Copious liquid clear discharge without odor. Abundant (strong) discharge in women: causes, norm and pathology

Since the onset of puberty, girls have vaginal discharge. This is natural and indicates that changes are taking place in the body, due to which the ovaries and uterus begin to develop and begin to function. There are certain signs that allow you to understand whether the organs of the reproductive system are working normally or there are any violations. Pathology is, for example, the presence of a color or pungent odor in the discharge. The reasons why abundant discharge appears are often in doubt. Sometimes only a detailed examination will help to understand.

Content:

Causes and signs of normal leucorrhea

Normal mucous secretions are formed as a result of constant renewal of epithelial cells of the mucous membranes of organs. Mucus is produced by the glands of the cervix, to which are added the waste products of microorganisms that make up the microflora of the vagina, and other physiological fluids. Their consistency and volume depend on the characteristics of the body, age, physiological state of the woman.

The difference between normal and pathological secretions is that they do not cause discomfort, they do not have a smell. They are transparent or white, with a slight yellowish or creamy tint. Ovulation discharge may have minor blood impurities.

The appearance of copious discharge is the norm in the following cases:

1. Girls begin puberty. This happens at about 11-14 years of age. 1-1.5 years before that, mucous white discharge appears, which indicates hormonal changes in the body. In the cervix, the glands that produce secretory fluid begin to function. The hormonal background is not formed immediately. The processes in the organs of the reproductive system also proceed unevenly, the volume of mucus produced fluctuates. Discharge from a girl during this period can be both insignificant in volume and plentiful.
2. The moment of ovulation is approaching, the release of a mature egg from the protective shell (follicle). Ovulation occurs in the middle of the menstrual cycle. Abundant discharge facilitates the passage of sperm into the uterus to fertilize the egg.
3. The second half of the cycle ends. At this time, the main role is played by progesterone, a hormone responsible for maintaining pregnancy after conception. Thanks to its action, the glands of the cervix begin to intensively produce a jelly-like mucus, which is necessary to facilitate the penetration of the embryo into the uterus and its attachment to the wall. If conception does not occur, then menstruation begins. Therefore, an increase in the volume of mucus before menstruation should not cause concern if it is white (maybe slightly creamy) in color and does not have an unpleasant odor.
4. Leucorrhea is aggravated by sexual arousal.
5. The cause of watery discharge in a woman is pregnancy;
6. Menstruation may be profuse. They are normal if their volume does not exceed 80-100 ml, they stop after a maximum of 5 days.

Video: Normal and pathological vaginal discharge

Pathological discharge and their signs

Pathological leucorrhoea can be a manifestation of diseases of the genitourinary system associated with infection, reproduction of conditionally pathogenic microorganisms. The cause of many diseases of the uterus and appendages is hormonal imbalance. It occurs in the body due to disruption of the endocrine system, the use of hormonal drugs, violation of physiological norms.

Diseases can be the consequences of abortion, childbirth, operations on the reproductive organs. If copious discharge has arisen due to illness, they usually have an unpleasant odor, frothy or curdled consistency, yellow or green, and contain blood impurities. They cause redness and swelling of the skin in the vulva and perineum. Usually, this causes burning and itching in the vagina, urination becomes more frequent, all this is accompanied by pain in the bladder.

Diseases in which there are abundant leucorrhoea

Pathological discharge occurs as a result of disruption of the glands that produce mucus, cell death, damage to blood and lymphatic vessels, and the formation of pus. The danger is that inflammation spreads rapidly in the genitals.

Inflammatory diseases

Abundant discharge occurs during inflammatory processes in the following organs:

1. Colpitis (in the mucous membrane of the vagina). The cause of the disease may be a violation of the composition of the microflora and the reproduction of opportunistic bacteria (staphylococci, streptococci). Non-compliance with hygiene rules and frequent douching contribute to the growth of the number of harmful microbes against the background of the death of beneficial bacteria. Depending on the degree of tissue damage, a woman develops intense liquid or thick purulent discharge that has a bad smell.
2. Cervicitis (in the flat and cylindrical epithelium of the cervix). Beli may have a pinkish color due to the ingress of blood from damaged small vessels into them. This is especially noticeable after sexual intercourse. Before and after menstruation, the discharge becomes dark brown.
3. Endometritis (in the mucous membrane of the uterine cavity - endometrium). Due to damage to the vessels of the endometrium, clots of clotted blood appear in the secretions. Brown discharge may appear 2 days before menstruation.
4. Salpingitis (in the fallopian tubes). In the acute phase of the inflammatory process, leucorrhoea is watery, has a green tint, and a fetid odor.
5. Oophoritis (in the ovaries). Acute inflammation is accompanied by profuse, foul-smelling yellow discharge mixed with pus and blood.

