What color is mycoplasma leucorrhea?

Leucorrhea caused by mycoplasma infection is usually yellow or yellow-green and may be accompanied by odor or itching. Mycoplasma infection is an infectious disease of the reproductive tract, mainly caused by mycoplasma microorganisms. Common types include Ureaplasma urealyticum and Mycoplasma hominis. The color change of leucorrhea after infection is related to the inflammatory response and changes in secretion composition, and needs to be confirmed through laboratory testing.

1. Yellow leucorrhea

In the early stages of mycoplasma infection, leucorrhea is often light yellow, thin or foamy in texture. At this time, there may be slight itching of the vulva or discomfort during urination, which is related to the local inflammation caused by mycoplasma invading the epithelial cells of the urogenital tract. The diagnosis requires mycoplasma culture or nucleic acid testing. For treatment, antibiotics such as azithromycin tablets, doxycycline hydrochloride tablets, and levofloxacin tablets can be used as directed by the doctor.

2. Yellow-green leucorrhea

As the condition progresses, the leucorrhea may turn yellow-green, thick in texture and with a fishy odor. This change suggests combined anaerobic bacterial infection, which is common in mixed infections with pathogens such as Mycoplasma and Gardnerella vaginalis. Patients may experience burning sensation in the perineum or pain during sexual intercourse, and need to use metronidazole vaginal effervescent tablets, clindamycin phosphate vaginal gel and other drugs to control mixed infections.

3. Bloody secretions

Some patients may have leucorrhea mixed with blood streaks, especially in mycoplasma cervicitis caused by cervical involvement. Inflammation causes the cervical mucosa to become congested and fragile, making it easy to bleed after contact. It needs to be differentiated from cervical polyps, cervical intraepithelial neoplasia and other diseases, and other lesions can be ruled out through colposcopy and HPV testing.

4. Accompanying symptoms

In addition to color change, mycoplasma infection is often accompanied by urethral irritation symptoms such as frequent urination and urgency, which are related to the adhesion of mycoplasma to the urothelium. Some patients experience dull pain in the lower abdomen or soreness in the lumbosacral region, suggesting that the infection may involve the pelvic cavity. A pelvic ultrasound is performed to assess the status of the fallopian tubes and endometrium.

5. Asymptomatic carriage

About 30% of people infected with mycoplasma have no obvious abnormalities in the color of their leucorrhea, which is called an asymptomatic carrier state. However, the pathogen may still be transmitted through sexual contact, and long-term carriage may increase the risk of infertility. It is recommended that high-risk groups undergo regular reproductive tract microecological testing, and partners need simultaneous treatment to prevent cross-infection.

During mycoplasma infection, sexual intercourse should be avoided until the end of treatment. Choose pure cotton breathable underwear and change it daily. It is necessary to reduce the intake of spicy and irritating foods in the diet, and add an appropriate amount of yogurt containing probiotics to help maintain the balance of vaginal flora. One month after treatment, a re-examination of mycoplasma nucleic acid testing is required to confirm the clearance of the pathogen. For patients with repeated infections, it is recommended to conduct a drug sensitivity test to guide medication. Pay attention to perineal cleaning every day but avoid excessive washing to prevent damaging the vaginal self-purification function.