Discharge

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Suffering from fishy smelling discharge?

Vaginal discharge is completely normal, and the amount, consistency, and type you experience will vary during your menstrual cycle.

Concerns about vaginal discharge typically revolve around its colour, consistency, smell, and accompanying symptoms.

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Vaginal Discharge Explained

If the colour, consistency, or smell of your vaginal discharge seems unusual, or if it is accompanied by vaginal itching, burning, or pain during urination, you may have an infection.

Signs of unhealthy vaginal discharge include changes in colour and consistency, a sudden noticeable, strong, or unpleasant smell, an increased amount of discharge compared to normal, and additional symptoms such as itching around the genitals, pelvic or abdominal pain, and vaginal bleeding outside of your regular menstrual cycle.

Some Common Presentations

  • Watery/White Discharge With Itchiness: Symptoms of thrush (a common fungal infection). Other symptoms include intense itchiness and pain around the vagina.
  • Discharge With Pain/Bleeding: Abnormal discharge together with symptoms of pain in the pelvis or on urination, painful sex, or bleeding between periods, it is important to see your doctor. These can be signs of STDs like Chlamydia, Gonorrhoea.
  • Abnormal Discharge With Genital Blisters: Blisters in the genital area are a sign of genital herpes virus infection (HSV), and it is advised that you see a doctor as soon as possible.
  • White/Grey Discharge With A ‘Fishy’ Smell: Common symptoms of bacterial vaginosis (BV). BV occurs when the natural bacteria (flora) of your vagina becomes imbalanced.
  • Green, Yellow/Frothy Discharge With A ‘Fishy’ Smell: If you experience large quantities of frothy, yellow, or green discharge, together with a strong fishy odour, you may have trichomoniasis.
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Common Causes

Abnormal vaginal discharge is typically a sign of infection or an imbalance in the natural vaginal flora. This imbalance can be caused by douching or washing the vagina, or it may indicate a sexually transmitted infection or an overgrowth of yeast.

Other common causes of abnormal discharge include antibiotic or steroid use, birth control pills, cervical cancer, diabetes, pelvic inflammatory disease (PID), vaginal atrophy during menopause, and vaginitis (irritation of the vagina).

Preventing Abnormal Vaginal Discharge

  • Practice Good Hygiene: Wash the external genital area with mild, unscented soap and water. Avoid douching or using harsh soaps inside the vagina, as this can disrupt the natural balance of bacteria and lead to infections.
  • Avoid Irritants: Steer clear of scented feminine products, such as sprays, powders, and scented tampons or pads, which can irritate the vagina and alter its pH balance.
  • Wear Breathable Clothing: Opt for cotton underwear and avoid tight-fitting pants or synthetic materials that can trap moisture and promote bacterial growth.
  • Practice Safe Sex: Use condoms to reduce the risk of sexually transmitted infections (STIs), which can cause abnormal discharge.
  • Maintain A Healthy Diet: Eating a balanced diet rich in fruits, vegetables, and probiotics (like yogurt with live cultures) supports overall vaginal health.
  • Regular Check-Ups: Attend routine gynecological exams to detect any potential infections or abnormalities early.
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Serious doctor with arms crossed

What Testing Entails

Testing for vaginal discharge depends on the suspected cause and typically involves a medical history and physical examination. A healthcare provider will first take a detailed medical history, including symptoms, sexual activity, menstrual history, and recent changes in hygiene or products used. The physical examination may involve inspecting the vaginal area for signs of inflammation, irritation, or abnormal discharge.

Samples of vaginal discharge, blood, or urine may be collected for examination to detect the presence of yeast cells, bacteria, white blood cells (indicative of infection), or other microorganisms.

Treating Vaginal Discharge

Typical treatments options include:

  • Yeast Infection: Over-the-counter antifungal medications (creams, suppositories) can treat yeast infections. Oral medications may be prescribed for more severe cases.
  • Bacterial Vaginosis: Antibiotics prescribed by a healthcare provider are typically needed to treat bacterial vaginosis.
  • Sexually Transmitted Infections: Depending on the specific infection, antibiotics, antiviral medications, or other treatments may be necessary.
  • Hormonal Changes: If discharge is due to hormonal fluctuations (e.g., during pregnancy or menopause), management may involve hormone therapy or other treatments recommended by a healthcare provider.
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Statistics​

rise in STI cases among 15-24-year-olds since 2021
0 %
increase in gonorrhoea since 2021
0 %
increase in chlamydia since 2021
0
increase in syphilis since 2021
0 %

Steps To Take

Whether you are experiencing troubling symptoms indicative of a potential infection, are unsure about your current vaginal health status, or simply wish to schedule a routine check-up to ensure everything is in optimal condition, our dedicated team is readily available to provide the assistance you need. Feel free to:

  • Utilise our user-friendly online booking form for a seamless appointment scheduling experience.
  • Reach out to us directly via phone to speak with a member of our team and schedule your appointment.
  • Schedule an appointment at your earliest convenience to ensure you receive the personalised care and the attention necessary for your well-being.

How To Book A Sexual Health Screen Appointment?

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Use our online booking engine or book your test by giving us a call.

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The Procedure

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Pre-Appointment

There is typically no special preparation required for discharge testing. However, it is essential to follow any specific instructions provided by the clinic to ensure accurate results and a smooth testing process.

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Appointment

The test selection is tailored based on your symptoms. This may involve swab tests for bacterial or fungal infections, or urine and blood tests for sexually transmitted infections (STIs).

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Post-Appointment

Results are usually available soon after the test. Our healthcare professionals will review your results with you to determine the most appropriate treatment plan, which may include medication or other necessary interventions.

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What is normal discharge?
All women have some vaginal discharge which typically varies depending on where you are in your menstrual cycle. Healthy discharge is produced by the cervix (opening of the womb). It is normal and healthy to produce a clear, cloudy white, discharge, which may appear yellowish when dry. Healthy discharge doesn’t smell strongly or have a very noticeable colour. You may feel discomfort from wetness, but there should not be any pain, burning, or itching when your vagina is healthy.
How does my menstrual cycle affect my discharge?
The most common and natural change in vaginal discharge happens during ovulation, which occurs roughly two weeks after your menstrual period (mid-cycle). You may notice that the discharge thickens to egg-white consistency, and clumps together. Ovulation discharge is typically clear, or may contain small white flecks. Birth control pills and pregnancy may also affect your discharge, and your vagina will produce increased amounts of discharge when you are sexually aroused.
How can I stay on top of my vaginal health?
The following is a list of suggested guidelines for avoiding vaginal infections, general things to consider when undergoing treatment, and ideas for reducing the discomfort of vaginal infections: – Use condoms when having sexual intercourse with new partners. – Take care of your body by eating well, getting enough sleep, and staying hydrated. – Wear cotton underwear.- Keep the vaginal area clean and dry. – Wipe from front to back after urination or bowel movement. – Avoid using pads that contain scents or deodorant. – Avoid soaps or shower gels containing perfume or deodorant. – Avoid tampons, especially during an infection. – Don’t use oil-based lubricants (e.g. petroleum jelly ). – Don’t douche. – Use medication as long as directed. – Sex should be avoided until the treatment plan is completed and you are clear of the infection. – Scratching can cause further irritation to inflamed areas. – See a doctor if your symptoms persist after completing treatment.

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