Normally, women always have vaginal discharge Vaginal discharge . The nature of their changes depending on the phase of the menstrual cycle or other conditions (during pregnancy or menopause). Discoloration, volume and consistency of vaginal cables depends on the production of sex hormones. But not always a woman can distinguish normal from abnormal discharge. In particular, it leads to the appearance of panic yellow discharge. Self is sometimes difficult to figure out whether the allocation of these are normal or a sign of the disease, as yellow discharge may be that in a particular case. The easiest way to solve this problem - it is a doctor's visit. Only a doctor after carefully performed diagnostics can establish the presence or absence of disease.

Norm

It is known that normal vaginal discharge can vary in color. That is, within limits considered as transparent or whitish discharge as light and dark yellow. The consistency of the normal discharge is also different, they can be gelled and form small clots.

In addition, the normal yellow discharge is not accompanied by subjective symptoms such as itching, burning or discomfort in the vulva. Also, the yellow separation are normally not have an unpleasant odor. Sometimes vaginal secretions have a somewhat sour smell, due to the predominance of the vagina of lactic acid bacteria, which create an acidic environment.

Usually, the appearance of yellow precipitates due to the end of menstruation. In some cases, yellow whites may appear before menstruation, often streaked with blood. Every woman should know not only the nature of their menstruation, but also the character of discharge before and after menstruation.

Pathology

Yellow discharge could expand and have an unpleasant odor in violation of the rules of hygiene, frequent use of soap while cleaning the allergies on the pad. In this case, developing nonspecific vulvovaginitis, which takes place on their own after the removal of irritating factors. Often yellow discharge occur in the presence of cervical erosion as a result of her infection.

Also abundant yellow discharge with an unpleasant odor occurs when inflammation of the fallopian tubes (salpingitis) or uterine appendages (adnexitis). Besides cables Beli: abnormal discharge   A woman worries abdominal pain of varying intensity, fever, general weakness, and malaise. During a pelvic exam palpable enlarged and painful appendages.

Another cause of pathological yellow secretions are diseases transmitted through sexual contact. When Trichomonas vulvovaginal discharge yellowish-green and frothy. The patient complains of severe pruritus genital organs. Gonorrhea is also accompanied by purulent, profuse and yellow secretions. In the absence of timely treatment likely ascending infection (endometritis, adnexitis, pelvioperitonit), which can cause infertility.

Gestation

Vaginal discharge during pregnancy can be varied and depend not only on the duration of pregnancy, but also from joining infections. For the first trimester of pregnancy characterized by yellow discharge, due to increased production of progesterone Progesterone - norm and pathology   - The pregnancy hormone. Such allocation are thick and viscous consistency and practically opaque. Starting from the second trimester of pregnancy, the expectant mother increases the synthesis of estrogen, due to which the allocation of thinning, are abundant and clear. Allocation to these stages of pregnancy may also have a yellowish tinge odorless.

In the case of infection in a pregnant woman develops vulvovaginitis, which is also manifested by subjective sensations (itching, burning of the external genitalia). Treatment of vulvovaginitis in pregnancy is required, as the process may spread to the membranes, amniotic fluid and fetus.

Anna Sozinova

Hyperplasia of the uterus - this phrase referred to a woman diagnosed, exposed them to the doctor. This is not entirely correct, as she pathology detected, the patient is called endometrial hyperplasia, or more precisely - endometrial hyperplasia of the uterus. Endometrial hyperplasia may develop in women of any age, since adolescence and ending with postmenopausal.

What is endometrial hyperplasia?

It is known that inside the uterine cavity is lined with mucosal - endometrium. Endometrial hyperplasia - is an excessive proliferation and thickening of the mucosa due to an uncontrolled increase in the number of cells of the endometrium. Endometrial hyperplasia - a histological diagnosis, which is set after studying the microscopic biological material obtained by curettage. According to the histological classification distinguishes several forms of endometrial hyperplasia:

• glandular endometrial hyperplasia;
• glandulocystica endometrial hyperplasia;
• atypical hyperplasia or adenomatosis uterus (pre-form);
• endometrial polyps.

Reasons for the development of endometrial hyperplasia

The main reason for the growth of the endometrium are hormonal disorders .  Most often, endometrial hyperplasia occurs against a background of anovulation, which is characterized by relative or absolute excess estrogen (female sex hormones) and a lack of progesterone, which prevents excessive proliferation of the endometrium .  Hyperestrogenia occurs in anovulatory infertility, menopause, when the ovaries polycystic .  It is also the cause of endometrial hyperplasia may be a pathology of ovarian (follicular cysts, ovarian tumors, persistence follicle) .  Often endometrial hyperplasia develops as a result of obesity and hyperglycemia .  In case of excess of adipose tissue which synthesizes estrogen develops giperestrogeniya .  Endometrial hyperplasia often occurs in women with diabetes, hypertension or liver diseases (broken recycle hormones) .

Clinical manifestations of endometrial hyperplasia

The main symptom of endometrial hyperplasia are the so-called dysfunctional uterine bleeding occurring after a delay of menstruation. These are characterized by lack of ovulation bleeding may be prolonged, moderate or heavy (profuse). Especially heavy bleeding occur during puberty Puberty child - stages of a complex path   (juvenile bleeding), but may be in the reproductive age or older. Often when endometrial hyperplasia appear intermenstrual spotting. In the early stages of the disease a woman usually does not complain, and endometrial hyperplasia discovered by chance on ultrasound.

Sometimes hyperplastic process is found in women suffering from infertility. Infertility due to two factors. Firstly, hormonal disorders developing in hyperplasia, leading to anovulation and secondly, the fertilized egg can not be implanted at the diseased endometrium.

Diagnosis of endometrial hyperplasia

For the diagnosis of endometrial hyperplasia is necessary to conduct a comprehensive survey, including:

• history and complaints of the patient;
• the study of hormones (estradiol, progesterone Progesterone - norm and pathology , Follicle stimulating and luteinizing hormones);
• Ultrasound of the uterus (endometrial thickness increase without a corresponding phase of the menstrual cycle);
• hysteroscopy (examination of the uterus hysteroscopy - device with a video camera);
• endometrial biopsy.

Treatment of endometrial hyperplasia

Treatment of endometrial hyperplasia has two objectives. The first - is the removal of abnormal endometrium. In connection with this conduct medical and diagnostic curettage Scraping - heavy and unsafe procedure   uterine cavity with subsequent histological study of the resulting material. The second goal - a restoration of ovulatory cycles in females of reproductive age and the suppression of the menstrual function in women of menopausal age. Hormone therapy in women of reproductive age conducted using estrogen Estrogen - the key to bone health -gestagennyh drugs (hormonal contraceptives) or progestogen (norkolut 17-DIC djufaston). Women of menopausal or postmenopausal progestins are appointed in a continuous mode. The general course of hormone treatment should be at least six months. After the treatment is performed ultrasound control.

Anna Sozinova