Health Steward Q&A Women’s Health

What's the matter with the white substance like tofu in leucorrhea?

Asked by:Chenoa

Asked on:Apr 11, 2026 08:07 AM

Answers:1 Views:479
  • Blankenship Blankenship

    Apr 11, 2026

    The tofu-like white substance in leucorrhea may be caused by vulvovaginal candidiasis. Vulvovaginal candidiasis may be caused by decreased immunity, long-term use of antibiotics, pregnancy, diabetes, poor hygiene habits, etc. It can be improved by antifungal drug treatment, adjusting living habits, keeping the vulva clean and dry, avoiding wearing tight chemical fiber underwear, and controlling blood sugar.

    1. Decreased immunity

    Staying up late for a long time, being under great mental stress, or suffering from chronic diseases may lead to decreased immunity, imbalance of vaginal flora, and excessive reproduction of Candida. Typical manifestations are leucorrhea that looks like tofu, accompanied by vulvar itching and burning sensation. Clotrimazole vaginal tablets, miconazole nitrate suppositories, nystatin effervescent vaginal tablets and other drugs can be used as directed by your doctor. It is recommended to ensure adequate sleep and appropriate vitamin C and protein supplements.

    2. Long-term use of antibiotics

    Broad-spectrum antibiotics will destroy the normal vaginal flora balance, inhibit the growth of Lactobacilli, and lead to the proliferation of Candida. In addition to tofu-like leucorrhea, patients may also experience pain during urination. Treatment requires stopping unnecessary antibiotics and using oral antifungals such as fluconazole capsules and itraconazole capsules. It is recommended to use probiotics during antibiotic use.

    3. Pregnancy

    Estrogen levels increase during pregnancy and the glycogen content of vaginal epithelial cells increases, providing a favorable environment for the growth of Candida. Pregnant women may experience increased vaginal discharge and vulva redness and swelling. Considering the safety of the fetus, topical medications such as clotrimazole vaginal suppository are usually chosen to avoid oral antifungal drugs. During pregnancy, you need to pay special attention to the cleanliness of the vulva and change pure cotton underwear every day.

    4. Diabetes

    When blood sugar is poorly controlled, the sugar content in vaginal secretions increases, which can easily induce fungal infections. Diabetic patients often have tofu-like leucorrhea repeatedly, accompanied by chapped vulvar skin. In addition to using miconazole nitrate cream, blood sugar needs to be strictly monitored to control glycated hemoglobin within a reasonable range. It is recommended to reduce high-sugar diet and undergo regular gynecological examinations.

    5. Poor hygiene habits

    Excessive vaginal washing, use of alkaline lotions, or late replacement of panty liners may damage the vaginal microenvironment. Symptoms include abnormal vaginal discharge and discomfort with urination. During treatment, bathing and sexual intercourse should be avoided, and cleaning products with appropriate pH value should be selected. Wipe from front to back after using the toilet daily to prevent intestinal bacteria from contaminating the vagina.

    If you have tofu-like leucorrhea, you need to seek medical advice promptly for a clear diagnosis and avoid self-medication that delays treatment. You should choose breathable cotton underwear for daily use to avoid sitting in a humid environment for a long time. Reduce the intake of high-sugar foods and appropriately supplement fermented dairy products containing active lactic acid bacteria. During the treatment period, the spouse needs to undergo simultaneous examinations and take preventive medication if necessary. After the symptoms disappear, you still need to take medication according to the course of treatment to prevent recurrence.

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