Expat Living (Singapore)

Health Help

How do I know if my vaginal discharge is normal?

- Dr Michelle Chia general practition­er

Normal discharge – a mixture of cells and fluid from the vagina and cervix expelled as a way of cleansing the vagina – is generally clear to off-white, presents in small to moderate amounts, and is usually thin to watery in terms of texture. But, what’s normal for one woman may not be the norm for another.

Additional­ly, a female’s “normal” can change depending on a number of factors, including the time of month or other hormonal changes. During pregnancy, for instance, a woman’s vaginal discharge may increase in amount, and appear slightly thicker in consistenc­y and whiteish in colour. The same goes for women who are close to ovulation. That being said, it’s important to know what’s considered normal for you. Knowing this can help you recognise when something seems abnormal. There are naturally occurring bacteria in the vagina that help maintain a balanced environmen­t. When this balance is disrupted by a change in pH levels due to daily habits or the presence of an external infection, it can predispose a woman to vaginal infection, which then leads to the presence of “abnormal” discharge.

In addition to irregulari­ties in colour, consistenc­y and quantity, itching and unpleasant odour are signs that something may be wrong. One of the most common infections is bacterial vaginosis (BV), an overgrowth of native bacteria in the vagina that upsets the environmen­t’s natural balance. BV typically turns discharge yellowish in colour with a fishy-smelling odour. Other symptoms may include itching, pain or discomfort. Also common are yeast infections, which can create thick, white and chunky discharge. Sexually transmitte­d infections (STIs), too, can present in this manner. The most common infections, chlamydia, gonorrhoea and trichomona­s, often come with greenish-yellowish discharge.

Any discharge with irregular colour or consistenc­y, and any discharge associated with irritation symptoms or a foul smell, should be checked out by your doctor; a vaginal swab is usually recommende­d for diagnosis.

Dr Chia is one of the doctors at Dr Tan & Partners (DTAP) Clinic (see below). To schedule an appointmen­t, call 6976 5023 or email hello@dtapclinic.com.

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