Mucopurulent discharge in women looks like. Purulent discharge from the vagina: identify the cause

In recent days and in the past, many new infections have appeared that affect the reproductive and reproductive systems of women.

In addition to the inflammatory process during the course of the disease, often, another negative effect is added - against the background of odorless and itching, or other diverse variations can irreparably disrupt the state of health.

Causes

A huge range of causes includes a large number of inflammatory processes, the consequences of medical manipulations, violations of cleanliness, ignoring the rules of asepsis and antisepsis, or one's own exacerbated allergic sensitivity.

Inflammations include:

• colpitis (inflammation of the mucous membrane of the vagina);
• cervicitis (isolated inflammation of the cervical mucosa);
• salpingitis (inflammatory reaction acts on the fallopian tubes);
• oophoritis (damage to the uterine appendages, in the face of the ovaries);
• endometritis (inflammation of the uterine mucosa);
• myometritis (pathological process in the muscular layer of the uterus);
• parametritis (inflammation of the outer serous covering of the uterus);
• trichomoniasis (pathogen Trichomonas vaginalis);
• gonorrhea ();
• cancer of the body of the uterus, cervical cancer, cancer of the ovaries or fallopian tubes;
• chronic diseases of the reproductive system.

Inattention in individual prevention includes:

• violation of intimate hygiene;
• alternating anal and vaginal sex;
• untimely visit to the gynecologist (required 2 times a year).
• Individual factors complement:
• endocrine disorders (diabetes, overweight, Itsenko-Cushing's syndrome, Addison-Birmer's disease);
• allergy to intimate hygiene products;
• dysbacteriosis of the genital tract (violation of microflora).

Medical reasons may include:

• abortion;
• long-term treatment with antibiotics or sulfa drugs;
• use of contraceptive systems (hormonal contraception, intrauterine device, progestin oral contraceptives).

Allocations

When taking hormonal drugs or in an allergic condition, the amount of discharge changes significantly. When the color and smell change, it can be argued that pathological discharge has appeared - “leucorrhea”.

The acidity of the vagina, the hormonal background and the indicators of normal microflora change. For example, during pregnancy in the second trimester, bodily fluids become whitish and thick.

Among the places of localization of pathological whites, there are:

• uterus;
• Cervix;
• vagina;
• the fallopian tubes;
• vaginal vestibule.

Their quantity and quality vary considerably, and therefore the symptoms will differ. The duration of treatment is influenced by the place of localization, as well as by the amount of the pathogenic agent.

With smell

Trichomoniasis in women

Non-specific inflammation of the vagina occurs with cloudy discharge and a sharp tart odor.

Vaginal candidiasis is characterized by white, abundant and thick discharge with crumbs or plates, which resemble “curd mass” with a sour smell.

Yellow or chronic yellow-green discharge of a frothy nature with an unpleasant odor, along with severe itching, burning and urinary disorders are characteristic of.

The acute onset of the disease with very thick white purulent discharge and high fever indicate gonorrhea (a very dangerous disease that affects the fallopian tubes and ovaries, the inner ball of the uterus and leads to infertility).

Chlamydia is characterized by yellow discharge from the cervix and spasmodic pain in the abdomen, vagina, and lower back.

Reddish-brown spotting has a mixture of oxidized blood, they do not depend on the menstrual cycle. Their appearance is typical after the use of hormonal contraception or intrauterine devices, rough sexual intercourse, in the postpartum period, after operations on the uterus or its neck, even with an ectopic pregnancy.

Bacterial colpitis (vaginosis, gardnerellosis) is characterized by orange or greenish discharge with an unpleasant putrid smell of fish, which are associated with menstruation.

Bloody discharge is normal during menstruation, but, including erosion, uterine cancer. After medical manipulations (biopsy - taking tissues for analysis, curettage - removal of tissues for diagnostic analysis, laparoscopy - instrumental examination of the abdominal organs). Often this is characteristic of post-abortion conditions or therapeutic diseases (hypothyroidism - thyroid insufficiency, hemophilia - increased bleeding, leukemia - blood cancer).

Without smell

Physiological secretions are not plentiful, liquid, transparent or slightly cloudy. Usually, their number increases during pregnancy or sexual arousal, also in stress and climate change, but no very unpleasant odor is present.

The quality of the smell depends on hygiene, eating, having sex, as well as on the individual characteristics of the body.

If there is itching

This indicates a violation of hygiene or the reproduction of an infectious agent in the tissues, which provokes irritation of the walls of the vagina and high impulsivity. From the internal coatings, itching moves to the labia, followed by the perineum and anal area, reaching the inner thighs.

Itching is a consistent symptom of the occurrence of diseases that are sexually transmitted and lesions of the genitourinary system (syphilis, donovanosis, chlamydia, genital herpes,), atrophy (kraurosis of the vagina and external genital organs - a precancerous condition with dryness and itching; atrophy with menopause - dryness, tingling and severe itching during intercourse), neoplasms (fibroma - a tumor of the connective tissue, polyps - a precancerous growth of benign tissues, myoma - a tumor of muscle tissue, cyst - a pathological cavity with walls and contents).

