Green discharge during pregnancy. Green discharge during pregnancy

Pregnancy often brings not only joy, but also a lot of worries. One of them is changes in the nature of vaginal discharge. What do you need to know in order not to be afraid?

Discharge during pregnancy: norm and pathology

After the onset of pregnancy, there is a sharp change in the level of estrogen and progesterone.

This affects the quality and quantity of vaginal discharge.

In order not to panic ahead of time, you need to understand which secretions should be afraid of, and which may be normal.

Vaginal discharge during pregnancy: norms and causes

Normally, the amount, color and consistency of secretions change depending on the phase of the menstrual cycle. During the ovulatory period, they look like abundant transparent mucus, then they become homogeneous white.

During the period of gestation, the amount of discharge increases, reaching its maximum by the time of delivery. This is due to the increased production of progesterone, a hormone aimed at maintaining gestation.

Changes in the secretion of the genital tract: manifestations of pathology

But there are situations when you should immediately contact a gynecologist:

• the appearance of itching, burning, redness in the labia;
• changes in the color of the discharge (green, yellow);
• the appearance of a sharp unpleasant odor;
• change in consistency (foamy, curdled).

Thick, greenish, odorless discharge in women during pregnancy

If a pregnant woman complains of thick greenish odorless discharge, then an inflammatory process in the vagina should be excluded. Additional complaints may be itching or burning, discomfort when urinating.

Such symptoms are usually a manifestation of acute or exacerbation of chronic vaginitis. This disease is dangerous because there is a risk of ascending infection with subsequent infection of the membranes and the fetus. And this already carries a risk for the normal development of the child. Of the possible consequences:

• fetoplacental insufficiency;
• intrauterine growth retardation;
• intrauterine infection, the consequence of which may be pneumonia, damage to the organs of vision, hearing.

Possible reasons for this kind of discharge can be:

• bacterial vaginosis - a violation of the ratio between normal, conditionally pathogenic and pathogenic microflora (in addition, there may be a "fishy" smell);
• sexually transmitted infections (caused by pathogens such as chlamydia, mycoplasma, trichomonas, gonococcus);
• vaginitis caused by opportunistic bacteria, for example, E. coli, enterococcus, staphylococcus, streptococcus, clostridia, etc.;
• vaginitis of viral etiology (herpetic or cytomegalovirus infection, human papillomavirus);
• exacerbation of diseases of the pelvic organs (a rather rare situation during pregnancy);
• neglected untreated candidiasis;
• after a course of antibiotic therapy;
• trauma to the vaginal mucosa (for example, after rough intercourse, inaccurate douching);
• allergic reaction to panty liners, underwear;
• neglect of the rules of personal hygiene.

In any case, you can not do without consulting an obstetrician-gynecologist. In order to identify the cause and correctly diagnose, it is necessary to pass a series of tests: a smear for microbiocenosis, bacteriological culture of the vaginal discharge, PCR testing for STIs and major viruses.

According to the results of the examination, the doctor prescribes treatment. It can be local or with the addition of antibiotics (if it is a sexually transmitted infection). Be sure to refrain from sexual activity until complete recovery. Do not neglect the restoration of microflora after the treatment course. If necessary, send to a urologist for examination of the sexual partner.

Yellow-green odorless in the early stages

In the first trimester, there is an increase in the amount of vaginal discharge, it may acquire a yellowish-green color. This is due to the increased production of progesterone. If at the same time there are no additional complaints (itching, unpleasant odor, discomfort during intercourse), then you should not worry, this is a variant of the norm.

Also, the color of mucus can be affected by the intake of certain medications, for example, vaginal suppositories with progesterone (utrogestan, prajisan), suppositories for normalizing microflora (vaginorm-C, vagilak, bifidumbacterin).

The cause may be sexual intercourse without the use of barrier contraception (condom). Some time after intercourse, the sperm begins to liquefy and flow out, while the color of the discharge becomes yellow-green.

