What does yellow discharge with a sour odor in women indicate?


Reception OK and menopause

Mucous discharge with blood can be a reaction of the body to taking hormonal contraceptives. An imbalance of progesterone and estrogen leads to disruption of the female cycle, increased sensitivity of the vaginal mucosa, which makes itself known by a reddish secretion.

Hormonal imbalance also occurs as a result of stress, poor lifestyle and menopause. The release of mucus mixed with blood during menopause quite often indicates gynecological pathologies.

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Injuries

A similar symptom is observed as a result of rough or intense sexual contact. Discharge like egg white with blood streaks or a similar kind of leucorrhoea indicates damage to the small blood vessels of the vaginal walls during increased mechanical stress during sexual intercourse. Sometimes such a phenomenon after intimacy can indicate the presence of cervical erosion, and can also be a symptom of a number of diseases.

Quite rarely, such a symptom manifests itself as discharge after examination by a gynecologist, if the manipulations performed by the doctor injured the walls of the vagina. The phenomenon does not require treatment, since the problem will disappear naturally after a day or two.

Prevention

Any disease is easier to prevent than to cure. Most problems with the reproductive organs can be avoided if you follow simple preventive measures:

  • Maintain personal hygiene practices.
  • Healthy lifestyle.
  • Balanced diet.
  • Having only one sexual partner.
  • Use of condoms during casual sexual intercourse.
  • Do not self-medicate with antibiotics.
  • After a course of antibiotics prescribed by your doctor, it is recommended to take probiotics and prebiotics, which help restore the vaginal microflora.
  • Visit a gynecologist regularly (at least once a year).

If an STD is detected, both partners must be treated! During treatment, you must maintain sexual rest.

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Infections and bacteria

Yellow or white discharge interspersed with blood, blood curds, accompanied by pain, burning, itching and other discomfort indicate inflammation or infection of the genital organs.

If vaginal discharge with red streaks lasts for more than 2-3 days, is accompanied by painful sensations, its intensity increases and it transforms into heavy bleeding with clots, then we are talking about diseases of the uterus or ovaries (cervical erosion, endometriosis, polyps and neoplasms various etymologies, including cancer).

Mucus with blood and the menstrual cycle

Typically, mucous discharge with brown streaks is associated with the course of the menstrual cycle. This process is influenced by hormonal fluctuations in its various phases. This phenomenon can be detected by a girl during the first three years with the onset of menarche, which is associated with the establishment of hormonal levels.

Before your period

The appearance of brownish, yellowish or transparent discharge streaked with blood before menstruation is acceptable 1–2 days, if it then develops into timely menstrual bleeding. Another situation is if such symptoms appear 3 or more days before your period. The following diseases manifest themselves in a similar way:

  1. Endometriosis is a pathological proliferation of endometrial cells, the mucous layer of the uterus. The disease is accompanied by pain in the lower abdomen, radiating to the lower back. Symptoms intensify with the onset of critical days, the duration and abundance of which can be increased.
  2. An endometrial polyp is a neoplasm in the endometrial tissue, which, in addition to the described symptom, makes itself felt by a shift in the menstrual cycle and can pull on the lower abdomen. Pathology tends to increase and degenerate into malignant tumors.
  3. Often this is how ectopia of the cervix makes itself felt. It is before the onset of menstruation that erosive processes gain momentum due to the softening of the uterine tissue.
  4. Vaginal white discharge with blood before menstruation is sometimes evidence of infectious diseases of the genital organs and a violation of the vaginal microflora. Their symptoms are most often indicated during this period. They make themselves felt by discomfort in the form of burning and itching. The pinkish secretion may have a cheesy consistency and an unpleasant odor. The affected walls of the vagina become especially sensitive under the influence of the inflammatory process, blood can ooze from them, which is excreted along with pathological mucus.

After menstruation

Mucous discharge streaked with blood after menstruation is explained by gradual blood clotting. This phenomenon occurs 1–2 days after the end of menstruation. The mucus in this case is liquid and homogeneous.

If the symptom appears a few days after the end of the regulation, or they last more than 8–9 days, then we can assume the presence of one of the pathologies described above: erosion, endometriosis, polyp, vaginal fissures and others.

