What Causes Abnormal White Discharge?
Not all white discharge is abnormal. However, a change in discharge can sometimes be a sign of an infection or another condition.
Bacterial Vaginosis
Bacterial vaginosis (BV) occurs when the normal balance of bacteria in the vagina changes.
It can cause thin white or grey discharge and a strong fish-like odour, particularly after sex. Some people with BV have few or no symptoms.
If BV is suspected, a healthcare professional can assess the symptoms and, when necessary, test a sample of vaginal fluid before recommending treatment.
Vaginal Candidiasis
Vaginal candidiasis, commonly called a yeast infection, can cause itching, soreness, irritation and abnormal discharge. The discharge may be thick or curd-like in some cases.
However, discharge appearance alone cannot reliably tell you that you have a yeast infection. Similar symptoms can occur with other vaginal conditions, which is why repeated self-treatment can sometimes delay the correct diagnosis.
Sexually Transmitted Infections
Some sexually transmitted infections (STIs), including chlamydia, gonorrhoea and trichomoniasis, can cause unusual vaginal discharge.
Other symptoms may include pelvic discomfort, pain while urinating, genital irritation or unusual bleeding. However, many STIs cause few or no symptoms, so testing may be important if there has been a potential exposure.
Pelvic Inflammatory Disease
Pelvic inflammatory disease (PID) is an infection involving the upper female reproductive tract. It can develop following certain untreated infections and may cause lower abdominal or pelvic pain, fever and abnormal vaginal discharge.
PID requires medical assessment because untreated infection can lead to complications affecting reproductive health.
If your discharge has changed and you also feel unwell, it is better to identify the underlying cause than to assume that the discharge itself is making you weak.