This article was medically reviewed by Sarah Gehrke, RN, MS. Sarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous (IV) therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013.
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Vaginal discharge, also known as cervical fluid, is normal and necessary for the proper function of your vagina.[1] It keeps your vagina lubricated and maintains a normal pH balance, which is slightly acidic. However, sometimes the appearance, texture, or odor of the discharge changes as a result of vaginal infections. You can tell whether you need to see your doctor by knowing what normal discharge looks like, recognizing symptoms of abnormal discharge, knowing what to do next, and taking preventative action.
Steps
Identifying Normal Vaginal Discharge
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1Expect changes in appearance over the month. It’s completely normal for the appearance of your vaginal discharge to vary slightly over the course of your menstrual cycle. Changes in the appearance of discharge occur because your vagina is responsible for a number of different functions. This includes cleaning itself, staying moist, and fighting off potential infections.[2]
- Keep track of your period so you will know when to expect certain changes.
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2
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3Look for creamy, white discharge. Check for this just before and after your period. Thick, creamy, and white-colored discharge is also completely normal. When it dries on the lining of your underwear, it can appear slightly yellowish in color.[4]
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4
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5Don't be alarmed by brown discharge near the end of your period. This is a result of your uterus shedding old blood and tissue. Although the color may look worrying, it should return to a normal white or clear color after a few days.[6]
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6Relax if it’s odorless or nearly odorless. Normal vaginal discharge should have little to no smell. However, you shouldn’t worry if you have a slight odor, especially after you’ve been sweating. If you haven’t been having periods long, get used to your normal odor before you hit the panic button.[7]
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7Measure the amount of discharge. Check the diameter of the stain on your underwear. If it’s about the width of a quarter, 2-pence, or 2 € coin, it’s normal. The actual amount will vary depending on the stage of your menstrual cycle and the level of hormones your body is releasing. Expect this to happen everyday.[8]
- Don’t panic if you notice more discharge during or after sexual arousal. This is your body’s way of preparing itself for penetration. It’s perfectly normal.
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8Enjoy ejaculation. That’s right. Women can ejaculate, too! When stimulated properly, your vagina can release a small amount of milky white discharge during orgasm. This is perfectly normal and usually indicates a very pleasurable experience.
- Your vagina or urethra might also “squirt” a clear, watery fluid during orgasm. This is also perfectly normal, and all women can experience it. This kind of discharge is chemically similar to urine, but it’s not the same thing.[9]
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9Expect your discharge to change over the years. The color, texture, and amount of your discharge will change over the course of your life. Any fluctuation in your hormone levels can trigger these changes. This includes puberty, pregnancy, childbirth, your sexual peak, menopause, and fluctuations caused by hormonal contraception.[10]
- Also, keep in mind that everyone has a unique cervical fluid pattern.
Recognizing Symptoms of Abnormal Vaginal Discharge
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1Call your doctor if you notice sudden changes. Look for foul or fishy odor, odd color, unusual thickness, or sudden changes in the quantity of your discharge. These are signs that you could have an infection. However, only a qualified doctor or nurse practitioner can give you a proper diagnosis and treatment plan.[11]
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2Look for cloudy, yellow discharge. Cloudy, yellow discharge looks like nasal mucous from a cold. It may indicate that you have gonorrhea, especially if you experience burning during urination.[12] If you’re not sexually active, it could be bacterial vaginosis (BV), especially if it’s accompanied by itching, burning, or a foul odor.[13]
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3Check for bloody or brown discharge. If you’re not currently menstruating or taking hormonal contraception, bloody or brown discharge is usually abnormal. If you have brown discharge accompanied by pelvic pain, you could have endometriosis or a damaged reproductive organ. A number of other issues like menopause and (in rare cases) cervical cancer can also cause brown discharge.[14]
- Brown spotting may also be an early sign of pregnancy due to the implantation of a fertilized egg in the uterus. If you’ve had unprotected sex recently and think you might be pregnant, buy a home pregnancy test or see a doctor.
