Leukorrhea

In the context of gynecological health, leukorrhea is defined as the emission of a white or clear, typically odorless, mucus-like discharge from the vagina. It is a common phenomenon that can be indicative of various physiological or pathological states, including the presence of an infection.

Discharge (1)

Physiology

Physiologic leukorrhea occurs due to increased estrogen levels, leading to increased blood flow to the vaginal area, which stimulates mucous membranes to produce a clear or white discharge. It is usually observed during ovulation, early pregnancy, and in newborns due to maternal estrogen.

Pathological Leukorrhea

Pathological leukorrhea presents as a change in normal vaginal discharge, often accompanied by other symptoms such as itching, burning, discomfort, or a foul odor. It typically indicates the presence of an infection, inflammation, or a change in the normal vaginal flora. Common causes include sexually transmitted infections (STIs) like Chlamydia or Gonorrhea, yeast infection (Candidiasis), bacterial vaginosis, or a reaction to irritants like soaps, douches, or vaginal contraceptives.

Diagnosis

The diagnosis of leukorrhea is typically made based on patient history and a physical examination. A pelvic exam allows for direct observation of the discharge, and further lab tests, such as a wet mount, culture, or nucleic acid amplification tests (NAATs), can identify specific pathogens if an infection is suspected.

Management and Treatment

The management of leukorrhea depends on the underlying cause. For physiologic leukorrhea, no treatment is necessary as it is a normal part of the menstrual cycle or pregnancy. For pathological leukorrhea, treatment targets the underlying cause, which may involve antibiotics for bacterial infections, antifungal medications for yeast infections, or guidance on avoiding irritants.

See Also

• Vaginal discharge
• Bacterial vaginosis
• Candidiasis
• Sexually transmitted infection

References

Leukorrhea Resources
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