Mucopurulent discharge

They are accompanied by itching and burning against the background of discomfort. They have an unpleasant odor and a liquid consistency. A common underlying cause is an inflammatory syndrome that acidifies the secretory substance of the vagina.

The yellowish or green color is due to the presence of dead white blood cells and their mixing with thick, viscous mucus. All this indicates inflammation and the existence of a specific pathogen.

Treatment

To start treatment, you first need to get a consultation from a doctor who will prescribe an analysis for taking a vaginal smear, which determines the number of leukocytes (cells of the inflammatory process) and the number of pathogen cells.

Preparations and procedures

Medical treatment includes:

• antiseptics (Rivanol, Chlorhexidine Bigluconate, Chlorophyllipt);
• solid dosage forms (intravaginal capsules, a course of 12 pieces, 1 time per day - Polygynax);
• antichlamydia (Cliromycin, Pefloxacin, Azithromycin, Erythromycin);
• antitrichomonas (Metronidazole, Tripochol, Amoxicillin);
• sulfanilamide (Biseptol, Ftalazol, Sulfadimetoksin).

The doctor prescribes a special course of treatment, establishes a schedule of visits and a diagnostic system. With the help of antiseptics, procedures such as douching (washing the vagina and genitals) or irrigation (irrigation of pathological foci with medicine) can be carried out.

What to do at home

At home, you can make a vaginal bath for 15-20 minutes, using a disposable gynecological mirror and a therapeutic solution. This procedure is recommended only in early pregnancy. For medicinal solutions, celandine, calendula, cinquefoil, eucalyptus are used.

To strengthen the immune system, use viburnum or barberry juice.

Folk remedies

Every day you need to rinse the genitals for 15-20 minutes, and walk outside in warm clothes.

A dessert spoon of nettle or blueberry juice, a decoction of St. John's wort normalize the microflora of the vagina.

Prevention before and during treatment

The order of preventive (warning) actions is as follows:

1. Observe the hygiene of the genitourinary system.
2. Don't get cold.
3. Visit the gynecologist twice a year.
4. Have a decent sex life
5. Conduct immunoprophylaxis 3-5 times a year.

Throughout the duration of treatment, one should carefully monitor one's own hygiene, often change underwear and not have sexual relations (they continue after negative tests for the pathogen).

Vaginal discharge is divided into physiological, normal for a certain age and stage of the menstrual cycle, and pathological associated with diseases of the genital organs. It is impossible to make an accurate diagnosis and prescribe a course of treatment for a single symptom, but the appearance of a discharge that is different from the norm gives a reason to contact a gynecologist and undergo an examination.

Normal the discharge consists of a mixture of mucus, dead epithelium and microbial cells, the secret of the Bartholin glands located on the threshold of the vagina. They contain glycogen - a nutrient for beneficial microflora, and lactic acid - a waste product of lactobacilli. The content of glycogen is maximum on the day of ovulation. Normally, there are transparent discharges or whitish, the consistency is mucous, with small lumps or homogeneous, without an unpleasant odor, up to 4-5 ml per day in volume.

Beli

Abundant vaginal discharge or scanty, but atypical in nature or smell, is called leucorrhoea. Whites create a constant feeling of moisture, burning and itching in the perineum. Causes copious discharge - inflammatory processes ( , ); infectious diseases of the urogenital organs, non-specific or STDs; tumors or injuries of the internal genitalia; allergic reactions to latex, spermicidal lubricants, underwear and hygiene products for intimate areas.

By origin, there are vaginal discharges, uterine and tubal (watery, large in volume) and cervical (thick, scanty).

White with pus - a symptom of inflammation,bloody are often associated with tumor development; curdled or resembling white flakes are characteristic of thrush; orange and greenish with a putrid odor - for gardnerellosis (bacterial vaginosis);foaming appear with trichomoniasis.

Beli can appear after long courses of contraceptives, after douching with antiseptics; with constipation and a static lifestyle, leading to stagnation of venous blood in the small pelvis. The omission of the walls of the vagina, microtrauma of the genitals after sexual intercourse, ruptures of the perineum also cause the formation of leucorrhoea.

Mucous discharge is normal

The first mucous secretions are observed in newborn girls, the appearance of a secret is associated with residual amounts of maternal hormones. After 3-4 weeks, the discharge disappears and reappears by the age of 8-11 years, when the production of one's own estrogen increases. Mucus is secreted periodically, similar to raw egg white or rice water, sour in smell, color - white with a yellowish tint.

Further, during puberty, cyclic vaginal discharge appears. The beginning of the cycle is the first day of menstruation; in the 1st half of the cycle and until its middle, coinciding with ovulation, there is less discharge. They are mucous or watery, homogeneous, possibly with small lumps. In the middle of the cycle - mucous and abundant, viscous in consistency, possibly beige or brownish.

