What causes leucorrhea to turn yellow?

Yellow leucorrhea may be related to diseases such as vaginitis, cervicitis, pelvic inflammatory disease, etc., or may be caused by non-disease factors. Yellowing of leucorrhea is usually caused by vaginal flora imbalance, bacterial infection, trichomoniasis infection, chlamydial infection, changes in hormone levels, etc. It can be improved by adjusting living habits, drug treatment, etc. It is recommended to seek medical treatment promptly and provide targeted treatment after the cause is identified.

1. Vaginal flora imbalance

Factors such as frequent use of vaginal washes and long-term use of antibiotics may damage the vaginal microenvironment, leading to a decrease in lactobacilli and the overproduction of pathogenic bacteria. Patients may experience increased vaginal discharge, yellow or gray color, and a fishy smell. It is necessary to avoid excessive cleaning in daily life. You can use vaginal lactobacilli capsules to regulate the bacterial flora as directed by your doctor, or use metronidazole vaginal effervescent tablets to inhibit the growth of anaerobic bacteria.

2. Bacterial vaginosis

Anaerobic bacterial infections such as Gardnerella are common causes and are associated with high-risk behaviors such as frequent sexual intercourse and multiple sexual partners. Typical symptoms include thin gray-yellow leucorrhea with an obvious fishy odor and mild itching of the vulva. You need to take oral metronidazole tablets or topical clindamycin phosphate vaginal cream as directed by your doctor. Sexual intercourse is prohibited during treatment.

3. Trichomonal vaginitis

Caused by Trichomonas vaginalis infection and spread mainly through sexual contact. It is characterized by a large amount of yellow-green foamy leucorrhea, accompanied by obvious burning sensation in the vulva and frequent urination and painful urination. After diagnosis, oral metronidazole or tinidazole tablets are required for systemic treatment, and sexual partners must be treated simultaneously to avoid repeated infections.

4. Cervicitis

Ascending infection by pathogens such as gonococcus and chlamydia can lead to cervical congestion and edema, purulent yellow leucorrhea, and possible bleeding after sexual intercourse. In the acute stage, ceftriaxone sodium for injection combined with doxycycline tablets is needed to fight infection. Chronic cervicitis can be treated locally with Baofukang suppository.

5. Changes in hormone levels

The increase in estrogen during ovulation and pregnancy will cause the amount of leucorrhea to increase and become thick and may appear light yellow. This situation is a physiological change and does not require special treatment. Just keep the vulva clean and dry. If it is accompanied by itching and odor, pathological factors need to be investigated.

You should choose breathable cotton underwear and change it daily, and avoid wearing tight chemical fiber clothing. When cleaning the vulva, just use warm water; there is no need to use regular lotion. Reduce the intake of spicy foods and supplement yogurt with probiotics. If the yellowish leucorrhea lasts for more than 3 days or is accompanied by bleeding, abdominal pain and other symptoms, you need to go to the gynecology department as soon as possible for routine leucorrhea, HPV testing and other examinations. During treatment, strictly follow the doctor's instructions when taking medication, and it is prohibited to stop taking medication or change the dosage on your own.