Discharge and itchy during pregnancy
Vaginal Itching During Pregnancy: Causes, Symptoms, and More
Pregnant women often experience vaginal itching at some point during pregnancy. This is a normal and common occurrence.
Many things can cause vaginal itching during pregnancy. Some may be the result of changes your body is going through. Other causes may not be associated with your pregnancy at all.
Read on to review the potential causes of vaginal itching during pregnancy, plus learn hands-on information about treatment and prevention.
These conditions may cause vaginal itching during pregnancy:
Bacterial vaginosis
Bacterial vaginosis can occur if the balance between the good and bad bacteria in the vagina changes. This common vaginal infection typically happens to sexually active women, whether they’re pregnant or not. Symptoms include:
- a thin, opaque or grayish discharge
- itching
- burning
- redness
- a fishlike odor, especially after sexual intercourse
Yeast infection
In addition to bacteria, your vagina normally contains a small amount of yeast. The hormonal changes associated with pregnancy can disrupt the pH balance of the vagina, causing yeast to multiply. For this reason, yeast infections are common during pregnancy.
Symptoms can include:
- itching
- burning
- a thick vaginal discharge that has the texture of cottage cheese
Increase in vaginal discharge
The amount of vaginal discharge and cervical mucus you secrete may increase throughout pregnancy. Hormonal changes causes this as well as the softening of the cervix and vaginal walls.
Discharge is designed to protect your vagina from infection, but it can irritate the skin of the vulva, making it red and itchy.
Vaginal dryness
Hormonal changes may cause vaginal dryness to occur in some people during pregnancy. Anecdotal evidence indicates that those who are breastfeeding when they conceive are more likely to experience this symptom.
Redness, irritation, and pain during sex may also occur.
Low progesterone may also cause vaginal dryness in some pregnant women. Since this hormone is necessary for sustaining pregnancy, talk to your doctor if you have this symptom.
Sensitivity to products
During pregnancy, the vagina becomes engorged with blood, and your skin may feel stretched and more sensitive than usual.
Products that you used comfortably before conceiving may now irritate your skin, causing it to itch and redden. Products that can cause this to occur include:
- detergent
- bubble bath
- body wash
- soap
Urinary tract infection (UTI)
The uterus sits on top of the bladder. As it expands during pregnancy, greater pressure is placed on the bladder. This can block the expulsion of urine, causing an infection to occur.
For this reason, pregnant women can be at greater risk for getting a UTI.
Bacteria can also cause UTIs, such as group B strep bacteria (GBS). Around 1 in 4 pregnant women test positive for GBS. GBS in adults doesn’t usually show symptoms. Since the GBS bacteria can be harmful to a newborn, your doctor will test you for it during pregnancy.
Symptoms include:
- frequent and urgent need to urinate
- abdominal pain
- vaginal itching and burning
- blood in urine
- pain during intercourse
Cholestasis of pregnancy
This liver condition may occur late in pregnancy. Why it happens isn’t completely understood. Experts think genetics and pregnancy hormones play a role.
Cholestasis of pregnancy causes extreme itchiness on the palms of the hands and soles of the feet. The itching may start to affect the entire body, including the vaginal area. Rashes and redness don’t occur with this condition.
Sexually transmitted infections (STIs)
STIs, such as genital herpes, HPV, and trichomoniasis, may all have vaginal itching as an early symptom.
You can become pregnant while you have an STI or get one during pregnancy. Since STIs may not show symptoms, it’s important to let your doctor know if you think you may have one contracted one.
If an STI does show symptoms, you may have:
- rash
- burning sensation
- warts
- fever
- vaginal discharge
- flu-like symptoms
STIs can adversely affect you and your baby, but you can get treated while you’re pregnant, eliminating those risks.
Vaginal itching during pregnancy is often nothing to worry about and can often be resolved with at-home treatments.
However, during this time it may make sense to be especially proactive and talk with your doctor about any troubling symptoms you experience.
Treatments for vaginal itching will vary based on the cause. They include:
- Over-the-counter antifungal treatments. If your doctor has confirmed that you have a yeast infection, you can use an OTC antifungal cream or suppository to treat it. Don’t use fluconazole (Diflucan). This prescribed antifungal medication has been linked to an increased risk of miscarriage and shouldn’t be taken during pregnancy.