If we talk about pathology, then the reason may be in a non-developing pregnancy. In this case, the diagnosis is established on the basis of an ultrasound report and the absence of an increase in the level of hCG. After confirming the diagnosis, urgent hospitalization is indicated.

Greenish-yellow in the third trimester with a rotten smell

The addition of a rotten smell to the greenish-yellow color of the discharge indicates infection with a bacterium such as gardnerella. In the third trimester, dysbiotic disorders are aggravated, which leads to the occurrence of bacterial vaginosis.

The disease itself is not dangerous for a pregnant woman and fetus, but only with timely correction of the vaginal microflora. If this does not happen, then dysbacteriosis turns into an inflammatory process.

And this is already dangerous for the mother, because. the inflamed mucosa can easily be injured during childbirth, which is fraught with infectious complications in the postpartum period, up to the development of metroendometritis - inflammation of the uterus. As for the fetus, it is fraught with pneumonia in the early neonatal period, infectious lesions of the eyes, the organ of hearing.

Another pathology is accompanied by similar symptoms - chorionamnionitis. This is an inflammation of the membranes. An additional distinguishing feature will be the presence of fever. If a diagnosis is suspected, urgent hospitalization is necessary, because this pathology has a risk of death for the child.

Also, such complaints may accompany the leakage of amniotic fluid. If the waters are green, then the cause may be acute or chronic fetal hypoxia (lack of oxygen) or a post-term pregnancy. Again, you can figure it out only in the conditions of the maternity hospital.

In the second trimester, greenish, odorless

The causes of these manifestations do not differ from those in the first trimester. Accordingly, examination and treatment are carried out according to the same principles.

Abundant cheesy with a greenish tinge

Curdled discharge with a greenish tint indicates candidal vaginitis.

Candida is a yeast fungus and is a member of the normal microflora of the vagina, i.e. Normally, it is present in all women. But not everyone suffers from manifestations of colpitis.

There are a number of reasons that contribute to the development of the infectious process:

• decreased immunity;
• taking antibiotics;
• violation of the rules of personal hygiene;
• abuse of sweets, flour products or, conversely, spicy foods;
• wearing synthetic underwear;
• use of panty liners;
• the presence of diabetes mellitus (including gestational);
• nicotine intoxication;
• stress, psycho-emotional overload, lack of sleep.

If we talk about additional symptoms, then these can be:

• intolerable itching;
• the appearance of an admixture of blood in the vaginal discharge due to constant scratching;
• pain when urinating due to inflammation of the urethra.

To confirm the diagnosis, it is often enough to take anamnesis and examination in the mirrors. The decision on additional examination and prescription of treatment is made by the doctor.

Light green mucous odorless in the early stages

This kind of discharge is often found in the norm, when hormonal changes in the body occur. Infectious or allergic causes (described above) are also possible.

How are they treated

After collecting an anamnesis, a number of examinations are prescribed:

• smear for microbiocenosis:
• bacterial culture;
• Femoflor.

Treatment includes the appointment of local and systemic drugs. Of the local ones, these are suppositories, vaginal tablets, cream. For example:

• terzhinan;
• neopenotran, neopenotran-forte;
• clotrimazole;
• pimafucin.

Of the systemic drugs, antibiotics (penicillin group, cephalosporins) or systemic antimycotics (nystatin, pimafucin) can be prescribed.

Predictions for Pregnancy

With timely prescribed therapy, there will be no negative consequences for the woman or the fetus.

Antibiotics are justified to prevent ascending infection.

The inflammatory process in the vagina is not a rare occurrence during pregnancy. The main task of a woman is a timely appeal to a specialist for the appointment of an adequate examination and treatment. Then nothing threatens the normal course of pregnancy.

Useful video

During pregnancy, a woman's body undergoes various changes, which in most cases are due to a change in hormonal levels. Vaginal discharge should not be a concern if it is normal and does not cause discomfort. How to distinguish physiological mucus from pathological? Why do green discharges appear?

