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Foamy discharge in women with odor and odorless, diagnosis and rate

In the female genitals, a few milliliters of mucus is secreted daily. In a normal state, this biological fluid is transparent, not very thick and without a pronounced odor.

However, with certain violations, there are foamy vaginal discharges, which are sometimes painted green or yellow, and also smell bad ( photo 3 ).


Causes of frothy discharge in women

Causes of frothy discharge Microorganisms are constantly present in the vagina, in particular lactobacilli (up to 95%). They represent a positive microflora and do not cause pathologies. If foreign microbes get into the genitals, and the immune system does not neutralize them in a timely manner, then it is quite likely that the woman will become ill.

Abundant frothy discharges, as the body's primary reaction, usually occur due to a sexually transmitted infection, such as trichomoniasis ( photo1 ).

But the variant and the secondary manifestation of the disease is possible, i.e. pathological discharge was the result of other disorders:

  • Weak immunity. The body is not able to give an adequate response to microbes.
  • Long-term antibiotic therapy. Bacteria that perform protective functions in the vagina are killed.
  • Diabetes. A high level of sugar creates a favorable environment for the reproduction of pathogens.
  • Acceptance of oral contraceptives. Drugs can disrupt the natural microflora.
  • Non-compliance with personal hygiene. Rare care of the genitals deprives them of the necessary purity.
  • Hormonal failure during pregnancy, menopause and ovulation contributes to the development of infection.
  • Microtrauma of the vaginal walls can be the site of microbes.

Signs and symptoms of pathologies

According to statistics from the World Health Organization, about 10% of people suffer from trichomoniasis. In this case, the disease affects both men and women.

In men, trichomoniasis is manifested only in insignificant secretions from the penis, mild pain during urination and some symptoms of prostatitis (if the infection is localized in the prostate gland).

Representatives of the stronger sex usually do not pay attention to such signs, and therefore often act as a carrier of infection.

In women, trichomoniasis is more acute:

  • yellow or green foamy vaginal discharge;
  • itching and burning in the region of the external genital organs;
  • pain when urinating;
  • increased blood filling of the vaginal mucosa (hyperemia);
  • pain during sexual intercourse;
  • pain in the lower abdomen nagging character.

A key feature of the development of bacterial vaginosis is a violation of the number of lactobacilli. These microorganisms synthesize lactic acid, which keeps the pH in the vagina at the level of 3.8-4.5.

However, various factors (for example, antibiotic therapy) contribute to the death of a population of beneficial microbes, as a result of harmful bacteria increase their pathogenic activity.

At the same time, the pH shifts to the alkaline side, and the secreted amino acids are broken down to amines, which causes frothy secretions in women, with the smell of rotten fish ( photo 2 ).

Symptoms characteristic of trichomoniasis rarely accompany bacterial vaginosis. Pain, itching and burning, if they appear, then as signs of other diseases.

A frothy discharge of white color, although quite abundant, especially during intercourse, is easily removed with a cotton swab.

Photo of frothy discharge in women

Foamy discharge in trichomoniasis, photo in women

Foamy discharge in women with trichomoniasis (photo 1)

Discharges with the smell of rotten fish, photo 2

Discharges with the smell of rotten fish (photo 2)

White-yellow frothy discharge (photo)

White-yellow frothy discharge (photo 3)

How to diagnose?

Due to the fact that frothy discharge can be the result of more than one disorder, it is very important to make an accurate diagnosis. And only after that proceed to treatment. So, bacterial vaginosis is usually determined by the following clinical criteria:

  • Homogeneous gray-white discharge.
  • The vaginal pH is above 4.5.
  • The characteristic smell of rotten fish (either pronounced or with the addition of reagent).
  • Microscopic examination shows a violation of the composition of the vaginal flora.

If at least 3 criteria coincide, the doctor, not without reason, prescribes an in-depth analysis of a smear taken from the vagina.

In Europe and the CIS countries, the Nugent and Hay-Ayson methods are used to identify dysbiosis. Each of them has its own characteristics, but a comprehensive study gives a more accurate result.