- Baking soda. Itchy skin can be soothed by soaking in a baking soda bath or using a baking soda compresses on the area.
- Cool water. Cool baths and cold compresses may also help reduce itching.
- Product elimination. If you think the products you’re using are causing your symptoms, try eliminating all of them and use all-natural, gentle products designed for use during pregnancy or for babies.
- Antibiotics. You’ll need prescription medication if you have a UTI, STI, or bacterial vaginosis.
- Corticosteroids. Topical anti-itch creams such as corticosteroids may help reduce itching.
- Other medications. If you have cholestasis, your doctor will monitor you and might recommend you use anti-bile medications.
It may be hard to completely avoid vaginal itching during pregnancy, but certain proactive behaviors may help. Consider these tips:
- Try to keep your vaginal pH in the healthy range by eating yogurt that contains live cultures. You can also take a Lactobacillusacidophilus supplement daily with your doctor’s approval.
- Wear underwear made from cotton or another breathable fabric.
- Avoid wearing clothing that’s too tight.
- Immediately change out of damp clothing, such as bathing suits or exercise gear.
- Avoid using products that contain scents, chemicals, or irritants.
- Practice good hygiene, especially after going to the bathroom. Always wipe from front to back.
- Don’t douche. Douching alters the vagina’s natural pH balance. Follow our guide to clean your vagina and vulva.
- Try to reduce your stress levels with prenatal yoga, meditation, or deep breathing.
Mention any uncomfortable symptom that worries you during pregnancy to your doctor. If you have vaginal itching that doesn’t respond to at-home treatment within a few days, have your doctor check it out.
If vaginal itching is accompanied by other symptoms, such as pain or a thick, smelly discharge, see your doctor to rule out an infection. Also see your doctor if you notice streaky blood in your discharge.
Vaginal itching is a common occurrence during pregnancy and often nothing to worry about. It’s mostly associated with the normal hormonal changes you can expect during this time.
If you’re concerned about this symptom, or other symptoms accompany it, such as pain or odor, your doctor will be able to prescribe treatments that can help.
Vaginal Itching During Pregnancy: Causes, Symptoms, and More
Pregnant women often experience vaginal itching at some point during pregnancy. This is a normal and common occurrence.
Many things can cause vaginal itching during pregnancy. Some may be the result of changes your body is going through. Other causes may not be associated with your pregnancy at all.
Read on to review the potential causes of vaginal itching during pregnancy, plus learn hands-on information about treatment and prevention.
These conditions may cause vaginal itching during pregnancy:
Bacterial vaginosis
Bacterial vaginosis can occur if the balance between the good and bad bacteria in the vagina changes. This common vaginal infection typically happens to sexually active women, whether they’re pregnant or not. Symptoms include:
- a thin, opaque or grayish discharge
- itching
- burning
- redness
- a fishlike odor, especially after sexual intercourse
Yeast infection
In addition to bacteria, your vagina normally contains a small amount of yeast. The hormonal changes associated with pregnancy can disrupt the pH balance of the vagina, causing yeast to multiply. For this reason, yeast infections are common during pregnancy.
Symptoms can include:
- itching
- burning
- a thick vaginal discharge that has the texture of cottage cheese
Increase in vaginal discharge
The amount of vaginal discharge and cervical mucus you secrete may increase throughout pregnancy. Hormonal changes causes this as well as the softening of the cervix and vaginal walls.
Discharge is designed to protect your vagina from infection, but it can irritate the skin of the vulva, making it red and itchy.
Vaginal dryness
Hormonal changes may cause vaginal dryness to occur in some people during pregnancy. Anecdotal evidence indicates that those who are breastfeeding when they conceive are more likely to experience this symptom.
Redness, irritation, and pain during sex may also occur.
Low progesterone may also cause vaginal dryness in some pregnant women. Since this hormone is necessary for sustaining pregnancy, talk to your doctor if you have this symptom.
Sensitivity to products
During pregnancy, the vagina becomes engorged with blood, and your skin may feel stretched and more sensitive than usual.
