Leucorrhea is thick and pasty but not itchy

Leucorrhea that is thick and pasty but not itchy may be related to physiological factors or pathological factors such as vaginitis and cervicitis. Physiological leucorrhea is usually milky white or transparent and has no obvious odor. ； Pathological leucorrhea may be accompanied by abnormal color or increased secretions. It is recommended to observe whether there are other symptoms and seek medical examination if necessary.

1. Physiological leucorrhea

Ovulation, pregnancy, or oral contraceptives may cause increased vaginal discharge that is thick and pasty. This kind of leucorrhea is usually odorless and non-itchy, and is a normal physiological phenomenon. Keep the perineum clean and dry, choose cotton underwear and change it every day, no special treatment is required.

2. Bacterial vaginosis

When the vaginal flora is imbalanced, leucorrhea may appear gray-white and uniformly pasty, with a fishy smell but no obvious itching. It may be related to factors such as frequent vaginal washing and disordered sexual life. Metronidazole vaginal effervescent tablets, clindamycin phosphate vaginal gel or lactic acid bacteria vaginal capsules can be used to regulate the bacterial flora as directed by your doctor.

3. Chronic cervicitis

Chronic inflammation of the cervix can cause leucorrhea that is thick and thick, milky white or light yellow, and may be accompanied by lumbosacral pain. Pathogen infection or cervical injury are common triggers. It needs to be confirmed through gynecological examination, and drugs such as Baofukang suppository and Xiaomi suppository can be used, and laser treatment can be used if necessary.

4. Changes in estrogen levels

During puberty, menopause or endocrine disorders, fluctuations in estrogen may increase cervical mucus secretion, resulting in thick leucorrhea. It is recommended to test six items of sex hormones. If abnormality is confirmed, you can use estradiol valerate tablets, progesterone capsules and other drugs to adjust according to the doctor's advice.

5. Endometrial lesions

Endometrial polyps or hyperplasia may cause increased serous leucorrhea, which is usually not itchy but may be associated with menstrual abnormalities. The diagnosis needs to be confirmed through B-ultrasound and curettage. Medication options include dydrogesterone tablets and norethindrone tablets. Severe cases require hysteroscopic surgical resection.

Daily care should be taken to avoid excessive cleaning of the perineum, and it is forbidden to rinse the vagina with alkaline lotions. Reduce the intake of spicy foods and supplement yogurt with probiotics. If the abnormal leucorrhea persists for more than two weeks, or symptoms such as bloody discharge and lower abdominal pain occur, routine leucorrhea testing, HPV testing, and gynecological ultrasound examination must be performed promptly. It is recommended to undergo regular cervical cancer screening every year and maintain a regular schedule to maintain endocrine balance.