Leucorrhea milk white
Introduction
Introduction Leucorrhea is a white liquid that women shed from the vagina. The vaginal discharge is divided into physiological leucorrhea and pathological leucorrhea. Pathological leucorrhea is mostly caused by inflammation.
Cause
Cause
There are many diseases that cause abnormal color of leucorrhea, and it is more common with cervicitis, trichomonas vaginitis, fungal vaginitis, and senile vaginitis. In addition, it may be caused by malignant tumors such as cervical cancer, uterine fibroids, and uterine body adenocarcinoma. Therefore, women with pathological vaginal discharge should be examined in detail and treated promptly after diagnosis.
Examine
an examination
Related inspection
Vaginal gynecological routine examination gynecological ultrasound examination gynecological inflammation examination gynecological routine examination
The examination was performed from the outside to the inside. The vulva, urethra, paraurethral gland and vestibular gland were first examined by visual inspection, and the vaginal wall and cervix were observed by a vaginal speculum.
(A) vulva inspection: see the identification of vaginitis. The erythema and small collars around the vulva and anus may be candidiasis, and the vulva of patients with vaginal edema, trichomoniasis, cervicitis or cervicitis is often contaminated by a large amount of purulent vaginal discharge. In the case of bacterial vaginosis, only accumulated vaginal discharge is seen at the vaginal opening.
(B) the appearance of vaginal discharge: a variety of pathological vaginal discharge with different specificity can provide diagnostic clues.
Diagnosis
Differential diagnosis
(1) White or grayish yellow foamy leucorrhea: a characteristic of trichomonas vaginitis, which may be accompanied by vulvar itching.
(2) curd-like or bean curd-like vaginal discharge: the characteristics of Candida vaginitis, often accompanied by severe vulvar itching or burning.
(3) Gray homogenized fishy leucorrhea: especially after sex, the taste is even worse; common in bacterial vaginosis.
(4) Pus-like vaginal discharge: color yellow or yellow-green: viscous, more odor, acute vaginitis caused by bacteria such as trichomoniasis or gonococcus, cervicitis, cervical canitis can be caused. Uterine empyema, cervical cancer, vaginal cancer or residual foreign body in the vagina can also cause pus leucorrhea.
(5) colorless transparent sticky leucorrhea: egg white-like, traits similar to mucus secreted by cervical glands during ovulation, but the secretion is significantly increased compared with usual, generally should consider chronic endocervitis, ovarian dysfunction, vaginal adenosis or The possibility of diseases such as cervical highly differentiated adenocarcinoma.
(6) bloody vaginal discharge: mixed with blood in the vaginal discharge, should consider cervical cancer, endometrial cancer, cervical polyps or submucosal fibroids. The placement of intrauterine birth control can also cause bloody vaginal discharge.
(7) watery vaginal discharge: continuous outflow of Taomi water-like vaginal discharge, if accompanied by strange odor, generally for advanced cervical cancer, vaginal cancer or submucosal fibroids with infection. Paroxysmal discharge of yellow or red watery vaginal discharge should pay attention to the possibility of fallopian tube cancer.
