Patient's question:
Detailed medical condition and consultation purpose: I don't know why my leukorrhea is so much, I'm quite hygienic, can the expert tell me why, and is this related to academic pressure?Doctor's answer:
Leukorrhea is the vaginal discharge of women. Normal leukorrhea in women is a viscous, slightly acidic substance without odor, which plays a role in moistening the vagina, excreting waste, and inhibiting the growth of pathogenic bacteria. It is a normal physiological phenomenon. The increase in leukorrhea in healthy women is proportional to the increase in estrogen levels in the body. For example, during ovulation or pregnancy, leukorrhea may increase. Similar leukorrhea may also occur under conditions such as excessive endometrial growth or after the use of estrogen drugs.It is particularly noteworthy that an increase in leukorrhea may be caused by pathological secretory leukorrhea, which includes the following types:
1. Purulent leukorrhea, which is yellow or yellow-green, viscous or foamy, and has an odor. It is mostly caused by vaginal inflammation, with trichomoniasis being the most common. It is often accompanied by external genital itching. It can also be seen in chronic cervicitis, senile vaginitis, endometritis, endometrial fluid accumulation, or foreign bodies in the vagina.
2. Cheesy or curd-like leukorrhea, which is a typical symptom of candidal vaginitis and is often accompanied by severe external genital itching.
3. Hemorrhagic leukorrhea, which contains blood and should alert to the possibility of malignant tumors such as cervical cancer and endometrial cancer. However, benign lesions such as cervical polyps, cervical erosion, submucosal fibroids, dysfunctional uterine bleeding, urethral polyps, and senile vaginitis can also cause hemorrhagic leukorrhea. Additionally, intrauterine devices are also a common cause of bloody leukorrhea.
4. Yellow watery leukorrhea, which often occurs after prolonged vaginal bleeding, with a large amount of purulent, foul-smelling leukorrhea flowing from the vagina. It should first be considered as advanced cervical cancer, endometrial cancer, or infected submucosal fibroids with intermittent discharge.