Abnormal Vaginal Discharge: Causes and Symptoms - Obstetrics and Gynecology

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Abnormal secretion?


I would like to ask the doctor, yesterday my discharge suddenly increased and became watery, enough to soak my underwear.
Today it is transparent and sticky, with no unusual odor.
I also experienced a headache, lower abdominal pain, and an elevated body temperature.
I would like to know what possible causes this could be (there was no penetrative sexual activity).

I'm sorry, 10~19 year old female. Ask Date: 2023/04/19

Dr. Chen Zhiyu reply Obstetrics and Gynecology


Hello, you can observe if there are symptoms of ovulation.
If you have any concerns, it is recommended to visit a gynecologist.
Thank you.

Reply Date: 2023/04/19

More Info


Abnormal vaginal discharge can be a concerning symptom for many women, and understanding its causes and associated symptoms is crucial for proper diagnosis and treatment. Based on your description, it seems that you are experiencing a sudden increase in vaginal discharge, which has changed in consistency and is accompanied by other symptoms such as headache, lower abdominal pain, and elevated body temperature.
Firstly, it’s important to note that vaginal discharge can vary significantly throughout the menstrual cycle due to hormonal changes. Normal discharge can range from clear and stretchy to thick and white, depending on where you are in your cycle. However, a sudden change in the amount or consistency of discharge, especially when accompanied by other symptoms, may indicate an underlying issue.

The increase in watery discharge that you are experiencing could be due to several factors. One common cause is a vaginal infection, such as bacterial vaginosis or a yeast infection. Bacterial vaginosis often presents with a thin, grayish discharge that may have a fishy odor, while a yeast infection typically results in thick, white, cottage cheese-like discharge. However, you mentioned that your discharge is transparent and does not have a strong odor, which may suggest a different issue.

Another possibility is cervicitis, which is inflammation of the cervix that can lead to increased discharge. This condition can be caused by sexually transmitted infections (STIs) or other infections. Even if you have not engaged in penetrative sexual activity, it is still possible to contract STIs through other forms of sexual contact or even from non-sexual sources.

The presence of lower abdominal pain, headache, and fever raises the concern for a more serious condition, such as pelvic inflammatory disease (PID). PID is an infection of the reproductive organs that can occur when bacteria from the vagina or cervix spread to the uterus, fallopian tubes, or ovaries. Symptoms of PID can include abnormal discharge, pelvic pain, fever, and sometimes nausea. This condition requires prompt medical attention as it can lead to complications if left untreated.

Given your symptoms, it is highly advisable to seek medical attention as soon as possible. A healthcare provider can perform a thorough examination, including a pelvic exam, and may take samples of the discharge for laboratory testing to determine the cause. Blood tests may also be conducted to check for signs of infection or inflammation.

In terms of treatment, it will depend on the underlying cause identified by your healthcare provider. If an infection is diagnosed, antibiotics or antifungal medications may be prescribed. It is also important to avoid any irritants, such as scented soaps or douches, which can exacerbate symptoms.

In summary, while changes in vaginal discharge can be normal, the sudden increase in discharge along with other symptoms such as abdominal pain and fever warrants a medical evaluation. Early diagnosis and treatment are key to preventing potential complications and ensuring your reproductive health. Please do not hesitate to reach out to a healthcare professional for further evaluation and guidance.

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