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It is usually a non-pathological symptom secondary to inflammatory conditions of the vagina or cervix. [5] Leukorrhea can be confirmed by finding >10 WBC per high-power field under a microscope when examining vaginal fluid. [6] Vaginal discharge is normal, and causes of change in discharge include infection, malignancy, and hormonal changes.
Changes in the usual color, texture or odor of your vaginal discharge can be a sign of infection. Normal discharge may have a slight scent, for example, but it typically doesn’t have a strong odor.
Normal vaginal discharge is composed of cervical mucus, vaginal fluid, shedding vaginal and cervical cells, and bacteria. [1] The majority of the liquid in vaginal discharge is mucus produced by glands of the cervix. [1] [4] The rest is made up of transudate from the vaginal walls and secretions from glands (Skene's and Bartholin's). [4]
To control bacterial growth, the vagina is normally slightly acidic with a pH of 3.8–4.2. A swab of the discharge is put onto litmus paper to check its acidity. A pH greater than 4.5 is considered alkaline and is suggestive of bacterial vaginosis. [citation needed] The presence of clue cells on wet mount. Similar to the whiff test, the test ...
“The most common cause of vaginal odor is an imbalance in the normal flora in the vagina,” which causes a fishy odor, irritation, and thin to no vaginal discharge, says Dr. Streicher.
“Brownish or blood-tinged vaginal discharge could be from a vaginal infection, a lost tampon, an ovarian cyst, or something within the uterus like a polyp,” Dr. Ross says. 6. White and clumpy
A 2016 review ties this "lochial period" to worldwide customs of postpartum confinement, a time for the new mother and baby to bond. [ 3 ] Lochia is sterile for the first two days, but not so by the third or fourth day, as the uterus begins to be colonized by vaginal commensals such as non-hemolytic streptococci and E. coli . [ 4 ]
Normal vaginal discharge is white to yellow, and can be more yellow when it’s dry. If your discharge is green or dark yellow, you should probably see your healthcare provider or call up your OB/GYN.
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