Patient's question:
I had a lot of white discharge for several years, but it has now turned yellow. During our last sexual activity, I experienced pain and bleeding. Eating spicy foods sometimes causes a slight pain in my lower abdomen. What is this condition? I’m too embarrassed to go to the hospital for a check-up!Doctor's answer:
The formation of normal vaginal discharge in women is related to the effects of estrogen. It appears as a white, viscous, or egg-white-like substance that is odorless, non-irritating, and slightly acidic.If there are changes in the quality or quantity, such as an increase in volume or changes in color or odor, it becomes pathological vaginal discharge. This is caused by certain factors that disrupt the normal environment of the vagina or due to certain gynecological conditions (e.g., inflammation of the reproductive organs). Generally, pathological vaginal discharge can be classified into the following types:
1. Egg-white-like or white watery discharge. It may resemble normal discharge but in increased quantity. Attention should be paid to the possibility of endometrial hyperplasia, ovarian dysfunction, or vaginal adenosis. Additionally, systemic diseases such as anemia, diabetes, or weakened physical conditions in women may also cause this type of discharge.
2. Yellow or yellow-green purulent discharge. It has a foul odor and 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. Cottage cheese-like or curd-like discharge. This is a typical symptom of candidiasis (yeast infection).
4. Watery discharge, resembling rice water. If it has a strong odor, it should be a cause for concern.
5. Blood-stained discharge.
You may have a vaginal infection.
It is recommended to undergo a discharge test.