- If you experience pain with brown discharge, you might have an ectopic pregnancy, in which a fertilized egg grows in the fallopian tube. This is a potentially deadly situation that must be treated as soon as possible.[15]
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4
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5Look for a thick, white discharge that resembles cottage cheese. Thick, cheese-like discharge indicates a vaginal yeast infection.[19] It usually comes with vaginal itching, swelling, and pain during sexual intercourse. You can develop a yeast infection whether you’re sexually active or abstinent.[20]
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6Examine your underwear for gray-colored discharge. Grey discharge may indicate BV. The other main symptom is a fishy odor, especially after sex or during your period. Although BV can be sexually transmitted, any disruption in the normal bacteria of your vagina can trigger it.[21]
Taking Action with Abnormal Discharge
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1Look for additional symptoms. Do this especially if you’re unsure whether your vaginal discharge is normal or abnormal. Discomfort with abnormal discharge may indicate a vaginal infection. Call your doctor if you experience:
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2Make an appointment with your doctor. Request a pelvic exam. This is especially important if the discharge is accompanied by other symptoms, which may indicate a serious infection that requires medical treatment.
- The doctor will ask you a series of questions related to your symptoms. They’ll then conduct a pelvic exam, where they’ll examine your vagina and check for swelling, redness, irritation and the nature of the discharge. The doctor may also collect a sample of the discharge for testing.
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3Take all medicine as prescribed. Follow the daily dosage. Set a reminder on your phone if you need to take your medication throughout the day. If your doctor tells you to take your meds for two weeks, take them for two weeks. Don’t think you’re cured if your discharge returns to normal or the odor goes away before the two weeks is up.[23]
Preventing Future Infections
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1Keep the area around your vagina clean. Wash the outside of your vagina daily with unscented soap and water. To be extra safe, wash your perineum (the skin between your vagina and anus), as well. This will prevent harmful bacteria from traveling to your vagina. Avoid using any scented soaps or bubble baths. These can disrupt the delicate pH balance of the vagina.[24]
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2Change your feminine hygiene products often. When you are using pads or tampons, it is important to change them often. Check pads every 2 hours and change them before they get full. Change tampons at least every 4 to 8 hours. Never wear a tampon for more than 8 hours due to the risk of toxic shock syndrome.[25]
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3Never douche. Your body has its own system for staying clean. This includes naturally occurring, healthy bacteria. Douching can kill these bacteria. It can also throw off your normal vaginal pH. Douching can increase the pH and cause harmful bacteria to grow.[26]
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4Avoid feminine deodorants. These products are sold as sprays and powders. They can cause BV by disrupting the natural balance between “good” and “bad” bacteria.[27] This imbalance can also cause yeast infections.[28]
- You should also avoid scented tampons and sanitary napkins. Choose unscented, chemical-free menstrual supplies.
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5Wipe from front to back. Do this after urinating and especially after defecating. Your vagina is coated with delicate mucous membranes. Bacteria from your anus can easily cause an infection if it’s introduced into your vagina.[29]
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6Wear breathable underwear. Cotton and bamboo are natural materials that allow air to circulate. These materials also prevent moisture build-up, which is a major trigger for yeast infections. Avoid thongs when you are experiencing abnormal discharge, if you may have an infection, or if you are prone to infections. Also, avoid underwear made from synthetic materials, such as polyester, spandex, and nylon. It is best not to wear your underwear to bed, but if you do, then make sure that it is not too tight and it allows air to circulate.[30]
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7Avoid “skinny jeans” during times of abnormal discharge or infection. Tight jeans and trousers have the same effect as underwear made of synthetic materials. They prevent airflow and cause moisture to accumulate. If you are having abnormal discharge or dealing with an infection, then choose clothing that gives you some room between the fabric and your vulva.[31]
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8Change out of a wet bathing suit ASAP. Bathing suits are often tight and made of synthetic materials. Throw in the added moisture from the water you were swimming in, and you have the perfect recipe for an infection. When you know you’re finished swimming for the day, ditch the bathing suit immediately and hit the shower.[32]
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9Use condoms during sex. Use only latex condoms.[33] They form an effective barrier against infections. Avoid lambskin condoms, which are porous enough to let some harmful microorganisms through. Hormonal contraception, diaphragms, and foam prevent pregnancy, but they don’t prevent diseases.
- Talk to your doctor or healthcare provider if you are allergic to latex.
- Never reuse a condom.
Expert Q&A
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QuestionI went to the doctor earlier in the year and they said I had an urinary tract infection, but it still burns when I urinate. My discharge is also yellow and white and it stinks really bad. Should I see a doctor or not?Sarah Gehrke, RN, MSSarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous (IV) therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013.
Registered NurseYes, you should see your doctor. Sounds like you have a couple of things going on (sorry to hear this). Your urinary tract infection may not have fully been treated, since you say it still burns when you urinate. If your discharge is foul smelling, either the pH of your vagina is off and you have a yeast infection or you may have a different infection. Also, sometimes a vaginal infection can cause irritation around your urethra, which leads to burning. -
QuestionIs it normal for discharge to hurt when it comes out?Sarah Gehrke, RN, MSSarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous (IV) therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013.