Products that you used comfortably before conceiving may now irritate your skin, causing it to itch and redden. Products that can cause this to occur include:
- detergent
- bubble bath
- body wash
- soap
Urinary tract infection (UTI)
The uterus sits on top of the bladder. As it expands during pregnancy, greater pressure is placed on the bladder. This can block the expulsion of urine, causing an infection to occur.
For this reason, pregnant women can be at greater risk for getting a UTI.
Bacteria can also cause UTIs, such as group B strep bacteria (GBS). Around 1 in 4 pregnant women test positive for GBS. GBS in adults doesn’t usually show symptoms. Since the GBS bacteria can be harmful to a newborn, your doctor will test you for it during pregnancy.
Symptoms include:
- frequent and urgent need to urinate
- abdominal pain
- vaginal itching and burning
- blood in urine
- pain during intercourse
Cholestasis of pregnancy
This liver condition may occur late in pregnancy. Why it happens isn’t completely understood. Experts think genetics and pregnancy hormones play a role.
Cholestasis of pregnancy causes extreme itchiness on the palms of the hands and soles of the feet. The itching may start to affect the entire body, including the vaginal area. Rashes and redness don’t occur with this condition.
Sexually transmitted infections (STIs)
STIs, such as genital herpes, HPV, and trichomoniasis, may all have vaginal itching as an early symptom.
You can become pregnant while you have an STI or get one during pregnancy. Since STIs may not show symptoms, it’s important to let your doctor know if you think you may have one contracted one.
If an STI does show symptoms, you may have:
- rash
- burning sensation
- warts
- fever
- vaginal discharge
- flu-like symptoms
STIs can adversely affect you and your baby, but you can get treated while you’re pregnant, eliminating those risks.
Vaginal itching during pregnancy is often nothing to worry about and can often be resolved with at-home treatments.
However, during this time it may make sense to be especially proactive and talk with your doctor about any troubling symptoms you experience.
Treatments for vaginal itching will vary based on the cause. They include:
- Over-the-counter antifungal treatments. If your doctor has confirmed that you have a yeast infection, you can use an OTC antifungal cream or suppository to treat it. Don’t use fluconazole (Diflucan). This prescribed antifungal medication has been linked to an increased risk of miscarriage and shouldn’t be taken during pregnancy.
- Baking soda. Itchy skin can be soothed by soaking in a baking soda bath or using a baking soda compresses on the area.
- Cool water. Cool baths and cold compresses may also help reduce itching.
- Product elimination. If you think the products you’re using are causing your symptoms, try eliminating all of them and use all-natural, gentle products designed for use during pregnancy or for babies.
- Antibiotics. You’ll need prescription medication if you have a UTI, STI, or bacterial vaginosis.
- Corticosteroids. Topical anti-itch creams such as corticosteroids may help reduce itching.
- Other medications. If you have cholestasis, your doctor will monitor you and might recommend you use anti-bile medications.
It may be hard to completely avoid vaginal itching during pregnancy, but certain proactive behaviors may help. Consider these tips:
- Try to keep your vaginal pH in the healthy range by eating yogurt that contains live cultures. You can also take a Lactobacillusacidophilus supplement daily with your doctor’s approval.
- Wear underwear made from cotton or another breathable fabric.
- Avoid wearing clothing that’s too tight.
- Immediately change out of damp clothing, such as bathing suits or exercise gear.
- Avoid using products that contain scents, chemicals, or irritants.
- Practice good hygiene, especially after going to the bathroom. Always wipe from front to back.
- Don’t douche. Douching alters the vagina’s natural pH balance. Follow our guide to clean your vagina and vulva.
- Try to reduce your stress levels with prenatal yoga, meditation, or deep breathing.
Mention any uncomfortable symptom that worries you during pregnancy to your doctor. If you have vaginal itching that doesn’t respond to at-home treatment within a few days, have your doctor check it out.
If vaginal itching is accompanied by other symptoms, such as pain or a thick, smelly discharge, see your doctor to rule out an infection. Also see your doctor if you notice streaky blood in your discharge.
Vaginal itching is a common occurrence during pregnancy and often nothing to worry about. It’s mostly associated with the normal hormonal changes you can expect during this time.
If you’re concerned about this symptom, or other symptoms accompany it, such as pain or odor, your doctor will be able to prescribe treatments that can help.
