White mucus 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

Thick white discharge (leukorrhea) in early pregnancy

Pregnancy
Your Body

By Karisa Ding

May 27, 2020

You may notice an increase in white creamy discharge early in pregnancy, due to higher levels of estrogen. White vaginal discharge (called leucorrhea) is nothing to worry about: This early pregnancy discharge is normal and can be clear to milky white, thin or thick, and mild-smelling or odorless. Vaginal discharge that's green, smells unpleasant, causes pain or itching, or seems unusual in any other way could be a sign of infection or another problem.

Photo credit: Jianing Pan for BabyCenter

What does creamy white discharge mean during pregnancy?
When is vaginal discharge in pregnancy a warning sign of a problem?
Can changes in my discharge be an early sign of pregnancy?
How can I tell if this is vaginal discharge or my mucus plug?
How can I tell if this is vaginal discharge or amniotic fluid?
What can I do about vaginal discharge during pregnancy?

What does creamy white discharge mean during pregnancy?

It's perfectly normal to have a mild-smelling milky white discharge even before pregnancy. (It's called leukorrhea. ) There's just a lot more of it during pregnancy because your body is producing more estrogen, which signals the vagina to produce more discharge.

This discharge is made up of secretions from the cervix and vagina, old cells, and normal vaginal bacteria. Healthy vaginal discharge is usually:

Clear to milky white.
Thin to thick or mucus-like.
Mild-smelling or odorless.

You'll probably also notice more vaginal discharge as you approach labor, although it's likely to look somewhat different from the flow you've become accustomed to.

When is vaginal discharge in pregnancy a warning sign of a problem?

Discharge that's green, smells unpleasant, causes pain or itching, or seems unusual in any other way could be a sign of infection or another problem. Also, call your doctor or midwife right away if:

You're not yet 37 weeks along and notice an increase in the amount of discharge or a change in the type of discharge. For example, if you're continuously leaking clear and watery fluid, these can be signs that your water has broken or you're in preterm labor.
Your vulva looks inflamed, or you have an odorless, whitish discharge that's causing pain with urination or intercourse, soreness, itching, or burning. This means you could have a yeast infection.
You have thin white or gray discharge with a strong fishy smell which may be more noticeable after sex (when the discharge mixes with semen). This might be a condition called bacterial vaginosis.
Your discharge is yellow or green and frothy with an unpleasant odor. This may be a sign of trichomoniasis, a common sexually transmitted infection. Other possible symptoms of trichomoniasis (or trich) include a red, irritated, or itchy vulva or vagina and discomfort while urinating or during intercourse.
Your discharge has a strong and noticeable odor or has changed in color, amount, or consistency from your normal discharge.

It can be hard to tell when symptoms signal a problem, and even if you don't have common symptoms like irritation, itching, or burning, you could still have a vaginal or sexually transmitted infection.

If you're having discomfort or you think you have an infection, don't try to treat yourself with over-the-counter medications or "feminine hygiene" products. Many of these products are marketed to make you think something's wrong with you when it's really not. And using them can aggravate an already sensitive area. Instead, see your healthcare provider for a diagnosis and the right treatment.

Can changes in my discharge be an early sign of pregnancy?

Typically, no. While many women notice an increase in vaginal discharge during pregnancy, you're not likely to notice this symptom in the week or two just after conception. And it's not one of the early pregnancy symptoms that women commonly report during those first few weeks. If you suspect you might be pregnant, your best bet is to take a pregnancy test around the time you would expect your period.

How can I tell if this is vaginal discharge or my mucus plug?

The "mucus plug" is a collection of gelatinous secretions from your cervix. These secretions fill the cervical canal in early pregnancy and create a protective barrier for most of pregnancy. As you get closer to delivery and your cervix begins to thin out (efface) and open up (dilate), these mucus-like secretions may come out of your vagina. This can be a sign of early labor.

Be assured however, it's not like a cork popping. Labor still progresses on its own timeline, and your baby remains well protected.

Not everyone experiences losing their mucus plug. If you do, it might seem like an increased amount of vaginal discharge over the course of a few days, or a glob of thickened mucus that's clear, pinkish, brownish, or tinged with a bit of blood.

How can I tell if this is vaginal discharge or amniotic fluid?

Regular discharge comes out sporadically in small amounts, but amniotic fluid leaks out continuously once your water breaks. Amniotic fluid is usually clear or slightly yellowish, watery, and odorless or slightly sweet-smelling. When your water breaks, amniotic fluid may come out as a leak or trickle, or in a big, dramatic gush. Either way, it will continue to leak out until you have your baby.

