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Pretty much no one likes to talk about vaginal discharge and yet it can tell you a lot about your overall health – from normal cycles to major health issues, like STIs or other infections.

 

What Is Vaginal Discharge?

Vaginal discharge is fluid secreted from tiny glands in the vagina and cervix. This fluid leaks from the vagina each day to remove old cells and debris. It’s your body’s natural way to keep your vagina and reproductive tract clean and healthy.

The most important thing to remember is that everyone with a vagina has discharge!  It’s totally normal and you’re probably going to notice it most during ovulation.

The amount of vaginal discharge can vary significantly from person to person. The colour, consistency, and amount can also change from day to day, depending on where a person is in their menstrual cycle:

Days 1–5. At the beginning of the vaginal discharge cycle, discharge is usually red or bloody, as the body sheds the uterine lining.
Days 6–14. Following a period, a person may notice less vaginal discharge than usual. As the egg starts to develop and mature, the cervical mucus will become cloudy and white or yellow. It may feel sticky.
Days 14–25. A few days before ovulation, the mucus will be thin and slippery, similar to the consistency of egg whites. After ovulation, the mucus will go back to being cloudy, white or yellow, and possibly sticky or tacky.
Days 25–28. The cervical mucus will lighten, and a person will see less of it, before getting another period.

Click here to know the Nutrition for the Different Phases of the Menstrual Cycle

Meanings of the Different Colors and Consistencies of different types of Discharge

white vaginal discharge colour pantone

Why Is My Discharge White and Creamy 

A few days or a week before your period, you may get a thicker, creamier discharge. The shade of white can extend to include cream or light yellow.

If a person has no other symptoms, the white discharge could mean a sign of healthy lubrication. However, if the white vaginal discharge is creamy or has a consistency like cottage cheese or is accompanied by a strong odour, it can mean/indicate an infection.

Why Is My Discharge Thick, White and Sticky 

When you’re not ovulating, your body will produce vaginal fluid that is thick and sticky. This vaginal discharge will act as a barrier to prevent sperm from getting through your cervix and into your uterus.

While it’s not foolproof, the body’s natural defences can also help prevent germs and bacteria from making their way into your cervix.

This can help you avoid infections in the days just after your period when your vagina produces less fluid than it does in other points of your cycle. The increased fluid helps wash out any bacteria or germs that could pose a risk to your vagina’s overall health and balance.

 

Why Is My Discharge Thick, White, and Lumpy 

Thick white clumpy discharge accompanied by an itchy feeling (internally and/or externally), usually indicates a yeast infection. Fortunately, most yeast infections are easily treated with over-the-counter medication or with a tablet that your doctor can prescribe.

If you’re prone to yeast infections, gynaecologists recommend avoiding heavily scented personal hygiene products, wearing cotton underwear and getting out of wet workout clothes and bathing suits immediately. At night, go commando in order to allow your intimate area to air out a bit.

Antibiotics are also a trigger because they kill off the good bacteria in your vagina that keeps yeast at bay. If you know you’re prone to them, mention it to your doctor when they prescribe an antibiotic. Sometimes they’ll also write you a prescription for an antifungal treatment as well.

 

Why Is My Discharge Clear and Watery 

Most ordinary vaginal discharge is clear or whitish. It may be slippery or have the consistency of egg whites, often known as egg white discharge.

Clear, elastic mucous resembling raw egg whites, is normal. Your discharge will look like this from the beginning of your cycle through ovulation—its stickiness helps draw sperm into your uterus. A person is likely to experience more clear, slippery discharge just before ovulation, during sexual arousal, and during pregnancy.

A slippery egg white-like discharge is usually a sign of ovulation. “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, associate clinical professor at Mount Sinai and co-author of The Complete A to Z for Your V.

 

Why Do I Have a Watery Discharge

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 a lot of pain. So if you have it, you’re most likely going to know something is wrong without needing to see a watery discharge.

 

yellow green vaginal discharge colour pantone

Why Is My Discharge Yellow or Greenish-Yellow 

Green vaginal discharge is an abnormal vaginal secretion often caused by the body’s inflammatory response to an infection. That most often means trichomoniasis or gonorrhoea, both of which are STDs that require medical treatment.

Green discharge is often accompanied by a foul-smelling odour and other symptoms such as vaginal irritation, a burning sensation during urination and pain during sex.