Inflammatory processes in the uterus and ovaries lead to a woman's pain in the lower back and lower abdomen, fever, and lead to menstrual irregularities. Often they are the cause of infertility or complications during pregnancy and childbirth.

Venereal diseases

They are characterized by abundant liquidish purulent discharge with a specific odor. They cause burning and itching in the vagina. It becomes painful to urinate. There are pains in the lower abdomen. Often these diseases occur together, masking each other. This makes their treatment difficult.

Warning: Treatment of sexually transmitted diseases will only be effective when both sexual partners are treated at the same time.

Trichomoniasis. The discharge in this disease is frothy, intense, and has a sharp unpleasant odor. Color - gray, with a yellow tint.

Chlamydia. Mucopurulent discharge with a foul odor is observed. Often in the initial stage proceeds secretly. But even in the absence of symptoms, the likelihood of infection is high.

Gonorrhea. Gonococci infect the cylindrical epithelium located in the uterus, as well as the bladder, rectum, causing the appearance of cystitis, proctitis. Purulent profuse yellow discharge appears. There are pains in the lower abdomen and symptoms of damage to other organs of the small pelvis. There may be heavy bleeding between periods.

Video: Discharge in women with trichomoniasis

non-inflammatory infectious diseases

Bacterial vaginosis. The death of beneficial lactobacilli causes increased reproduction of opportunistic bacteria that live in the body, without showing themselves in any way until they get into favorable conditions. The cause can be both hormonal disorders and diseases of the genital organs, radiation therapy, the use of antibiotics and other factors. A characteristic sign of dysbacteriosis is abundant, irritating skin of the external genitalia. They are gray in color and smell like rotting fish.

In the treatment of vaginosis, it is important to restore the balance of beneficial bacteria in the female genital mucosa. For this, doctors prescribe not only drugs, but also means to normalize the microflora of the vagina. Multi-Gyn ActiGel has proven itself well, containing a complex of biologically active polysaccharides, which is obtained from a gel-like extract of aloe leaves. It does not allow pathogens to gain a foothold on the genital mucosa, neutralizes them, thereby helping to restore a healthy vaginal microflora.

Candidiasis- a fungal disease known as "thrush". It is characterized by abundant milky-white, cheesy discharge with a sour smell, causing severe itching and burning in the vulva.

Video: Discharge with gardnerellosis (bacterial vaginosis)

How to establish the cause of pathological discharge

By the nature of the discharge, one can make an assumption about a possible pathology:

• white curdled leucorrhoea with a sour smell are with candidiasis;
• gray with the smell of fish, transparent, watery - with bacterial vaginosis;
• yellow - with trichomoniasis;
• bloody can appear in the presence of an intrauterine device, as well as endometriosis, erosion or cervical cancer;
• purulent - occur with sexual infections.

If a woman has suspicious heavy discharge, she should be examined, take a smear for analysis on the microflora. A general blood test will confirm the presence of an inflammatory process. Special blood tests (PCR, ELISA) can detect hidden infections. Ultrasound, colposcopy and x-rays are used to detect pathological changes in the tissues of organs.

Warning: Treatment must be prescribed by a doctor. You can not delay time and fight ailments with home remedies. Diseases can turn into a chronic dangerous form.

Features of whites during pregnancy and after childbirth

During pregnancy, significant hormonal changes occur in connection with the preparation of the body for childbirth. The walls of the uterus and vagina become softer and more elastic, more mucus is produced to facilitate the passage of the fetus through the birth canal. Therefore, an increase in the volume of white, almost transparent discharge is normal. At the beginning of pregnancy, they are thicker, from the 2nd trimester they become more and more liquefied. In the last weeks, leakage of amniotic fluid may begin, which indicates an approaching birth.