In the middle of the cycle

The described secretion is a common occurrence before and after menstruation, however, acyclic bleeding on other days of the cycle has a physiological basis only if we are talking about rupture of the follicle. Bloody and brown discharge in the middle of the cycle without pain or odor indicates the release of an egg during ovulation. Its rupture may be indicated by a complete change in color or the presence of blood streaks. This symptom, which accompanies ovulation, lasts only a day.

The presence of mucous discharge streaked with blood in the middle of the cycle is indicated only in 33% of women. This is acceptable if at the same time there is no pain in the lower part of the peritoneum, in the side and lower back, there is no general malaise, there is no unpleasant smell of mucus, and the body temperature does not increase significantly. If the bloody secretion makes itself felt for several days or is accompanied by the above symptoms, then this indicates a gynecological disease.

Sometimes such a symptom occurs with the onset of menopause, when the cycle shifts and discharge can appear at any time. However, the appearance of blood on underwear is considered as a normal course of hormonal changes before the onset of menopause (in the premenopausal period), after which it is evidence of an illness.

Discharge before and after ovulation by day

Discharge during menstruation in women lasts from 5 to 7 days. Immediately after the end of menstruation, the so-called dry days begin (8-11 days).

12-13 days. A watery secretion is indicated. It is sticky and not abundant (the beginning of the ovulation period).

Day 14 Mucus increases in volume and thins out.

15th day. Vaginal discharge becomes similar to egg white: it has no color and stretches between the fingers. Blood streaks may appear. (ovulation)

16th day. The secretion is still as copious as snot.

17-19th day. The consistency becomes denser. The secretion becomes cloudy and thickens (the fertile period ends).

20-28th day. There are no allocations.

Data by day are approximate and do not reflect the menstrual cycle of all women.

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This is the norm, but not always

Mucous discharge streaked with blood is usually closely related to the menstrual cycle. This is especially often observed in the first years after the start of menstruation, when the cycle is still unstable and can change quickly. All this largely depends on hormonal fluctuations. Hormones have a decisive impact not only on the menstrual cycle, but also on the entire reproductive system of a woman.

In most cases, mucous bleeding in women is observed before and after menstruation. In the middle of the cycle they appear quite rarely. That is why this causes quite understandable fear and misunderstanding of what is happening among women. In fact, even this situation may be the norm. That is, this does not necessarily indicate the presence of any health problem.

Acyclic bleeding is relevant for the ovulatory period. It is accompanied by rupture of the follicle - the tissue sac in the ovary where the egg matures. When it is fully mature, the follicle bursts, the egg comes out, moves along the fallopian tubes, where it meets (or does not meet) the sperm.

Mucous discharge streaked with blood is usually closely related to the menstrual cycle

If fertilization has occurred, the zygote goes to the uterus, where it attaches to one of its walls. If not, the extra layer of the endometrium of the uterus, the vessels and the egg itself disintegrate and are excreted in the form of menstruation.

Blood appears during ovulation because the follicle also needs nutrition, which is provided to it by small capillaries. Transparent discharge with bloody streaks in the middle of the cycle in this case is a mixture of blood from the follicle with natural vaginal secretion. The fact is that at this time secretion in the vagina increases, which is due precisely to the beginning of ovulation.

A similar phenomenon is observed by approximately a third of all women who ovulate. Why not everyone? For example, because some of them simply do not notice the blood, since there is not much of it, and it is simply washed out along with the urine. The volume of discharge depends on the intensity of nutrition of the follicle. Its tissues may have many or few vessels. The more there are, and the stronger the gap, the correspondingly more blood.

If this is bloody discharge, but not menstruation, could this be the case? Unfortunately yes. It is important to understand that the ovulatory period, ideally, is not accompanied by any specific sensations that could cause discomfort, with the exception of short-term pain in one of the ovaries.

If symptoms such as:

  • discharge streaked with blood in the middle of the cycle has a pronounced characteristic odor;
  • the presence of pain in the side, lower abdomen or lower back, which lasts longer than a day;
  • general malaise – weakness, fatigue, aches, headache;
  • increased body temperature;
  • The discharge is present for several days and does not seem to disappear.

This indicates that there is some kind of disease in the body, usually related to gynecology. This means that a woman’s task is to detect this disease and take all necessary measures to eliminate it.

The approach of menopause is accompanied by serious menstrual irregularities

It is also necessary to take into account such a factor as menopause. The approach of menopause is accompanied by serious disturbances in the menstrual cycle, which becomes irregular.

