Health

Is the diagnosis of yellow in the menopause in women for diagnosis and treatment considered to be the norm?

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With the arrival of old age, a woman necessarily faces a menopause. The condition is characterized by a weakening of the production of hormones by the egg, which is what triggers the hormonal rearrangement process. At the very beginning there are unpleasant feelings, menstruation stops, then menopause begins. Often the period is accompanied by secretion, which is divided into non-pathological and pathological. A woman may be disturbed by various secretions during menopause, which are possible, you will find out in the article.

What are the normal selection

At the age of 45-50 years old, a woman's hormonal activity decreases, as a result of which the uterine mucous masses change their character. It is possible to determine the absence or presence of pathologies. In the early stages of menopause, the changes are not so noticeable, but after a while, the cervix stops producing mucus in the right quantity, shrinks and even causes vaginal dryness.

Normal discharge during menopause should not be accompanied by discomfort and irritation of the external or internal genital organs. Clear mucous secretions are considered normal if their number does not exceed 2 ml per day. They may have a yellowish-brownish tint, without an unpleasant odor. The secretion includes plasma, mucus and lymph, so it resembles a decoction of rice.

Over time, the secretion becomes completely transparent, not watery. Small variations in quantity or shade are permissible. If the consistency has become too thin, it signals the presence of the disease. Normally, the discharge is odorless, not watery, sometimes completely colorless. Any abnormalities - a reason to consult a doctor. Early treatment allows you to avoid many complications.

Types of pathological secretions

Depending on the pathology, secretion may vary, both in appearance and in its composition. Sometimes it looks like menstruation, but more scarce and has a strong unpleasant smell.

Pathological secretions include:

  1. Cheesy - have a sour "flavor", with lumps and white.
  2. Bloody - painted bright red, brown and darker in color. Can be smearing, in the form of ichor or full bleeding.
  3. Mucous discharges are considered pathological if they smell bad, are too abundant or, on the contrary, are scanty, and also have a foam consistency.
  4. Purulent - usually thick, with a pungent odor and greyish-green color.

The most dangerous is bloody secretion, especially in the postmenopausal period, when it is no longer possible to confuse it with menses. You can not ignore the fetid secret that delivers psychological and physiological discomfort.

Symptoms of pathological secretions

Each pathology is characterized by its own characteristics, discharge is no exception. During the climatic period there should not be any discomfort, accompanied by uncharacteristic secretion. Normally, the mucus does not foam, has a normal smell, stand out in an optimal volume. If a woman observes a cheesy secret, itching, burning, irritation and sour “aroma” are present - candida most likely develops. Purulent discharge during menopause is a bright sign of any sexually transmitted diseases. The patient complains of pain in the genitals, "fish" smell, signs of intoxication of the body, high fever and lethargy.

Bloody or brown secretions are considered the most dangerous. They can last from several days to several months. The secretion has a different shade, texture and quantity. In some cases, there is complete bleeding, sometimes changing the intensity. If a woman finds blood in her, an gynecologist should immediately see her, because oncology could have caused her to appear.

The nature of the discharge, depending on the pathologies

Pathological discharge during menopause occurs due to the presence of gynecological disease. Depending on the pathology of their nature varies.

Dangerous diseases accompanied by unusual secretion:

  • Hyperplasia - there is blood with lumps,
  • Polyps, fibroma - watery discharge, sometimes bloody with lower abdominal pain,
  • Hormonal disorders - abundant vaginal discharge during menopause,
  • Uterine fibroids - there is a pink secret and lower abdominal pain,
  • Cervical erosion, dysplasia - abundant leucorrhea with blood and odorless,
  • Vulvovaginitis - pathology is characterized by a sticky, slimy secretion with pus, which has a "fishy" smell. Sometimes there is a gray or yellow-green secret,
  • Cervicitis - strong, purulent, yellow secretion with blood clots,
  • Chlamydia, candidiasis, bacterial vaginitis and others - thick, purulent, slimy and white, and also cheesy secretion is noted,
  • Oncological process - dark spotting. In cancer of the uterus, watery secretion of white color can be observed, gradually acquiring blood and purulent clots.

