Creamy White Vaginal Discharge: Causes and Treatment

Creamy white vaginal discharge can cause alarm. However, in most cases, they are due to normal changes in the menstrual cycle.

Creamy White Vaginal Discharge: Causes and Treatment

Last update : 05 mars, 2023

In most cases, creamy white vaginal discharge shouldn’t be a cause for concern. They are usually due to changes that occur during the menstrual cycle. However, they can also sometimes be a sign of a health problem.

In this regard, vaginal secretions are normal. They are problematic when there are noticeable changes in color, texture and smell. You should also be alert if these changes occur simultaneously with other symptoms, such as itching, burning, or irritation. So keep reading to find out more.

Vaginal discharge

The glands in the vagina and cervix secrete small amounts of fluid every day. This is what is generically called “vaginal discharge”. Normally, they are light or white in color and have a subtle odor.

The function of these fluids is to lubricate the vagina, clean and remove old cells, and prevent infections. Vaginal infections are caused by an acidic environment; vaginal discharge eliminates infectious agents.

It is estimated that almost all women secrete regarding a teaspoon of vaginal discharge per day. The amount increases following ovulation. The color varies between transparent, yellow, white or even a little brown. It strongly depends on the menstrual cycle and is considered normal.

The color of vaginal discharge is usually transparent or white. Even so, its tone may vary quite a bit throughout the menstrual cycle.

White creamy vaginal discharge

It is normal to have a creamy white discharge following ovulation. This happens approximately in the middle of the menstrual cycle. As stated earlier, this is an intermediate fertility sign.

At the beginning of the cycle there is also usually a white discharge, but it is more sparse and has a less creamy texture. It is even customary for it to take on a yellow hue and appear drier during the least fertile phase of the cycle.

Towards the middle of the cycle, when ovulation occurs, the discharge becomes more transparent and elastic. This corresponds to the stage of greatest fertility. After that comes the creamy white discharge.

These changes shouldn’t worry you, as they are part of the normal process. On the other hand, if the changes are very noticeable, and above all, if they are accompanied by irritation, itching, a bad smell or any other symptom, it is necessary to consult a doctor.

The main causes of white and creamy vaginal discharge

A creamy white discharge before menstruation is normal. This appearance is due to the presence of more white blood cells, dead cells and bacteria than at other times of the month. It is a mechanism of the body to cleanse the area of ​​microorganisms and unwanted substances.

Pregnancy is another common cause. The creamy white appearance is due to the increase in hormonal levels recorded during pregnancy. The production of fluids increases, as it is a means of increasing the protection of the uterus and, therefore, of the baby.

In some cases, it can also appear during or following sex. It is possible that this is the result of vaginal lubrication, female ejaculation or because the period is approaching



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When is it abnormal?

Generally, a white, creamy discharge that gives off a bad odor indicates a health problem. The same applies if the discharge is accompanied by other clinical manifestations, such as itching, irritation or redness of the vaginal area.

This is almost always considered a sign of candidiasis, a fungal infection. In this case, the discharge is lumpy, similar to cottage cheese. Possible causes of abnormal creamy white discharge include the following.

Bacterial vaginosis

Bacterial vaginitis is an infection caused by bacteria. White, creamy discharge may even sport a grayish tone and have a strong fishy odor. The latter is the most characteristic symptom of the disease.

Chlamydia

Chlamydia is a sexually transmitted disease that affects both men and women. In addition to generating white and creamy discharge, it causes a bad smell, burning while urinating and pain during sexual intercourse. If it spreads, it causes pain in the lower abdomen, nausea and fever.

Vulvovaginitis

A creamy white discharge along with swelling and tenderness in the genital area might be a sign of vulvovaginitis. This word refers to inflammation as such, but its cause is usually a fungal or bacterial infection. In some cases, the illness is derived from the use of an irritating substance or clothing.

Trichomonas

When this condition occurs, the losses are disturbed. They can be white, greenish or yellowish. It is a sexually transmitted infection that also causes vaginal odor and itching.

Fistulas

The presence of fistulas or abnormal openings between the genital tract and the intestinal tract sometimes leads to changes in vaginal secretions. These are formed for one or more of the following reasons:

  • Crohn’s Malady
  • Damage to the vagina during childbirth
  • Radiation therapy in the pelvis
  • Pelvic tumor
  • Injury during pelvic surgery

Cares

Whenever the creamy white discharge is accompanied by bothersome symptoms, it is recommended to consult the gynecologist. Ditto in the event of a significant change in color or texture.

Treatment will depend on the cause. Often, the doctor conducts an initial interview and reviews the medical history. Then, he performs a physical examination and other complementary diagnostic methods.

Once this is done, he may suggest antibiotic, anti-inflammatory or antifungal treatment, as appropriate. Generally, the treatment consists of tablets or creams. Injection treatments are only applied on certain occasions.

If in doubt regarding changes in vaginal discharge, it is better to go to the gynecologist.



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A few final recommendations

It is almost never necessary to undergo treatment for white vaginal discharge. If in doubt or if there are other symptoms such as bleeding, irritation or pain, it is best to consult a gynecologist. Even if it is not an emergency, it is better to intervene quickly.

Ideally, every woman should maintain good hygiene in the genital area, especially during menstruation. It is important to have safe sex. It is not recommended to use vaginal douches or other similar products, as well as to wear very tight clothes. All this helps to prevent vaginal problems.

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