What is normal discharge while pregnant

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

Vaginal discharge during pregnancy: Color and meaning

Pregnancy causes changes in vaginal discharge, which can vary in color, texture, and volume. An increase in vaginal discharge is often one of the earliest signs of pregnancy. Some changes in color are also normal, while others may indicate infection or another problem.

Color is one of the most noticeable changes that can occur. Discharge can be:

clear or milky white
white and lumpy
green or yellow
gray
brown
pink
red

This article discusses vaginal discharge during pregnancy, including what the different colors of discharge mean and when to see a doctor.

It is normal to have discharge at various stages of the menstrual cycle and during pregnancy.

Healthy vaginal discharge, also called leukorrhea, is thin and clear or white and has only a mild odor.

The volume of discharge increases throughout pregnancy to reduce the risk of vaginal and uterine infections.

Discharge is at its most heavy in the final weeks of pregnancy, when it may contain pink mucus.

The mucus is typically sticky and jelly-like in consistency, and it indicates that the body is preparing for labor.

The various colors of vaginal discharge may indicate different health issues. These include:

Clear or milky white

This color suggests leukorrhea, which is usually a normal and healthy discharge, especially if it smells mild.

However, any changes in its quantity or consistency may suggest an issue. A woman who is pregnant but not yet at full term should see a doctor if she experiences an increase in clear discharge that leaks continuously or becomes thick and jelly-like.

These changes may suggest preterm labor.

White and lumpy

Vaginal discharge that is lumpy and either white or off-white, resembling cottage cheese, can indicate a yeast infection.

Yeast infections are common, and the body is particularly susceptible to them during pregnancy. Other symptoms include itching, burning, and painful urination or intercourse.

Green or yellow

Green or yellow vaginal discharge is not healthy and suggests a sexually transmitted infection (STI), such as chlamydia or trichomoniasis. Other possible symptoms include redness or irritation in the genitals. STIs sometimes do not cause any symptoms.

According to the Centers for Disease Control and Prevention (CDC), STIs can cause complications during pregnancy that can affect both the woman and child. These complications sometimes do not present until years after the birth, but they can affect the nervous system and development of the child and cause infertility in the woman.

People may occasionally think that they have yellow discharge when they are merely leaking small amounts of urine.

Gray

Gray vaginal discharge may indicate a vaginal infection called bacterial vaginosis (BV), particularly if it also has a fishy smell that becomes stronger following intercourse.

BV is the result of a bacterial imbalance in the vagina. Douching and having multiple sexual partners are risk factors for BV, which is the most common vaginal infection during childbearing years.

Brown

Discharge is usually brown due to old blood leaving the body, which can be an early symptom of pregnancy. Brown discharge during pregnancy is not generally a cause for concern.

However, pregnant women who experience dark brown discharge should contact their doctor.

Pink

Pink discharge during pregnancy may or may not be normal. Discharge with a pink hue often occurs during early pregnancy or in the final weeks as the body prepares for labor. It can also occur before a miscarriage or during an ectopic pregnancy.

A study with 4,510 participants found that spotting and light episodes of bleeding during the first trimester, especially those persisting for just 1 to 2 days, did not correspond with a higher risk of miscarriage.

Other causes of light spotting during pregnancy include sexual intercourse and vaginal infections.

Red

Red vaginal discharge during pregnancy requires the immediate attention of a doctor, especially if the bleeding is heavy, contains clots, or occurs alongside cramping and abdominal pain.

These symptoms suggest miscarriage or ectopic pregnancy. Approximately 10 to 15 percent of pregnancies end in miscarriage, which people may also refer to as pregnancy loss.

Other causes of red discharge may be less serious, especially during the first trimester, when it may result from implantation or infection. Studies indicate that between 7 and 24 percent of women bleed during early pregnancy.

Bleeding later in pregnancy can indicate potentially serious issues or preterm labor, which will require immediate medical attention.

An increase in the volume of mild-smelling vaginal discharge during pregnancy is normal, but unusual colors and odors often indicate infection.

A doctor can prescribe antibiotics or other medications to treat infections in this area of the body.

Women can usually maintain vaginal health during pregnancy by doing the following:

Avoiding using tampons.
Avoiding douching.
Choosing unscented personal care products and feminine hygiene items, including unscented toilet paper and soaps.
Wearing panty liners to absorb excess discharge.
Wiping the genital region from front to back after passing urine or stool.
Drying the genitals thoroughly after showering or swimming.
Wearing underwear made from a breathable fabric.
Avoiding wearing tight jeans and nylon pantyhose, which increase the risk of infection.
Eating a healthful diet and avoiding too much sugar, which can encourage yeast infections.
Trying probiotic foods and supplements that are safe to consume during pregnancy, which may prevent bacterial imbalances in the vagina.

It is essential to discuss any unusual discharge with a doctor as this symptom may suggest an infection that requires treatment or an issue with the pregnancy. Without treatment, infections can lead to complications.

An increase in discharge during pregnancy is normal, but unusual discharge alongside strong odors or discomfort in the vagina or abdomen is often indicative of a health issue. This is also the case for discharge that is green, yellow, or gray.

Women should seek immediate medical care if they experience spotting or bleeding that is heavy, persists for more than a day, or occurs alongside pain or cramps.

Read this article in Spanish.

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. nine0003

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. nine0003

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. nine0003

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. nine0003

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. nine0003

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. nine0003

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. nine0003

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). nine0003

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). nine0003

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. Pads (but not tampons!) can be used for discharge. The oral cavity can become the source of infection, so you need to monitor your teeth, brush them twice a day and get an examination by a dentist. Good nutrition strengthens the immunity of a pregnant woman. The diet should contain fresh vegetables and fruits, lean meats and fish, daily dairy products, vegetable oil, a variety of cereals. nine0003

A mobile lifestyle, therapeutic exercises and maximum exposure to fresh air are very important. Hiking is useful even at the very end of pregnancy - they will help not only maintain immunity, but also strengthen the muscles that will be required during childbirth. Be healthy!

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. nine0003

What secretions 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 blown away, 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 secretions.

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. nine0003

Sometimes the discharge is brightly colored and some women mistake it for early menses. 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 is usually the case with menstruation. This rarely happens.

Characteristics of discharge in case of 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 experience 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. nine0003

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 strain;
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. nine0003

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. nine0003

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. nine0003

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. nine0003

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? nine0061

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 an ectopic attachment manifests itself. nine0066
Discharge 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 contact 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. nine0003

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 physician. 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.