What is considered normal

Mucous discharge from the vagina, which has a uniform structure, a transparent color and is not accompanied by an unpleasant odor, is the norm. A similar process is due to the constant self-cleaning of the genital organs. In addition, after the fertilized egg attaches to the endometrium of the uterus, a mucous plug forms in the cervical lumen, which protects against infection.

During pregnancy, the discharge may acquire a white or yellowish tint, their amount should be moderate. If the nature of the mucus does not meet these criteria, this may indicate the development of a disease. In such cases, it is necessary to consult a doctor for diagnosis and treatment.

Causes of green discharge during pregnancy

In most cases, green vaginal discharge indicates the development of a pathological process caused by a bacterial or fungal flora. Only occasionally, a similar symptom can appear in women after a gynecological examination, but such discharge disappears on its own after a few days.

If you notice the appearance of green discharge, you should listen to your body. There may be other symptoms that are characteristic of a particular disease. In any case, you should consult a doctor as soon as possible so as not to harm the fetus.

Greenish mucus may indicate the development of the following pathological processes:

In late pregnancy

The above pathologies can be observed at any stage of pregnancy and are accompanied by the same clinical manifestations. There are other causes of green discharge, but they are typical for the second and third trimesters of pregnancy. These include:

For each of these conditions, immediate medical attention is required, since there is a threat to the health of not only the fetus, but also the woman.

Diagnostics

Diagnosing this problem is easy. However, a woman should understand that only an experienced gynecologist can do this.

To make a particular diagnosis, a specialist during a gynecological examination will make a smear on the microflora. This method allows you to identify the nature of the pathogen and the degree of purity of the vagina. Based on the results, the doctor will select a safe treatment that will help overcome the disease and will not harm the baby's well-being.

Treatment

After finding out the cause of the appearance of green discharge, the specialist, based on the tests performed and taking into account the nature of the pathogen, prescribes a course of treatment for the pregnant woman with medications.

It is worth noting that any medication during pregnancy can only be used as prescribed by a specialist.

The treatment regimen is selected individually. However, in most cases, antibiotics are indispensable. The doctor prescribes the safest medicines that will not harm the health of the expectant mother and fetus. Quite effective in the treatment of sexually transmitted infections are topical medications such as Terzhinan, Vagotil, Betadine.

If the pathology is diagnosed in the first trimester of pregnancy, then the doctor may recommend postponing treatment for some time, since during this period all the organs and systems of the fetus are laid down, and drugs can negatively affect the formation and cause the development of congenital anomalies.

Along with the use of medicines, a pregnant woman must also observe the rules of personal hygiene. Often the cause of dysbacteriosis or thrush can be the use of soap, which contains various fragrances or flavors, so it is better not to use such products. It is also recommended to wear underwear made from natural materials.

Drugs for treatment (gallery)

Prevention

To prevent the development of a similar problem during pregnancy, a woman should adhere to the following rules:

1. Touch the genitals only with clean hands.
2. Wear clothes made from natural materials.
3. Avoid casual sex.
4. Avoid unprotected sex.
5. Do not use hygiene products with fragrances and fragrances.
6. Eat only high-quality food, eat a balanced diet.
7. Regularly visit a gynecologist and treat all diseases.

The presence, color, amount and consistency of vaginal discharge in every woman normally change all the time. Such inconstancy is connected with the hormonal level, which cannot remain stable during the menstrual cycle. Depending on which hormones prevail in the blood during a certain period of the cycle, vaginal discharge either becomes thin and thick, or liquefies and discolors.

But as for the period of pregnancy, due to hormonal instability, vaginal discharge can be almost anything. However, the color and nature of the vaginal secretion during pregnancy is far from always due to hormones. In some cases, a woman needs to be additionally examined to establish the nature of some changes. In particular, green vaginal discharge during pregnancy requires increased attention.