After ovulation jelly-like discharge, similar to jelly. They increase the content of lactic acid, which is produced by lactobacilli, and the discharge acquires a sour smell. Increased acidity protects the vaginal mucosa, which is looser and more vulnerable to infection during this time period. Before menstruation, the volume of mucous secretions increases again.

Discharge during pregnancy liquid and copious, whitish or transparent. Before childbirth, the cervix dilates, and the cervical plug comes out in the form of a rather large clot of mucus, possibly with an admixture of scarlet blood. Usually the release of the cork coincides with the first contractions. If there is more vaginal secretion than usual, then you should go to the gynecologist: perhaps amniotic fluid is “leaking”.

The presence of liquid blood or blood clots in the discharge suggests an ectopic pregnancy, a threat of interruption gestation, atypical position (previa) or placental abruption. All options are dangerous, at any moment they can be complicated by bleeding and end in death. A pregnant woman who has noted the appearance of scarlet blood from the vagina should immediately lie down, then immediately call an ambulance.

White discharge

During puberty, vaginal discharge may be due to inflammation. intestines, bladder, uterus or ovaries. These episodes include pain associated with urination, intestinal colic or pulling sensations in the lower abdomen and in the lumbar region. Perhaps the temperature will rise, a blood test will show signs of inflammation (leukocytosis, an increase in ESR): then inflammation treatment will be needed.

10-12 months before the onset of the first menstruation, the vaginal mucosa reacts to hormonal changes and liquid, transparent discharges or white, the color of highly diluted milk, odorless or sour are formed. No measures need to be taken if there are no complaints of burning or itching in the perineum, and the discharge does not take on a curdled appearance.

After the onset of sexual activity, the consistency and composition of the secretions change, the reason is the addition of the partner's microflora, which is different in composition from the vaginal flora. It takes time to adapt, in each case is different, and the situation will return to normal again. During the adaptation period, the volume of secretion increases, the discharge becomes more liquid, with a pale yellowish or whitish tint. A change in sexual partner is almost always associated with a variation in the nature of vaginal discharge.

After unprotected intercourse, the discharge normally first takes the form of yellowish or white clots, and after 5-8 hours the secret turns into a liquid and plentiful. After protected intercourse, a white and thick discharge appears, resembling a lubricant.

Taking contraceptives or breastfeeding reduce normal secretion: vaginal discharge is scanty and thick, white or yellowish.

gives white curdled discharge, copious, sour in smell. Sometimes the discharge resembles yellowish curd lumps or white flakes. The disease is accompanied by itching and swelling of the genitals, irritation of the skin of the perineum. The development of candidiasis is a sign of a decrease in immunity.

cheesy white plaque in the vagina with thrush

Thrush is often associated with STDs(, gonorrhea, trichomoniasis) and, manifests itself in metabolic diseases (diabetes mellitus) and tumors. Candidiasis definitely requires treatment.

Video: vaginal discharge - norm and pathology

Yellow and green discharge

"Colored" discharge from the vagina occurs with STDs, bacterial vaginosis (gardnerellosis), with nonspecific genital inflammation.

With STDs, leucorrhoea is always pain and burning associated with urination.

: visible on examination of the vagina yellow discharge, emerging from the cervical canal and flowing down the walls of the vagina. Belyam is accompanied by pain in the lower back and lower abdomen, an increase in Bartholin's glands. The diagnosis is confirmed by PCR analysis.

: leucorrhoea plentiful, frothy, greenish or yellowish with a strong putrid odor. May drain onto the perineum, inner thighs and cause skin irritation.

: moderate in volume, the color is yellowish white. May be accompanied by bleeding without matching the cycle, pain of the "lowered belt" type - lower back, lower abdomen, inner thighs. With gonorrhea, a putrid smell of leucorrhoea is often found; a change in their color from grayish-white to yellow indicates the transition of the acute stage of the disease to the chronic one.

: leucorrhoea plentiful, grayish-white, with the smell of rotting fish. Sticky, yellow-green and even orange discharge is typical of an untreated, long-term disease. Itching is not strong, occurs periodically. All symptoms are exacerbated immediately after intercourse.

Nonspecific vaginitis(colpitis): with this disease, leucorrhoea is the main symptom. The type of vaginal discharge varies, depending on the severity of the process. With inflammation of the vagina, the secret becomes sour by reaction, by consistency - viscous and stretching or plentiful and liquid, loses its transparency. A hazy white tint is given by leukocytes,yellowish-green color due to the presence of pus,yellowish-pink - blood. In the initial stages of inflammation, serous leucorrhoea is liquid, watery; then they transform into purulent - thick, green, with a strong putrefactive odor.

and adnexitis: inflammation of the fallopian tubes and ovaries. May appear as specific complications caused by ascending venereal infection in STDs, or "normal" inflammation of the internal genitalia. The discharge is always accompanied by pain in the abdomen; in the acute period - periodic, cramping and strong, in the chronic stage - of medium and low intensity, constant, dull, pulling.

