What is the reason for excessive leucorrhea?

Excessive leucorrhea may be related to factors such as hormonal changes, vaginitis, cervicitis, pelvic inflammatory disease, and uterine fibroids. Leucorrhea is a physiological fluid secreted by the female reproductive system, but an abnormal increase often indicates a pathological state, which needs to be comprehensively judged based on color, smell, and accompanying symptoms.

1. Hormone changes

Increased estrogen levels during puberty, ovulation, or pregnancy stimulate the secretion of cervical glands, resulting in increased vaginal discharge but clear texture. This is a physiological phenomenon and does not require special treatment. Just wash the perineum with warm water and change cotton underwear every day. If it is accompanied by vulvar itching or burning sensation, co-infection needs to be ruled out.

2. Vaginitis

When bacterial vaginosis or Candida infection occurs, the leucorrhea will be gray-white or bean-dregs-like, accompanied by a fishy smell or severe itching. It may be related to factors such as excessive vaginal washing and antibiotic abuse. You can use metronidazole vaginal effervescent tablets, clotrimazole vaginal suppositories or nifurtel nystatin vaginal soft capsules as directed by your doctor, and avoid sexual intercourse during treatment.

3. Cervicitis

Cervical inflammation caused by gonococcal or chlamydial infection can lead to an increase in purulent leucorrhea and possible bleeding after sexual intercourse. Diagnosis needs to be confirmed through cervical secretion testing. Commonly used drugs include azithromycin dispersible tablets and doxycycline tablets. In severe cases, vaginal microwave treatment is required. If not treated promptly, the infection may spread to the pelvic cavity.

4. Pelvic inflammatory disease

When the fallopian tube or endometrium is infected, the leucorrhea will be yellow-green accompanied by lower abdominal pain and fever. It is mostly caused by retrograde infection, requiring intravenous injection of ceftriaxone sodium combined with doxycycline, and laparoscopy if necessary. Chronic pelvic inflammatory disease may cause fallopian tube adhesions and affect fertility.

5. Uterine fibroids

Submucosal fibroids increase the area of ​​the uterine cavity and promote increased glandular secretion, which manifests as a large amount of thin leucorrhea during intermenstrual periods. Fibroid compression can also cause symptoms such as increased menstrual flow and anemia. If the diameter exceeds 5 cm or the symptoms are obvious, uterine myomectomy or focused ultrasound ablation treatment should be considered.

You should avoid wearing tight-fitting chemical fiber underwear on a daily basis and choose a weak acidic lotion with a pH value of 4.5 to clean the vulva. Immediate medical attention is required when bloody leucorrhea, persistent abdominal pain or fever occurs. Gynecological examination, routine leucorrhea and ultrasound are commonly used diagnostic methods. Maintaining a regular schedule and moderate exercise can help enhance immunity and reduce the chance of infection.