If frothy discharge from women is odorless, then physicians first of all suspect trichomoniasis.

The smear from the surface of the vagina also acts as a material for analysis, and diagnostics are performed using such methods:

1. Investigate unpainted drug:

  • examine the material under a microscope immediately after taking a smear;
  • if the disease has a pronounced form, the result is obtained very quickly.

2. Examine the stained preparation:

  • methylene blue is used;
  • Accuracy is 40-60%.

3. Molecular biological analyzes ( PCR and NASBA):

  • the most effective and reliable methods;
  • do not require additional evidence.

4. Cultural research:

  • bacteria are sowed;
  • used for mild symptoms as a primary analysis.

Some doctors believe that trichomoniasis has spread widely due to the lack of reliable diagnostic methods in the past. However, modern medicine allows you to install this venereal disease with high accuracy, which contributes to the choice of the correct treatment.

Treatment of frothy discharge in women

Treatment of frothy discharge in women After identifying the cause of the disease, complex therapy is carried out. And in most cases, the approach will be individual to each patient, because the illness can also be provoked by systemic disorders.

For example, with a general decrease in immunity, antibacterial drugs alone will not be enough; you will also need to raise your natural defenses to normal levels.

In the world practice of bacterial vaginosis use 2 types of drugs (oral and vaginal), which inhibit the cellular processes of anaerobic bacteria and other protozoa:

  • Clindamycin (Dalatsin, Zerkalin, etc.). Inhibits the formation of proteins.
  • Metronidazole (Secnidazole, Ornidazole, etc.). Suppresses the synthesis of nucleic acids.

Sometimes, when treating bacterial vaginosis, doctors recommend further restoring the vaginal microflora using lactic acid bacteria.

However, this method does not have proven clinical efficacy, so you should not expect any special results.

With trichomoniasis, frothy mucous secretions are eliminated by the same Metronidazole and its analogues. At the same time, doctors note that local application of vaginal suppositories usually does not lead to recovery.

The key point in the treatment of trichomoniasis and bacterial vaginosis is to bring the treatment to the end: in 50% of cases such diseases recur and even take a chronic form.

If the patient sees swelling and inflammation in the vagina, it is not superfluous to use chamomile for douching. This plant will also eliminate itching and burning, but a side effect will be a violation of microflora.

, а готовят ее следующим образом: Therefore, chamomile can be used only with acute symptoms , and prepare it as follows:

  1. 2 tablespoons of pharmaceutical chamomile are placed in an enamel saucepan.
  2. Pour 1 liter of boiling water.
  3. Cook for 3 minutes.
  4. Cool to ≈37 ° C.
  5. Thoroughly filter.

Before applying the decoction, vaginal syringe should be disinfected. The procedure itself is performed for at least 10-15 minutes, otherwise there will be no positive effect from it.

The course of treatment usually lasts 1 week, but it all depends on the clinical picture of the disease. During such therapy, it is necessary to be regularly observed by a gynecologist: if irritation and dryness in the vagina seem excessive to the doctor, then most likely, douching will have to be stopped.

Preventive measures against frothy discharge

It is rather difficult to avoid pathogenic microbes from entering the body. However, with the proper functioning of the defense system, the bacteria will meet a fitting rebuff.

Therefore, first of all, it is necessary to strengthen the immune system with the help of vitamin complexes, normal nutrition and rest. In addition, as a preventive measure, a woman needs to follow a few simple rules:

  • At least once a year to visit a gynecologist.
  • Have protected sex with a steady and reliable partner.
  • Exclude promiscuous sex.
  • Responsible attitude to personal hygiene.
  • During the period of menstruation do not wear pads and tampons longer than they should be.


Foamy discharge from women indicates a violation of the vaginal microflora. The causes of this disorder can be as trichomonads, and other bacteria (dysbiosis).

Cope with microorganisms under the force of modern medicine, but often the disease takes a chronic form due to inadequate therapy or late treatment for medical care.

In addition, bacterial contamination can lead to infertility or premature birth, so it is important for every woman to observe personal hygiene and regularly visit a gynecologist to reduce the likelihood of such consequences.


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