Vaginal discharge - quite normal, you can even say the need, because they moisturize the mucous membranes and protect the reproductive system of women from the penetration of infectious agents. Their character is directly dependent on the concentration of sex hormones, therefore, in different periods of the cycle, vaginal secretions may vary in consistency, quantity and transparency. However, they are also a kind of indicator of the state of the reproductive system of a woman, because violations in her work affect the nature of the discharge. What is normal can be a discharge before menstruation, and what changes in them should alert?
In the first half menstrual cycle The vaginal secretion may be somewhat viscous and transparent - this is recognized by both traditional medicine and osteopathy. We specifically singled out osteopathy, since it has an alternative view on many well-established norms in traditional medicine. In traditional medicine, it is believed that shortly before the onset of menstruation, the ratio of progesterone and estrogen changes, and therefore the discharge becomes creamy, becomes milky-white or even slightly yellowish. In the people they got the name "whiter". Such discharge is a variant of the norm. They do not have an unpleasant smell, do not cause itching and redness of the mucous membranes and skin of the external genital organs. Also, the amount of such a secret before menstruation may increase slightly.
Some women a couple of days before the start of menstruation, brownish discharge is noted. They can also be considered safe if they are immediately replaced by full menstrual flow. However, if the brown "daub" appears 4-5 days before menstruation, it is worth visiting a gynecologist, because they can signal many diseases.
Highlight brown arising more than 3 days before the beginning of menstruation, or just in the middle of the cycle, they are often a sign of endometriosis, a pathological proliferation of the endometrium of the uterus beyond its limits. Typically, such discharge is accompanied by pain in the lower back and lower abdomen, which with the onset of menstruation only increases. At the same time, a prolongation of the period of menstruation itself or an increase in the number of menstrual flow is noted.
Another reason the appearance of brown secretions before menstruation may be endometrial polyp. It is a site of benign neoplasm, which, however, can give rise to tumor growth under adverse conditions. Endometrial polyp is also accompanied by menstrual irregularities and recurrent lower abdominal pains, which are usually cramping. Endometrial hyperplasia can be considered a more common process — its too active growth. In this case, several days before the start of the menstrual discharge, there is also a spotting brownish discharge, which can also be found in the middle of the cycle. The appearance of polyps, hyperplasia or endometriosis is usually caused by serious hormonal disorders.
Sometimes woman notes the presence of pinkish or even scarlet discharge with streaks of blood. This may be a sign of erosive changes in the cervix. It is just before the menstrual period that such discharge occurs due to the softening of the cervix, and they can also occur during or after intercourse with pain.
Surely vaginal microflora able to influence the nature of vaginal secretions, because it allocates its waste products. In the case of the presence of pathogenic microorganisms, the infection process is often exacerbated just before the onset of menstruation. For example, white discharge, similar to kefir, accompanied by itching, burning and redness of the mucous membranes, usually speak of candidiasis (thrush). The smell of such secretions is sour, and the consistency can be from liquid to curd.
With trichomoniasis the amount of discharge increases significantly, and they become foamy, acquire a very unpleasant putrid odor. At the same time, there is pain in the lower abdomen, burning and itching of the mucous membranes, as well as cutting pain during urination.
Yellowish discharge before the onset of menstruation may occur normally, if they are not intensely colored, and after menstruation disappear and are not accompanied by unpleasant symptoms. However, abundant secretions of yellow or greenish color are often a sign of infectious diseases such as chlamydia, mycoplasmosis, and others, which lead to the development of inflammation in the fallopian tubes, ovaries, and the uterus itself. the result of any disease or reduced immunity.
Thick purulent discharge greenish-yellow color and mucous character, aggravated after straining during bowel movements or physical exertion, before menstruation may indicate purulent cervicitis - a serious inflammation of the cervix.
Job gynecologist In this case, it comes down to a thorough examination of the vagina and cervix, taking a smear on the analysis of microflora, and conducting an ultrasound examination of the pelvic organs. If necessary, a biopsy is also performed - taking a piece of tissue for analysis (with suspected myoma, endometriosis and other diseases).
It is imperative to understand that the appearance of pathological discharge before menstruation - This is a very good reason to go to a gynecologist. After all, they can be a sign of hormonal disorders or an infectious process. Both without the treatment can result in serious complications, including infertility - perhaps one of the worst diagnoses for many women.
The article was prepared on the materials of the site www.rusosopopathy.com.
- Return to the contents of the section "Gynecology"
White discharge before menstruation
Taking birth control pills may help increase white vaginal discharge
Natural vaginal discharge is called leukorrhea or whites. They contain fluid and bacteria from the cells that are inside the vagina. Most women produce less than a teaspoon or four milliliters of white or clear discharge every day.
Selections before menstruation usually have a cloudy or white appearance due to the increased content of progesterone, a hormone that is actively involved in the organization of menstrual cycles and pregnancy.
During other periods of the menstrual cycle, when there is an increased level of estrogen in a woman's body, the vaginal discharge takes on a clear or watery appearance.
The secretions help lubricate the vagina and remove bacteria from it. They also help a woman keep track of her menstrual cycles.
Hormonal contraceptive pills
The use of hormonal contraceptives, including pills, can lead to an increase in vaginal secretions, since hormone levels are affected. An increase in discharge should not be a concern if they are not accompanied by other symptoms.
