Yellow vaginal discharge forty days after childbirth

Two weeks after giving birth, lochia will be discharged. This lochia is not leucorrhea nor menstruation. It is something unnecessary. Only by discharging it can the uterus be clean. If it cannot be discharged, it will cause some gynecological diseases. On the 140th day after delivery, there may be a small amount of leucorrhea. If the color turns yellow, it is best to get checked.

(I) Visual examination of the vulva

See helps to identify vaginitis. Erythema and small collar fissures around the vulva and anus may be caused by candidiasis, and vulvar edema may be caused by trichomoniasis. The vulva of patients with Trichomonas vaginitis or cervicitis is often contaminated with a large amount of purulent vaginal discharge, while in bacterial vaginosis, only accumulated vaginal discharge is seen at the vaginal opening.

(ii) Appearance of vaginal discharge

Various pathological vaginal discharges have different specific characteristics that can provide diagnostic clues.

1. Physiological leucorrhea has the following characteristics: homogeneity, flocculence, high efficiency and accumulation in the sagging part of the vagina.

2. Bacterial vaginal discharge is gray, homogeneous, and has low bulging. It is often evenly attached to the surface of the vaginal mucosa on the anterior or lateral wall of the vagina. It is easy to wipe off and there is no obvious change in the vaginal mucosa.

3. The leucorrhea caused by Trichomonas vaginitis is yellow or even yellow-green, obviously purulent, and often foamy.

4. The leucorrhea of ​​candidiasis is white, highly thick, and cheesy or tofu-like, attached to the vaginal wall. Sometimes it resembles white thrush-like patches. There may also be very little leucorrhea or it may be similar to normal leucorrhea, but the vaginal wall appears as white spots.

(III) Cervical secretions

The cervix has a clear, fluid-like discharge before ovulation, which becomes thicker during the luteal phase.

1. Cervicitis: If there is purulent cervical discharge at any stage of the menstrual cycle, the possibility of cervicitis should be considered. During the examination, the vaginal discharge outside the cervical opening should be wiped clean, and cervicitis can be diagnosed if purulent discharge is observed in the endocervical canal lining. At this time, the columnar surface of the endocervical lining becomes erythematous and more brittle, and wiping with a cotton swab often causes bleeding.

2. Chlamydial cervicitis In chlamydial cervicitis, the columnar epithelium often hypertrophies and proliferates, protruding from the squamous epithelium plane.

3. Malaria-related viral cervicitis often presents ulcerative or necrotic lesions in the columnar epithelium.

4. Gonorrheal cervicitis causes yellow, thick fluid or plugging in the cervical canal, which overflows into the vagina and causes vaginitis. It squeezes the urethra, paraurethral glands or Bartholin's glands, often causing purulent discharge.