Thick discharge pregnancy

Vaginal discharge - NHS

You will always have some vaginal discharge starting a year or 2 before puberty and ending after the menopause.

How much discharge you have changes from time to time. It usually gets heavier just before your period. When you're pregnant, it's normal to have more discharge than before.

Healthy vaginal discharge is usually thin, clear or milky white, and should not smell unpleasant.

Non-urgent advice: Call your midwife if you have vaginal discharge and:

it smells unpleasant or strange
it is green or yellow
you feel itchy or sore around your vagina
you have pain when you pee

Any of these could be symptoms of a vaginal infection.

Urgent advice: Urgent

Contact your midwife or doctor immediately if you have any vaginal bleeding while you're pregnant.

Is it normal to have vaginal discharge in pregnancy?

Yes. It is normal to have more vaginal discharge in pregnancy. This helps prevent any infections travelling up from the vagina to the womb.

Towards the end of pregnancy, the amount of discharge increases further. In the last week or so of pregnancy, it may contain streaks of sticky, jelly-like pink mucus.

This is called a "show", and happens when the mucus that's been present in your cervix during pregnancy comes away.

It's a sign that the body is starting to prepare for birth. You may have a few small "shows" in the days before you go into labour.

Read more about the signs that labour has begun.

Thrush in pregnancy

Thrush is an infection that can cause unusual vaginal discharge. if you get thrush when you're pregnant, it can easily be treated - talk to your midwife or doctor.

Thrush can cause:

increased vaginal discharge which is usually white (like cottage cheese), and does not usually smell
itching and irritation around the vagina

Always talk to your doctor, pharmacist or midwife if you think you have thrush, as there are some thrush medicines you should not use while you're pregnant.

You can help prevent thrush by wearing loose cotton underwear. You may find it helps to avoid perfumed soap or perfumed bath products.

Find out more about vaginal discharge.

Page last reviewed: 31 March 2021
Next review due: 31 March 2024

Pregnancy Discharge: Color and Texture Changes

Written by Stephanie Watson

Medically Reviewed by Nivin Todd, MD on March 31, 2020

All sorts of weird, wonderful, and sometimes surprising changes take place in your body during pregnancy. Your breasts swell, your veins enlarge, your feet lengthen, and your skin takes on that “pregnancy glow.” You might come across another unexpected pregnancy change if you happen to peer into your underwear.

Every woman has discharge, whether she’s pregnant or not. Discharge is made up of fluid and dead cells. It’s a natural way for the cells of your vagina and cervix to renew themselves. During the early months of your pregnancy, you might see much more than usual.

“A lot of women really notice it in the beginning part of their pregnancy,” says Susan Hernandez, CNM, MSN, chief nurse-midwife at Massachusetts General Hospital. “It’s what we always get asked about.”

The extra discharge is due to a boost in estrogen production and increased blood flow early in pregnancy, she says. When normal, it should be somewhat thick, clear to white in color, and odorless.

A very strong odor, itching, or burning could be signs of a bacterial or yeast infection, which are more common during pregnancy because of hormonal changes, Hernandez adds. A green or yellow color to the discharge is another sign of infection.

Some women go overboard on the hygiene in an attempt to rid themselves of the extra discharge, with the opposite result of what they had intended. “They wash profusely or use stronger soaps. Those things can cause an imbalance in the pH of the vagina and cause infections,” Hernandez says. She advises washing with a warm, wet washcloth only. Avoid douching or using any strong cleaning products that contain perfumes, dyes, or harsh chemicals.

Have your doctor evaluate any discharge symptoms -- especially a bad smell and color changes. In some women, a bacterial infection may increase the risk for premature rupture of the membranes and early delivery. Depending on your risk, your doctor may want to treat an infection with antibiotics.

Near the end of your pregnancy, you might start to see a steadier stream of mucus from your vagina. It can be clear to cloudy or whitish in color or have a slight pink color. Or, one large glob of mucus might pop out. This is your mucus plug, which blocked the opening to your cervix to prevent bacteria from entering during your pregnancy. “As the cervix gets ready [for labor], it loses the mucus plug that’s been protective up to this point,” Hernandez says.

At any point in pregnancy, if you’re concerned or just unsure about the state of your discharge, call your doctor’s office. “It’s one of those things women don’t talk about, but we encourage women to talk to their provider or midwife,” Hernandez adds.

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articles of the Oxford Medical clinic Kyiv

Contents:

What discharge during pregnancy is considered normal?
When should you see a doctor for discharge?
Discharge during early pregnancy
Discharge during late pregnancy
Discharge during pregnancy by color0005

During pregnancy, a woman's body undergoes a number of physiological changes - her body changes, adapts to carrying a baby and future childbirth. Changes can also occur with vaginal discharge. After conception, their number or color may become different, which often makes a woman worry. In order not to worry for no reason, but also not to miss a possible reason to see a doctor, you need to know which discharges are normal and which are not.

