Leucorrhoea, commonly known as white discharge from the vagina, is due to excessive production of normal vaginal secretions. It implies only the amount of secretion is increased and rest of the physical characteristics are the same. It does not soil the underclothing, only dampens them. The increase in vaginal secretion may occur either in normal physiological states like:

• Pregnancy
• Sexual excitement
• Some stages in the menstrual cycle.

On the other hand it may be a warning signal of possible infections and then is accompanied by other features like:

• Soreness and dryness
• Strong smelling or frothy discharge
• Itching or burning
• Dark colored discharge
• Urge to pass urine more often than usual, and pain while doing so.
• Rashes or sore spots on the genitals.

Vaginal changes can come about when the body undergoes physical or hormonal changes which affect the vagina, e.g. as in pregnancy or due to infection in the urogenital system. Females have a special problem because urethra, vagina and anus are located in close proximity. Vaginal infection can also occur in teenage girls.

Various kinds of vaginitis have similar symptoms but need different treatment. It is essential to know what is causing vaginitis. Medical advice therefore is essential for treatment. In some cases it may also include laboratory examination of the discharge.

Two of the most common causes of vaginitis are Candidiasis and Trichomoniasis.

CANDIDIASIS:

This causes an increased vaginal discharge, which is white, thick and curdy. There may be intense itching or soreness and pain on passing urine. A woman is more susceptible to candidiasis if she:

• is pregnant
• is using the contraceptive pill.
• is diabetic
• is anaemic
• has taken long term antibiotic
• has diminished body resistance due to a chronic illness

Treatment is in the form of vaginal tablets and cream. Sometimes tablets are taken by mouth as well. Candidiasis often recurs. It is important to continue treatment and follow all directions even after symptoms disappear.

- - Learn more about Candidiasis - -

TRICHOMONIASIS

Here the discharge is yellow or white and has a noticeable smell. It causes redness and irritation of the vagina and the vulva.

If a woman’s sexual partner is carrying trichomonas, there is a possibility of reinfection. It is thus a good idea for her partner to have an examination, and if both are infected they should be treated at the same time and not have intercourse until free of infection. Doctors usually treat both partners simultaneously without going in for checking and confirming

- - Learn more about Trichomoniasis - -

• Wash genitals everyday
• Wear clean underwear every day
• Always wash yourself from front to back.
• Avoid sprays, deodorants, and strong perfumed soap and bath products.

Do not stop treatment when symptoms disappear – the full course of treatment is very important. Abstain from sexual intercourse during treatment in order to avoid irritation of tissues, which are in the process of healing.