Is it normal to have excessive discharge after menopause?

Excessive secretions after menopause are abnormal, mainly because the secretion of leucorrhea is related to the menstrual period. When the leucorrhea increases, it may be due to the influence of senile vaginitis, which will lead to increased vaginal secretions. Gynecological diseases and taking too much Chinese medicine can also cause increased secretions.

Postmenopausal leucorrhea refers to the increase in leucorrhea secretion in menopausal women, which exceeds normal levels. Leucorrhea is a female vaginal secretion. Normal female leucorrhea is an odorless, slightly acidic viscous substance that has the functions of moistening the vagina, excreting waste, and inhibiting the growth of pathogens. It is a normal physiological phenomenon. In healthy women, the increase in vaginal discharge is directly proportional to the increase in estrogen levels in the body. For example, increased leucorrhea may occur during ovulation or pregnancy, when the endometrium grows too long, or after the use of estrogen drugs.

reason

1. One of the reasons for increased leucorrhea after menopause is estrogen, which causes increased leucorrhea after menopause: after menopause, the vaginal mucosa proliferates, and when leucorrhea appears like that during the childbearing age, it often indicates that there is estrogen in the body. Clinically, it is occasionally found that ovarian follicles grow again and secrete estrogen after menopause. But we should also pay attention to the fact that some ovarian tumors and adrenal tumors also secrete hormones, which are medically called functional tumors. Hormone levels should be measured, and necessary tests should be done to remove the tumor.

2. The second reason for increased leucorrhea after menopause is senile vaginitis: After menopause, the vaginal mucosa becomes thinner, and the ability to resist infection and friction is greatly reduced, so it is very easy to be infected by pathogenic bacteria. When the amount of leucorrhea increases after menopause, accompanied by local itching, burning sensation, or even local tenderness, it often indicates senile vaginitis.

3. The third reason for increased leucorrhea after menopause is drug factors. With the improvement of living standards, the elderly use more tonics. Many longevity and nutritional medicines contain hormone components. Tonic Chinese medicines often contain a large amount of exogenous renal drugs, which can cause increased leucorrhea after menopause.

4. The fourth reason for increased leucorrhea after menopause is gynecological tumors: If women with increased leucorrhea after menopause have watery, bloody or purulent leucorrhea and symptomatic treatment is ineffective, gynecological tumors should be considered.

examine

Symptoms: Menopause and increased leucorrhea. Gynecological examination can directly understand the condition of the vagina and cervix. If necessary, scraping, suction and cervical biopsy can be performed to assist in diagnosis. Routine leucorrhea examination test sheet (including 5 items):

1. pH value: The normal pH value is around 4.5. The vagina is slightly acidic, which is the self-cleaning function of the vagina and can prevent the reproduction of pathogenic bacteria. If you suffer from trichomoniasis or bacterial vaginosis, the pH value will rise and may be greater than 5 to 6.

2. Vaginal cleanliness: It is divided into four degrees, degrees I to II are normal, degrees III to IV are abnormal leucorrhea, indicating vaginal inflammation.

3. Fungi and Trichomonas: After the leucorrhea is processed, the presence of Trichomonas or fungi can be detected under a microscope. If Trichomonas or fungi are present, they will be indicated by +. This symbol only means that you have been infected with Trichomonas or fungus, and does not indicate the severity of the infection.

4. Amine test: a method for checking bacterial vaginosis. The diagnosis is made by a positive reaction to the amine test in the vaginal discharge.

5. Clue cells: a method for checking bacterial vaginosis. Many bacteria gather around the vaginal epithelial cells, making their edges blurred. These are clue cells, the most sensitive and specific sign of bacterial vaginosis.