In addition to normal liquid discharge in pregnant women, pathological ones may also appear, which are dangerous to ignore. These include symptoms of thrush, vaginal dysbacteriosis, inflammatory diseases, genital infections. The doctor prescribes safe drugs in order to save the woman from such pathologies, to prevent infection of the fetus.

Bloody discharge occurs with erosion of the cervix. They can be a sign of an ectopic pregnancy if they are accompanied by pain on one side of the abdomen (where the fetus is attached). Such discharges appear with placental abruption, the threat of miscarriage. To maintain pregnancy, bed rest and timely treatment are necessary.

After childbirth, a woman develops lochia, discharge associated with the cleansing of the uterus. In the first days they are intense, reminiscent of heavy periods with remnants of the placenta and epithelium. Gradually, their volume decreases, only yellowish mucus remains in them. After 1.5 months, the discharge takes on a normal appearance.

Perhaps there is no such woman or girl who would not be concerned about the problem of her vaginal discharge. This issue becomes especially important after the onset of sexual activity, since vaginal discharge can serve as a symptom of the disease. As a rule, normal secretions are colorless and odorless, not accompanied by itching or other unpleasant sensations. Their number normally varies quite widely, increasing during ovulation or during sexual arousal. But the appearance of purulent, foamy or curdled discharge from the vagina and cervix should cause an immediate visit to the doctor.

Watery discharge in women, odorless

The norm for a healthy vagina and uterus is a watery discharge in women, odorless and colorless. They testify to the health of the sexual sphere. The vaginal discharge should be:

• transparent, in consistency - mucous or jelly-like;
• odorless or with a light and rather pleasant smell;
• non-irritating to the skin and mucous membranes;
• not accompanied by pain, fever, discomfort.<

The amount of daily watery discharge in women without smell and color is normally about 0.5 grams. Of course, this is an average amount, which differs quite strongly within individual characteristics.

White vaginal discharge in women without odor

White vaginal discharge in odorless women is also quite normal. They appear in the process of cleansing the cavity from dead epithelial cells and infectious agents. Their consistency and quantity varies depending on the phase of the cycle, just as in the case of transparent secretions.

What does the abundant secretion of mucus in women mean?

Abundant watery discharge in women without smell, as a rule, is observed in the first months of pregnancy or during ovulation. These days, the amount of mucus discharge increases - this is due to the physiological changes in the body that are characteristic of these conditions.

If the discharge is accompanied by the smell of rotten fish, this may be a sign of bacterial vaginosis. At the beginning of the disease, they remain quite liquid, but if left untreated, the whites thicken and acquire an unpleasant greenish-yellow hue.

Excessive secretion of mucus in women can be a sign of inflammation of the fallopian tubes and ovaries. In this case, the abdominal section of the tube is clogged due to the narrowing of the canal, serous fluid accumulates in it, which then spills into the uterine cavity, and from there into the vagina. If left untreated, these vaginal discharges also become thick over time and contain an admixture of pus.

When does the pungent smell of discharge appear in women?

The appearance of an unpleasant odor is a clear sign of an infection. The rapid growth of microorganisms is accompanied by the release of gases, the smell of which resembles the "aroma" of rotten fish. At the same time, as a rule, a feeling of itching or burning appears in the vagina, as the waste products of microbes irritate the mucous membranes. The pungent smell of discharge in women is always associated with the unfavorable microflora and the development of the infectious process. It is impossible to cure it on your own, since the risk of the infection passing into the chronic phase is too high.

Liquid white discharge with a sour smell in women

Liquid white discharge with a sour smell in women should also be a cause for concern, especially during pregnancy. They most often indicate the development of thrush or another fungal disease. The characteristic smell of sour milk and white color are their main features. Treatment, as a rule, takes no more than two to three days, but only a doctor should prescribe it.

The slightly acidic environment of the vagina and its natural microflora prevent the development of pathogens that enter from outside. Protection against penetration of the infection further into the uterus and ovaries is the mucus in the cervix. In a healthy woman, the removal of mucus to the outside is a normal physiological phenomenon. Its appearance only changes in different phases of the menstrual cycle. In some cases, the appearance of watery discharge in a woman is the norm. But sometimes they are caused by serious diseases, the success of treatment of which depends on timely diagnosis.

