What’s the matter with leucorrhea that is six months pregnant?

Leucorrhea that looks like tofu during the sixth month of pregnancy may be caused by vulvovaginal candidiasis, bacterial vaginosis, trichomonas vaginitis, changes in hormone levels, or poor hygiene habits. It can be improved through drug treatment, local care, and adjustment of living habits. It is recommended that pregnant women seek medical treatment promptly and handle the condition properly under the guidance of a doctor.

1. Vulvovaginal candidiasis

Elevated estrogen levels during pregnancy lead to an increase in vaginal glycogen, which may induce Candida overgrowth. The typical manifestation is white curd-like or tofu-like leucorrhea, accompanied by vulvar itching and burning pain. You can use clotrimazole vaginal tablets, miconazole nitrate suppositories or nystatin vaginal suppositories as directed by your doctor, and avoid using oral antifungal drugs. Pregnant women need to wear cotton breathable underwear and avoid bathing in the bath.

2. Bacterial vaginosis

Vaginal flora imbalance may lead to gray-white homogeneous leucorrhea with a fishy odor. It is associated with the risk of premature birth and requires active treatment. Your doctor may recommend metronidazole vaginal gel or clindamycin phosphate vaginal cream, and avoid having sex during treatment. Wash the vulva with warm water every day. Do not rinse the inside of the vagina.

3. Trichomonas vaginitis

Caused by Trichomonas vaginalis infection, leucorrhea is yellow-green foamy and may be mixed with tofu-like secretions. Synchronous treatment by the spouse is required, and pregnant women can safely use nifurtel and nystatin vaginal soft capsules. Be careful to avoid contact infection in public baths, and underwear must be boiled and disinfected. This disease may increase the risk of premature rupture of membranes and requires close monitoring.

4. Changes in hormone levels

The increase in progesterone during pregnancy increases cervical mucus secretion, which may form thick secretions. This is a physiological change and does not require drug treatment. It is recommended to change underwear daily and use unscented sanitary pads to keep the vulva dry. If accompanied by itching or odor, pathological factors need to be ruled out.

5. Poor hygiene habits

Non-breathable synthetic underwear, excessive use of lotions or pads may damage the vaginal microenvironment. You should choose loose-fitting cotton clothing and wipe from front to back after using the toilet. You can wash your vulva with warm water 1-2 times a day and avoid using alkaline soap or vaginal douches. You can wear no underwear while sleeping to maintain ventilation.

Abnormal vaginal secretions during pregnancy require special attention to the safety of medication, and it is prohibited to purchase medications for treatment on your own. It is recommended to record the changes in secretion properties and describe the duration of symptoms, accompanying symptoms and predisposing factors to the doctor in detail. Maintain a regular schedule, supplement yogurt containing probiotics in an appropriate amount, and avoid high-sugar diet. If abdominal pain, fever or bloody discharge occurs, seek emergency treatment immediately. Routine leucorrhea examination is required during regular prenatal check-ups, and vaginal secretion culture is performed to identify the type of pathogen if necessary.