Vaginal Discharge: Common Concerns and Symptoms Explained

What is that object?

Is there normally a soft, white substance inside the labia minora, just above the vaginal opening? My second question is that I have been experiencing discharge since middle school, and by high school, my underwear would have a dry, white residue every day.
I visited a gynecologist in high school, and the doctor could only examine the external appearance and said I had inflammation.
They prescribed oral medication and ointment, and after taking the medication a couple of times without itching, I didn't return for follow-up.
This has been a recurring issue for three years, with repeated inflammation and follow-ups.
The doctor mentioned that the amount of discharge can vary based on individual physiology, but since I haven't had sexual intercourse, the doctor couldn't perform internal examinations and could only assess the external appearance.
Is it really possible to determine what the problem is just by looking? My underwear is often damp, especially in the summer, which is uncomfortable.
I don't understand why I have so much discharge.
I also don't know if there is a specific odor; being in a closed environment every day must create some smell, and sometimes it can have a more pronounced odor.

ywyw, 10~19 year old female. Ask Date: 2020/06/05

Dr. Wu Xianghui reply Obstetrics and Gynecology

Vaginal infections and abnormal discharge are the most common conditions affecting women.
There are many contributing factors, and treatment methods require comprehensive health education.
It is recommended to seek evaluation from a specialist in obstetrics and gynecology at an outpatient clinic.

Reply Date: 2020/06/05

More Info

Understanding vaginal discharge and its associated symptoms can be a complex issue for many women. It's important to recognize that the female anatomy, including the labia and vaginal canal, has various normal features and functions.
1. Normal Anatomy: The small, soft, white structure you mentioned inside the labia minora (the inner lips of the vulva) could be a normal anatomical feature known as the Bartholin's glands. These glands are located on either side of the vaginal opening and can sometimes be felt as small, soft lumps. They are responsible for secreting mucus to lubricate the vagina. If they are not inflamed or painful, they are typically considered normal.

2. Vaginal Discharge: It is common for women to experience varying amounts of vaginal discharge throughout their menstrual cycle. This discharge can be influenced by hormonal changes, and it often varies in consistency and color. A white, milky discharge is generally normal, especially if it is not accompanied by itching, burning, or a foul odor. However, if you have been experiencing excessive discharge that is causing discomfort, it may indicate an underlying issue.

3. Chronic Inflammation and Discharge: Your history of recurrent inflammation and discharge suggests that there may be an underlying condition that needs to be addressed. Conditions such as bacterial vaginosis, yeast infections, or sexually transmitted infections can lead to increased discharge and inflammation. While you mentioned that you have not engaged in sexual activity, it is still possible to develop these conditions through other means, such as hormonal changes, antibiotic use, or even irritants like soaps or hygiene products.

4. Diagnosis and Treatment: It is concerning that you have been experiencing these symptoms for several years without a definitive diagnosis. While visual examinations can provide some information, they may not be sufficient to identify the root cause of your symptoms. A more thorough evaluation, including laboratory tests (such as a Pap smear or cultures), may be necessary to determine the exact cause of your discharge and inflammation.
5. Self-Care and Management: In the meantime, consider some self-care measures. Wearing breathable cotton underwear, avoiding douching or using scented products in the genital area, and maintaining good hygiene can help manage symptoms. If you notice any changes in the color, consistency, or odor of your discharge, or if you experience additional symptoms such as itching or pain, it is essential to seek medical attention promptly.

6. Follow-Up with Healthcare Providers: Given your ongoing symptoms, it may be beneficial to seek a second opinion or consult a specialist, such as a gynecologist, who can provide a more comprehensive evaluation. They may recommend additional tests or treatments tailored to your specific situation.

In conclusion, while some vaginal discharge is normal, persistent or bothersome symptoms warrant further investigation. Understanding your body and seeking appropriate medical care is crucial for maintaining reproductive health. If you have concerns about your symptoms, do not hesitate to reach out to a healthcare professional for guidance and support.

Similar Q&A

Understanding Abnormal Vaginal Discharge: Causes and When to Seek Help

I went online to check about increased vaginal discharge and decided to see a doctor. I told the doctor about the excessive discharge, and I have been undergoing treatment for a month, using suppositories and taking oral medication for the same duration. After multiple follow-ups...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the symptoms you described must be quite distressing. Generally, genital symptoms are diagnosed based on both symptoms and examinations, and the treatment varies accordingly. The more common infections include the following: 1. Vulvovaginal Candidiasis: Introducti...

Understanding Vaginal Discharge: Causes, Symptoms, and Infections

The usual discharge is predominantly milky white and does not have any odor. There is only some itching before menstruation, and there is pain in the vulva before each menstrual period, which resolves after menstruation. What type of vaginal infection could this be? Additionally,...

Dr. Zhan Deqin reply Obstetrics and Gynecology
Before and after menstruation, due to a weakened immune system, infections, especially fungal infections, are common. Vaginal infections can also affect the urethra, particularly after sexual intercourse, leading to urethritis and cystitis. Symptoms of cystitis include frequent u...

Understanding Vaginal Discharge: Causes, Concerns, and Solutions

Hello Doctor, I would like to inquire about an issue regarding vaginal discharge. I have been experiencing vaginal discharge for the past three to four years. It is not enough to require panty liners, but it often leaks onto my underwear, and sometimes when I squat for a long ti...

Dr. Mao Yikun reply Obstetrics and Gynecology
It sounds like vaginitis; however, without a pelvic examination, it may be difficult to make an accurate diagnosis. The most important way to prevent vaginitis is to maintain good hygiene practices, avoid wearing tight underwear or jeans, and wipe from front to back after using t...

Understanding Symptoms and Discharge Appearance of Genital Infections

Could you please explain the symptoms and appearance of discharge associated with various genital infections? This would help me make a preliminary assessment. Thank you.

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, here are the responses to your questions: 1. Fungal Infection: Symptoms include itching in the genital area, cottage cheese-like discharge, burning sensation, pain during intercourse, discomfort while urinating, swelling and redness of the vulva, and even skin lesions...