Let's summarize. Causes of yellow and green whites:

• foamy discharge - a characteristic sign of STDs;
• abundant discharge is typical for the acute stage of colpitis, adnexitis and salpingitis;
• scanty whites - for chronic adnexitis and salpingitis.

Brown and pink discharge

Associated with the presence of blood in vaginal secretions; may appear for physiological or pathological reasons.

Physiological reasons:

1. small brown, pink or scarlet discharge in the middle of the cycle: the laundry does not get dirty, the color is noticeable only on sanitary napkins or toilet paper. Secretion signals that ovulation has taken place, which helps plan pregnancy.
2. pinkish and brownish discharge- the norm for the end of menstruation, when there was a complete rejection of the endometrium and the proliferation phase begins (growth of a new endometrium).
3. Bloody issues during the period of taking hormonal drugs. If they last more than three cycles, then it is worth changing the contraceptive and being examined by a gynecologist.
4. Secretion of cervical mucus with bright blood- in pregnant women before childbirth.

Pathological causes

Pathological causes can be: sexually transmitted diseases (gonorrhea), endometritis, uterine tumors, endometrial hyperplasia, polyposis, cervical erosion, endometriosis.

For gonorrhea the infection rises from the vagina upwards, affecting the uterus, fallopian tubes and ovaries. Appearance blood in streaksamong mucopurulent secretions and intermenstrual bleeding are signs of an ascending gonococcal infection. A confirmed diagnosis is made after, which must be positive for gonorrhea, or after the detection of gonococci in it.

- inflammation of the functional uterine layer, which is updated after each menstrual cycle. brown whites, associated with endometritis, appear before and after menstruation, it is also possible to produce brownish mucus in the middle of the cycle. Almost always, inflammation of the endometrium is combined with its hyperplasia (growth) and menstrual bleeding, often the cycle is shortened. Profuse bleeding leads to anemia, the hemoglobin content drops to 50-70 g / l (the norm for women is 120-140 g / l). A woman feels constant fatigue, shortness of breath and dizziness appear even with little physical effort.

Endometrial hyperplasia is considered a precancerous condition.

To return the endometrium to normal, you must first cure the inflammation. The course of antibiotics lasts at least 3 months, the drugs are prescribed for 3 menstrual cycles.

Endometriosis is an overgrowth of glandular tissue (endometrium) in the neck and muscular layer of the uterus (myometrium), fallopian tubes, ovaries, in the abdominal organs. Endometrial cells get into atypical places during abortions, during instrumental examinations of the uterus, during childbirth and during the return of menstrual masses. endometriosis spreads i, leads to numerous local inflammations and the formation adhesions; common complication - infertility.

Drawing pains during menstruation are typical, bloody discharge from all foci of growths of the endometrium. At colposcopy small multiple nodules or cysts, cyanotic or red stripes are visible on the cervix. Bloody-brown leucorrhoea becomes lighter after menstruation, their volume decreases during this period and increases again before the next menstruation. Abdominal endometriosis is a common cause of internal bleeding and subsequent surgery (laparotomy).

Cervical erosion: violation of the integrity of the mucosa, when viewed to determine the boundaries of erosion, acetic acid, 3-5% solution is used. After smearing the surface with acid, erosion is visible as a whitish spot on a pink background. When erosion occurs, small spotting appears, their number increases after intercourse.

Bleeding in cancer patients

endometrial hyperplasia accompanied by smearing brown or bloody discharge before and after menstruation. Acyclic uterine bleeding is possible: they are long, up to several weeks and even months, leading to anemia. The disease develops due to hormonal imbalance, with problems with lipid and carbohydrate metabolism (obesity, diabetes mellitus), hypertension, after gynecological operations, with hereditary predisposition, as a result of STDs - after inflammation of the uterus, with endometritis.

For treatment, combined estrogen / progestogen preparations are used, with severe bleeding - curettage of the endometrium. Be sure to do a biopsy, assess the degree of cellular atypia and growth of glandular tissue. If cancer is suspected, the examination is repeated.

Polyps in the uterus- these are elongated growths of the endometrium, symptoms of polyposis often become brown discharge and postmenstrual bleeding. Discomfort during sexual contact is possible, immediately after its completion - spotting brownish discharge. The reasons for the formation of polyps are an imbalance of estrogens and progestogens, inflammation of the endometrium and cervical canal. Small polyps are discovered by chance; large (more than 2 cm) are manifested by pain in the form of contractions, increased menstrual blood loss. The main complication is infertility; the transition of polyposis to a malignant tumor has not been proven.

Tumors in the uterus in the later stages they are manifested by bleeding, in the early period - by spotting vaginal brown discharge. Tumors of the uterus are divided into benign(polyps, fibromyomas and myomas) and malignant(endometrial cancer and myosarcoma, cervical cancer). Leucorrhoea with pus and scarlet blood, possibly offensive, is characteristic of the decay of the tumor; with cervical cancer appear thick discharge, scanty, streaked with blood. Submucosal fibromatous nodes always give severe bleeding, that is, they clinically proceed malignantly. Cervical cancer quickly metastasizes, spreading to the pelvic lymph nodes, the liver and lungs, and can move to the walls of the vagina.