Content:

What can cause natural liquid discharge in women

The consistency and volume of secretions vary depending on the stage of the cycle. The density of the mucus produced by the glands of the cervix depends on the ratio of female sex hormones that ensure the production and maturation of eggs. Immediately after the end of menstruation, a “dry” period begins. The content of estrogen is minimal, the mucous plug is the most dense, there are almost no discharges.

As estrogen levels rise and the egg matures, the discharge becomes more watery, and by the time of ovulation, the discharge has the consistency of egg white. The lowest density is observed within a few days after ovulation (the release of a mature egg from a protective bubble). The liquid consistency of the medium ensures the free passage of sperm towards the egg, as well as its further movement into the uterus. In this phase, the estrogen content decreases, the main role is played by progesterone, whose function is to provide conditions for the further development of the embryo.

For better fixation of a fertilized egg in the uterus, its epithelial layer swells and loosens. At the same time, the fluid content in the tissues increases. All this leads to the appearance of a transparent liquid discharge from the genitals in a woman. At the end of the menstrual cycle, the mucus begins to thicken. If pregnancy does not occur, the endometrium (epithelial layer) is rejected, menstruation occurs, and a new cycle begins.

Thus, the appearance of liquid, like water, odorless secretions closer to the middle and in the second half of the cycle is a physiological norm. At the same time, the woman does not experience any discomfort.

Liquid, like water, discharge can also appear in the following cases:

• during pregnancy;
• during sexual intercourse (due to an increase in the volume of natural lubrication during sexual arousal);
• as a result of frequent change of sexual partners (due to changes in the microflora of the vagina);
• with hormonal changes, the cause of which may be the lack of a regular sexual life, protection from pregnancy, as well as the use of hormone-containing drugs and antibiotics;
• due to stress, climate change, affecting the biochemical processes in a woman's body, including the production of hormones.

Video: What role do transparent discharges play before menstruation

Watery discharge during pregnancy

In the first trimester of pregnancy, progesterone levels remain high. This prevents the maturation of new eggs, and the embryo is firmly held in the uterus. Therefore, watery discharge usually does not occur.

At 12-13 weeks, an increase in the concentration of estrogens begins, which ensures the creation of new fetal cells and prepares the woman's body for childbirth (the state of the tissues of the cervix changes, the mucous plug liquefies). The appearance of watery discharge in women in the 2nd and 3rd trimester of pregnancy is natural if they are colorless, odorless, not accompanied by burning, itching.

At the end of pregnancy, liquid, like water, discharge appears due to the mixing of mucus with urine. The uterus and fetus put pressure on the bladder, as a result of which it does not close completely.

When watery discharge during pregnancy is a sign of pathology

Dangerous symptoms in women are:

• the appearance of watery discharge from the first weeks of pregnancy;
• the presence of an unpleasant odor (putrid, sour or fishy);
• green, yellow, gray color (indicates the presence of bacteria);
• brown or red discharge (signs of internal bleeding);
• irritation and itching of the skin in the perineum, burning in the vagina;
• foamy or other unusual structure of secretions;
• temperature increase;

These signs may indicate the occurrence of inflammatory processes, infection with sexually transmitted infections. There is a threat of miscarriage or complications during childbirth, there is a high probability of infection of the fetus during passage through the birth canal.

Addition: If a woman does not have all these formidable signs, but the discharge, like water, is yellow and has a sweet smell, this may indicate fluid leakage from the fetal bladder. This condition is dangerous in the middle of pregnancy, it causes premature birth, fetal death. At the very end of pregnancy, leakage indicates the onset of labor.

What diseases in women cause liquid discharge

The cause of watery discharge can be inflammation and infection of the genital tract, uterus and appendages.

Salpingoophoritis- inflammation in the fallopian tubes and ovaries. As a result, damage, engorgement and scarring of the mucous membrane occurs, and tissue edema occurs. There is a narrowing of the lumen of the fallopian tubes, a violation of their patency. It is difficult to capture the eggs and move them through the tubes to the uterus. The fluid released in the areas of inflammation accumulates in the uterine cavity and comes out in the form of abundant mucous secretions.

If the inflammation is not treated, then it becomes chronic, while the discharge thickens, acquires a green-yellow color due to the admixture of pus.

