Patient's question:
I used to have a yeast infection (Candida) for 15 years. After giving birth to my seventh child, I went to a health check-up and the test results were fine, but there was mild cervical inflammation. After taking medication and rechecking, it was said that everything was okay. However, recently I noticed that my discharge is like cottage cheese, and I also have a sensation of heat in the vaginal area. This sensation is more noticeable during sexual activity, and I don't feel any pleasure.Doctor's answer:
You have a fungal vaginal inflammation.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 the quality and quantity, such as an increase in volume or changes in color and odor, it is considered pathological discharge. This occurs due to certain reasons that disrupt the normal vaginal environment or as a result of certain gynecological diseases (e.g., inflammation of the reproductive organs). Generally, pathological discharge can be classified into the following types:
1. Egg-white-like or white watery discharge. It may appear normal but with an increased volume. 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 fungal vaginal inflammation.
4. Watery discharge, resembling rice water. If it has a strong odor, it should be a cause for concern.
5. Bloody discharge.