Brown discharge lasts for a month

If you feel that the brown discharge from your vagina has lasted for more than a month and there has been no improvement, you must go to the hospital for a detailed gynecological examination in time. Only in this way can you determine the cause of your illness. Usually this means that there are some problems in your body, which will eventually lead to gynecological diseases, such as some acute vaginitis.

1. Cheese-like or tofu-like leucorrhea: It is candidal vaginitis, often accompanied by severe vulvar itching or burning pain.

2. Thin, purulent, yellow-green, foamy, foul-smelling leucorrhea: characteristic of Trichomonas vaginitis, accompanied by vulvar itching.

3. Grayish white, thin, fishy-smelling leucorrhea: characteristic of bacterial vaginosis, accompanied by mild itching of the vulva.

4. Purulent leucorrhea: yellow or yellow-green in color, sticky, and often has a foul odor, caused by bacterial infection. It can be seen in Neisseria gonorrhoeae vaginitis, acute cervicitis and endocervicitis. Vaginal cancer or cervical cancer complicated with infection, pyometra or foreign body residue in the vagina can also lead to purulent leucorrhea.

5. Purulent and bloody leucorrhea: consider acute pelvic infection, cervical cancer, vaginal cancer with infection, uterine cavity pyometra, foreign body in the vagina, etc.

6. Watery leucorrhea: Vaginal discharge that is thin, watery or rice-like, and has a fishy odor: seen in advanced cervical cancer, vaginal cancer, or submucosal fibroids with infection. Intermittent discharge of clear, yellow-red or red watery leucorrhea should be considered as a possible cause of fallopian tube cancer.

7. Bloody leucorrhea: If there is blood mixed in the leucorrhea and the amount of blood varies, cervical cancer, endometrial cancer, cervical polyps, cervical columnar epithelium ectopia with infection or uterine submucosal fibroids should be considered. Insertion of an intrauterine device can also cause bloody leucorrhea.

To check whether the leucorrhea is normal, you need to observe the amount, color, texture and smell.

1. Gynecological examination

The examination is carried out from outside to inside. First, the vulva, urethra, paraurethral glands and Bartholin's glands are inspected visually, and then the vaginal wall and cervix are observed through a vaginal speculum. Check the appearance of vaginal discharge and cervical discharge.

2. Laboratory examination

(1) pH value: The normal pH is 3.8-4.4. The pH value of leucorrhea increases when suffering from trichomoniasis or bacterial vaginitis.

(2) Vaginal cleanliness: Grade III: A small amount of vaginal bacilli, a large number of pus cells and miscellaneous bacteria are seen under the microscope. Grade IV: No vaginal bacilli are seen under the microscope, and except for a small amount of epithelial cells, there are mainly pus cells and miscellaneous bacteria. Grades III to IV are abnormal leucorrhea, indicating vaginal inflammation. Grades Ⅰ to Ⅱ are normal.

(3) Fungi and Trichomonas: If Trichomonas or fungi are present, regardless of the quantity, they will be indicated by a “+”. The “+” symbol only indicates that the woman is infected with Trichomonas or fungi, and does not indicate the severity of the infection.