Leucorrhea is milky white like cream

Leucorrhea is a normal tissue that occurs in the female body. Generally, women will have some abnormal symptoms in their leucorrhea before or after menstruation. Of course, leucorrhea can also cause some abnormal conditions due to other reasons, including the situation where the leucorrhea is milky white like cream. This situation should be taken seriously. So what's the matter with the leucorrhea being milky white like cream?

Leucorrhea is a sticky white liquid that flows out of the vagina of women. It is a mixture of secretions from the Bartholin's glands, cervical glands, endometrium, exudate from the vaginal mucosa, and desquamated vaginal epithelial cells. Leucorrhea contains lactobacillus, lysozyme and antibodies, so it has the effect of inhibiting bacterial growth. During sexual intercourse, the amount of leucorrhea will increase, which will lubricate the vagina and facilitate sexual intercourse. Generally, the amount of leucorrhea increases during the middle of the menstrual period and becomes thin and transparent; after ovulation, the leucorrhea becomes thick, turbid and less in quantity. There is an increase in leucorrhea before menstruation and during pregnancy. Non-primate mammals appear during estrus.

Abnormal leucorrhea refers to an increase in the amount of secretion or abnormal characteristics (under normal circumstances, the vagina and vulva often have a small amount of secretions to maintain moisture, which is called leucorrhea; it is composed of vaginal mucosal exudates, cervical glands and endometrial secretions, and contains vaginal epithelial exfoliated cells and white blood cells. [1] It is white, thin, paste-like or egg white-like, highly viscous, without fishy odor, small in quantity, and has no adverse effects on women's health. It is called physiological leucorrhea. It is related to changes in the body's physiological condition. If a woman has white mucus like mucus or saliva flowing out of her vagina, accompanied by systemic or local symptoms, it is called pathological leucorrhea, which is mostly caused by physical weakness or phlegm and dampness, equivalent to vaginitis in Western medicine, but routine examination of leucorrhea often cannot find pathogenic bacteria.

Abnormal leucorrhea is manifested by changes in color, quality and quantity:

①Purulent leucorrhea. It is yellow in color and has a foul odor. It is most commonly seen in Trichomonas vaginitis, followed by chronic cervicitis. It can also be seen in endometritis, pyometra, vaginal foreign bodies, etc.

② Bean-dreg-like leucorrhea. Also known as cheesy, it is more common in candidal vaginitis and accompanied by vulvar itching.

③Bloody leucorrhea. If there is blood in the leucorrhea, you should be alert to cervical cancer, endometrial cancer, etc. Cervical polyps, submucous uterine fibroids, senile vaginitis, and IUD insertion can also cause it.

④Watery leucorrhea. If the discharge is large and watery, endometrial cancer or fallopian tube cancer should be considered first. If abnormal leucorrhea is seen, the medical history should be obtained in detail, and the leucorrhea should be checked for the presence of Trichomonas or fungi. The cervix, uterus and pelvic cavity should be carefully examined, and a cervical smear, biopsy or diagnostic curettage should be performed if necessary. After the cause is identified, appropriate treatment should be given.