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Lochia rubra (or cruenta) is the first discharge, composed of blood, shreds of fetal membranes, decidua, vernix caseosa, lanugo and membranes. It is red in color because of the large amount of blood it contains. It lasts 1 to 4 days after birth, before easing to light "spotting". [7] [unreliable source?]
“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.
[13] [2] The discharge is usually white or slightly gray, and may have a musty smell. [13] [2] The normal discharge of pregnancy does not contain blood or cause itching. [13] The pH of the vaginal discharge in pregnancy tends to be more acidic than normal due to increased production of lactic acid. [13]
Normal discharge may have a slight scent, for example, but it typically doesn’t have a strong odor. “Scent becomes an odor when there’s an infection,” says Dweck.
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A characteristic "fishy" odor on wet mount. This test, called the whiff test, is performed by adding a small amount of potassium hydroxide to a microscope slide containing the vaginal discharge. A characteristic fishy odor is considered a positive whiff test and is suggestive of bacterial vaginosis. [41]
The discharge is irritating to the vagina and the surrounding skin. low (4.0–4.5) Atrophic vaginitis [24] [25] Usually causes scant vaginal discharge with no odor, dry vagina and painful intercourse. These symptoms are usually due to decreased hormones usually occurring during and after menopause. Current term is Genitourinary syndrome of ...
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