White discharge in girls – thick white discharge And white discharge before period

White discharge in girls

It is normal for girls to have vaginal or menstrual discharge. In most girls, white discharge starts 1-2 years before the onset of menstruation. It usually lasts forever after a certain age until menstruation stops or before menopause. [1]

Changes in the normal amount of discharge, color and odor can actually be a cause for concern. In that case it is necessary to take proper treatment quickly. Many people have very little knowledge about this subject due to their hesitation. As a result, even though they are sick, many do not receive timely treatment. Again, many people worry about white discharge due to lack of proper concept even after being healthy.

Why white discharge

White discharge does no harm to the body, but the body performs two important functions by producing white discharge in the female body:

  1. Helps to keep menstrual road moist and clean
  2. Protects against menstrual cramps

Many people do not know the exact amount of discharge and fear that they will have extra white discharge. Many people think that excessive white discharge causes problems such as poor health and feeling weak. Wants to know how to stop white discharge from such an idea. These ideas are completely baseless.

How normal is white discharge

The amount of white discharge may vary from person to person. For another, the extra white discharge may be normal for you. Again the same person may have a single amount of discharge at different times of the month. This is due to the difference in the amount of hormones in the body.

It is usually normal to have 2 to 5 ml of white discharge daily. But sometimes it can be a little more or less. [2] Below is a comparison between 2 ml and 5 ml sanitary pads. Although there seems to be a lot of difference between the two quantities, both quantities are normal.

Comparison of normal white discharge
Photo: 5 ml discharge on the left pad and 2 ml discharge on the right pad. Orange juice has been used for convenience.

Types of white discharge

The frequency of discharge may vary from time to time during the menstrual cycle. The discharge is usually thin, but can sometimes be thick and sticky.

At one point in the month, the concentration of the discharge may be like the white part of an egg. At that time, even if the discharge is extended a few inches by pulling with the finger, it does not break easily. If you have sexual intercourse during such a discharge, you are most likely to get pregnant.

Normal discharge can be of two colors — clear and colorless or milky white. [3] Clear and colorless discharge may be white or yellow in contact with air.

Normal discharge does not have any bad smell.

Excess white discharge

Almost everyone has an idea about how much normal discharge is normal for oneself. It is important to consult a doctor if you start having more white discharge than normal.

Excessive white discharge may occur naturally in the following five cases:

  1. Just before menstruation
  2. Between two months
  3. While pregnant
  4. During sexual arousal
  5. If you take birth control pills

However, abnormal increase in white discharge may be a sign of menstrual infection. If proper treatment is not taken in time, infection of other organs including uterus can occur and various complications related to pregnancy can occur.

Abnormal discharge

Five types of discharge require immediate medical attention. This type of discharge can be a symptom of an infection — even a serious illness like cancer.

1. White wheel discharge

In this case, white discs like yoghurt or cheese are seen to see white discharge. [4] However, there is usually no odor. Fungal infections of the vagina can cause abnormal white discharge. It is also known as ‘yeast infection’ to many. [5]

Photo: White wheel discharge

This disease can occur if the number of beneficial germs in the vagina decreases for some reason and the number of one type of fungus increases. [6] For example, taking antibiotics for an illness can kill the good germs in the menstrual tract. This disease can occur if the fungus breeds a lot on that occasion.

In this case the following symptoms are seen [6] –

  • Excessive white discharge
  • Lots of itching and burning around the vagina
  • Pain or discomfort during urination and intercourse

There is nothing to fear if you have a fungal infection in the vagina. It can be easily cured by taking quick treatment as per the doctor’s advice.

In this case, the doctor may prescribe oral or oral medication. [6] This type of fungal infection usually resolves within 1-2 weeks of starting treatment.

However, in some cases, the disease occurs repeatedly. For example, if you have uncontrolled diabetes , this disease may recur. So if this problem happens again and again, it is better to get tested for diabetes. Recurrent infections may require treatment for a long time, up to 6 months.

Follow the tips mentioned in the last part of the article to prevent infection.

