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Deborah Bateson does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment. Many women perceive vaginal discharge as undesirable and unnatural rather than physiological and normal. : Health Check: what is normal vaginal discharge and what's not? The vagina is self-cleaning, and vaginal discharge plays an important role in keeping the vagina healthy. From puberty, when oestrogen kicks in, the vagina becomes colonised with healthy bacteria from the Lactobacillus group which produce lactic acid.

This finely balanced vaginal ecosystem is referred to as the vaginal microbiome and the resulting acidity of the vagina provides protection against sexually transmissible infections. Healthy vaginal discharge is made up of fluid from the vaginal walls, mucus from the cervix as well as the lactobacilli, and because the vaginal environment is hormonally influenced, variation in the amount of discharge throughout the month is to be expected and completely normal.

As well as providing a protective environment, vaginal discharge provides natural lubrication with between one and 4mls of fluid produced every 24 hours. Healthy vaginal discharge has a characteristic smell — and in some women this can become stronger because of the large of sweat glands in the hair-bearing pubic area.

Anything put in the vagina can potentially disrupt the vaginal environment and its balanced vaginal flora, including tampons, penises, condoms, semen, fingers and hygienic sex toys. Disruption in these cases is almost always temporary and the vagina quickly restores itself. But this may not be so in the case of vaginal cleansing products, or repeated douching.

Homemade douches usually contain water and vinegar and commercial products contain antiseptics and fragrances that can reduce the lactobacilli and reduce the protective effect of the discharge. It is an energetic release — not just a steam douche — that balances female hormone levels. Apart from the risk of burning and scalding, there are many other reasons not to v-steam. While no steam may actually reach the uterus, blowing hot herbal fumes into this important organ has no benefits and could in fact do harm. There would certainly be no effect of this pseudo-scientific treatment on female hormone levels.

While vaginal discharge is certainly normal, if you experience a ificant change in the volume, colour or odour of discharge, you should seek medical advice. A change in vaginal discharge can be a of infection, although the most bacterial STIs, including chlamydia and gonorrhoea, usually do not cause any change in discharge. More common causes are candida vaginal thrush or bacterial vaginosis BV which occur when the vaginal flora becomes over-colonised with either yeast candida or other vaginal bacteria.

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Bacterial vaginosis is a condition in which the vagina is unable to return to its normal state and becomes more alkaline. The alkalinity of menstrual blood can be associated with bacterial vaginosis. : Recurrent thrush: how some women live with constant genital itching. The lactobacilli are reduced and replaced with other vaginal bacteria which can be associated with an increased greenish-greyish discharge and an unpleasant odour.

Although the condition is not thought to be harmful, for women living with bacterial vaginosis, having a persistent and malodorous discharge can be debilitating and they should see their doctor to discuss how to manage the condition. : We need a cure for bacterial vaginosis, one of the great enigmas in women's health.

As doctors working in sexual health we are keen to help women work out what is normal and what is not. Vaginal discharge is healthy and plays an important role in the defence against infection.

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Trying to eliminate it makes no sense and is in fact harmful. Edition: Available editions United Kingdom.

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Or anything for that matter. Deborah BatesonUniversity of Sydney. What is vaginal discharge and why is it important?

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Womens health Vagina Thrush bacterial vaginosis.

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