Patient's question:
Medical history: A few months ago this year, I had bacterial vaginosis.After several treatments, it improved, but there is still white, thick discharge. The doctor said it's normal... After intercourse, I observed some yellowish, purulent mucus (it should be discharge, right), and there was also a smell.
Is the vaginosis recurring?
Doctor's answer:
It is caused by vaginitis.The formation of normal vaginal discharge in women is related to the effects of estrogen. It appears as a white, paste-like or egg-white-like, odorless, non-irritating, slightly acidic viscous substance.
If there are changes in its quality and quantity, such as an increase in volume or changes in color and odor, it becomes pathological vaginal discharge. This is due to certain reasons that disrupt the normal environment of the vagina or certain gynecological diseases (such as inflammation of the reproductive organs, etc.). Generally, pathological vaginal discharge can be classified into the following types:
1. Egg-white-like or white watery discharge. It may appear normal but in increased quantity. Attention should be paid to whether it is caused by endometrial hyperplasia, ovarian dysfunction, or vaginal adenosis. Additionally, systemic diseases such as anemia, diabetes, or weakened physical conditions in women may also lead to this type of discharge.
2. Yellow or yellow-green purulent discharge with a foul odor. This is mostly caused by vaginal inflammation, with trichomoniasis being the most common. It is often accompanied by itching and pain in the external genitalia and vagina.
3. Cheese-like or curd-like discharge. This is a typical symptom of candidal vaginitis.
4. Watery discharge, resembling rice water. If it has a strong odor, it should be a cause for concern.
5. Bloody discharge.
It is recommended to get a check-up.