Bacterial vaginosis (gardnerellosis). This disease is associated with the reproduction of pathogenic gardnerella microbes in the vagina due to a violation of the natural microflora. The cause of the violation can be improper douching, change of sexual partners (unprotected sex), use of unsuitable contraceptives, use of antibiotics.

Inflammation further spreads to the uterus and appendages. A characteristic sign of gardnerellosis is watery, often yellow discharge with a fish smell.

Note: Gardnerella in moderate amounts is normally always present in a woman. Dysbacteriosis contributes to their enhanced reproduction.

Candidiasis (thrush)- fungal infection of the vagina. The reproduction of fungi present in the microflora occurs due to dysbacteriosis. This causes vaginitis (inflammation of the vaginal mucosa) or vulvovaginitis (simultaneous damage to the external part of the genital organs). At the same time, the discharge from a woman is of a curdled appearance, has a sour smell. There is a strong burning sensation, swelling of the genital organs, general weakness. It becomes painful and frequent urination.

Video: Symptoms and treatment of thrush

Cervical erosion. The causes of erosion are diverse: inflammatory and infectious diseases, trauma to the cervix during abortion and childbirth. Mucous fluid discharge may have blood impurities. In the advanced stage, they become mucopurulent.

Cervicitis. Inflammation of the cervix, often accompanying erosion. There is a great danger of infection spreading along the ascending path to the uterus and appendages.

Cervical cancer. Abundant secretions, liquid, like water, appear due to the fact that lymph seeps through damaged tissues.

endometritis- a pathology associated with excessive growth of the inner lining of the uterus, its spread into the tubes and even into the abdominal cavity. This disrupts the processes associated with the work of the ovaries, and the production of hormones. Watery discharge has streaks of blood, an unpleasant odor. They intensify before menstruation, appear immediately after them.

Venereal diseases(causative agents are sexually transmitted). These include: gonorrhea, chlamydia, trichomoniasis and others. The discharge in the initial stage is profuse, watery, with an unpleasant odor. The consequences in women are extensive inflammatory processes with severe complications. Both sexual partners should be treated at the same time.

Video: Diseases in which pathological vaginal discharge occurs

Watery discharge in women, like water, is a natural result of the functioning of the excretory system. Most women go to the doctor with this symptom. But it does not always indicate pathological processes.

Functions of the excretory system

The process of functioning of the glandular structures of the reproductive system plays an important role in reproduction.

A woman's vaginal fluid performs a number of functions:

• cleansing of organs from the old epithelium;
• protection against inflammatory and infectious diseases;
• maintaining natural Ph - balance;
• moisturizing the vagina during sexual intercourse;
• participation in exchange processes.

Doctors say that a healthy woman should have discharge throughout the entire cycle. Their structure and volume change, depending on hormonal surges. In the first half of the cycle, the vaginal secretion is much thinner than in the second. On some days of the cycle, liquid leucorrhoea indicates an increase in fertility levels.

When analyzing the work of the excretory system of a woman, the following data are taken into account:

• state of the endocrine system;
• the presence of chronic diseases;
• the presence or absence of a sexual partner;
• age;
• past pregnancies and abortions;
• use of contraceptive methods.

The optimal volume of natural vaginal discharge is no more than 20 ml.

Physiological causes of the symptom

Watery discharge in women without smell is absolutely normal. But they should not be excessively plentiful and include impurities.

The physiological causes of liquid vaginal secretion are as follows:

• ovulation period;
• sexual arousal;
• the process of puberty;
• climatic period.

The consistency of vaginal secretion directly depends on the level of hormones. Their fluctuations are characteristic during the period of maturation of the genital organs, during pregnancy and during menopause. On different days of the menstrual cycle, the discharge changes. They can become liquid after menstruation. This is due to the effect of estrogen. Thanks to them, the follicles increase in size, the endometrium prepares for implantation.

These days are considered fertile. The chance of getting pregnant during sexual intercourse increases during this period. Liquid whites provide a favorable environment for the promotion of spermatozoa.

Fluid secretion during ovulation occurs as a result of rupture of the follicle. The egg in the follicle is surrounded by fluid. The more follicles, the more fluid coming out of the vagina, the woman notices. With double ovulation, vaginal mucus becomes abundant. It may contain bloody inclusions. Usually such discharge lasts from 2 to 4 days.