Pregnancy discharge | What are the discharge during pregnancy? | Blog
In the absence of menstruation, girls usually suspect that conception has occurred. However, during pregnancy, the female body may continue to secrete a secret of a different color and character. We recommend that you keep a close eye on everything that happens so as not to miss the development of adverse events. We will talk about how to recognize problem situations during pregnancy in the article.
What discharge can occur during conception
Many women note that immediately after the delay and in the later stages, the nature of the secretion changes. It can be:
- With or without scent.
- Depending on the color - transparent, white, cream, yellow, greenish, bloody.
- By consistency - thick, liquid, cheesy.
- As a symptom for assessing the state of health - threatening, safe.
During ovulation, the egg is released from the ovary, its membrane is deflated, a small amount of fluid is released - so it becomes ready for fertilization. At this time, the thick mucus that fills the cervical canal of the cervix becomes less viscous. This makes it easier for the spermatozoa to penetrate and move further into the tubes for fertilization. At this time, you may notice an abundance of clear mucous secretion.
After the fusion of the egg with the spermatozoon, movement into the uterus begins, which should end with implantation in the inner layer. During penetration, its slight detachment may occur - this causes damage to the blood vessels that abundantly penetrate the muscular layer of the uterus. You may see light brown discharge, which is common during pregnancy. The color is due to the fact that the blood has time to clot.
Sometimes the discharge is brightly colored and some women mistake it for a period that has started too early. But in this case, a short duration is characteristic, a different shade (dark or scarlet), a slight mark on the linen.
With some features of the structure of the female genital organs (for example, with a bicornuate uterus), after implantation of the embryo in one part, rejection of the endometrium may begin in the other, as usually occurs during menstruation. This rarely happens.
Characteristics of discharge in the event of a threatened miscarriage
Spontaneous abortion is the rejection of an embryo in the early stages after conception. If at the first signs of pregnancy, you notice spotting, there is a high probability that a miscarriage begins.
Also, miscarriage symptoms include:
- pulling or pressing on the lower abdomen, sacrum, lower back;
- the muscles of the uterus are tense.
The woman may feel cramps. This continues all the time or intermittently. From the vagina there are scarlet or brown discharge during pregnancy, which was previously confirmed. Sometimes the period may be still small, and the first signs did not have time to appear.
After 22 weeks, this phenomenon is called preterm labor. The child in this case is still weak, the organs are not sufficiently developed, and there is little chance of survival.
The following factors increase the risk of miscarriage:
- various diseases;
- progesterone deficiency;
- nervous and physical overexertion;
- pathologies in the genitals;
- fetal developmental defects.
To confirm the diagnosis, the doctor prescribes an ultrasound scan. If it shows that the fetal heart rate is disturbed, the tone of the uterus is increased, its size differs from normal for this period, hospitalization will be recommended to maintain pregnancy.
What discharge during pregnancy is considered normal
This secretion does not pose a threat to health:
- transparent;
- whitish;
- yellowish;
- odor free;
- mucous;
- without itching, burning, redness of the genitals.
Clear fluid on underwear is a symptom of ovulation. During pregnancy, the activity of ongoing processes in the body increases, so the amount of secretion secreted may increase. However, a violation of the norm is the leakage of amniotic fluid. You can determine the problem with the help of special diagnostic tests that the doctor will prescribe if he has suspicions.
White color, small amount, homogeneous structure should also not cause concern. The increased volume of fluid in this case is associated with increased hormonal activity.
One of the variants of the norm is mucous discharge, which smells of slight sourness. If there is no pain, discomfort, there is nothing to worry about.
Yellow discharge, there are signs of pregnancy, there is no unpleasant odor - you are all right. Some women had this color before conception, only they did not pay attention. Now there are more of them, therefore more noticeable.
Sometimes a woman observes that the laundry gets wet and there is a smell of urine. This may indicate incontinence due to the constant pressure of the growing uterus. In this case, it is recommended to go to the toilet more often, change underpants twice a day.
What discharge during pregnancy is considered a sign of infection?