Video: discharge from women, expert opinion

The woman's vagina is lined with epithelial tissue, which contains many glands - they produce a natural lubricant to protect the genitals from infection. Transparent discharge in small amounts and odorless is normal, their amount depends on the hormonal background and the phase of the female cycle. But sometimes purulent discharge appears in women, there are many reasons for such a pathology, they are all associated with various kinds of diseases.

Causes

The main reason for the appearance of yellow purulent discharge is sexually transmitted diseases and hormonal disruptions. With timely diagnosis, getting rid of the problem is easy. And self-medication can cause various pathologies.

Why purulent discharge with a smell appears:

• infectious diseases and helminthic invasions;
• inflammatory processes in the tissues of the mucosa and cervix;
• vaginitis;
• diseases that are sexually transmitted.

With menopause, less protective lubricant is released, infection bacteria easily penetrate the organs of the genitourinary system. Therefore, abundant purulent discharge during menopause is often among the main signs of the presence of infection and foci of inflammation in the uterus or its appendages.

After childbirth, a woman has bloody mucous discharge for several days - this is how the cells of the uterus are restored. But if after 4-6 days the discharge does not stop, they become mucopurulent, then this indicates the development of an infectious complication. Pathology is accompanied by high fever, pain in the lower abdomen, requires immediate medical treatment.

Purulent discharge from the urethra most often occurs against the background of gonorrhea and trichomoniasis. Pathology is accompanied by the release of pus from the vagina, which indicates an infectious lesion.

Important! Purulent, odorless discharge is rare, since pus occurs during inflammatory processes, wounds, erosions, and has its own sharp, characteristic odor.

The main types of diseases

Allocations with an admixture of pus of different colors is a pathological phenomenon, normally they should not be. The appearance of pus indicates the development of diseases, each of which has a special clinical picture.

Colpitis (vaginitis) - inflammation of the mucous membrane of the vagina. With purulent vaginitis, there are all signs of intoxication, itching, pulling pain in the lower abdomen.

Vulvitis - inflammation of the mucous membrane of the small and large labia. Pathology is often found in girls due to neglect of hygiene rules. In women, pathology develops against the background of a weakening of protective functions, endocrine diseases. In addition to purulent discharge, vulvitis is accompanied by pain, burning and itching when emptying the bladder, discomfort can also occur during movement. The disease is characterized by increased fatigue, an increase in inguinal lymph nodes.

Endometritis, cervicitis - the focus of inflammation is localized on the endometrium of the uterus or cervical mucosa, respectively. Both pathologies can cause infertility; when diagnosed during pregnancy, a caesarean section is indicated, since there is a threat of infection of the placenta and fetus. In the secretions there is not only pus, but also blood - the affected epithelium is rejected, blood vessels open.

Venereal disease is one of the most common causes of pus impurities in the discharge.

Signs of sexually transmitted diseases:

1. Gonorrhea - often without any symptoms, one of the main causes of infertility. The main signs are bloody whites, discharge with yellow-brown pus, pain during emptying of the bladder.
2. Trichomoniasis - for a woman is dangerous infertility, complications during pregnancy. Purulent discharge has a foamy consistency, there is constant itching, the process of emptying the bladder and sexual intercourse cause discomfort.
3. Chlamydia - the disease is accompanied by copious discharge mixed with pus, pain in the lower abdomen, spotting appears between menstruation. Pathology occurs against the background of weakness and subfebrile temperature.

Purulent bloody discharge “the color of meat slops” with a fetid odor is one of the main signs of primary vaginal cancer. The tumor is located in the vagina, looks like loose ulcers. Pathology is quite rare, most often it is diagnosed in women after 60 years.

Important! Any diseases that are accompanied by pus can cause the development of infertility, pathologies of fetal development, miscarriage, premature birth.

How to treat vaginal discharge with pus? With such a pathology, only a doctor can choose the right and effective drugs, since the causes of pus are different.

In acute purulent vaginitis, douching with antiseptics is carried out - Rivanol, Chlorophyllipt. The procedure is carried out several times a day until complete recovery.

Polygynax capsules are one of the most effective remedies for the treatment of bacterial and fungal vaginitis. The duration of therapy is 12 days, it is enough to inject 1 capsule into the vagina daily.

List of drugs for the treatment of sexually transmitted diseases:

• chlamydia - Erythromycin, Pefloxacin, Clindamycin;
• trichomoniasis - Metronidazole;
• gonorrhea - Biseptol, Ceftriaxone;

Additionally, immunomodulators, vitamin complexes, agents for normalizing the microflora in the vagina and intestines are prescribed. Vaginal cancer requires surgical removal of the tumor, radiation therapy.

Treatment at home

>Important! Folk remedies are designed to enhance drug therapy.

At home, medicinal herbs will help with purulent discharges; solutions for baths and douching can be made from them. Fresh juice of viburnum or barberry helps well with many gynecological pathologies - you need to drink 60-70 ml of the drink per day.