Because of this, discharge can appear at almost any time, but this will be considered normal, given the woman’s current condition.

But if mucus and blood come from the vagina after menopause, this is already clear evidence of a certain pathology. And which one - you will need to find out with the help of specialists.

Diagnosis and treatment

The effectiveness of treatment directly depends on diagnosis. But diagnostic methods should be established only by the attending physician. To determine the root cause of uncharacteristic discharge in women, the following types of examination are currently used:

  • taking smears;
  • Ultrasound;
  • microbiological method - growing cultures of microorganisms taken from the patient and their subsequent examination;
  • polymerase chain reaction (PCR).

Treatment is prescribed individually; as a rule, antibiotics, biostimulants, anti-inflammatory drugs, and physiotherapy are used. After a course of therapy, it is necessary to schedule a repeat test to confirm the results of the treatment.

Pathological causes

Discharge with blood, but not menstruation, is a problem that, unfortunately, is not so rare today. To establish the exact cause of this phenomenon, in order to exclude or confirm any pathology, a set of diagnostic and laboratory tests is prescribed. Be sure to check the abundance of vaginal secretions, the duration of discharge and their connection with the menstrual cycle.

The main causes of pathological discharge in the middle of the menstrual cycle can be:

FactorDescription
Allergic reactionMany women, observing unusual discharge mixed with blood, for some reason immediately think about some serious illness. In fact, the reason may be quite banal - these are their underwear, hygiene products, lubricants and other things that come into contact with the genitals. Sometimes they may contain potential allergens, to which the body reacts accordingly. Due to allergies, the secretion intensifies and its color changes. Streaks of blood may be present if the allergy coincides with the ovulatory period.
InjuriesTraumatic damage to the vaginal mucosa also leads to rupture of small blood vessels. It is because of this that blood appears along with the secretion.

Injuries can be caused in various ways:

  • during overly intense sexual intercourse. Everything needs to be done in moderation, especially when it comes to intimacy;
  • during surgery;
  • during a gynecological examination. This happens if medical manipulations lead to damage to the walls of the vagina.

In most cases, any specific treatment for injuries (unless they are severe) will not be required. Simply because the mucous membrane regenerates well, and therefore will recover on its own in a few days. Naturally, you will need to limit sexual contacts during this time.

You also need to remember that constant minor bleeding after sex may indicate erosive processes in the cervix. You will definitely need to check with a doctor.

What to do if you have yellow discharge?

First of all, you need to take into account that each woman perceives the intensity, color and consistency of discharge in her own way, so it is difficult even for a specialist to judge any pathology based on a verbal description alone. To determine whether any disease is developing, a woman first needs to have a smear test. The doctor conducts a bacterial culture for pathogenic microbes.

However, it is definitely known that a healthy person should not have intense brown, red, pink, yellow and other discharge. Such manifestations should always cause alarm, as they indicate the development of an infectious process.

If yellow discharge with an odor appears in women after unprotected sexual intercourse, there is a high probability that the cause of such manifestations is a sexually transmitted infection. If they are yellow-green with an unpleasant odor in women, one may suspect that a latent sexually transmitted infection is developing, which can occur in a chronic form, causing such symptoms.

Low-symptomatic forms can include chlamydia , mycoplasmosis , trichomoniasis , genital herpes , gonorrhea , etc. With infections that are sexually transmitted, profuse yellow discharge with a sour odor or other unpleasant aroma may appear. This is most often observed with gonorrhea and trichomoniasis. At the same time, itching and discomfort when urinating are also felt.

However, if there is no sexual contact, women may have yellowish discharge with or without odor due to other reasons. These are the following factors:

  • severe or prolonged stress;
  • decreased immunity ;
  • hormonal imbalance;
  • antibiotic treatment .

This can also happen if hygiene rules are not followed. Curdled discharge can appear with thrush , bacterial vaginosis . If gardnerellosis , an unpleasant fishy odor also appears.

Therefore, you should find out why such symptoms appeared from a specialist who will dispel or confirm suspicions. It is especially important to consult a doctor after questionable sexual contact. The doctor will conduct an examination and also conduct all the necessary tests and examinations to determine whether hidden infections are developing in the body.