White discharge during pregnancy with a cheesy texture is a symptom of thrush (candidiasis). In pregnant women, it is diagnosed quite often - the reason is a change in hormonal levels. The disease is accompanied by itching, redness of the vulva, a strong sour smell. Sometimes external manifestations are not detected, then treatment is not carried out.
Infection is indicated by pain, pain, skin irritation, ulcers, smell of rot or fish, gray or green color, frothy discharge, increased nervousness, large inguinal lymph nodes. The reason may lie in sexually transmitted infections. This includes syphilis, gonorrhea, trichomoniasis, chlamydia and others. They are dangerous because they cause premature birth and fetal developmental defects.
What kind of discharge during pregnancy should I pay special attention to and should I consult a doctor?
The following indicates that pregnancy is at risk:
- Severe pain in the perineum, bleeding, difficulty defecation, convulsions - these may be injuries to the vaginal mucosa.
- Nausea, profuse vomiting, edema, headaches, cough, hypertension, bright red secretion are symptoms of hydatidiform mole (abnormal development of the embryo).
- A drop in blood pressure, pallor, weakness, sweating, pulling sensations, bleeding during pregnancy against the background of a lack of growth of hCG in the blood - this is how ectopic attachment manifests itself.
- Isolation of clots, sharp pain, vomiting, diarrhea may indicate a frozen fetus.
If you experience any of these symptoms, contact your doctor immediately.
It is also necessary to go to the clinic if you have been physically abused, had rough sex, had an accident, fell, hit. The likelihood that the situation will be resolved successfully is much higher if you do not delay the visit, listen to the symptoms and take good care of your health.
Remember, despite the fact that pregnancy is a normal state of health of the female body, the diagnosis and treatment tactics are still different, due to the many restrictions on manipulations and medications during pregnancy. That is why diagnosis and treatment during pregnancy should take place only under the supervision of a doctor. By ignoring the symptoms or self-medicating, a pregnant woman risks not only her health, but also the health of her child.
Doctors of the Leleka maternity hospital manage pregnancies of any complexity, including those aggravated by infections, pathologies, and the threat of miscarriage. Our own diagnostic laboratory allows us to accurately and in the shortest possible time to obtain the results of the tests. Thanks to constant medical supervision throughout the entire period, the chances of a successful birth are greatly increased.
Trust the life and health of your child to Leleka doctors, and we will make sure that you are satisfied.
What is it? Normal and abnormal discharge during pregnancy
Today we will talk with Elena Yurievna Romanova, an obstetrician-gynecologist at the Expert Center for Pregnancy Management at the Mother and Child Clinic, about what discharges during pregnancy should be feared and what discharges from the genital tract are regarded as normal.
Increased vaginal discharge during pregnancy is natural
Normal pregnancy discharge is milky white or clear mucus without a strong odor (although the smell may change from before pregnancy), this discharge does not irritate the skin and does not cause discomfort to the pregnant woman. The discharge can have a different color - from completely colorless (most often) to whitish and yellowish. The consistency of discharge at the beginning of pregnancy resembles raw chicken yolk - they are thick, jelly-like, often released in the form of clots.
With normal discharge, it is enough to use panty liners or change underwear twice a day.
Due to the activity of progesterone in the first 12 weeks of pregnancy, the discharge will be scarce and viscous.
Due to the increase in estrogen activity from 13 weeks, the discharge becomes less viscous and more abundant.
By the end of the pregnancy, vaginal discharge becomes more and more abundant. Each time you need to evaluate the nature of the discharge, change the gasket. If the fluid continues to ooze, this may mean leakage of amniotic fluid and the need to contact an obstetrician-gynecologist in the emergency department of a hospital with a maternity ward. There are auxiliary tests, thanks to which, as well as obstetric ultrasound, leakage of water can be excluded.
Not all discharge in pregnant women is the norm.
For example, a white, thick, crumbly, odorless discharge that itchs and burns the skin and causes discomfort during intercourse is likely a sign of a yeast infection (candidiasis).
White or grayish discharge, the smell of which after sex begins to resemble the smell of fish, is the main symptom of bacterial vaginosis, vaginal dysbacteriosis.
A yellowish or greenish discharge that has a strong unpleasant odor usually occurs with nonspecific vaginitis, and a foamy discharge is a sign of trichomoniasis, a sexually transmitted disease.