Herbs

For douching, mix 10 g of celandine and calendula inflorescences, brew 430 ml of boiling water, leave in a closed container for an hour. Douche with a warm solution for 7 days.

For oral administration, you can prepare a decoction of 1.5 liters of water and 12 g of crushed Potentilla root. Simmer the mixture on fire for half an hour, leave for 25-35 minutes. Divide the resulting amount of medicine into 3 parts, add 10 ml of honey to each, drink one hour before meals.

Eucalyptus

Eucalyptus - a plant with a powerful anti-inflammatory effect, it helps well with purulent discharge. A solution for douching and washing is prepared from 30 g of crushed leaves and 220 ml of boiling water, leave for 20 minutes. Dilute the prepared infusion with 1 liter of water to avoid burns. Water procedures are carried out twice a day. Additionally, cotton swabs can be soaked with a solution, inserted into the vagina for 3.5 - 4 hours.

Mucous discharge from the vagina and urethra mixed with pus cannot be ignored - they often indicate the presence of severe infectious or oncological pathologies. Only timely diagnosis and the correct treatment regimen will help get rid of diseases and prevent the development of complications.

Purulent discharge in women most often they are a sign of inflammatory diseases of the female genital area, including sexually transmitted diseases (STDs). Purulent discharge in women cannot be ignored, they require a visit to a gynecologist for examination and further treatment. Consider the most common causes of purulent discharge in women.

Purulent discharge in women: trichomoniasis

If a woman suffering from trichomoniasis does not go to a gynecologist for a long time, trichomoniasis can lead not only to the development of inflammatory processes in the vagina and cervix, but also to the occurrence of endometritis - inflammation of the uterine mucosa. These processes in severe cases lead to infertility or problems with conception, miscarriage, spontaneous miscarriages.

Often, becoming infected with trichomoniasis, a woman becomes infected with other microorganisms (mixed infection develops). Therefore, the examination and diagnosis of the causes of purulent discharge, as well as their treatment, should be comprehensive.

With trichomoniasis, vulvovaginitis most often develops in women. With trichomonas vulvovaginitis, the discharge in women is abundant, frothy, liquid, mucopurulent, yellow or green, with an unpleasant odor. These secretions in women cause severe itching and irritation of the external genital organs. Also, with trichomoniasis, irritation and burning in the urethra during urination and discomfort in the vagina during sex are possible.

Purulent discharge in women: inflammation of the ovaries and fallopian tubes

With inflammation of the internal genital organs (for example, ovaries or fallopian tubes), purulent discharge in women is possible. Also, pain in the lower abdomen, violation of the menstrual cycle and general condition are possible. With purulent cervicitis (inflammation of the cervix), women may also have purulent discharge. As a rule, with purulent cervicitis, the discharge is thick, green, mixed with mucus from the cervical canal. Allocations in women with purulent cervicitis increase with stress (for example, after defecation).

Purulent discharge in women: bacterial vaginitis

There are many bacteria that can cause non-specific discharge in women. With a decrease in immunity, a decrease in resistance to infections, an imbalance in the normal microflora of the vagina, after gynecological procedures and operations, after childbirth, with bacterial vaginosis, after prolonged use of antibiotics, with insufficient hygienic care, against the background of thrush, banal bacterial vaginitis may occur.

Often, bacterial vaginitis is combined with fungal (thrush) and bacterial vaginosis (gardnerellosis). Bacterial vaginitis also occurs in girls who are not yet sexually active. Bacterial vaginitis is manifested by abundant purulent, foamy, yellow-green discharge from the vagina. They are accompanied by an unpleasant odor, itching and burning in the vulva, painful sensations during urination and sexual intercourse, and discomfort.

Bacterial vaginitis is treated, as a rule, with the use of local remedies - vaginal suppositories, tablets, capsules. If earlier the treatment of bacterial vaginitis in virgins was difficult, now there are special forms for the production of local remedies for their use in girls. These are vaginal capsules with a thin end that allow you to enter the active substance into the vagina.

It should be remembered that the treatment of bacterial vaginitis should be complete. Even if the condition improves (no discharge in women, itching and burning), it is necessary to continue treatment in accordance with the doctor's prescriptions and instructions for the medical use of drugs. If you stop treatment ahead of time, it is possible to chronicize the process, develop into bacterial vaginosis, re-vaginitis with the slightest violation of the hygienic regimen or a decrease in immunity.

Vaginal capsules ® are effective against most bacteria and fungi that cause non-specific vaginitis. Polygynax contains neomycin, polymyxin B and nystatin as antimicrobial agents, and dimethicone, which has antipruritic, anti-inflammatory and improves vaginal trophism action. Separately, there is a uniform for girls Polygynax® Virgo. This allows you to easily treat nonspecific bacterial vaginitis in children and adolescents. Polygynax® is suitable for both treatment and prevention of fungal-bacterial vaginitis before gynecological examinations, operations, childbirth, abortions. The regimen of treatment with Polygynax® consists of 12 insertions of vaginal capsules into the vagina once a day at night. And for prevention, a 2-fold smaller course is enough - 6 injections.