If you find yourself with green vaginal mucus, then do not rush to think about the worst. Yes, it is this symptom that accompanies the course of so many sexually transmitted diseases that should be suspected in the first place. But during pregnancy, a woman has a “discount”: it is not at all excluded that it is her special position that is involved in the occurrence of such an undesirable phenomenon. Against the background of hormonal fluctuations, a change in the nature and color of the vaginal mucus is possible, and, perhaps, it only seemed to you that it turned green. Sometimes, normal discharge can be slightly yellowish, and in certain lighting look like greenish.

Almost certainly, if green discharge during pregnancy is not accompanied by unpleasant uncomfortable sensations in the vulva, then there are no serious reasons for concern. But it is always necessary to see a doctor and consult with him: in some cases, sexual infections and other complications during pregnancy are asymptomatic.

It is green mucus from the vagina that can be a short-term phenomenon as a result of mechanical damage to the mucous membrane of the genital tract. This, in particular, is often observed after examining a woman on a gynecological chair: tell your doctor about this.

However, violations in the female body are not excluded if greenery is observed in the vaginal secretion. During this period, vaginal dysbiosis occurs quite often (discharge with a greenish tint has a fishy smell and the appearance of exfoliating films), but treatment is usually postponed to a later period.

Thrush during pregnancy worsens or occurs for the first time in almost every pregnant woman: it is accompanied by white, cheesy, sour-smelling vaginal discharge, which can acquire a yellowish and even greenish tint. If at the same time burning, itching, swelling or redness is felt in the vaginal area, then with a high degree of probability we can talk about the development of candidiasis during pregnancy (aka thrush).

Green discharge, along with other characteristic signs - pain in the lower abdomen, increased urination, and others - may indicate an inflammatory process in the organs of the genitourinary system. With inflammation of the ovaries or fallopian tubes, the discharge becomes bright yellow, possibly with a greenish tinge, and body temperature may rise.

Even if at the planning stage or at the very beginning of pregnancy all smears from the woman's vagina were normal (that is, no genital infections were found), this does not mean at all that the disease could not form or manifest itself at a later date. Green (with a yellow-brown tint), blisters or purulent discharge from the vagina can be accompanied by a number of genital infections:

• gardnerellosis (bacterial vaginosis) - discharge is gray-white with a greenish tint, there may be a burning sensation in the vulva, aggravated by urination, as well as pain and discomfort during intercourse;
• chlamydia - often asymptomatic, but there may be discomfort during urination, discomfort and itching in the vagina, cloudy mucus from the vagina, including with a greenish tint;
• trichomoniasis - very often asymptomatic; green blotches can be observed against the background of irritation of the vagina and external genitalia;
• gonorrhea - at first there are pains and burning during urination, frequent urges, then purulent discharges appear (white-yellow or with a greenish tint), over time they intensify and painful sensations occur in the genital area (itching, burning, swelling).

Scanty green discharge during pregnancy may indicate the initial stage of the development of a bacterial infection. Due to the exacerbation of the process, they can become more and more abundant.

Most likely, none of these infections will affect a woman who is expecting a child: after all, she monitors her health, diligently observes hygiene and, as a rule, leads an orderly sex life with a trusted reliable partner. But even if something is still found, an experienced doctor will prescribe the best safe treatment during pregnancy.

Green discharge during pregnancy: how to treat and what to do?

The most important thing is not to be nervous, not to overthink, not to make any preliminary diagnoses for yourself and consult a doctor as soon as possible. Green discharge during pregnancy rarely poses a serious threat to the fetus, but can still carry a certain danger for the development of pregnancy and the baby. Therefore, treatment may be necessary, and this is not worth resisting: the drugs used today do much less than the expected harm than infections. Moreover, if the condition allows, treatment of the infection will be postponed to later stages of pregnancy, when the baby will no longer be so vulnerable and sensitive to drugs.

