Vaginal discharge and it's meaning—the vagina can tell you a lot about your health

Vaginal Discharge

The basic function of your vagina, besides sexual pleasure, is to provide a clean, functional route from the outside of your body to your uterus and the rest of your internal reproductive system. The natural acid PH of the vagina acts to prevent infections. The acidic nature of your vagina is caused by natural, bacteria produced by your body called lactobacilli. This is the same bacteria found in yogurt culture and that is why we always hear about women drinking or douching with yogurt to help prevent or cure an infection. Unfortunately, it doesn't work well in the vagina but can help as a 'probiotic' in the intestinal tract. When your vagina is healthy, the vagina keeps itself clean. We always joke that it is like a self-cleaning oven; it stays in a healthy state by producing the secretions of normal vaginal discharge.

However, surprisingly, the vagina can tell you a lot about your health — especially with discharge, which can signify everything from normal cycles to major health issues.

Normal vaginal discharge often appears clear or milky when it dries on your panty; occasionally you may notice white spots or a normal vaginal discharge that is thin or stringy looking.
A normal vaginal discharge does not have a foul odor and usually has no odor at all. Normal vaginal discharge often appears clear or milky when it dries on your panty; occasionally you may notice white spots or a normal vaginal discharge that is thin or stringy looking.

First, it’s important to understand that all women have vaginal discharge. Glands in your vaginal and cervix produce small amounts of fluid that flows out of your vagina every day taking with it old cells that line the vagina. Your normal vaginal discharge helps to clean the vagina, as well as keep it lubricated and free from infection and other germs.

Here are a few of the most common vaginal discharge, explained. I hope the next time you have a vaginal discharge, this information will help you. Always ask your doctor if something doesn't look right to you. 
If it's clear...

It's usually a sign of ovulation — and it probably comes like clockwork. "This is nature's way of letting you know that this is a great time to get busy if you want to get pregnant, and a great time to protect yourself if you don't," says Alyssa Dweck, MD, an associate clinical professor at Mount Sinai and co-author of V is for Vagina. Bonus: It often comes with a boost to your libido since it's your most fertile time of the month.


If it's creamy...

Don't fret. A few days or a week before your period, you may get a heavier, creamier discharge. It's different for different women, explains Dweck, but usually no cause for concern.

If it has traces of blood...

You may just be getting ready for your period. But if you're bleeding in between or it looks slightly off, it could signify something more serious. Possible culprits could include but are not limited to, breakthrough bleeding on the pill, infections, polyps, ectopic pregnancy, and pregnancy, Dweck says. Bottom line: Because the range of possibilities is so wide, it's important to see your doctor if you're not sure.

READ ALSO: What is a pantyliner? Why use a pantyliner? When is the time to use a pantyliner? Click here to find out!

If it's lumpy and white...

This is very likely a sign of a yeast infection. "Typically it's thick, white, and causes lots of itching that can be both internal and external," Dweck says. Fortunately, most yeast infections are easily treated with over-the-counter medication, such as Monistat, or a tablet that your doctor can prescribe. For women prone to yeast infections, Dweck recommends avoiding heavily-scented personal hygiene products as well as getting out of wet workout clothes and bathing suits immediately. (Hot yoga devotees, we're looking at you.) Another tip: Go commando, especially at night. "This allows the entire area to air out a bit," Dweck explains.

If it's yellow or greenish-yellow...

That most often means trichomoniasis or gonorrhea, both of which are STDs that require medical treatment. (If it's greenish but frothy it might be something else, but you should still see your doctor.) Also keep in mind that chlamydia can cause a discharge like this, but frequently it has no symptoms at all — so just because you don't have a discharge doesn't mean you don't have it, Dweck explains.

If it's greenish-gray and frothy (and smells like fish)...

You've likely got bacterial vaginosis, or BV, which is a common but uncomfortable infection (not an STD) caused by an imbalance of the normal flora, the microorganisms in the vagina. It can be a bit alarming, but the good news is that this is usually treated with a simple antibiotic or antibacterial gel from your doctor. If you're prone to BV, never douche. And abstaining from sex can help lower your risk, reports Lama Tolaymat, MD, MPH, FACOG — but is certainly not mandatory! Just keep your risk at bay by using condoms, as sometimes sperm contributes to creating an imbalance in the vagina.

SEE: How to Handle Fishy Odor That Won't Wash Away.

If it's watery...

Herpes may be the cause: The blisters from herpes can cause some weeping from time to time, leading to a watery, semi-opaque, occasionally blood-tinged discharge. That occurs mainly if you have sores on the inside. "However, herpes has many other symptoms — including that it's painful," says Dweck. "So if you have it, you're most likely going to know something is wrong without needing to see a watery discharge."

SEE: How to Deal With Watery Discharge That Comes Out Minutes After Sex.

If it's heavier than usual...

Your contraceptive may be at fault. The most common causes of an unusually heavy discharge are birth control pills and IUDs. As long as the discharge is clear or white and has no bad smell, this is normal and nothing to be concerned about, confirms Tolaymat. Occasionally, a heavier discharge results from an allergic reaction or sensitivity to chemicals. (Think: Sitting in a chemical-laden hot tub or trying a new body wash.) Dweck explains this reaction isn't dangerous, but women should limit their exposure to the offending chemical in the future to avoid irritation.

If it's lighter than usual...

You may be approaching "the change of life." Really dry, atrophic changes in your discharge can signal perimenopause (the transition phase before menopause) or menopause. In addition to lighter volume, the discharge may also become thin, watery, and somewhat uncomfortable, Dweck notes. Usually, perimenopause doesn't begin until your 40s, but it can start in your 30s or even earlier.

READ ALSO: What women need to know about nipple discharge? Find out!

What changes in my discharge may be signs of a problem?

Some of the first signs of a problem that could be pointing to abnormal vaginal discharge are usually color or irregular bleeding episodes. Most women will notice a dark yellow or greenish color, or darkish brown, and some will notice a change in consistency and amount. These changes may show an abundance of thick or watery-frothy discharge, or thick, sticky, cottage cheese-like, odorous discharge.

Can Foods Affect the Smell and Taste of Vaginal Discharge? Find Out!

With vaginal infections, the discharge becomes constant and can cause discomfort, itching, burning, and rashes or bumps on the inner and outer areas of the genital and anal region. Some infections can get into the urinary tract and cause burning during urination, or the burning can be caused by external irritation around the urethra.

Some of these infections can become very serious if left untreated and can progress further up into the uterus and fallopian tubes causing infertility. When this happens women can have severe pain, fevers and form pelvic abscesses. It is important to see your Doctor and get the appropriate care at this time to prevent severe illness or infertility consequences.

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