For the normal operation of the female reproductive organs, the glands located in the epithelial tissue of the vagina produce a special lubricant. It serves as a barrier that protects the pelvic organs from infections. Normally, it should be odorless and colorless. If purulent discharge appears, then you should start to worry. Only timely treatment, which is almost always based on antibiotics, can prevent serious consequences.

Collapse

Distinctive features of purulent discharge

If pus comes out of the genitals, then this can be understood by:

• unpleasant odor;
• yellow or greenish tint;
• a lot of allocations.

It should also be noted that the natural lubricant is viscous and viscous, while pathological secretions differ in consistency, they are more liquid.

Together with all of the above, the patient may feel discomfort in the abdomen, sometimes there is pain of a pulling nature, pain during emptying of the urethra, the vagina may itch and become inflamed. In advanced cases or in an acute period, body temperature rises.

In the photo you can see pathological discharge from the female genital tract.

Causes and treatment

The main causes of pathology are diseases from the field of venereology, and hormonal failure also has a significant effect. If specific discharges are detected in time, then it will not be difficult to get rid of them. In severe cases, a woman's treatment can take more than a month.

If you go deeper, then purulent discharge in women appears due to the presence of:

• vulvitis;
• endometritis;
• cervicitis;
• vaginitis;
• inflammation of the ovaries and fallopian tubes;
• inflammation after surgery;
• anomalies in the structure of the genital organs;
• vaginal cancer;
• inflammation of the urethra;
• hormonal imbalance (with menopause, after delivery);
• sexually transmitted diseases.

Let's consider each case separately.

Vulvitis

Vulvitis is a pathology that develops on the mucous membranes of the external genital organs (on the labia and clitoris). The reasons for the appearance include:

• weakened immunity;
• excessive drinking;
• insufficient hygiene of the genitals;
• rare change of pads during menstruation;
• a tendency to obesity (due to folds, diaper rash appears, which contribute to the appearance of pathogenic microflora);
• injuries of the genital organs;
• squeezing and synthetic underwear;
• the presence of psoriasis or eczema in the genital area;
• allergic to soap or intimate hygiene gel.

Vulvitis can also occur with hormonal disruptions (during pregnancy, after childbirth, during menopause), in diabetics, after long-term use of any antibiotic.

To get rid of the disease and purulent discharge, you need an integrated approach. Self-treatment is prohibited. Usually gynecologists prescribe the simultaneous use of ointments, antibiotics, suppositories and antiseptics. It is imperative to strengthen the immune system. For this, vitamin complexes are drunk, nutrition is being established. Immunal, echinacea or Viferon are often prescribed - these drugs strengthen the immune system.

Candles are written out in the form:

1. Terzhinan;
2. Polijax;
3. Betadine;
4. Hexicon;
5. Ginalgin.

The course is prescribed by a doctor on an individual basis. It usually lasts 7 to 10 days. 1 suppository or vaginal tablet is inserted into the vagina at night.

Of the popular creams that are applied to the affected areas, Liniment, Triderm, Lactagel are prescribed. They eliminate itching, restore mucous membranes, stop inflammation in a woman. It should be used twice a day for 10 days. Apply in a thin layer.

Good help Miramistin. It is advisable to make compresses, baths, rubbing from it. In addition, you can use manganese diluted in water and decoctions of medicinal herbs (chamomile, sage, oak bark, etc.).

If the disease is acute, then antibiotics are needed. Augmentin is often prescribed three times a day for 1-2 weeks.

Endometritis and purulent discharge

This inflames the inner mucous layer of the uterus. It may appear after abortions, miscarriages, childbirth, artificial childbirth and due to the penetration of various fungi and viruses into the genitals.

Acute pathology is treated with antibiotic therapy, in the form of taking Ampicillin, Lincomycin, Gentamicin, Amoxicillin, etc. Sometimes several antibiotics are combined. Addition to this is the use of Metronidazole. In addition, you need to use multivitamins, immunomodulators, probiotics and antifungal drugs.

Chronic endometritis is eliminated by antimicrobial and immunomodulating agents and physiotherapy. Antibiotics with a wide spectrum of action (Doxycycline) are appropriate. Sometimes hormonal and metabolic therapy is needed.

From physiotherapy, electrophoresis, UHF, ultrasound and magnetotherapy give a good result. Treatment lasts 1-2 weeks. After the full course, all symptoms will go away, including pus.

cervicitis

It is an inflammatory process that occurs in the cervix. The pathogen penetrates through contact or sexual contact.

Antibacterial, antiviral, anti-inflammatory drugs are used to treat the disease. Depending on the pathogen, the medicine will also be determined. This may be Doxycycline, Oflokacin, Fluconazole or Erythromycin. When the acute period has passed. Then the area of ​​​​the vagina and neck is treated with a chlorophyllipt or dimethyl sulfoxide solution.