If you think it's possible you're leaking amniotic fluid, contact your provider immediately. It's important to find out if you might be going into labor.

If you're less than 34 weeks pregnant and you think your water has broken, call your provider right away. You may need medications to delay your labor and speed up the development of your baby's lungs and antibiotics to protect against infection.

What can I do about vaginal discharge during pregnancy?

There's not much you can do to stop your body's normal vaginal discharge. You can wear panty liners to absorb discharge if you need to but using them frequently may irritate your vulva. Using tampons is not recommended during pregnancy.

Here are some other ways to keep your genital area healthy:

Always wipe from front to back.
Change out of sweaty work-out clothes or wet swimsuits promptly.
If your vulva is irritated, consider limiting tight pants, leggings, or underwear made with synthetic materials.
Don't use bubble bath, scented pads, scented toilet paper, feminine hygiene sprays, and scented or deodorant soaps. These scents can be irritating to your sensitive vulvar skin.
And don't douche. Douching can upset the normal balance of bacteria in your vagina and increase the likelihood of infection. Doctors and midwives also discourage douching during pregnancy because in rare cases it can introduce air into your circulatory system through the vagina, which can cause serious complications.

Learn more:

Vaginal bleeding or spotting during pregnancy

Frequent urination during pregnancy

Pregnancy symptoms you should never ignore

Sources

BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies.

ACOG. 2015. Vulvovaginal health. American College of Obstetricians and Gynecologists. https://www.acog.org/patient-resources/faqs/womens-health/vulvovaginal-health [Accessed May 2020]

ACOG. 2016. Practice bulletin 172: Premature rupture of membranes. American College of Obstetricians and Gynecologists. https://pubmed.ncbi.nlm.nih.gov/27661655/ [Accessed May 2020]

OWH. 2017. Labor and birth. U.S. Office on Women's Health. https://www.womenshealth.gov/pregnancy/childbirth-and-beyond/labor-and-birth [Accessed May 2020]

UpToDate. Undated. Patient education: Vaginal discharge in adults (The basics). https://www.uptodate.com/contents/vaginal-discharge-in-adults-the-basics [Accessed May 2020]

UpToDate. 2019. Patient education: Vaginal discharge in adult women (Beyond the basics). https://www.uptodate.com/contents/vaginal-discharge-in-adult-women-beyond-the-basics [Accessed May 2020]

UpToDate. 2017. Management of normal labor and delivery. https://www.uptodate.com/contents/management-of-normal-labor-and-delivery [Accessed May 2020]

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why they appear in the early and late periods, in the 1st, 2nd and 3rd trimester, what to do at home

Expectant mothers are worried about any changes in the body. Noticing an unusual white discharge, some pregnant women begin to worry. "Komsomolskaya Pravda" together with obstetrician-gynecologist Susanna Grigoryan and obstetrician-gynecologist, ultrasound diagnostics doctor, candidate of medical sciences Daiva Pikauskaite understands in which cases white discharge is the norm, and in which they are dangerous for the woman and the fetus.

Characteristics of white discharge during pregnancy

White discharge is distinguished by the following characteristics.

Color	Available in clear, whitish or light colors.
Odor	Should normally be absent, but slight sourness is acceptable.
Structure	There must be no bloody inclusions, lumps, cheesy flakes.
Consistency	May be slimy, thin, thick or viscous.
Sensations	Discharge should not be accompanied by pain, burning, itching, swelling of the vaginal mucosa.

Liquid consistency

Sometimes a thin white discharge seems so normal that it is difficult for a doctor to recognize signs of pathology in them. However, they can be one of the symptoms of an infectious-inflammatory disease. For example, a fishy smell may indicate a violation of the vaginal microflora, and blood streaks - about inflammation of the cervix or its erosion. Also, such discharge may occur due to an allergic reaction to intimate hygiene products or pads.

Cheesy consistency

Cheesey discharge usually indicates candidiasis. May be accompanied by a sour smell, burning and itching. Unpleasant symptoms are aggravated after sexual contact, water procedures and at night. During pregnancy, the disease worsens due to changes in hormonal levels. The danger of pathology for the expectant mother 一 the risk of losing a child. The appearance of symptoms of candidiasis before childbirth increases the risk of infection of the child at the time of his passage through the birth canal.

Creamy consistency

A whitish-transparent creamy discharge due to increased blood flow to the vagina. (1) Congested blood vessels cause temporary disturbances in the functioning of the bladder, ureters, and kidneys. The reproductive system reacts to changes with abundant secretions, similar to cream.