Any woman should look after her health, but patients who have previously suffered from gynecological diseases deserve special attention. Any health problems with menopause aggravated, so you need to visit the doctor more often.

Hyperplasia

Pathology is the proliferation of the inner layer of the uterus. At the same time, there is a large amount of blood excretion or in the form of daub. It is impossible to confuse such secretion with menstruation, since ovarian function is stopped during menopause. The disease causes headaches, irritability, abdominal pain, fatigue, and intense thirst.

Reducing the amount of hormones leads to a strong proliferation of tissues, from which not only blood is released, but also lumps. Pathology causes obesity, hypertension, diabetes, etc. With climax, there may be abundant and irregular discharge. After that, a blood daub appears, then the secretion becomes scarce, but lasts a long time.

Fibroma polyps

Polyps and fibromas are benign growths that are based in the uterus. Fibroma causes more extensive bleeding, as well as pain in the pelvic region. The formation of a polyp leads to the growth of the shell of the epithelium. Because of this, a woman can observe the bloody secretion, both abundant and obscene. Long blood loss leads to anemia, causing weakness, fainting, etc. Sometimes there is a selection of brown color smearing consistency.

Uterine myoma

Uterine fibroids - a benign tumor in the muscle tissue. A characteristic feature of the pathology is considered to be bloody secretion in copious amounts. Over time, when fibroids become larger, the woman complains about the growth of the abdomen, the appearance of pain in it, impaired urination and digestion. In the menopausal period, brown discharge is often abundant.

Vulvovaginitis

Vulvovaginitis is an inflammation in the vagina that occurs against the background of thinning mucous membranes and the appearance of quickly inflamed cracks. As a result of this process, dysbacteriosis and destruction of beneficial microflora occurs. A woman observes mucous secretion with the smell of rotten fish, and sometimes there are frothy secretions of yellowish-greenish color. The patient feels itching, burning, and other symptoms of irritation.

Inflammation of the cervical mucosa appears against the background of reduced immunity, from which the infection seeps into the cervix. If you run the pathology formed endometritis. Against the background of cervicitis in women with menopause, there is a yellow secret with blood clots.

Chlamydia, thrush, gonorrhea, trichomoniasis

Fungal and infectious diseases develop due to the adherence of pathological microorganisms. Discharges are cheesy with a sour odor, gray-green and thick, slimy whites or transparent, foaming or yellow-green. Together with the secretion of pain, urine turbidity, burning and itching, frequent urge to the toilet. Excretions during menopause in women with odor always signal health problems, and most often of infectious origin.

Cervical diseases are usually accompanied by dark brown or bloody secretion. In the early stages of oncology, the symptoms are absent, so the most characteristic sign is the unusual color of the secret. In cancer of the uterus or endometrium, the discharge is initially watery and white, and then blood can be seen in them. Soon the bleeding increases, and clots of pus are detected in the secretion.

Diagnosis and treatment

Diagnosis of pathologies and general health is carried out in several stages:

  1. Palpation of the uterus.
  2. Biopsy for oncology.
  3. Ultrasound.
  4. Bacterial seeding.
  5. Examination using a special gynecological mirror.
  6. Hysteroscopy.
  7. Identification of the pathogen by PCR, ELISA, REEF.
  8. Diagnostic curettage.
  9. Determination of antibiotic sensitivity.

Not all women show a complete study, only in extreme cases, you need to go through the entire diagnosis.

After the cause is known, therapy is prescribed. How to treat discharge should be decided only by a doctor. Cheesy, slimy and purulent secretion is treated with medication. Bleeding requires a special approach, sometimes not to do without surgery.

Conservative treatment of secretions includes:

  • Hormone therapy to normalize the body’s work, douching,
  • Reception of immunomodulators and vitamins to exclude deterioration of the general condition and relieve menopause symptoms,
  • The use of hemolytic drugs for bleeding that can improve blood clotting.

