increased leucorrhea
Introduction
Introduction Increased vaginal discharge refers to an increase in the amount of vaginal secretions in women. But it is not that the increase in vaginal discharge is necessarily a disease. In some cases, the increase of vaginal discharge is a normal physiological phenomenon. If there are multiple vaginal discharges accompanied by various diseases, it is necessary to be alert to the occurrence of gynecological diseases. Increased vaginal discharge is divided into physiological leucorrhea and pathological leucorrhea.
Cause
Cause
1, physiological leucorrhea increased
Increased vaginal discharge in healthy women is directly proportional to the increase in estrogen levels in the body. Such as ovulation or vaginal discharge during pregnancy, in the case of excessive growth of the endometrium, or the use of estrogen drugs can appear similar leucorrhea.
2, pathological vaginal discharge increased
Vaginal inflammation, chronic cervicitis, senile vaginitis, endometritis, uterine effusion or foreign body in the vagina.
Examine
an examination
Related inspection
Gynecological routine examination gynecological inflammation examination vaginal gynecological routine examination
Check whether the vaginal discharge is normal, and observe from the aspects of quantity, color, texture and smell.
Normal leucorrhea should be milky white or colorless and transparent, slightly astringent or odorless; its secretion, the level of estrogen and progesterone in the texture receptor, with the amount of the menstrual cycle, the amount is small, thin and thick Periodic changes.
Generally, the amount of leucorrhea is less after the menstrual period; before the ovulation period, due to the increase of estrogen levels in the body, the epithelial cells of the cervical gland are proliferated, the secretion of cervical mucus is increased, and the content of sodium chloride in the mucus is increased, which can absorb more. Moisture, increase leucorrhea during ovulation, thin, clear, appearance like egg clear, can pull filament; after ovulation, estrogen levels are getting lower, progesterone levels are elevated, secretion of cervical mucus is inhibited, mucus The content of sodium chloride is also reduced, so that the leucorrhea is thick and thick at this time, the color is white, the ductility is deteriorated, and the drawing is easy to break. In addition, there are some physiological phenomena such as pregnancy, oral contraceptives, there will be increased vaginal discharge, the reason is also related to changes in the body's estrogen and progesterone levels.
If the leucorrhea usually increases without cause, or with changes in color, texture, and smell, you should be vigilant.
Diagnosis
Differential diagnosis
Differential diagnosis of pathological leucorrhea:
1, purulent leucorrhea: yellow or yellow-green, viscous or foamy, odor, mostly caused by vaginal inflammation, of which trichomonas vaginitis is the most common, mostly genital itching. Can also be seen in chronic cervicitis, senile vaginitis, endometritis, meningeal effusion or foreign bodies in the vagina.
2, cheese-like vaginal discharge or bean curd-like vaginal discharge: mostly a typical phenomenon of fungal vaginitis, often accompanied by severe genital itching.
3, bloody vaginal discharge: mixed with blood in the vaginal discharge, should be alert to the possibility of cervical cancer, endometrial cancer and other malignant tumors. But cervical polyps, cervical erosion, submucosal fibroids, dysfunctional uterine bleeding, urethral meat sputum, senile vaginitis and other benign lesions can also lead to bloody vaginal discharge, less caused by intrauterine device is bloody vaginal discharge is also more common .
4, yellow watery vaginal discharge: more often after continuous vaginal bleeding, vaginal discharge of a large number of purulent odor leucorrhea, should first consider advanced cervical cancer, endometrial cancer or submucosal fibroids with infection. Paroxysmal discharge should pay attention to the possibility of fallopian tube cancer.
5, dysuria with increased vaginal discharge: typical gonococcal infection in the leucorrhea and urethral secretions increased, yellow purulent, showing a fierce inflammatory response. Chlamydia caused by cervicitis, vaginal discharge, low viscosity, and increased white serous cervical secretions. Excessive leucorrhea, increased vaginal discharge is a syndrome group. Prevention and treatment is first of all to pay attention to personal hygiene. At the same time, all leucorrhea (except physiological) should seek medical treatment promptly. Under the guidance of doctors, find out the cause, make timely treatment and treatment, and achieve early detection, early prevention and early prevention. Treatment, early recovery, must not blindly abuse drugs.
