It might be difficult to fully understand vaginal discharge, especially if it changes unexpectedly during pregnancy. Pregnancy can be both confusing and exciting, and it is not always easy to tell which vaginal discharge changes are normal and which are cause for concern. Pregnancy causes major physical and hormonal changes, and one of the most apparent changes is vaginal discharge. During pregnancy, discharge will rise and may vary in consistency, thickness, frequency, and quantity. While it is a common occurrence, understanding what is normal, and abnormal, and when to seek medical attention is critical. Know the different types of vaginal discharge during pregnancy, their causes, and signs.

What is vaginal discharge?

Vaginal discharge is a combination of fluid and cells that leaves the vagina throughout the day. This may sound unpleasant, but discharge helps keep your vagina clean by keeping it protected from infections and irritations, according to a 2020 study published in the Singapore Medical Journal.

Women may experience vaginal discharge during pregnancy. Image courtesy: Adobe Stock

Vaginal discharge during pregnancy: When is it considered normal?

Vaginal discharge during pregnancy can vary significantly due to hormonal shifts and increased blood flow. “Normal vaginal discharge during pregnancy is called leukorrhea. It often starts out clear or milky white and may become thicker and creamier as pregnancy progresses. While a mild odour is normal, a strong or foul smell could signal an infection. Other concerning symptoms include itching, burning, or discomfort,” says gynaecologist Dr Sukriti Jain. If you experience any of these, it is essential to consult a healthcare provider for proper evaluation.

Normal and abnormal vaginal discharge during pregnancy

While pregnancy brings about various changes in the body, it is crucial to recognise the difference between normal and abnormal vaginal discharge. Here are some key factors to consider, as found in a study published in the journal Cureus.

Colour and consistency

• Normal: Clear, white, or slightly yellow discharge. Consistency can range from thin and watery to thick and creamy.
• Abnormal: Green, yellow, or grey discharge, especially if accompanied by a foul odour. Changes in consistency, such as becoming unusually thick or clumpy, could also be a sign of concern.

Odour

• Normal: Mild or no odour.
• Abnormal: A strong, unpleasant odour, particularly if it is fishy or pungent. This may indicate an infection like bacterial vaginosis.

Volume

• Normal: Increased discharge volume is common during pregnancy.
• Abnormal: Excessive discharge that soaks through multiple pads or tampons daily. This could be a sign of a more serious issue.

Symptoms

• Normal: No accompanying symptoms.
• Abnormal: Itching, burning, or irritation in the vaginal area. These symptoms, along with abnormal discharge, could indicate an infection or other underlying condition.

Timing

• Normal: Discharge may increase in the second and third trimesters.
• Abnormal: If you notice a sudden change in discharge or symptoms, especially in the early stages of pregnancy, it is important to seek medical attention.

Note: If you have any doubts about your vaginal discharge, it is always best to consult with your healthcare provider. Seek immediate medical attention if you experience foul-smelling discharge, green or yellow discharge, excessive discharge, itching, burning, or irritation, pelvic pain or discomfort and fever. Remember, each woman's experience is unique. By understanding the signs of normal and abnormal vaginal discharge during pregnancy, you can better monitor your health and take appropriate steps if necessary.

Vaginal discharge can be normal or abnormal during pregnancy. Image courtesy: Adobe Stock

Natural ways to deal with abnormal vaginal discharge during pregnancy

Here are some natural ways that may offer temporary relief, as recommended by the expert.

• Maintain proper hygiene: Gentle cleansing with warm water and mild, unscented soap can help prevent infections. Avoid using harsh soaps, douches, or scented feminine products.
• Wear breathable undergarments: Opt for cotton underwear to allow for better air circulation. Avoid tight-fitting clothing that can trap moisture and bacteria.
• Avoid irritants: Limit or avoid irritants like scented soaps, bubble baths, and harsh detergents. These can disrupt the natural balance of the vagina.
• Yoghurt: Some women find relief from yeast infections by consuming plain, unsweetened yoghurt with live and active cultures, as found in a study published in the Egyptian Nursing Journal. The probiotics in yoghurt can help restore the balance of bacteria in the vagina.
• Herbal remedies: Certain herbal remedies, such as garlic or tea tree oil, have been used traditionally to treat vaginal infections. A study published in the Complementary Therapies in Medicine found that garlic has successfully cured vaginal infection. However, it is essential to consult with a healthcare professional before using these remedies, as they may have side effects or interact with other medications.
• Eat a healthy diet: Include a diet rich in fruits, vegetables, whole grains, and lean proteins to support your immune system and overall health. High sugar intake can promote yeast infections, so moderate sugar consumption can be beneficial.

Remember: These home remedies may provide temporary relief, but they are not a substitute for professional medical advice. If you are experiencing abnormal vaginal discharge, it is important to seek a proper diagnosis and treatment from a healthcare provider.

Frequently asked questions (FAQs)

Is it normal to have watery discharge during pregnancy?

Yes, it is completely normal to have watery discharge during pregnancy. “As your body adjusts to hormonal changes and increased blood flow associated with pregnancy, the amount and consistency of your vaginal discharge may vary. This watery discharge is often a result of increased cervical mucus production, which helps to protect the uterus from infection. It may also be caused by increased oestrogen levels, which can thin the cervical mucus,” says the expert. While the amount and consistency of watery discharge may fluctuate throughout pregnancy, it is generally considered normal as long as it does not have a strong odour, is not accompanied by other symptoms like itching or burning, and doesn't change colour to green or yellow.in

Is discharge a good indicator of pregnancy?

While vaginal discharge can be a sign of early pregnancy, it is not a definitive indicator. “Changes in vaginal discharge, such as an increase in volume or a shift in consistency, can be a symptom of pregnancy. However, these changes can also be caused by other factors, such as hormonal fluctuations, infections, or certain medications,” says the expert. Therefore, it is essential to consider other pregnancy symptoms, such as missed periods, breast tenderness, and fatigue, in conjunction with changes in vaginal discharge. To confirm pregnancy, a pregnancy test is the most reliable method.

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