Every woman is concerned about their health. But not every case of occurring problems, especially on the basis of gynecology, rushing to the doctor. Most often, women are interested in secretions, they should be normal before menstruation or after menstruation. "Strange" release after a month, as a rule, evidence of any pathology and require immediate medical visits. Therefore it is very important to know and be able to distinguish normal from whites "abnormal." But even if there is any doubt on this score, in any case, it is useful to consult a doctor. After all, only a competent gynecologist will be able to diagnose the disease and to appoint a high-quality treatment.

Normal discharge after menstruation

Before we talk about what should be a normal release, it is worth remembering what they are made. In the female genital organs, particularly in the vagina, there is always a certain microflora. Basically, it is represented by lactic acid bacteria (bacillus Doderlein), white blood cells and some other microorganisms. Needless vagina, cervix and uterus have certain glands, which in a given amount of secrete mucus (a core component cables). To join this mucus cells exfoliated vaginal epithelium and the waste products of the microflora.

Normal discharge after menstruation slimy, transparent, watery and have an unpleasant odor. After menstrual bleeding to the seventh-eighth day of the cycle on a daily basis for around 0, 06-0, 08 grams of mucus. The normal selection will cause no trouble (no burning or itching).

Abnormal discharge

In all inflammatory processes of female genital sphere (adnexitis, endometritis, cervicitis, etc.), as well as in case of hormonal disorders character changes drastically as the discharge before menstruation, and after it:

• Endometriosis

Endometriosis - a disease characterized by the appearance of endometrial lesions, which, by their cellular structure resemble the mother endometrium. Endometriosis is a very serious disease and is characterized by long and progressive course. Endometriosis can hit any organ of the reproductive system. In the presence of the disease after menstruation and before it appeared smearing brown allocation Brown allocation - what do they say? . Furthermore, for endometriosis characterized by abdominal pain Abdominal pain: Types and Symptoms   during, before and after menstruation and menstrual disorders. The disease is dangerous for infertility.

• Endometritis

Endometrium, especially chronic, often accompanied by secretions that resemble meat slops and have an unpleasant odor. Duration of menstrual discharge after two to five days. Additional signs of inflammation of the uterus are aching or dragging pain in the abdomen, fever, intoxication.

• Polyps of the uterus, or endometrial hyperplasia

A distinctive feature of endometrial pathology is prolonged spotting after your period. This is due to an increase in the thickness of the endometrium. Without treatment (diagnostic curettage of the uterus) endometrial pathology leads to infertility.

• Thrush

Against the background of the disease heavier menstruation. After a month there are characteristic curdled or fermented milk with kefir discharge odor. Perhaps the defeat of the urethra. Besides pathological cables patients complained of itching and burning in the vulva.

• Dysbacteriosis vagina

After a month there, liquid, foamy discharge with odor Discharge with a smell - a woman should not smell like fish   fish. Also there is itching and burning.

• Acute cervicitis

Purulent, thick and greenish discharge with an unpleasant odor indicates an inflammation of the cervix - cervicitis.

• Acute oophoritis (adnexitis)

Acute inflammation of the uterus Inflammation of the uterus - is one of the most common gynecological diseases   It takes place against a background of heavy, thick and mucous secretions. When purulent adnexitis allocation acquire a greenish color and odor.

• Hormonal disorders (infertility)

Infertility, which arose against the backdrop of a hormone imbalance, characterized by mucus, clear secretions that do not alter its texture and smell on the background of the menstrual cycle.

Anna Sozinova

When a woman has symptoms of infection in the vagina or thrush requires complex laboratory and instrumental studies. Diagnosing yeast infection should be aimed at establishing a possible causative agent. Based on these results we can finally make a diagnosis and prescribe an appropriate course of antifungal therapy. Without laboratory confirmation of the presence of yeast should not start treatment.

Microbiological diagnostic methods

A study of vaginal discharge using smear microscopy is a simple and affordable diagnostic methods. Fencing material for the research carried out during the inspection on the gynecological chair woman Gynaecological chair: Take a closer look . There are two methods of research - in the native and stained preparations. Microscopic examination makes it possible to determine the following:

• confirms the presence or absence not only of the fungus and its spores and mycelium
• It determines the presence of microorganisms that can cause mixed or mix-infection, and their accessory sets (obligate anaerobic microorganisms or other)

The greatest value in diagnostic terms given to cultural studies. It certainly should be done in cases of chronic recurrent and complicated forms of the disease. The method has more features:

• the establishment of genera and species affiliation fungal flora
• susceptibility to various antifungal agents
• detecting the presence of concomitant bacterial flora

If the fungal infection of the vagina in the form of proceeds kandidonositelstvo, the culture diagnosis is mandatory. It will help to prevent not only the development of clinically significant forms of yeast, and various complications that are associated with fungal infection Fungal infection: to prevent and defeat . According to the current guidelines of Cultures study should also be given to pregnant women. More than half of pregnant women are carriers of fungal infection, so in this case the timely diagnosis and treatment contribute to the prevention of infectious complications directly during pregnancy and after delivery. Bacteriological examination of vaginal discharge Vaginal discharge: normal or disease?   It must be made in the third trimester, in case of need before delivery woman could receive a course of antifungal therapy.

Additional methods of research

In order to establish the diagnosis of thrush can be applied to such an instrumental method of diagnosis as colposcopy Colposcopy - how to prepare it properly? . This method can not be considered specific, it does not allow itself to establish a causal factor (ie pathogen) disease. For colposcopic picture for thrush is characterized by changes in epithelium characteristic of the inflammatory process. Plot defeat looks like a plot with a fuzzy, blurry edges, the size of which depends on the degree of activity and the clinical course of the disease. Colposcopy can be called additional informative diagnostic method, which allows you to identify the concomitant inflammation of the vagina, such as vaginitis, asymptomatic.

In parallel to all laboratory and instrumental research physician assesses whether the patient has clinical symptoms. Only on the basis of this integrated approach can reliably make a diagnosis and prescribe treatment of thrush.