2. Gray discharge

Gray or gray discharge is a type of vaginal infection. This is called ‘bacterial vaginosis’. In this case the discharge has a strong odor. However, there is no pain or itching.

Photo: Gray discharge

If for some reason the balance of the germs in the vagina changes, the normal environment of the vagina is destroyed. Then this disease can occur.

It is not a sexually transmitted disease, but having sex can increase the risk of contracting the disease.

In this case the following symptoms are seen:

  • The discharge becomes gray and thin like water
  • A lot of rotten fishy smelling discharge. It stinks, especially after intercourse. [9]

Note that this disease does not cause itching or pain around the vagina

Antibiotics are used to treat this disease. It may be recommended to use it as an oral tablet or as a menstrual cream or gel. [10] [11] Therefore, with the advice of a doctor, the patient should choose the most suitable medicine.

Keep in mind that the disease may recur within 3–6 months of the onset of the infection. In that case, it may be necessary to take treatment for a long time – even up to six months.

Follow the tips mentioned in the last part of the article to prevent infection.

3. Green discharge

Gonorrhea can cause a thick green discharge. The disease is caused by a bacterium called Neisseria gonorrhoeae.

Photo: Green discharge

Gonorrhea is a sexually transmitted disease. The disease can be contracted by having sex with an infected person without condom protection.

In this case the following symptoms are seen:

  • Pain and burning sensation during urination
  • Pain in lower abdomen
  • Pain or discomfort during urination and intercourse
  • Bleeding in the vagina between two months

In addition to these, sometimes there may be fever and bleeding during intercourse.

In this case, if not treated in time, the infection can spread to the uterus. This can lead to various complications including subsequent pregnancy problems. [12] Therefore, in case of symptoms of gonorrhea, it is very important to get tested and start treatment immediately.

Apart from that, since the disease is spread through sexual intercourse, it is also important to treat the partner if the disease is caught. Otherwise gonorrhea can spread again even after treatment.

Gonorrhea can be completely cured by taking proper antibiotics. At the end of the course of antibiotics, re-test to see if the disease is completely cured.

You should abstain from sexual intercourse till you get rid of the disease. Condom protection should be used to avoid such diseases in future.

Note that in gonorrhea, the color of the discharge may not be green but yellow as in the picture below:

Yellow discharge
Photo: Yellow discharge

Note: Another sexually transmitted infection called chlamydia can cause gonorrhea-like symptoms, but there is some variation in the color of the discharge. [13] The means, complications, and treatment of these two diseases are almost identical. However, different types of antibiotics are used to treat chlamydia.

Therefore, it is very important to consult a doctor immediately if such symptoms occur. The doctor will be able to diagnose the exact disease through examination and give appropriate treatment.

4. Greenish yellow discharge

Vaginal infections called ‘trichomoniasis’ can be yellow mixed with green. The disease is caused by a type of bacterium called ‘Trichomonas vaginalis’.

Greenish yellow discharge
Photo: Greenish yellow discharge

It is also a sexually transmitted disease. The disease can be contracted by having sex with an infected person without condom protection. Apart from that, since the disease is spread through sexual intercourse, it is important to treat the partner if the disease is caught. [14] Failure to do so can lead to re-infection.

The following symptoms are seen in trichomoniasis [15] –

  • Thick or thin or foamy discharge
  • Increased amount of discharge. It can sometimes have a fishy odor
  • Pain, itching and burning around the vagina. Occasionally there may be itching between the thighs
  • Vaginal redness or swelling
  • Pain or discomfort during urination and intercourse

It is possible to cure this disease completely with the help of antibiotics. [17] At the end of the course of antibiotics, re-testing should be done to see if the disease is completely cured.

You should abstain from sexual intercourse till you get rid of the disease. [18] Condom protection should be used to prevent such diseases in the future.

Many patients with trichomoniasis, gonorrhea and chlamydia may have no symptoms at all. Then they can spread these infections among others without their knowledge. The only way to prevent this is to use a condom during intercourse.