It is important for each patient to understand that until the real cause of the unpleasant manifestations is finally determined, no measures can be taken and no treatment can be carried out. After all, the use of any medications can blur the true picture of what is happening, thereby preventing a specialist from establishing the correct diagnosis.

The latter applies not only to drug treatment, but also to douching . Those who practice douching to cleanse unpleasant symptoms should initially visit a doctor and consult with him about this. After all, the use of douching for various diseases, for example, candidiasis, can negatively affect the microflora of the vagina, thereby only aggravating the symptoms of thrush or provoking the development of bacterial vaginosis. After douching with potassium permanganate, soda or other improvised means, the infection can spread even more actively, which is a factor contributing to the development of inflammatory processes of the uterine appendages , as well as endometritis , endometriosis . Therefore, douching can only harm your health.

Features of mucus production from the vagina

Bartholin's glands, located at the entrance to the vagina, and the glands of the cervical canal produce mucus.

It includes:

  • lymph;
  • plasma;
  • dead skin cells;
  • leukocytes;
  • lactobacilli;
  • lactic acid;
  • glycogen.

All these components ensure normal vaginal microflora. The secretions provide protection to the genital tract from the penetration of pathogenic microorganisms and bacteria.

For the first time, a girl encounters vaginal mucus during puberty. About a year before the start of your first menstruation, a whitish fluid is released from the vagina.

When the menstrual cycle becomes cyclical, vaginal discharge changes depending on its phase:

  1. In the first phase of the cycle, estrogens predominate in the female body. These hormones make the discharge thinner and more scanty. Then menstruation occurs and a smearing pink secretion comes out of the vagina. After 1-2 days, the main volume of blood is removed.
  2. During the maturation of a new egg (days after menstruation), the volume of mucus is only 2 ml. The discharge is watery and sometimes comes out with lumps of biological particles.
  3. When ovulation occurs (mid-cycle), the volume of mucus increases several times, up to 4-5 ml per day. It becomes more viscous and sticky.
  4. In the second phase of the cycle, the discharge becomes less , its consistency resembles a liquid cream.

Progesterone and estrogen are responsible for the process of changing the nature of mucous discharge from the vagina. But the uterine endometrium can also affect the volume of mucous secretions. So, before menstruation, fluid accumulates in the organ and a large amount of blood flows in - mucus production increases.

When a sour smell indicates pathology

If a woman who carefully monitors her health monitors the changes that occur in her body, sometimes she may notice that an odorless yellow discharge appears. If they are not too abundant and have a uniform consistency, then yellowish discharge without odor and itching at different stages of the monthly cycle may be normal.

The natural secretions that form in the vagina are protective mucus that prevents pathogenic viruses and bacteria from entering. Therefore, homogeneous transparent mucus, sometimes yellowish in color, is normal secretion. They occur regularly, without discomfort or itching.

After menstruation, light brown, orange or yellow spotting is sometimes also observed. If yellow discharge after menstruation appears for several days, gradually becoming less intense, this is normal.

After an abortion

Such symptoms may also appear in the period after an artificial termination of pregnancy. In such a situation, special attention must be paid, since the appearance of an unpleasant odor and other alarming symptoms may be evidence of the development of an inflammatory process. Therefore, if serous, bright yellow discharge in women or other atypical manifestations are observed, you should consult a doctor.

During pregnancy

During pregnancy, thick yellow vaginal discharge may occur in the first trimester, when the body's hormonal levels rapidly change. At the same time, the color of the vagina, nipples changes, and other bright signs of this process appear. They are not dangerous unless accompanied by other alarming symptoms.

In the second trimester, abundant transparent secretions are noted. Heavy liquid discharge, such as water, is not dangerous as long as it does not smell bad or turn yellow. This may already be a sign of pathology. Their bright yellow color is a sign that inflammation is developing in the ovaries or fallopian tubes.

After childbirth

Whether yellow discharge after childbirth is normal depends on many factors. Every woman immediately after the birth of her baby develops a postpartum secretion called lochia for several weeks. The character of lochia is constantly changing, gradually from red they become brown, then yellow.

If a young mother’s uterus does not contract too intensely, sections of this color may bother you even for 1-2 months - this is how the uterus is cleansed. Mostly this is normal, but you should still go to the doctor for a preventive examination. You should be concerned about the addition of other signs - high body temperature, itching, severe discomfort or pain.