Registered NurseNormal discharge is not painful. When the vagina pH is off or you have an infection, the vagina and the skin around it can get irritated, which likely will lead to pain/irritation when it comes out. Please discuss this with your doctor so you can determine what is causing the discomfort during discharge.
Warnings
- See a health professional at the first sign of a problem. Infections, such as Chlamydia, gonorrhea, or pelvic inflammatory disease (PID) are easily treatable if you seek help early.⧼thumbs_response⧽
- Always wash your hands after using the restroom and/or touching your discharge.⧼thumbs_response⧽
- Infections require prompt treatment or they may become worse, so it is important to see a doctor right away. Planned Parenthood might be a good option if you do not have a doctor who you can go to for treatment.[34]⧼thumbs_response⧽
References
- ↑ https://www.ncbi.nlm.nih.gov/pubmed/7189480
- ↑ https://www.healthdirect.gov.au/vaginal-discharge
- ↑ http://www.mayoclinic.org/symptoms/vaginal-discharge/basics/definition/sym-20050825
- ↑ http://www.pamf.org/teen/health/femalehealth/discharge.html
- ↑ http://www.pamf.org/teen/health/femalehealth/discharge.html
- ↑ http://www.pamf.org/teen/health/femalehealth/discharge.html
- ↑ http://www.mayoclinic.org/symptoms/vaginal-odor/basics/definition/sym-20050664
- ↑ http://my.clevelandclinic.org/health/articles/vaginal-discharge
- ↑ https://www.newscientist.com/article/dn26772-female-ejaculation-comes-in-two-forms-scientists-find/
- ↑ http://my.clevelandclinic.org/health/articles/sex-and-menopause
- ↑ http://my.clevelandclinic.org/disorders/vaginal_discharge/hic_vaginal_discharge.aspx
- ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Gonorrhea
- ↑ https://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis/symptoms-causes/syc-20352279
- ↑ https://www.nhs.uk/conditions/endometriosis/
- ↑ http://www.newhealthguide.org/Brown-Discharge-During-Early-Pregnancy.html
- ↑ https://www.mayoclinic.org/diseases-conditions/trichomoniasis/symptoms-causes/syc-20378609
- ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Trichomoniasis
- ↑ https://familydoctor.org/condition/vaginal-discharge/#symptoms
- ↑ https://www.mayoclinic.org/diseases-conditions/yeast-infection/symptoms-causes/syc-20378999
- ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Vaginal_Yeast_Infections
- ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Bacterial_Vaginosis
- ↑ http://my.clevelandclinic.org/health/articles/vaginal-discharge
- ↑ http://my.clevelandclinic.org/health/articles/what-you-need-to-know-about-taking-your-medications
- ↑ http://www.nhs.uk/Livewell/vagina-health/Pages/keep-vagina-clean.aspx
- ↑ https://www.nhs.uk/conditions/toxic-shock-syndrome/
- ↑ http://www.mayoclinic.org/symptoms/vaginal-discharge/basics/causes/sym-20050825
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811217/
- ↑ http://my.clevelandclinic.org/health/articles/vaginal-yeast-infections
- ↑ http://rhsmedical.rutgers.edu/services/womens-health-visits/vaginal-problems/
- ↑ https://uihc.org/health-library/vulvar-skin-care-guidelines
- ↑ http://www.womens-health.org.nz/health-topics/vaginal-health/
- ↑ https://uihc.org/health-library/vulvar-skin-care-guidelines
- ↑ https://www.cdc.gov/condomeffectiveness/brief.html
- ↑ http://kidshealth.org/en/teens/vdischarge2.html
About This Article
Vaginal discharge can change over the course of your cycle, leaving you wondering if it’s normal or not. Luckily, it’s relatively easy to identify normal discharge. If you see clear, sticky discharge midway through your cycle, it means you’re in the ovulation stage of your menstrual cycle, so your chances of getting pregnant are higher. Just before or after your period, you may see a thick, creamy, white discharge that can turn slightly yellow as it dries, and at various times during the month, you might also notice some clear, watery discharge. All of this discharge should be nearly odorless and around the width of a quarter. For more information from our Medical co-author, including how to recognize symptoms of abnormal vaginal discharge, keep reading.
Medical Disclaimer
The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.
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