Vaginal discharge is one of the most common complaints women face throughout their lives. It constitutes the first rank in patient applications in obstetrics and gynecology outpatient clinics. While there is usually an underlying disease in the complaint of vaginal discharge, sometimes normal discharges, which we call physiological, may cause women to apply to physicians. That is, not every discharge necessarily indicates a disease. In certain periods of the menstrual cycle, transparent, odorless, and non-complaining discharge is natural and does not indicate a disease. Such discharges occur under the influence of hormones and pass by themselves. There is no need to consult a doctor for such discharges.
In vaginal discharge, the amount does not play a role in the importance of the discharge. Sometimes, the amount of a completely normal discharge is excessive and can disturb the person. If the vaginal discharge is colored (yellow, green), fragrant, in the form of white cheese pieces, causes burning, itching and discomfort during sexual intercourse, there is an underlying pathogen. If the discharge is bloody and the color of broth, female organs cancers should come to mind.
The first factor that comes to mind in vaginal discharge is the microbes that cause infection. To a lesser extent, cancers of the uterus, cervix and ovarian ducts should be considered.
The characteristics of the discharge (color, smell and density) can give us an approximate information about the cause of the disease. For example, in Tricomonas vaginalis infection, there is a green-gray, foamy discharge, severe burning and itching, while in gardnerella vaginalis infection there is a gray-white discharge with a foul (smelly fishy smell) smell. In fungal infections, there is a discharge in the form of pieces of white cheese, intense burning and itching. It manifests itself as a broth-colored discharge and lower abdominal pain in cancer of the ovarian ducts, and as postmenopausal bleeding or non-menstrual bleeding in uterine cancer. In cervical cancer, there is bleeding or bloody discharge after intercourse. In the advanced stages of the disease, this bloody discharge turns into a foul-smelling state. In other words, the bad smell in the discharge definitely indicates a pathology.
Spousal treatment is not required for all discharges caused by bacteria and fungi. For example, while co-treatment is required in Trichomonas vaginalis infection, concomitant treatment is generally not required in fungal infections.
The presence of groin pain and fever along with the discharge raises suspicion of infection in the internal genital organs. This is a health problem that requires immediate serious treatment. Again, the foul-smelling bloody discharge should suggest cervical cancer. The bad smell here is due to the destruction of tissues. The presence of lower abdominal pain with bloody discharge should bring to mind cancers of the female organs and a specialist should be consulted immediately.
As can be understood from the information above, discharge is actually a symptom that allows us to diagnose many diseases. For this reason, we should immediately consult a physician and apply the necessary treatments in all discharges except white, transparent, odorless discharges.