The method of therapy depends on many factors - the presence of comorbidities, the state of immunity, the severity of symptoms. The treatment lasts from one month to six months. Operational methods are used for myomas, polyps and other formations.

If cancer is detected, surgery is mandatory. In the early stages, most of the reproductive organs are removed.

Spotting with menopause require therapy, which consists in:

  1. Termination of intense blood loss.
  2. Eliminate the root causes.
  3. Conducting the recovery of blood loss.

If the doctor finds a bleeding polyp, the patient is prescribed its removal. With hyperplasia, curettage or removal of the uterus is indicated. In any case, self-treatment is unacceptable, only a doctor should select the therapy. In the climatic period, it is not necessary to preserve reproductive organs, therefore with complex pathologies, the entire uterus and its appendages are completely removed.

The processes in the body of women

Climax is a natural process, but it is accompanied by many unpleasant symptoms.. Such a variety of symptoms is the result of hormonal adjustment, namely, a decrease in the synthesis of estrogens. Almost all organs function under the influence of hormones; therefore, the entire body undergoes changes in menopause, especially the urine-sex sphere.

The ovaries undergo major transformations - they stop producing hormones. At the initial stage, the organs are reduced in size, but they can still be seen in the egg cells in the follicles. Then the ovaries cease to function fully, shrink, their tissue is replaced by a simple connective tissue.

This happens in several stages.:

  • Increasing the size of the body, reducing its density in premenopause, then repeatedly reducing the size of the menopause.
  • Replacing the muscle layer of the uterus with connective tissue, that is, the uterus loses its ability to contract.
  • Thinning of the endometrium with the gradual replacement of its connective tissue.
  • Overgrowth of the uterus.
  • Shortening and overgrowing of the cervix. In this regard, stops the release of lubrication.
  • Atrophy of the fallopian tubes.

Vaginal transformation occurs during menopause:

  • Thinning walls and reducing elasticity. Therefore, a woman experiences pain and burning during intercourse.
  • Termination of vaginal release.
  • Change in mucous pH to alkaline side. The risk of infection and the appearance of fungal diseases increases.
  • Thinning of the blood vessels inside the vagina, this can trigger the appearance of bleeding.

Involution affects the mammary glands. Glandular tissue is replaced by connective and adipose. Therefore, in obese women, the breast increases in size, while in lean women, it shrinks and can completely atrophy.

In addition to the sexual sphere, women experience changes in all systems.:

  • Endocrine. The thyroid gland can begin to secrete more hormones, this significantly impairs the metabolism, requires urgent therapy.
  • Nervous system. The processes of inhibition and arousal change. Because of this, mood swings occur, depressions occur.
  • The cardiovascular system. Hormonal background affects the heart and blood vessels, fat metabolism. Therefore, most women gain weight, suffer from pressure surges. In addition, blood viscosity increases, the risk of thrombosis, varicose veins increases.
  • The bone system is also under attack.. During the period of menopause, the absorption of calcium worsens, so the bones become thinner, osteoporosis can develop.

Causes of discharge during menopause

Discharge from a woman is a normal phenomenon. What is important is their character and intensity. During climax, the amount of lubricant is reduced, so the natural discharge may completely stop or be replaced by pathological.

Normal mucous are transparent or cream-colored, odorless, no more than 2 ml per day.. Also, they should not cause itching and burning and be accompanied by pain. Any change should be alerted, as this may indicate pathological processes.

Causes of "abnormal" discharge in women with menopause can be:

  • Endometriosis. This is a pathological proliferation of the inner layer of the uterus. Normally, the endometrium is updated every cycle, thickening before ovulation, to allow the embryo to attach. Hormonal imbalance causes excessive proliferation of the endometrium. During menopause, the disease usually subsides. However, in obesity, diabetes mellitus, estrogens continue to be produced by adipose tissue, as a result of which the pathological growth continues.

Endometriosis in menopause can be a precancerous condition.

