Leucorrhea

Christopher Hobbs:

“Leucorrhea or “the whites,” is the occurrence of a white discharge from the vagina, mostly as a result of a microflora imbalance with a predominance of pathogenic organisms such as Candida albicans or Pseudomonas spp. Although often also called a yeast infection, leucorrhea is not always due to this ubiquitous organism.”

Etiologic and Other Factors Leading to Leucorrhea

Leucorrhea refers to white or yellowish vaginal discharge, which can be physiological or pathological. Common factors include:

1. Physiological Causes:
   • Hormonal changes during ovulation, pregnancy, or menstruation.
   • Normal vaginal flora changes or increased mucus production.
2. Pathological Causes:
   • Infections: Bacterial vaginosis, yeast infections (candidiasis), or sexually transmitted infections (STIs) like trichomoniasis.
   • Irritation/Allergies: Reaction to scented hygiene products, synthetic underwear, or douching.
   • Underlying Health Conditions: Cervical erosion, pelvic inflammatory disease (PID), or diabetes.
   • Poor Hygiene: Accumulation of sweat or poor cleaning habits.

When to Seek Professional Help

Seek medical attention if:

• The discharge has a foul smell or green/yellow color.
• Accompanied by itching, burning, or pain during urination or intercourse.
• The volume significantly increases or persists for an extended period.
• There are systemic symptoms like fever or pelvic/abdominal pain.
• You’re pregnant or suspect an STI.