During pregnancy, the whites become more liquid in the third trimester. In the absence of an unpleasant odor and uncomfortable sensations, they are considered the limit of the norm. Blood indicates placental abruption. In this case, hospitalization is necessary.

Immediately before the onset of labor, a watery secret accompanies the discharge of the cork. This phenomenon indicates the readiness of the body for delivery.

Pathological causes

Abundant discharge lasting more than 5 days is not the norm. What it could be, will help determine the accompanying symptoms and a comprehensive examination. An increased amount of odorous fluid from the vagina indicates the development of an infection.

Abundant white discharge before menstruation does not always indicate violations. They can be caused by an increase in progesterone. Sometimes this phenomenon accompanies a developing pregnancy.

The pathological causes of an increase in the volume of fluid from the vagina include:

• colpitis;
• erosion;
• vaginal dysbacteriosis;
• salpingoophoritis;
• endometritis.

If you find an atypical work of secretion, it is advisable to consult a doctor. A routine examination in the chair will not be enough. It is necessary to pass tests and visit the ultrasound room.

Color analysis

When a woman evaluates a vaginal secret, attention is drawn to its color and volume. Sometimes the watery secretion changes color when it dries on the underwear. Most often, yellow spots appear. They may also indicate an inflammatory process. Its source is often gonorrhea or trichomoniasis.

Brown blotches in the vaginal secretion indicate the separation of blood. Heading towards the exit from the vagina, she manages to curl up. This affects its color. This pathology is typical for erosion, physical damage to organs, fibroids and polyps.

When to sound the alarm

By itself, a clear liquid from the vagina is not considered a pathology. Warning symptoms include the following:

• itching and watery discharge;
• burning;
• increase in body temperature;
• foamy vaginal secretion;
• pain in the peritoneum;
• pus;
• a watery secret with an unpleasant odor;

Particular vigilance is required during pregnancy. The listed symptoms, found during the bearing of a child, can affect its development extremely adversely.

The danger of sexually transmitted diseases lies in the suppression of reproductive function.

Diagnosis and treatment

To assess the nature of the work of the secretory function, it is not recommended to independently palpate the inner region of the vagina. There is a possibility of infection. Inspection is carried out by a qualified specialist in the walls of his office.

For research, a sample of biological fluid is taken. A detailed survey is also conducted. A woman should be informed about the regularity of the menstrual cycle and the symptoms associated with discharge.

If the smear is clean, tests for hormones are prescribed. Additionally, ultrasound monitoring is carried out. Treatment is prescribed only after diagnosis. In infectious diseases, ointments or suppositories are prescribed. During therapy, sexual life is temporarily suspended. Preventive measures of treatment are also carried out by the partner.

If the microflora is disturbed, agents that restore it are prescribed. Watery discharge during ovulation and during childbearing does not require treatment. Deviations of the endocrine system are treated with hormonal drugs.

Conclusion

Observance of preventive principles will help to avoid problems with the reproductive system. These include regular visits to the gynecologist, the implementation of hygiene rules and the purity of sexual contacts. At the slightest suspicion of a pathology, it is advisable to contact a antenatal clinic.

3 days before ovulation, vaginal discharge becomes very abundant and watery, which is the norm, not a pathology.

sexual arousal

Some women may experience copious, watery vaginal discharge immediately after sexual intercourse. This is a variant of the norm and indicates a high jump in hormones and sexual arousal against this background. Discharge, similar in consistency to water, can be produced by a woman for several hours and even days after intercourse.

Pathological causes of watery vaginal discharge

The causes of vaginal discharge that do not have a pathological picture were discussed above. That is, they are caused by completely natural physiological processes in a woman's body.

Also, we have already said that if the discharge of a watery consistency lasts for more than 5 days in a woman, then in this case you need to visit a gynecologist.

Inflammatory process in the body

If the discharge from the vagina is watery and at the same time very abundant, then in this case this may indicate an acute inflammatory process. In particular, the fallopian tubes, ovaries, and also the mucous membrane of the uterus can be affected by an inflammatory or infectious process.

In this case, the discharge from the watery ones will become yellowish in a few days, sometimes with an admixture of pus or blood. Painful vaginal discharge changes its odor (becomes offensive), as well as its color and texture.

It is important to prevent the development of the inflammatory process in time and stop it. This can only be done if you consult a gynecologist.