If a pathogenic bacterial flora is detected, alas, it is unlikely that it will be possible to do without antibiotics. In this case, the doctor will also prescribe you a probiotic course so as not to disturb the microflora of the vagina and not to provoke the appearance of green discharge for this reason alone.

Thrush during pregnancy is almost never cured: all prescribed drugs only temporarily remove the symptoms, after which the fungus resumes its activity. That is why gynecologists prefer only to restrain the growth of candida fungi and eliminate the unpleasant symptoms of its manifestation. However, shortly before the birth, the thrush will still have to be treated in order to minimize the risk of infection of the child during passage through the birth canal.

Reconsider your life, habits and care of the intimate area: perhaps the appearance of discharge with a greenish tint is caused by wearing synthetic underwear, using sanitary pads, tampons or cosmetics with fragrances and fragrances.

But you still should not neglect a medical examination and consultation: ask your gynecologist if discharge is normal in your case.

https://youtu.be/PaCM_674AxQ

Especially for - Elena Semenova

Pregnancy seriously rebuilds a woman's body, affecting almost all of its areas. Moreover, each change often scares the expectant mother, such as green discharge during pregnancy. A similar symptom may indicate various diseases, so it should not be left without medical attention.

Attention! If greenish discharge is detected, it is necessary to assess your condition and look for additional symptoms of the pathology. A specialist should be contacted as soon as possible to avoid possible negative consequences for the fetus.

In general, pregnancy is characterized by the presence of certain secretions, the appearance of which is due to the restructuring of the woman's reproductive system and an increase in the volume of blood flowing to the pelvic organs. Discharges that are odorless, translucent in structure, scanty are considered normal during the pregnant period. With such secretions, a slight moisture may be felt in the perineum. Similar secretions are observed throughout pregnancy and disappear with the birth of the baby.

Curdled discharge during pregnancy with a white tint indicates the onset of thrush, which could occur during antibiotic therapy or worsened due to pregnancy. For such a pathology, uncomfortable urination with burning, itching in the perineum is characteristic. Thrush requires high-quality treatment, in which drugs that are safe for the fetus are prescribed.

If yellowish spots appear on the linen, it is also necessary to consult a gynecologist, because such a symptom indicates the development of genital infections. To clarify the etiology, the doctor will take a smear from the vagina, which will be sent to the laboratory. After determining the pathogen, appropriate drugs are prescribed.

The most alarming sign is the occurrence of bloody and bloody discharge. If a similar symptom arose in the first months of gestation, then they may indicate the development of a threat of miscarriage. To exclude possible risks, it is recommended to consult a gynecologist. Sometimes patients note the appearance of light green discharge during pregnancy.

Is Green Discharge Dangerous or Not?

A pregnant woman can detect greenish spots on panties for various reasons, but always pathological, due to fungal or bacterial origin. Usually, the appearance of such symptoms indicates the development of a sexually transmitted pathology. Particular attention to the pregnant woman deserves heterogeneous and unpleasantly smelling discharge, which may indicate gonorrhea.

Anyway, with the appearance of unusual discharge of a greenish tint, it is necessary to conduct a qualified diagnosis to determine the cause of such a syndrome. A similar sign suggests that the infection occurred at the time of conception and even before it. Just pathogenic agents are able to live long enough in the vagina. They are activated when a pregnant woman's immune defenses decrease, which is typical for the first trimester of pregnancy.

Causes of green discharge

Experts call a lot of reasons why a pregnant woman may have greenish discharge. These include colpitis and cervicitis, vaginosis or dysbacteriosis, infections and inflammatory lesions, and a recent course of antibiotic therapy. Only a doctor can accurately determine the cause of such discharges after conducting appropriate tests. Below are the most common reasons for this phenomenon.

Infectious lesions

If green discharge during pregnancy bubbles or foams, then this sign indicates the presence of a sexual infection.

If the mucus is secreted poorly, slightly smears the linen, then it means that the infection is just beginning to develop, the excessive abundance of such secretions indicates an exacerbation or neglect of the bacterial-infectious process. Sometimes the body of a pregnant woman reacts with green secretions to the development of an intestinal infection.