What discharge during pregnancy is considered normal?

The nature of the discharge at different stages of pregnancy may vary slightly. Standard variant are:

transparent or white discharge;
odor free;
not exceeding the usual volume;
not accompanied by itching, burning or other painful symptoms.

At the same time, in the first 2-4 weeks, the daily discharge may increase slightly and become thicker. It is also possible the appearance of light spotting within a few hours or a day, which occurs as a result of the implantation of the embryo to the uterine wall. nine0005

When should you see a doctor for discharge?

During pregnancy, a woman is advised to visit a gynecologist regularly for examinations and tests. First, consultations are prescribed once a month, and then once every 2 weeks. This allows you to carefully monitor the health of the pregnant woman and the development of the fetus. But, if discomfort appears, you need to see a doctor as soon as possible.

One of the alarming symptoms is the appearance of atypical discharge:

yellow, green, brown;
bloody;
thick;
too abundant;
slimy;
malodorous;
accompanied by itching, burning and other symptoms.

Such a change in the nature of the discharge may be associated with the development of an inflammatory or infectious disease, as well as complications of pregnancy. To find out the exact cause, you need to do tests, conduct an ultrasound and, if necessary, other studies. nine0005

Discharge during early pregnancy

When conception occurs, changes begin in the body. First of all, the synthesis of the hormone progesterone increases and blood flow to the pelvic organs increases. These processes are often accompanied by profuse vaginal discharge. They can be translucent, white or with a slight yellowish tint. There should be no unpleasant odor or skin irritation.

Shortly thereafter, progesterone levels decrease and estrogen levels rise. At this time, a mucous plug is formed that covers the cervix. Its formation can also cause increased secretion, but gradually it should decrease and become more liquid and transparent. nine0005

In addition, in the first weeks, the ovum attaches to the wall of the uterus, which can cause light brown discharge. As a rule, they are scarce and quickly stop - within a few hours or a day. If heavy bleeding has begun, you should immediately consult a doctor.

Approximately from 5 to 20 weeks, the discharge should be the same - transparent or whitish, in small volume, odorless.

Discharge in late pregnancy

From 20 to 40 weeks of pregnancy, the discharge is normally white, free of impurities and unpleasant odor. nine0005

In the last week before childbirth, the discharge may become thinner. If they are very abundant, leakage or discharge of amniotic fluid is possible, which requires a visit to a doctor.

Characterization of pregnancy discharge by color

Normal discharge should be colorless or white. A change in color and consistency may indicate the development of a disease or complications of pregnancy.

Bright or dark yellow discharge most often occurs when inflammation develops. Grey-green and green may result from infection. Thick white discharge speaks about it - as a rule, candidiasis manifests itself. Brown discharge may be due to slight bleeding. nine0005

Oxford Medical says it is important to consider not only the color of the discharge, but also its smell, volume and consistency. A sharp and unpleasant odor appears only with bacterial or fungal diseases, so it should by no means be ignored. Also, an alarming signal is a strong increase in the volume of secretions, a change in structure, foaminess and other deviations from the norm.

There can be many reasons for abnormal discharge. To find them out, you need to conduct examinations, and then, if necessary, treatment. nine0005

Bloody discharge during pregnancy

The appearance of bloody discharge at any stage of pregnancy is a reason to immediately consult a doctor.

The exception is small spotting in the first weeks (usually the date of the expected menstruation), which indicates the implantation of the embryo. At this point, capillaries and small vessels can be injured, which causes light bleeding. Normally, it is very weak, not accompanied by pain or other unpleasant symptoms. nine0005

Blood-streaked discharge may also occur on the eve of childbirth as a result of cervical dilatation. This is normal, but a doctor's consultation is required.

In other cases, both in the first and last trimester, any discharge from pale pink and brown to red is a dangerous symptom. The violation may be minor, but it is necessary to conduct an examination.

Bleeding can be caused by:

hormonal disorders; nine0005
cervical erosion;
cysts;
fibroids;
inflammatory and infectious diseases;
ectopic pregnancy;
miscarriage;
placental abruption;
threatened miscarriage or premature birth.

Regular follow-up with an experienced obstetrician-gynecologist and the implementation of all recommendations will help to avoid possible complications and concentrate on the most important thing - the joyful expectation of the baby and preparation for meeting him. nine0005

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. nine0005

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. nine0005

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. nine0005

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. nine0005

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. nine0005

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. nine0005

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. nine0005

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). nine0005

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). nine0005

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.