Watery Discharge: Causes and When to Seek Help - Obstetrics and Gynecology

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The discharge is watery?


I have been experiencing watery discharge for the past few months, sometimes thinking it might be urinary incontinence, especially in the morning when I feel a warm flow.
When I wipe, the tissue is damp.
I have read reports that watery discharge could be a warning sign of endometrial cancer, which makes me very worried.
I visited a nearby obstetrics and gynecology clinic, and the doctor mentioned vaginal inflammation.
However, isn't the discharge from vaginal inflammation usually yellow-green or resembling white cottage cheese? What could be the possible causes of clear, watery discharge? Should I undergo further examination? A concerned new mom.

Niming, 30~39 year old female. Ask Date: 2016/04/08

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, watery discharge may indicate inflammation.
If endometrial cancer is suspected, an ultrasound examination can be performed.
If there are still discomforts, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/04/08

More Info


Understanding watery discharge can be concerning, especially when it deviates from what is considered normal for your body. It’s important to recognize that various factors can contribute to changes in vaginal discharge, and while some may be benign, others may require medical attention.

Firstly, it’s essential to understand that vaginal discharge can vary in consistency, color, and odor throughout the menstrual cycle. Normal discharge is typically clear to milky white and may become more abundant during ovulation. Watery discharge can be a normal physiological response, especially if it occurs around the time of ovulation or in response to hormonal changes.

However, if you are experiencing a significant increase in watery discharge, especially if it is accompanied by other symptoms such as itching, burning, or an unusual odor, it may indicate an underlying issue. Common causes of increased watery discharge include:
1. Hormonal Changes: Fluctuations in hormones, particularly during ovulation or pregnancy, can lead to increased watery discharge. This is usually normal and not a cause for concern.

2. Infections: While you mentioned that your doctor diagnosed you with vaginitis, it’s important to note that not all vaginal infections present with the classic symptoms of yellow-green discharge or a cottage cheese-like appearance. Some infections, such as bacterial vaginosis or certain sexually transmitted infections (STIs), can cause increased watery discharge without the typical symptoms.

3. Cervical Mucus: Increased production of cervical mucus can occur due to various factors, including sexual arousal, ovulation, or hormonal treatments. This mucus is often clear and watery.

4. Pregnancy: If you are pregnant or suspect you might be, increased discharge can be a normal symptom due to hormonal changes.

5. Other Medical Conditions: In rare cases, persistent watery discharge could be a sign of more serious conditions, such as cervical or uterine issues. While your concern about endometrial cancer is understandable, it is essential to remember that such conditions are less common and usually present with additional symptoms.

Given your symptoms and concerns, it is advisable to follow up with your healthcare provider. If your discharge continues to be watery and is accompanied by other symptoms such as pelvic pain, unusual odor, or changes in your menstrual cycle, further evaluation may be warranted. This could include a pelvic exam, Pap smear, or other diagnostic tests to rule out infections or other conditions.

In summary, while watery discharge can be a normal occurrence, especially in response to hormonal changes, it is crucial to monitor any accompanying symptoms. If you have concerns about the nature of your discharge or if it persists, seeking further evaluation from a healthcare professional is the best course of action. They can provide a thorough assessment and determine if any additional tests or treatments are necessary to ensure your health and peace of mind.

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