Dysbacteriosis

Various microorganisms live on the female genital organs, which can belong to both pathogenic and beneficial flora. When dysbacteriosis develops, the level of beneficial microorganisms drops sharply, mucous tissues lose their barrier functions. As a result, an active growth of bad microflora occurs, the vaginal environment is disturbed, and the body loses its immune defenses.

Dysbacteriosis also accompanies green discharge, but is dangerous for others. If a pregnant woman avoids treatment, complications of pregnancy or delivery, infectious lesions of the fetus, rupture of the amniotic membrane, or the birth of a baby with a lack of weight may develop. Discharge during dysbacteriosis usually has an unpleasant fishy odor and is dark green or yellowish-green in color. Therapy of dysbacteriosis is based on the use of medicines that contain beneficial microflora.

Genitourinary inflammation

Greenish leucorrhoea in a pregnant woman can signal the presence of inflammatory processes in the reproductive system, which includes the cervical canal, tubes and appendages, as well as the uterus itself. At the heart of such inflammation is a bacterial infection. They may not bother in any way, but worsen already during pregnancy, when the body's immune barriers are significantly weakened.

For example, cervicitis, which is cervical inflammation. In terms of symptoms, the pathology is similar to gardnerellosis, only the secreted mucus can have, in addition to green, also yellow. And an inflammatory fungal infection like candidiasis is not as dangerous for the fetus as it is for the mother, because it loosens the vaginal tissues, which increases the likelihood of damage during childbirth. For candidiasis, green, curdled discharge is typical, provoking itching and a burning sensation in the perineum.

All these pathologies must be treated in a timely manner, otherwise they rapidly spread to other structures of the body, including the fetus. In each case, the specialist individually decides whether to treat such a pathology immediately or postpone its therapy for the postpartum period.

Neglect of intimate hygiene

The personal hygiene of a pregnant woman is of paramount importance during gestation, therefore, when choosing panty liners and intimate hygiene products, it is necessary to show maximum meticulousness.

• Sometimes greenish vaginal leucorrhoea is a reaction of the genital organs to the daily, or rather, to the flavoring substance that impregnates them. Therefore, it is better to stop the choice on non-flavored pads.
• Do not get carried away with a variety of intimate gels or soaps. Usually their composition is represented by a mass of chemical compounds that are not always safe for a pregnant woman. It is better to use baby soap for washing.

Traumatic injuries of the genital organs

Sometimes the cause of discharge that has a greenish tint can be traumatic factors. In such a situation, characteristic soreness in the perineum is added to the discharge. You can get injured in the process of inaccurate douching, so such procedures during pregnancy are best done only for very strong and undeniable indications, showing the greatest possible caution. Sometimes, due to improper underwear, women have microtraumas on the genital external organs, so it is recommended to wear loose-fitting underwear and made from natural fabrics.

Treatment Methods

When detecting greenish mucus, you do not need to fall into a stupor. To know the cause of this phenomenon, a medical consultation and appropriate diagnostic measures are necessary. This is the only way to get high-quality, effective and safe treatment for the fetus. The latter is very important, because many mothers are afraid that the gynecologist will prescribe drugs that are dangerous for the child. Today, there are a lot of medications prescribed during pregnancy. They do not harm the baby and do not have a serious side effect on the health of the mother.

Sometimes doctors make the decision to delay therapy until delivery or later in pregnancy, when the fetus becomes less susceptible to medication. In case of bacterial infections, specialists prescribe antibiotic therapy, to minimize the harm of which local preparations are selected for pregnant women. And in order to exclude violations of the vaginal microflora, it is necessary to additionally take probiotic preparations.

At the time of bearing a baby, it is necessary to reconsider your habits and intimate hygiene, regularly visit a gynecologist, undergo scheduled screenings, etc. Only a responsible approach will help to avoid problems with green vaginal discharge.