If you notice green discharge you should speak to your doctor or visit a sexual health clinic immediately so you can get tested. The good news is that if you do have trichomoniasis it can be easily treated with antibiotics.

Click here to know all about SMEAR tests

letsgetchecked.com data std vaginal discharge

Graph by Letsgetchecked.com

 

grey vaginal discharge colour pantone

Why Is My Discharge Grey 

Grey vaginal discharge is not healthy, and it can be a symptom of a common bacterial infection called bacterial vaginosis (BV).

BV usually causes other vaginal symptoms as well, including:

  • Itching
  • Irritation
  • Strong odour
  • Redness around the vulva or vaginal opening

Anyone with grey discharge should promptly see a doctor. Following diagnosis, the doctor will usually prescribe antibiotics to treat the BV.

If you’re prone to BV, never douche. You can also help reduce the risk of developing it by using condoms, as sometimes sperm contributes to creating an imbalance in the vagina.



pink red vaginal discharge colour pantone

Why Is My Discharge Pink With Traces of Blood

Pink discharge most commonly occurs with spotting before a period. However, it can also be a sign of implantation bleeding in early pregnancy.

Some people experience a little bit of spotting after ovulation, which can also cause pink discharge. Discharge can also be pink after sexual intercourse if the sex has caused small tears or irritation in the vagina or cervix. But if you’re bleeding in between cycles 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.

Due to the range of possibilities being so wide, it’s important to see your doctor if you’re not sure.

 

If Your Discharge Is 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. So always keep in mind that the normal vaginal discharge color is clear or white. 

 

If Your Discharge Is Lighter Than Usual

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.

Moreover, the following can cause estrogen levels to drop, leading to little to no vaginal discharge:

  • Medicines or hormones used in the treatment of breast cancer, endometriosis, fibroids or infertility
  • Surgery to remove the ovaries
  • Radiation treatment to the pelvic area
  • Chemotherapy
  • Severe stress, depression or intense exercise

So When Should I See a Doctor?

If you’re worried about your discharge colors, amount, or other symptoms, your body is pretty good at letting you know if there is something wrong,

It will also send some specific cues like itching, pain, and burning during urination to let you know you should go see a doctor.

Make an appointment with your doctor anytime your discharge is accompanied by these symptoms or signs:

  • Itching
  • Pain
  • Burning sensation while you pee
  • Strong, foul odour
  • Frothy texture
  • Thick, cottage cheese texture
  • Vaginal bleeding
  • Grey in colour
  • Bleeding that’s unrelated to your period

Click here to know all about Vaginal thrush

To Recap:

Most of the time, vaginal discharge is normal and it’s not something you should worry about. You should contact your doctor if you notice your vaginal discharge has changed from its typical consistency, colour, and smell, or if you have other symptoms in your vaginal area.

 

healthy vaginal discharge

 

References

  • World Health Organisation. WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction. Cambridge university press; 1999 May 13.
  • Saltzman WM, Radomsky ML, Whaley KJ, Cone RA. Antibody diffusion in human cervical mucus. Biophysical journal. 1994 Feb 1;66(2):508–15.
  • Moriyama A, Shimoya K, Ogata I, Kimura T, Nakamura T, Wada H, Ohashi K, Azuma C, Saji F, Murata Y. Secretory leukocyte protease inhibitor (SLPI) concentrations in cervical mucus of women with normal menstrual cycle. Molecular human reproduction. 1999 Jul 1;5(7):656–61.
  • Sakkas D, Ramalingam M, Garrido N, Barratt CL. Sperm selection in natural conception: what can we learn from Mother Nature to improve assisted reproduction outcomes?. Human reproduction update. 2015 Nov 1;21(6):711–26.
  • Yudin AI, Hanson FW, Katz DF. Human cervical mucus and its interaction with sperm: a fine-structural view. Biology of reproduction. 1989 Mar 1;40(3):661–71.

 

Useful Resources:

http://www.pamf.org/teen/health/femalehealth/discharge.html

https://www.goodhousekeeping.com/health/a34156/vaginal-discharge-causes-treatment/

https://www.unitypoint.org/livewell/article.aspx?id=06f8f035-9f6e-4a79-bb58-9045b9d7d0d8

https://www.medicalnewstoday.com/articles/322232.php

https://www.cosmopolitan.com/sex-love/news/a61524/vaginal-discharge-is-it-normal/

https://www.seventeen.com/health/sex-health/a46186/there-are-9-types-of-vaginal-discharge-heres-what-they-mean/