Yeast infections, which doctors call candidiasis, and women - thrush - a common complaint among the latter. Scientific studies indicate that 75% of women experience yeast infections at least once in their lives.
The secretions associated with fungal infections often resemble cottage cheese in appearance - they are thick, white and lumpy. Other symptoms of candidiasis include itching, burning in and around the vagina.
About 30% of women of childbearing age have bacterial vaginosis, an infection caused by a bacterial imbalance in the vagina.
An increased risk of bacterial vaginosis is associated with douching and the presence of more than one sexual partner in women. Secretions from bacterial vaginosis have a grayish-white color and are associated with the smell of fish.
Sexually Transmitted Infections
Several sexually transmitted infections (STIs) can change the nature of vaginal discharge. These infections include chlamydia, gonorrhea and trichomoniasis.
The color of the discharge caused by chlamydia or gonorrhea may be closer to yellow than to white, although not every woman has symptoms in such diseases. Trichomoniasis causes fish odor, itching and yellow-green discharge.
Vaginal discharge during the menstrual cycle
Before ovulation, there is usually more discharge than after
The nature of vaginal discharge varies throughout the menstrual cycle. A woman usually observes the difference at each stage. Types of excretions depending on the stage of the cycle are given below.
- Ovulation. Discharges are usually clear, viscous, and watery. Lower density of secretions helps sperm flow to the ovum. Before ovulation, there is usually an increase in the volume of secretions compared to normal volumes. An increase may be 30-fold or less.
- After ovulation. A high level of progesterone causes the discharge to take on a white color. A woman can observe such secretions in herself for up to 14 days. They can be thick and sticky, but smaller than during ovulation.
- Immediately before the monthly. The discharge may be white with a yellowish tinge.
- Immediately after menstruation. For obvious reasons, there may be a little brown discharge - the remaining blood leaves the vagina. After that, it may take 3 or 4 days without any discharge.
Other types of vaginal discharge
Highlight no white may look like this.
- Transparent. Transparent highlights are not a deviation. A woman may experience more clear discharge after physical activity or after sexual arousal. Ovulation and pregnancy can also cause such discharge.
- Gray. Grayish discharge suggests bacterial vaginosis. Women with gray secretions should seek a meeting with a doctor, as treatment may be necessary.
- Green or gray. While the light yellow discharge does not indicate a problem, dark yellow or green mucus may indicate an infection. However, some women report that they have yellow discharge after consuming new foods or taking supplements.
- Pink Pink discharge may occur at the onset of menstruation or after sexual activity. Women who observe pink discharge, not associated with menstruation, should consult a doctor.
- Red or brown. These colors are not a deviation if the discharge is observed immediately after menstruation. However, red discharge during another cycle period may indicate the presence of infection.
It is important to know!
Hormonal changes, triggered by the use of birth control pills or pregnancy, can also lead to minor bleeding.
When should I see a doctor?
Vaginal discharges tend to change their color and texture throughout the menstrual cycle. Selections that appear before menstruation are usually white.
When a certain type of discharge is repeated throughout the month, going to the doctor will not be superfluous.
In addition, medical attention to a woman should be obtained if she observes:
- lumpy or frothy discharge,
- pain or burning in or around the vagina,
- discharge with a strong or unpleasant odor
Treatment for vaginal discharge
Normal vaginal discharge does not require treatment. Abnormal or those discharges that are accompanied by pain or itching can be eliminated with the help of certain medications, home remedies, or a combination of these two strategies.
If an infection is detected, the doctor will write out prescription drugs or recommend non-prescription pharmacological products.
For example, yeast infections are treated with antifungal drugs that are either taken by mouth or injected into the vagina.
Antibiotics are usually prescribed to treat bacterial vaginosis, chlamydia, gonorrhea and trichomoniasis.
The following steps will help create a healthy vaginal environment.
Foods rich in probiotics may be recommended to maintain a healthy bacterial balance in the vagina.
- Proper personal hygiene. Keep the external genitals clean and dry to avoid the development of bacteria and unpleasant odors.
- Wearing breathable cotton underwear and avoiding stockings. Dense and synthetic clothing may increase the risk of vaginal infections.
- Using daily pads. In those days when the volume of vaginal discharge increases, for example, during ovulation, daily pads can absorb excess moisture, which can cause discomfort and irritation.
- Wipe from front to back. After using the toilet, always wipe from front to back to prevent bacteria from entering the rectum into the vagina.
- Refusal of tampons and douches. These items may introduce new microbes into the vagina and thus increase the risk of infection.
- Refusal of perfumed products to clean the area around the vagina. Do not use flavored wipes, vaginal deodorants, foam for the bathroom, because they can be a source of irritation.
- The use of probiotics. Some studies have suggested that probiotic supplements may help maintain healthy vaginal flora. Certain types of probiotics are especially useful for the female body. Eating foods rich in probiotics, such as natural yogurt and kefir, may also be helpful.
- The use of barrier methods of contraception. Condom use can reduce the risk of transmitting sexually transmitted diseases through sexual contact.
White discharge, especially those that occur immediately before menstruation, is a normal part of the menstrual cycle.
However, sooner or later, most women face vaginal infections, so any changes in the nature of the discharge should be noticed. Much of the infectious diseases can be successfully managed, especially with proper medical intervention.
A woman should also not forget about home strategies and lifestyle changes that help prevent or treat vaginal infections.