In all these cases, contact your doctor immediately. It should not be treated with over-the-counter drugs and folk remedies. According to some external signs, a diagnosis cannot even be made by a doctor, in addition, infections in pregnant women should be treated especially carefully and only by a professional. After proper treatment, the discharge returns to normal. There is no need to get rid of the usual discharge for pregnant women. After childbirth, they will stop naturally, and before that they are a sign of the normal course of pregnancy.
Allocations can change their nature and amount under the influence of irritants or intolerance to a particular substance, for example, when using panty liners. Such secretions are transparent and abundant, they stop when the irritant is removed.
"Thrush" is a disease caused by fungi of the genus Candida, present in small quantities in all women. During pregnancy, immunity decreases and fungi begin to actively multiply, causing inflammation, abundant white flocculent discharge with a sour smell, burning and itching in the vulva. The disease can manifest itself throughout pregnancy.
Bloody discharge in the first half of pregnancy usually indicates a lack of the hormone progesterone, which can lead to spontaneous miscarriage. Discharge may be accompanied by pain in the lower abdomen and lower back. In the treatment of the threat of abortion, the appointment of progesterone drugs, such phenomena disappear.
If bleeding from the vagina appeared during pregnancy during the second or third trimester, then this is a sign of a formidable complication, namely, placenta previa or its premature detachment. With improper attachment of the placenta in the uterine cavity and overlapping of the placental tissue with the area of the internal pharynx, they speak of placenta previa. In this case, spotting occurs in a third of pregnant women. This most often occurs between 28 and 30 weeks, when the lower segment of the uterus is most prone to stretching and thinning. The discharge is repeated, the woman does not experience any pain, so it may be too late to see a doctor for an examination. This threatens the child with a lack of nutrients and oxygen, because it is through the placenta that the fetus is nourished. For a pregnant woman, this is fraught with acute placental abruption and severe bleeding, which is always problematic to stop, especially at home.
Bloody discharge during pregnancy should force a woman to immediately contact her obstetrician-gynecologist.
Brown discharge during pregnancy also indicates the threat of termination of pregnancy, or bleeding "erosion" (decidual polyp) of the cervix. Therefore, you should not understand these issues on your own; when brown discharge appears, it is better to consult your doctor.
Brown discharge during a delay in menstruation as a sign of an ectopic pregnancy is very dangerous. This condition requires immediate surgical care, as the growing embryo can rupture the wall of the fallopian tube at any time and cause internal bleeding. Therefore, with pain in the lower abdomen, which is accompanied by brown discharge from the genital tract and delayed menstruation, you should immediately call an ambulance.
When the vagina becomes inflamed, the mucous discharge acquires a mucopurulent character, a greenish-yellow color, an unpleasant odor, burning and itching appear in the genital area. This is how chlamydia, mycoplasmosis, ureaplasmosis, trichomoniasis manifest themselves. Is it necessary to treat the infection during pregnancy, or is it better to do it after childbirth?
All sexually transmitted infections in pregnant women require treatment, as they can pass to the fetus and cause intrauterine infection (IUI). IUI is very dangerous for a child - it leads to his death or serious illness. Infection of a child during childbirth can lead to such serious complications as pneumonia, severe damage to the brain, kidneys, liver, and blood poisoning (sepsis).
Today, obstetricians and gynecologists have learned to treat any infection in pregnant women in accordance with special guidelines for the timing of pregnancy, so that it is effective and safe for mother and fetus. It is not the treatment that should be feared, but the infection itself and its consequences.
Medicines that are used to treat pregnant women have passed the necessary clinical trials, during which it was proved that they do not have a negative effect on the pregnant woman and the fetus, including that they do not have a teratogenic effect (do not cause deformities in the fetus).
Sometimes the discharge is mucous in nature, occurs upon contact with an irritant or allergen. It can be synthetic tight underwear, allergies to fabrics, toiletries, personal care products. If irritation and allergens are not eliminated in time, then an infection that lives on the mucous membranes of the genital organs will definitely join.
Hygiene measures are mandatory for pregnant women. Twice a day you need to take a warm shower, using special gels for pregnant women to wash the genitals. Be sure to monitor the cleanliness of the whole body and underwear - it must be changed daily.