Leucorrhoea Dr. Yashika Abnormal Vaginal Discharge Frequent complaint. Discharge may vary from excess to normal. Discharge may be blood-stained / contaminated with urine or stool. Characteristics of normal vaginal fluid Nature - watery Colour - white Odour - Odourless pH - 4.0 Microscopically - Squamous epithelial cells, Leucorrhoea Leucorrhoea is defined as excessive normal vaginal discharge. Features of vaginal discharge in leucorrhoea : Excess secretion. Non purulent Non offensive Non irritant Never causes pruritis. Etiology : Physiological excess Cervical causes Vaginal causes Physiologic excess Puberty Menstrual Cycle Pregnancy Sexual excitement Cervical causes: Cervicitis Cervical ectopy Cervical polyp Treatment General health improvement Surgical treatment of cervical factors Pill users are asked to stop pill immediately Local hygiene

1. Leucorrhoea
Dr. Yashika

2. Abnormal Vaginal Discharge
• Frequent complaint.
• Discharge may vary from excess to normal.
• Discharge may be blood-stained / contaminated with
urine or stool.

3. Abnormal Vaginal Discharge
Non Infective
Leucorrhoea
Vaginal Cervical
Infective
Specific
Non-
specific
Neoplastic Foreign body

4. Characteristics of normal vaginal fluid
• Nature - watery
• Colour - white
• Odour - Odourless
• pH - 4.0
• Microscopically - Squamous epithelial cells,
Lacto bacilli,
Gram negative bacteria.

5. Leucorrhoea
• Leucorrhoea is defined as excessive normal vaginal
discharge.
Features of vaginal discharge in leucorrhoea :
• Excess secretion.
• Non purulent
• Non offensive
• Non irritant
• Never causes pruritis.

6. Etiology :
1. Physiological excess
2. Cervical causes
3. Vaginal causes

7. Physiologic excess
1. Puberty
2. Menstrual Cycle
3. Pregnancy
4. Sexual excitement

8. Cervical causes:
Cervicitis
Cervical ectopy
Cervical polyp
Vaginal causes:
Retroverted uterus
Uterine prolapse
PID

9. Treatment
• General health improvement
• Surgical treatment of cervical factors
• Pill users are asked to stop pill immediately
• Local hygiene