During menopause

Women often experience yellow discharge during menopause. First of all, you need to clearly understand that during menopause, any vaginal discharge that differs from normal - white-yellowish mucous - may indicate pathology. It is clear that during menopause, bloody, foul-smelling or purulent discharge is not normal.

In particular, blood can be a harbinger of cancer. However, if a woman is just undergoing hormone replacement treatment, then light discharge containing blood is most likely normal. Yellowish curdled ones may be evidence of a fungal infection. Therefore, in case of any suspicious manifestations during menopause and after it, it is important to immediately contact a specialist.

Variant of the norm

Sometimes this shade is explained by the peculiarities of the reproductive system and the ratio of hormone levels. Natural leucorrhoea, which has such a color and viscous character, should not be intense and cause discomfort.

White discharge in women changes to yellowish immediately before or immediately after menstruation. In the described case, the characteristic shade means the presence of traces of blood in the physiological secretion.

Abundant, odorless, transparent yellow secretion can occur in the middle of the cycle, when a woman is ovulating. Often at such times it is distinguished by a thick mucous character (the discharge looks like snot).

If a woman has recently started taking oral contraceptives, then this shade occurs due to hormonal changes. Often OK is accompanied by the appearance of scanty yellow vaginal discharge.

Often the cause of mucous secretion of this color is also unprotected sexual intercourse, when the partner’s seminal fluid enters the woman’s vagina. In this case, the appearance of the described secretion in the form of pale clots is natural. The situation returns to normal 8-10 hours after sexual contact.

A change in sexual partner can also explain specific secretion. Thus, the vaginal flora adapts to the unfamiliar microflora of the man.

A change in the color of the secretion of the sex glands, which is not accompanied by an unpleasant odor, sometimes indicates the action of unfavorable factors. Let's take a closer look at them.

  1. Colpitis often causes the described discharge. There may be no specific aroma. Inflammation of the mucous membrane is accompanied by itching, hyperemia, swelling of the vulva, and burning during urination. Both an adult woman and a teenager can suffer from inflammation.
  2. Andexitis is also often accompanied by a yellowish discharge that is odorless and itchy. Additionally, accompanying symptoms appear: pain in the lower abdomen and lower back, rise in body temperature, general malaise.
  3. Cervical erosion is another reason why this phenomenon occurs. Explains its presence in the physiological secretion of a small amount of blood or the onset of the inflammatory process. After the cauterization procedure for erosion, transparent ichor is considered normal. If the marks on the underwear do not stop, but look like pus, then we are talking about the addition of an infection.
  4. Some types of STDs are also accompanied by a similar symptom. Pathogenic pathogens can irritate the mucous membrane and cause severe itching and swelling of the labia. Examples of such diseases are ureaplasmosis, mycoplasmosis, chlamydia, which in some cases are asymptomatic.

If there is not only the appearance of such a secretion, but also the addition of a specific aroma and other symptoms of trouble, then there is no longer any need to talk about a variant of the norm. All the signs of a pathological process are present. However, there are also quite a lot of reasons that cause this manifestation. Let's talk about them in more detail and look at the corresponding photos.

Normally, vaginal secretion in women has a slight sour odor. It is provided by lactic acid, which is secreted by lactobacilli. An imbalance of lactobacilli occurs due to the following changes:

  1. Atypical growth of pathogenic bacteria and fungi that are present in normal microflora. This happens with reduced immunity and hormonal imbalance.
  2. Penetration of infection that is sexually transmitted.
  3. Inflammatory processes in the genitals caused by external irritants: allergens, hypothermia, etc.
  4. Neoplasms in the cavities of the reproductive organs.
  5. The presence of chronic, debilitating diseases always provokes a bacterial imbalance and makes the body very vulnerable to other ailments. Such diseases include: pyelonephritis, diabetes mellitus, diseases of the thyroid gland, ovaries, etc.

After conception, a woman’s body begins to produce progesterone in increased volumes. Progesterone is the pregnancy hormone. It promotes the formation of a mucus plug and protects the embryo up to 3 months of pregnancy.

Due to increased levels of progesterone and hCG, a woman may experience changes in leucorrhoea. During pregnancy, white discharge with a slight sour odor, but without itching or discomfort is the norm. If the leucorrhoea becomes thick and is accompanied by an odor, this indicates a pathological process.

