What is the reason for thick and milky leucorrhea?

Thick and milky leucorrhea may be caused by physiological factors, vaginitis, cervicitis, pelvic inflammatory disease, endocrine disorders, etc. It can be improved by adjusting living habits, drug treatment, etc.

1. Physiological factors

Increased estrogen levels during ovulation or pregnancy will lead to an increase in the amount of leucorrhea, which is thick and milky in texture, which is a normal physiological phenomenon. Pay attention to perineal cleaning every day, choose breathable cotton underwear, and avoid using irritating lotions. If it is accompanied by itching or odor, you need to seek medical attention to investigate the pathological cause.

2. Vaginitis

Bacterial vaginosis or Candida infection may cause changes in the characteristics of leucorrhea, which is often accompanied by a fishy smell or bean dregs-like discharge. Vaginitis may be related to factors such as frequent vaginal washing and reduced immunity. It usually presents with symptoms such as vulvar itching and burning sensation. Metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets or nifurtel nystatin vaginal ointment can be used as directed by your doctor.

3. Cervicitis

Cervical inflammation caused by gonococcal or chlamydial infection will cause the leucorrhea to be purulent and milky white, and may be combined with contact bleeding. Cervicitis is mostly related to unclean sex and multiple uterine cavity operations. Common symptoms include lower abdominal pain, pain during sexual intercourse, etc. Treatment with azithromycin dispersible tablets or doxycycline tablets is required after pathogen detection.

4. Pelvic inflammatory disease

Pelvic inflammation caused by ascending infection can lead to abnormal leucorrhea accompanied by persistent pain in the lower abdomen, and fever may occur in acute attacks. Pelvic inflammatory disease is often caused by infection after miscarriage or childbirth and needs to be diagnosed by ultrasound. Treatment requires intravenous injection of ceftriaxone sodium combined with doxycycline, and severe cases require surgical drainage.

5. Endocrine disorders

Polycystic ovary syndrome or thyroid dysfunction can interfere with hormone secretion, causing the consistency of leucorrhea to change. Endocrine disorders may be related to mental stress, obesity and other factors, and are often accompanied by menstrual disorders. Six sex hormone tests are required to confirm the diagnosis. Commonly used drugs include ethinyl estradiol, cyproterone tablets and levothyroxine sodium tablets.

It is recommended to wash the vulva with warm water every day, avoid wearing tight chemical fiber underwear, and pay attention to cleanliness before and after sex. If abnormal leucorrhea lasts for more than two weeks, or is accompanied by bleeding, abdominal pain and other symptoms, gynecological examination, routine leucorrhea examination and ultrasound examination should be carried out in time. During the treatment period, bathing and sexual intercourse are prohibited. Strictly follow the doctor's instructions to complete the course of drug treatment. Do not stop taking the drug on your own.