Abnormal Vaginal Discharge During Intercourse: What to Know

Abnormal secretions

Hello doctor, I would like to ask about something.
Recently, my girlfriend has been experiencing a white discharge that resembles cottage cheese coming out during intercourse with me.
However, she says it doesn't cause her any discomfort, and it doesn't come out during foreplay, only during intercourse.
I would like to know if there is any issue with this.
Additionally, her period has been delayed by about a month; she has also often had irregular cycles in the past.
I hope you can provide some answers.
Thank you!

Lun, 20~29 year old female. Ask Date: 2002/12/31

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
A discharge resembling tofu curds is likely indicative of a fungal infection, and it would be advisable to consult a gynecologist.
Currently, treatments for vaginal fungal infections are very effective.
2.
Some women experience irregular menstrual cycles due to anovulation or hormonal imbalances.
If menstruation has been absent for a prolonged period, it is important to first check for pregnancy.

Reply Date: 2002/12/31

More Info

When it comes to abnormal vaginal discharge during intercourse, there are several factors to consider. The description of a white, curd-like discharge, often likened to "tofu," can be indicative of a yeast infection, particularly if it is accompanied by itching or irritation. However, since your girlfriend reports no discomfort during sexual activity, it may not be causing any significant issues at this time.

Yeast infections, caused by an overgrowth of Candida, can lead to changes in vaginal discharge. This type of discharge is typically thick, white, and may have a cottage cheese-like appearance. Other symptoms can include itching, burning, and redness around the vaginal area. It’s important to note that not all cases of abnormal discharge are due to infections; hormonal changes, particularly those related to the menstrual cycle, can also affect the consistency and amount of discharge.

Given that your girlfriend's menstrual cycle has been irregular, with a delay of about a month, this could also be a contributing factor. Stress, significant weight changes, hormonal imbalances, or underlying health conditions can all lead to menstrual irregularities. If her periods have been consistently irregular, it may be worth exploring further with a healthcare provider.

In terms of what to do next, if the discharge continues or if she begins to experience discomfort, it would be advisable for her to see a healthcare professional. A gynecologist can perform a thorough examination, including a pelvic exam and possibly a swab of the discharge, to determine if there is an infection or another underlying issue.
Additionally, if she has not had a recent gynecological check-up, it may be beneficial for her to schedule one. Regular check-ups can help monitor her reproductive health and address any concerns regarding her menstrual cycle or discharge.

In summary, while the discharge you described could be indicative of a yeast infection, the absence of discomfort during intercourse is a positive sign. However, the irregularity of her menstrual cycle should not be overlooked. Encouraging her to seek medical advice will provide clarity and ensure that any potential issues are addressed promptly. Regular gynecological care is essential for maintaining reproductive health, especially when experiencing changes in discharge or menstrual patterns.

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