Photo: @mart-production, pexels.com

Mucus discharge

Mucous discharge that is not accompanied by an unpleasant odor, burning or itching is considered normal. This is the result of the formation of a mucous plug that prevents infections from entering the vagina. The mucous secretion may acquire a milky hue, contain dense clots. The formation of a cork is completed by about the 12th week of pregnancy, then the nature of the discharge changes.

Foamy discharge

A common cause of frothy discharge during pregnancy is trichomoniasis. Illness in the early stages can lead to miscarriage. Self-treatment is strictly contraindicated. Having found foamy discharge, you need to see a doctor as soon as possible and follow all the instructions.

Why white discharge occurs during early pregnancy

– Vaginal discharge without unpleasant symptoms is an absolute norm and is observed in most pregnant women, says obstetrician-gynecologist Daiva Pikauskaite. - From the first to the third trimester, their number increases.

However, there are also warning signs:

discoloration to reddish or greenish;
significant and abrupt increase in excretions;
odor change;
burning, itching or pain.

Any of these factors is a reason to see a doctor as soon as possible. (2)

1st trimester

Conceiving a child always affects a woman's body. Hormonal changes begin, often accompanied by light or white discharge. Also, the cause of secretion is the fixation of the embryo in the uterine cavity or the formation of a mucous plug that protects the embryo from infection.

Over time, the amount of discharge decreases. They become more viscous and transparent.

Why white discharge occurs during late pregnancy

White discharge is most often safe in late pregnancy.

- Slight, odorless discharge is considered normal. Usually they are transparent or slightly milky in color. The consistency is reminiscent of raw egg white, - says obstetrician-gynecologist Daiva Pikauskaite, - the secretions are mainly protective, preventing ascending infection of the fetus.

2nd trimester

In the 2nd trimester, a thin, white discharge is considered normal. (3) They help keep the vagina healthy. The main thing is that there should be no foreign inclusions and smell. Any deviation from the norm is a reason to contact a gynecologist.

Photo: @amina-filkins, pexels.com

3rd trimester

Toward the end of pregnancy, white discharge may indicate the following processes:

the mucous plug begins to move;
the head of the fetus is pressed closer to the exit from the birth canal, that is, to the cervix;
amniotic fluid leakage (usually occurs later in pregnancy).

– In the event of unusual discharge and an increase in its amount, you should immediately consult a doctor. The specialist will assess the nature of the secretions and their volume in order to exclude leakage of amniotic fluid and the presence of infectious and inflammatory diseases, explains obstetrician-gynecologist Suzanna Grigoryan.

How to deal with white discharge during pregnancy at home

– If the discharge does not bother you, then nothing needs to be done about it, especially at home, says Daiva Pikauskaite. - It is only important to observe intimate hygiene, undergo examinations at the doctor on time and take the necessary tests. For any warning signs, it is recommended to consult a gynecologist.

Frequently asked questions and answers

White discharge is most often the norm during pregnancy. However, expectant mothers may be concerned. The most popular questions are answered by gynecologists Daiva Pikauskaite and Susanna Grigoryan.

What should you not do when you notice a white discharge?

If discharge bothers you, do not do the following:

● use medications on your own;
● Douching or sitz baths with medicinal herbs;
● use soap for intimate hygiene, it dries out the mucous membranes, their protective functions are impaired;
● Wear panty liners or synthetic underwear.

How to distinguish amniotic fluid from abundant discharge?

At the end of pregnancy, the amount of discharge increases. Often they become so plentiful that it seems to the expectant mother that her water is leaking. It is possible to distinguish amniotic fluid from secretions.

The discharge is thicker, leaving a dried stain or a characteristic white color on the laundry.

Amniotic fluid is water. It doesn't stretch and doesn't leave marks when it dries.

In case of doubt, it is best to consult a doctor, who will accurately determine the cause. Also, the pharmacy sells special tests that show whether there is water leakage.

Can I use the pool if I have white discharge?

If the discharge does not bother, the pregnant woman can swim in the pool, river, sea and any other body of water. In case of doubt, it is recommended to obtain a doctor's approval.

Sources

Cervicitis in pregnant women / Sverdlova E. S. // 2010. URL: https://cyberleninka.ru/article/n/tservitsity-u-beremennyh
Bacterial infections during pregnancy / Zheksembayeva G.K., Zhumadullaeva G.S., Kadirsizova G.K., Musaeva R.G. // 2011. URL: https://cyberleninka.ru/article/n/bakterialnye-infektsii-vo-vremya-beremennosti
Pregnancy, childbirth, motherhood / Burmistrova E.A. // 2012.

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. 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.