What is the reason for increased leucorrhea in women?

Increased leucorrhea in women may be caused by physiological factors, vaginitis, cervicitis, pelvic inflammatory disease, endocrine disorders, etc. It can be improved by maintaining hygiene, medication, physical therapy, etc. Leucorrhea is a mixture of vaginal and cervical secretions. Its character and amount are affected by factors such as hormone levels and the health of the reproductive system.

1. Physiological factors

During ovulation, pregnancy or oral contraceptives, increased estrogen levels will stimulate increased secretion of cervical glands, resulting in increased leucorrhea but clear and odorless vaginal discharge. This situation requires no special treatment. Just clean the perineum with warm water and change cotton underwear every day. Avoid using alkaline washes to wash your vagina, as this can disrupt the balance of your flora.

2. Vaginitis

Bacterial vaginosis or vulvovaginal candidiasis may cause vaginal discharge that is grayish-white or bean-like, accompanied by itching or an odor. It may be related to factors such as frequent vaginal douching and overuse of antibiotics. You can use metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets or miconazole nitrate suppositories as directed by your doctor, and avoid wearing tight chemical fiber underwear.

3. Cervicitis

Infection with Neisseria gonorrhoeae or Chlamydia trachomatis can cause cervical congestion and edema, resulting in purulent and abundant leucorrhea, which may be accompanied by contact bleeding. Diagnosis needs to be confirmed through cervical secretion examination. Commonly used drugs include azithromycin dispersible tablets and doxycycline tablets. Severe cases require cervical microwave treatment.

4. Pelvic inflammatory disease

Fallopian tube and ovarian inflammation caused by ascending infection can lead to increased leucorrhea and lower abdominal pain, which may be related to factors such as a history of uterine cavity operations and multiple sexual partners. In the acute phase, intravenous injection of ceftriaxone sodium combined with doxycycline is required, and in the chronic phase, traditional Chinese medicine enema or ultrashort wave physiotherapy can be used.

5. Endocrine disorders

Polycystic ovary syndrome or thyroid dysfunction may interfere with estrogen secretion and cause persistent vaginal discharge. It is usually accompanied by symptoms such as menstrual disorders and acne, and needs to be diagnosed through six sex hormone tests. Ethinyl estradiol cyproterone tablets or levothyroxine sodium tablets can be used under the guidance of a doctor to regulate hormone levels.

It is recommended to wash the vulva with warm water 1-2 times a day, choose pure cotton underwear with good breathability and change it daily. Avoid long-term use of panty liners and replace sanitary napkins promptly during menstruation. Reduce the intake of spicy and irritating foods and supplement yogurt with probiotics in moderation. If the leucorrhea has symptoms such as abnormal color, odor, or accompanying itching and pain, you should promptly visit a gynecologist for routine leucorrhea testing, HPV testing and other examinations. Women over the age of 40 are recommended to undergo annual cervical cancer screening.