heavy discharge before menstruation, such as itching, unpleasant smell, discoloration or consistency of whiter, urgently seek advice from a gynecologist, undergo a full examination, pass all necessary tests, smears. The doctor on the basis of the results of the analysis will prescribe a comprehensive treatment. As a rule, treatment of abundant secretions includes taking:

  • Antiviral, antifungal drugs (Miconazole, Nystatin, Fluconazole, Ketaconazole),
  • Antibiotics (Azithromycin, Amoxiclav, Augmentin, Ofloxacin, Ceftriaxone),
  • Topical preparations, antimicrobial ointments and creams (Pimafucin, Clotrimazole, Tetracycline Ointment),
  • Douching with decoctions of medicinal plants (chamomile, calendula).

Additional therapy is applied to the main treatment regimen, which consists of:

  • Dieting, avoiding fried, spicy, smoked, salty foods, yeast pastry, sweets, coffee,
  • Adequate consumption of clean water, at least 2 liters per day,
  • Careful observance of intimate hygiene. For washing out, special gels and fragrance-free pitches with an optimum pH level or baby soap without dyes and fragrances are recommended,
  • Refusing bad habits
  • Long walks in the fresh air,
  • General strengthening of the body, hardening.

Compliance with additional therapy can improve the nature of discharge before menstruation, strengthen the body, prevent the formation of pathological nature of cervical mucus.

Treatment of folk remedies

With heavy discharge before menstruation of normal non-pathological genesis, traditional medicine is used to reduce the amount of secreted secretions:

  1. Daily drink 1 glass of fresh juices (carrot, spinach, celery).
  2. Warm 20-minute baths with the addition of extracts of pine needles, pine (or a decoction of 200 grams of dry pine needles, filled with 3 liters of boiling water and infused for 1 hour).
  3. Reception of nettle tea, chamomile, St. John's wort. Reception of tea with nettles can be continued during menstruation, thus avoiding pain and spasms.
  4. Douching with a decoction of blueberries. In 200 ml boiling water boil 1 tbsp. dried blueberry leaves. Simmer for 15 minutes and cool. Sprinkle once a day before bedtime.
  5. Douches from the warm broth of Hypericum (1 tablespoon of dry raw material boiled for 15 minutes in 1 liter of boiling water). Strain the broth through several layers of gauze and douche overnight for 3-7 days.
  6. To cleanse the genital tract from excess mucus, it is necessary to conduct daily evening syringing with the bark of the oak. To prepare the solution you need 1 tbsp. chopped dry oak bark should be poured with 1 liter of boiling water, boiled in a water bath for 20 minutes, cooled to room temperature, filtered through several layers of gauze and douching.
  7. 3 tbsp dry chamomile flowers and calendula pour 0.5 liters of boiling water, insist under the lid for 40 minutes and hold the sit-down bath in a warm broth. 3-4 procedures are enough to reduce the number of whiter. This broth mono also carry out douching, you need to strain the warm broth through gauze, folded in several layers and drive the solution before going to bed.

Isolation of vaginal secretions is a natural protective process of the genital organs against the ingress of bacteria and pathogens into them. An increase in secreted secretion before the onset of menstruation is normal and should not cause anxiety or excitement in a woman. If abundant discharge is accompanied by itching, irritation, swelling, it is important to immediately seek medical help, pass the necessary tests.