What to do about abnormal leukorrhea

Patient's question:

Recently, I noticed sticky substances on my underwear, and they are brown in color. I haven't experienced any abdominal pain or other abnormalities. I'd like to consult about what this could be.

Doctor's answer:

1. Leukorrhea is gray, thin, and has a fishy odor, commonly seen in bacterial vaginosis.
2. Bloody leukorrhea: If a woman's leukorrhea contains blood, it should be considered as a possible sign of cervical cancer, endometrial cancer, cervical polyps, or submucosal fibroids. Additionally, the use of an intrauterine device can lead to bloody leukorrhea.
3. Yellow-green leukorrhea: Thin leukorrhea with foam and a foul odor, often accompanied by vaginal itching, is commonly seen in trichomoniasis.
4. Cheesy or curd-like leukorrhea: A typical symptom of candidal vaginitis, often accompanied by external genital itching.

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