If cervicitis is viral, then antiviral agents are needed (for example, Acyclovir). With herpes - immunostimulants and vitamin complexes. Chronic cervicitis is treated with radical methods. To do this, they resort to cryotherapy, diathermocoagulation, laser therapy.

Vaginitis

With vaginitis, the lining of the vagina becomes inflamed. This can occur due to hormonal disruptions, antibiotics, poor-quality linen, poor hygiene, etc.

Therapy is needed local and general. Get rid of purulent discharge:

1. Baths of chamomile decoction for 15 minutes. This will eliminate itching and remove inflammation.
2. Soda, manganese douches, 1 time per day. In advanced cases, with purulent discharge, zinc sulfate, copper sulfate are used. A decoction of oak bark, chamomile will also help.
3. Antibiotics in the form of a solution or emulsion (selected by a doctor after determining the pathogen).

Of the most used drugs, it is worth highlighting Thiamphenicone (drinking for 2 days), Kanamycin (in the form of an injection 1 time), Sulfomethoxazole (10 tablets per day, for -3 days), Quintol (1 time as an injection), etc. .

Pregnant women can use Metronidazole, but only at the end of the second and third trimester.

Inflammatory processes in the fallopian tubes, ovaries

The main treatment is antibiotics. Suitable antibiotics in the form of Cefalexin, Erythromycin, Metronidazole, Ampicillin. The doctor selects the dose and duration of treatment, depending on the severity of the inflammatory process.

After antibiotic therapy, thrush may appear. For prophylactic purposes, Fluconazole is prescribed.

It is important to take vitamins, proper nutrition and healthy sleep. Purulent discharge after treatment will no longer bother a woman.

Defects and purulent discharge

If the appearance of pus is associated with an abnormal structure of the organs, then surgical intervention will be required. After an ultrasound and passing certain tests, the doctor will determine the essence of the deviation.

Vaginal cancer and pus

Purulent discharge with such a pathology is present in large quantities.

If the cancer is non-invasive, electroexcision, vaginectomy, and hysterectomy are performed. No less effective is cryodestruction and acid laser therapy. Locally put applications with fluorouracil. If this does not work, then radiation exposure is done.

Invasive cancer is treated with radiotherapy, endovaginal and interstitial irradiation. Sometimes it is indicated to remove part of the vagina with the uterus and appendages.

Inflammation of the urethra (purulent urethritis)

With inflammation of the walls of the urethra, antibiotic therapy is also in the first place. Pus is usually released in the most advanced cases. If there are secretions from the genital tract that look like yellow-green mucus with a smell, then baths and compresses are needed. Washing the urethra with a furacillin solution should be carried out by a doctor in a hospital.

Of the antibiotics, Metronidazole, Lincomycin, Azithromycin, Doxycycline are suitable. Treatment lasts 1-2 weeks. During this period, salty and spicy foods should be avoided.

Hormonal imbalance

During menopause, women suffer from the fact that the epithelium no longer produces the required amount of lubrication, and this contributes to the penetration of infection into the reproductive organs. As a result, an inflammatory process may develop in the uterus or ovaries, which is the cause of pus.

After delivery, a woman also has a hormonal imbalance. During the week there are discharges with blood - this is the norm. But, if after 7 days mucus with pus is noticeable on the linen, it means that the condition has worsened, or rather, an infectious complication has joined. At the same time, the body temperature begins to rise, the lower abdomen hurts. Action must be taken immediately.

To get rid of discomfort and infections, you must first find out the cause of the pathology. Treatment is prescribed by the doctor after receiving the results of the tests. Usually the basis of treatment is antibacterial drugs, baths, douching and the use of anti-inflammatory ointments.

Sexually transmitted diseases

STD therapy - antibiotics and local procedures.

1. With gonorrhea, Cefixime or Ciprofloxacin tablets are prescribed. One time admission.
2. If chlamydia is diagnosed - Doxycycline for a week, 1 tablet.
3. With soft chancre - Azithromycin or Erythromycin is used once for 7 days.
4. Ureaplasmosis is eliminated by Azithromycin (single dose) or Doxycycline within a week.
5. With herpes infection - Valtrex or Acyclovir. Best administered intravenously.
6. With genital warts, a laser, electrocoagulation or cryodestruction is used.

Consequences and complications of purulent discharge

If the pathological condition that led to the occurrence of purulent discharge from the genital organs is not treated, then the woman risks getting numerous complications. This can be both a degeneration into malignant tumors, and the development of infertility. In addition, the condition will worsen every day. If initially there is only a slight discharge of non-linen, then in the future it will appear:

• soreness of the abdomen;
• weakness;
• increased body temperature;
• pain and discomfort in the external genitalia, etc.

To get rid of the disease and not provoke irreversible consequences, you should seek help from a specialist at the first deviations.

Conclusion

Purulent discharge on underwear in a female is a sign that there are pathological changes in the pelvic organs. The reason may be various factors. Only a doctor can determine it after a complete examination.

Only a qualified specialist should deal with the treatment of the disease. Self-medication is fraught with serious complications.