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Leukorrhea refers to a white or yellowish vaginal discharge. It’s a common condition often linked to the menstrual cycle. However, it can sometimes indicate an underlying issue.
Common Causes of Leukorrhea
Several factors can contribute to leukorrhea:
- Hormonal Changes: Fluctuations during the menstrual cycle, pregnancy, or ovulation are frequent causes.
- Infections: Bacterial vaginosis, yeast infections (Candida), and sexually transmitted infections (STIs) like trichomoniasis or chlamydia are common infectious causes.
- Poor Hygiene: Inadequate genital hygiene can contribute.
- Chronic Genital Infections: Persistent infections may lead to discharge.
- Other Factors: Immunosuppression, certain lifestyle factors like smoking, and irritation from products can also play a role.
Diagnosing Leukorrhea
Diagnosis involves a medical evaluation:
- Medical History: The doctor will ask about symptoms, menstrual cycle, sexual activity, and hygiene practices.
- Physical Examination: Includes a pelvic exam to check for signs of infection or inflammation.
- Laboratory Tests: A sample of the discharge is often taken (vaginal swab) to examine under a microscope or send for culture. This identifies bacteria, yeast, or other pathogens. Tests for specific STIs might be recommended based on risk factors.
Treatment Approaches
Treatment depends entirely on the identified cause:
- Infections:
- Bacterial Vaginosis: Treated with antibiotics (oral or vaginal gels).
- Yeast Infection: Treated with antifungal medications (creams, suppositories, or oral tablets).
- STIs: Require specific antibiotic regimens. Partners often need treatment too.
- Hormonal Causes: Discharge related to the normal menstrual cycle or pregnancy usually doesn’t require treatment unless bothersome. Management focuses on comfort and hygiene.
- General Management: Good genital hygiene is essential. This includes wearing cotton underwear, avoiding douches and harsh soaps, and wiping front to back. Addressing underlying conditions like poor hygiene or immunosuppression is also part of management.
*TAGS* – vaginal discharge causes, leukorrhea diagnosis methods, bacterial vaginosis treatment
