Why does the leucorrhea turn yellow and flow out like water?

Leucorrhea that turns yellow and flows out like water may be related to vaginitis, cervicitis, pelvic inflammatory disease, fallopian tube lesions or hormone level disorders. It can be improved through gynecological examination, drug treatment and lifestyle adjustment.

1. Vaginitis

Vaginitis is an inflammation of the vaginal mucosa and surrounding tissues, which may be related to bacterial, fungal or trichomoniasis infection. In addition to yellow and watery leucorrhea, patients may also experience vulvar itching, burning sensation or odor. For treatment, you can use metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets or Baofukang suppositories as directed by your doctor. It is necessary to keep the perineum clean every day and avoid wearing tight chemical fiber underwear.

2. Cervicitis

Cervicitis is mostly caused by ascending infection by pathogens and is common in sexually active people. The typical manifestation is an increase in yellow, thin leucorrhea, which may be combined with contact bleeding or lumbosacral pain. Chinese patent medicines such as Kanggongyan Tablets and Fuke Qianjin Capsules are commonly used in clinical practice, or combined with antibiotics such as azithromycin dispersible tablets. Sexual intercourse should be prohibited during the acute phase and cervical cancer screening should be performed regularly.

3. Pelvic inflammatory disease

Pelvic inflammatory reaction can lead to an increase in fallopian tube exudate, which is manifested as persistent yellow watery discharge, often accompanied by lower abdominal pain and fever. Treatment requires a full course of antibiotics such as levofloxacin hydrochloride capsules and cefixime granules. Severe cases require hospitalization for intravenous administration. During treatment, you should rest in bed and avoid spicy food.

4. Fallopian tube lesions

Hydrosalpinx or tumors may cause abnormal discharge of secretions. In this case, the vaginal discharge is abundant and light yellow liquid, and may be accompanied by irregular vaginal bleeding. The diagnosis needs to be confirmed by ultrasound or salpingography, and laparoscopic surgery is performed if necessary. Early detection can control the development with drugs such as Guizhi Fuling Capsules.

5. Hormone level disorders

During perimenopause or endocrine disorders, estrogen fluctuations can change the properties of cervical mucus, resulting in thin yellow secretions. This situation usually causes no other discomfort and can be treated with Kuntai capsules or short-term use of estradiol gel. It is recommended to record the changes in the menstrual cycle and increase the intake of soy products appropriately.

If abnormal leucorrhea occurs, gynecological examinations such as routine leucorrhea testing and HPV testing must be carried out promptly. Avoid washing the vagina on your own until the cause is determined. Choose pure cotton breathable underwear for daily use, change it every day and wash it with boiling water. Pay attention to the diet to supplement vitamin B and high-quality protein, and exercise appropriately to enhance immunity. If the secretion is accompanied by foul odor, bloodshot or lasts for more than two weeks, you should seek medical treatment immediately to rule out malignant lesions.