How to tell if excessive leucorrhea is normal when you are four months pregnant?

In most cases, increased leucorrhea during the fourth month of pregnancy is a normal physiological phenomenon. If it is accompanied by odor, itching, or abnormal color, you need to seek medical attention to check for infection.

Increased estrogen levels during pregnancy will stimulate increased secretion of cervical glands, which is manifested as excessive leucorrhea, thin texture, milky white or transparent. This kind of physiological leucorrhea has no peculiar smell, no redness, swelling and itching in the vulva, and usually does not require special treatment. It is recommended to wash the vulva with warm water 1-2 times a day, choose pure cotton breathable underwear and change it frequently. If the leucorrhea is yellow-green, tofu-like or off-white, accompanied by a fishy smell and burning pain in the vulva, it may be related to bacterial vaginosis, candida infection, etc. Reduced immunity and changes in the vaginal microenvironment during pregnancy will increase the risk of infection, and routine leucorrhea examination is required for diagnosis. When bloody leucorrhea occurs, you need to be alert to abnormalities such as cervical polyps and placental abruption.

Daily use of vaginal douches to disrupt the balance of bacterial flora should be avoided. If abnormal leucorrhea is found, prompt obstetrical consultation is required. You can use clotrimazole vaginal tablets to treat candida infections or metronidazole vaginal gel to treat bacterial vaginosis as directed by your doctor. Maintaining moderate exercise and supplementing with probiotics can help maintain vaginal health. Any medication used during pregnancy must be strictly followed by a doctor's guidance.