5. Reddish discharge

Reddish discharge can sometimes be normal. In many cases, it can be a sign of serious illness like infection and cancer.

At the beginning of menstruation there may be a slight reddish discharge. It is a color that mixes white discharge with menstrual blood. The following picture shows the discharge of this color:

Reddish discharge
Photo: Reddish discharge

Dark discharge may occur towards the end of menstruation. The image below shows what the color might look like:

Dark discharge
Photo: Dark discharge

This type of red discharge before and after menstruation is usually considered normal. In that case there is no need to go to the doctor. However, in some other cases, reddish discharge may occur due to physical complications.

In case of reddish discharge or bleeding through the vagina in the following three cases, it is necessary to consult a gynecologist on an urgent basis:

1. Reddish discharge or bleeding without menstruation: This is one of the symptoms of cervical cancer. [17] Sometimes this may be due to some natural cause. Such as: taking birth control pills. However, it is important to start treatment as soon as possible after being sure about the real cause.

2. Bleeding after intercourse: If there is an injury to the menstrual cycle during intercourse, there may be some bleeding. It can also be due to various infections. [19] Sometimes these symptoms can occur in cervical cancer [20] or vaginal cancer. [21] Therefore, a doctor should be consulted.

A simple test can detect signs of cervical cancer. This test is called VIA test. Thirty women have to do this test every five years.

The patient is given a red card if anything suspicious is found in the test. In addition, further tests are recommended to confirm the presence of cancer. On the other hand a green card is given if the test result is normal. The cards have to be carefully stored and taken away during the next test.

This test is done free of cost by the government of Bangladesh . There are facilities for conducting this test in various public and private health centers.

So inform women in their thirties about this test and encourage them to go for regular checkups.

3. Red discharge or bleeding after menopause: ‘Menopause’ means the cessation of menstruation forever. Women over the age of 45 are generally considered to have reached menopause if they have stopped menstruating for one year. [22]

Any type of vaginal bleeding after menopause is a cause for concern. It can be a sign of uterine cancer. [23] There may be other symptoms (such as cervical polyps).

After menopause, even if there is only one vaginal bleeding or very little bleeding, a gynecologist should be consulted. [24] Even if the discharge is not completely blood-like, pink, black or brown, you should see a doctor.

The sooner cancer is diagnosed, the better it can be treated.

If such symptoms appear, do not panic. These symptoms can occur for reasons other than cancer. But since there is a possibility of cancer, it is necessary to see a doctor quickly without compromising in these cases.

Although menstrual bleeding occurs, women, especially older women, often avoid it because of shame. Many people do not take the issue seriously because they do not know about the risk of abnormal bleeding in the menstrual cycle. As a result, it is too late to catch the disease and the cancer is likely to spread throughout the body.

So make all the women you know, especially older women, aware of this information today.

Other reasons

In addition to the above causes, abnormal discharge may be seen in some other diseases. One of these diseases is genital herpes — a sexually transmitted disease caused by a virus. However, the main symptoms of this disease are small blisters on the genitals.

It can also cause itching, burning and pain around the vagina and pain during urination. If such symptoms occur, it is important to get proper treatment according to the doctor’s advice.

Ways to prevent vaginal infections

The body has its own procedures for keeping the inside of the vagina clean. In this case, no separate help is needed from outside. Instead, if you clean it with perfumed soap or something else, it can cause vaginal infections.

So do not try to clean the inside of the vagina separately. Refrain from using special type of vaginal wash while watching advertisements on TV.

Follow these tips to keep your vagina healthy and germ-free:

  • Keep the genitals clean and dry. The outer part of the vagina should be thoroughly dried after washing with soap and water.
  • Refrain from using perfumed soaps, shower gels, special washes or douches in the vagina. [25]
  • Do not use scented wet tissue or perfume on the vagina
  • Wearing loose cotton underwear
  • Don’t wear too tight underwear and pajamas
  • Do not use any type of antibiotic or antifungal without doctor’s advice
  • Regular ‘VIA’ testing

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Khejur Gur