What causes women to have excessive leucorrhea?

Increased leucorrhea in women may be related to factors such as hormonal changes, vaginitis, cervicitis, pelvic inflammatory disease, and uterine fibroids. Increased leucorrhea is usually manifested by an increase in the amount of discharge and abnormal color or smell. The cause can be determined through gynecological examination, discharge testing, etc.

1. Hormone changes

Elevated estrogen levels during the menstrual cycle may lead to increased vaginal discharge, especially around ovulation. Hormonal fluctuations during pregnancy or oral contraceptives can also cause an increase in physiological leucorrhea. This situation usually does not require special treatment. Just keep the perineum clean and dry, and avoid using irritating vaginal washes.

2. Vaginitis

Infectious diseases such as bacterial vaginosis and vulvovaginal candidiasis often lead to increased vaginal discharge accompanied by odor or itching. It may be related to factors such as excessive cleaning, reduced immunity, overuse of antibiotics, etc. Medications such as metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets or fluconazole capsules must be used as directed by your doctor, and sexual intercourse should be avoided during treatment.

3. Cervicitis

Infections with pathogens such as Neisseria gonorrhoeae and Chlamydia trachomatis can cause cervical congestion and edema, manifested as increased purulent leucorrhea. The acute phase may be accompanied by contact bleeding, and chronic inflammation may lead to cervical erosion. After diagnosis, antibiotics such as azithromycin dispersible tablets and doxycycline tablets need to be selected according to the pathogen. In severe cases, cervical physical therapy is required.

4. Pelvic inflammatory disease

Fallopian tube-ovarian abscess caused by ascending infection will cause a large amount of yellow-green leucorrhea, accompanied by falling pain in the lower abdomen and fever. It may be related to factors such as history of uterine cavity operations and multiple sexual partners. Intravenous injection of ceftriaxone sodium combined with doxycycline is required, and laparoscopic surgical drainage is required when an abscess forms. Delay in treatment may affect fertility function.

5. Uterine fibroids

When submucosal fibroids increase the area of ​​the uterine cavity, they may cause a continued increase in watery leucorrhea, and in severe cases, bloody discharge. Fibroid compression can also lead to symptoms such as increased menstrual flow and anemia. For smaller fibroids, mifepristone tablets can be taken to control their growth. Myomectomy is required when the diameter exceeds 5 cm or causes severe symptoms.

It is recommended to choose cotton underwear and change it daily to avoid local stuffiness caused by wearing tight pants. When cleaning the vulva, wipe it from front to back, and pay attention to cleanliness before and after sex. When symptoms such as color change of leucorrhea, vulvar itching or abdominal pain occur, a gynecological examination should be carried out in time, and treatment should be standardized after a clear diagnosis. Do not use vaginal douches or antibiotics on your own.