If a woman notices strange, copious discharge of white, yellow color with a sour, unpleasant odor, then she needs to analyze all her sexual partners over the last 2-3 months. After all, for some sexually transmitted diseases the incubation period lasts exactly 60–90 days.

Signs of trouble in the vaginal environment:

  1. Heterogeneous consistency: liquid, foamy, thick with streaks, with impurities, lumps, curdled discharge.
  2. Increased secretion volume, more than 5 ml per day.
  3. Unpleasant sour odor of vaginal discharge in women, without burning or itching.
  4. The discharge does not stop for more than three days; the main symptoms are accompanied by severe discomfort: burning, pain, swelling.

If lactobacilli are in a depressed state, they are quickly replaced by pathogenic organisms: Candida fungus, Gardnerella bacterium, causing inflammatory processes.

Develops in the vaginal space, accompanied by a bright picture. The patient has:

  • discomfort, burning, itching;
  • leucorrhoea with a cheesy consistency;
  • milky-white secretion, giving way to light yellowish discharge with a metallic and sour odor in women.

Candidiasis is rarely hidden; already on the first day of hormonal imbalance or taking strong antibiotics, the discharge changes.

Almost all women have experienced Candidiasis, so they often self-medicate. If the symptoms are familiar, they buy the same medications as the doctor prescribed a year ago. However, you shouldn’t be so careless about your health. Sometimes harmless symptoms can indicate the onset of cancer.

Most sexually transmitted diseases, at the end of the incubation period, are manifested by a strange sour odor, which intensifies during and after sexual intercourse.

Ureaplasmosis

Occurs when tiny bacteria - ureaplasma - penetrate. Infection occurs through sexual contact or household contact. Such bacteria parasitize the genitals for a very long time without manifesting themselves in any way. Provocateurs for the active reproduction of these bacteria are changes in hormonal levels (the onset of menopause, taking OCs), and frequent changes of sexual partners.

Yellow discharge with a sour smell is an alarming sign!

When is discharge normal?

Some women, when they find their underwear wet at the end of the day, begin to use various methods to achieve vaginal dryness.

But if there are no abnormalities in the body, then the release of copious mucus is a natural process. And a woman will only provoke disturbances in the vaginal microflora.

Therefore, it is important to know the characteristics of vaginal discharge that fit into the norm:

  • mucus is clear/colorless;

  • its structure contains white veins;
  • a yellowish mark remains on the underwear or pad;
  • there is no smell or it is slightly sour;
  • daily volume – 5 ml;
  • stretchy consistency.

These parameters of mucus may vary slightly for each woman, because every body has its own characteristics and reacts to environmental and internal factors in its own way.

Causes of mucus secretion

Various pathologies can develop in a woman’s body, which become the causes of the formation of abundant mucus.

With gynecological diseases, changes in the consistency and color of the discharge occur, and a characteristic unpleasant odor appears. In addition, the woman faces additional symptoms that make her feel discomfort in the genitals.

Transparent selections

Transparent mucus is a natural vaginal discharge.

The main reasons for its appearance include:

  • fluctuations in hormonal levels in different phases of the menstrual cycle;
  • pregnancy period;
  • increased level of estrogen in the body;
  • onset of arousal during sexual contact;
  • stressful situations;
  • change in climatic conditions;
  • taking hormonal drugs.

We can talk about the proper functioning of the ovaries if the mucus from the vagina does not exceed the permissible volume, does not have a specific odor and does not cause itching and burning in the perineum.

Recommendations

It is impossible to establish a full diagnosis based only on the color and smell of the discharge, because there are many diseases with similar characteristics. To do this, it is necessary to conduct an examination, take swabs (for flora, degree of purity, culture) and obtain test results.

If a woman is bothered by yellow discharge with a sour or unpleasant odor, she should consult a gynecologist. And so that the symptoms do not disappear and the picture of the disease does not blur, it is strictly forbidden to self-medicate.

There are many pathogens that can cause such symptoms, and it is not possible to cope with them with one drug. An incorrectly chosen medication will only aggravate the inflammation.

Antifungal drugs are used against yeast-like fungi. Antibiotics will deal with bacteria and cocci. Symptomatic treatment is often prescribed: antispasmodics, painkillers, immunostimulants. When the adhesive process develops, physiotherapy methods, herbs, and homeopathy can be used.

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