  • Uterine fibroids. This is a benign tumor. Discharges of myoma are bloody in nature.
  • Cervical dysplasia, in which all mucosal layers are affected. At the same time, excretions increase, have no odor, they contain traces of blood.
  • Endometrial polyps. Their occurrence may be caused by abortions at a young age. When polypus secretions are white in blood veins.
  • Uterine cancer. The discharge at the initial stage is watery, then there is pus and blood in them.
  • Vulvovaginitis. This is an inflammation of the mucous membrane of the vagina, which occurs as a result of infection. Accompanied by itching and burning, secretions of a viscous consistency with the smell of fish.
  • Candidiasis. Fungal disease that occurs due to reduced immunity or hypothermia. Accompanied by secretions of a cheesy consistency with a sour smell.
  • Sexually transmitted infections (chlamydia, trichomonas, gonorrhea). In addition to the pathological discharge, the woman experiences pain and stinginess when urinating.

Types: Are yellow secretions dangerous?

"Abnormal" discharge during menopause are of the following types:

  • Watery with blood.
  • Mucous foaming with an unpleasant smell.
  • Yellow colored, having an unpleasant odor.
  • Purulent, having a greenish-gray tint.
  • White cheesy with a sour smell.
  • Bloody. May be scarlet or brown, smearing or abundant.

Also read about bleeding after menopause.

Also, the symptoms associated with pathological secretions should be alerted.:

  • Lower abdominal pain.
  • Cut during urination.
  • Frequent urge to empty the bladder.
  • Persistent constipation.
  • Yellowish discharge.

The yellow color of secretions is not a variant of the norm and may occur due to infectious processes and hormonal changes.

The presence of infection is indicated by the following symptoms accompanying the yellow discharge.:

  • the smell of rotten fish
  • itching and burning in the vagina,
  • pain during urination,
  • temperature rise.

Such symptoms occur on the background of chlamydia, trichomoniasis, vulvovaginitis.

Diagnostics

Since the above symptoms are not specific, it is necessary to conduct an examination of the patient in order to make an accurate diagnosis.

Diagnostic methods:

  • Gynecological examination. Detects inflammation of the vagina, erosion.
  • Colposcopy. It is used to clarify the diagnosis of cervical erosion.
  • Ultrasound. With the help of ultrasound revealed tumors in the pelvis, changes in the ovaries and uterus.
  • Smear on the flora. Determines the presence of fungi. If a smear shows an increase in leukocytes, this indicates an infection.
  • Identify pathogens using the PCR method.
  • Biopsy denies or confirms the oncological process in the cells.
  • Hysteroscopy (curettage of the uterus). Pursuing a therapeutic and diagnostic goal. The selected material is sent to cytology to identify cancer cells.

Of course, not all cases require a full range of diagnostic measures. Иногда причину удается установить с помощью одного анализа.

Pathological discharge is a symptom of the disease.. Therefore, the need to treat the cause.

Therapy is to use the following drugs.:

  • With candidiasis - antifungal agents of local action. These are vaginal suppositories, ointments (Clotrimazole, Pimafucin). In a difficult situation, prescribed fluconazole tablets inside (Diflucan, Flucostat).
  • Vulvovaginitis is treated with general and local antibiotics. The most popular antibacterial candles: Terzhinan, Polygynax.
  • Sexually transmitted infections involve the use of a whole range of drugs: antibiotics (Metronidazole, Trichopol, Azithromycin), immunostimulants, anti-inflammatory vaginal suppositories.
  • When bleeding is prescribed hemostatic drugs (Vikasol, Ditsinon).
  • For secretions caused by hormonal imbalances, hormone replacement therapy is prescribed. Most Popular Means: Janine, Diane, Landing 30.
  • Restorative therapy includes immunomodulators (Polyoxidonium, Interferon, Timalin) and vitamin-mineral complexes. It is better to choose vitamins for women after 50 years.

Menopause affects the entire body, making it vulnerable to infection.. The appearance of abnormal discharge is a serious cause for concern and a visit to the doctor. Regular preventive examinations detect the disease at an early stage and allow you to start timely treatment.

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