What to check for abnormal vaginal discharge

When leucorrhea is abnormal, doctors usually perform gynecological examinations, routine leucorrhea examinations, and pathogen tests to identify the cause and develop a treatment plan. Abnormal leucorrhea may be caused by infection, hormonal imbalance, or gynecological diseases, and requires targeted treatment based on the specific situation.

Abnormal vaginal discharge is a common gynecological problem in women, which may manifest as changes in color, odor, texture or amount. The doctor will first perform a gynecological examination to observe the condition of the vulva, vagina and cervix to determine whether there is inflammation, ulcers or abnormal secretions. Next, a routine examination of vaginal discharge is an essential item. The white blood cells, epithelial cells, bacteria and fungi in the vaginal discharge are observed under a microscope to preliminarily determine whether there is an infection. If a specific pathogen infection is suspected, such as mold, Trichomonas or bacterial vaginitis, the doctor will further perform pathogen testing, including culture, PCR testing or antigen testing, to clarify the type of infection.

There are many reasons for abnormal vaginal discharge. Infection is the most common cause, including candidal vaginitis, Trichomonas vaginitis, and bacterial vaginitis. Hormonal imbalances may also cause abnormal vaginal discharge, such as senile vaginitis caused by decreased estrogen levels. Gynecological diseases such as cervicitis, pelvic inflammatory disease, and endometritis may also be accompanied by abnormal vaginal discharge. If abnormal vaginal discharge is accompanied by abdominal pain, fever, or abnormal bleeding, be alert to more serious diseases, such as cervical cancer or endometrial cancer.

Treatment of abnormal leucorrhea requires targeted treatment according to the cause. For infectious abnormal leucorrhea, drug treatment is the main means. Antifungal drugs are commonly used for candidal vaginitis, such as clotrimazole suppositories or oral fluconazole; metronidazole or tinidazole can be used for Trichomonas vaginitis; antibiotics such as metronidazole or clindamycin are required for bacterial vaginitis. Abnormal leucorrhea caused by hormone imbalance can be improved by supplementing estrogen or adjusting hormone levels. For abnormal leucorrhea caused by gynecological diseases, the primary disease needs to be treated. For example, cervicitis can be treated with laser treatment or cryotherapy, and pelvic inflammatory disease requires antibiotics and physical therapy.

In daily life, maintaining good hygiene habits is the key to preventing abnormal vaginal discharge. It is recommended to wash the vulva with warm water every day and avoid using irritating lotions; choose cotton underwear with good breathability and change and wash frequently; avoid frequent use of pads to avoid breeding bacteria. In terms of diet, eating more foods rich in vitamins and minerals, such as fresh vegetables, fruits and whole grains, can help enhance immunity. If abnormal vaginal discharge persists or worsens, you should seek medical attention in time to avoid delaying the condition.