What happens if I don’t have my period but have white discharge?

It is healthy for women to have their menstruation on time, but some women do not have their menstruation and have white discharge during menstruation. These symptoms are not normal. If patients have abnormal symptoms, they should go to the hospital for examination and treatment in time. Many female friends ask why there is white discharge during menstruation. What is going on with white discharge during menstruation? Let’s take a look at it next.

1. What happens if I don’t have my period but have white discharge?

Absence of menstruation and white discharge may be caused by vaginitis.

2. Causes of vaginitis

1. Bacterial vaginosis

In a normal vagina, lactobacilli that produce hydrogen peroxide are dominant. Bacterial vaginosis is an endogenous mixed infection caused by a decrease in Lactobacillus and an increase in Gardnerella and anaerobic bacteria in the vagina.

2. Candidal vaginitis

(1) 80% to 90% of pathogens are Candida albicans, which grow easily in an acidic environment and are diphasic bacteria (yeast phase and hyphae phase).

(2) The patient's vaginal pH is 4.0-4.7, and usually less than 4.5.

(3) Conditionally pathogenic bacteria (yeast phase → mycelium phase).

(4) Common causes: pregnancy, diabetes, and large-scale use of immunosuppressants and broad-spectrum antibiotics.

(5) Other contributing factors: gastrointestinal Candida, wearing tight synthetic underwear, and obesity.

3. Trichomonas vaginitis

(1) Trichomonas vaginalis grows best in a humid environment with a temperature of 25℃ to 40℃ and a pH of 5.2 to 6.6.

(2) The vaginal pH changes before and after menstruation, becoming close to neutral after menstruation, making it easier for Trichomonas to reproduce.

(3) The patient's vaginal pH is generally between 5.0 and 6.5, with most cases being > 6.0.

(4) Parasitic on the vagina, urethra or paraurethral glands, bladder, renal pelvis, male foreskin folds, urethra, and prostate.

(5) Often coexists with other vaginitis.

4. Senile vaginitis

Postmenopausal women have declining ovarian function, lower estrogen levels, vaginal wall atrophy, thinning mucosa, increased vaginal pH, reduced local resistance, and other pathogenic bacteria may over-multiply or easily invade and cause inflammation, mainly aerobic bacteria.

5. Vaginitis in young girls

It is caused by poor development of the vulva, low estrogen levels and foreign objects in the vagina of infants and young children, which trigger infection. Common pathogens include Escherichia coli, Staphylococcus aureus, Streptococcus aureus, etc.

2. Common symptoms of vaginitis

The main symptoms of bacterial vaginitis are increased vaginal discharge with a fishy odor, which is especially aggravated after sexual intercourse, and mild vulvar itching or burning sensation; the main symptoms of candidal vaginitis are vulvar itching, burning pain, pain during sexual intercourse, frequent urination, and painful urination. The discharge is white and thick and looks like curd or bean dregs.