What causes smelly discharge during pregnancy?

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If you’re pregnant for the first time, you might feel a little worried. After all, pushing a baby through your lady bits kind of seems like squeezing a bowling ball through the eye of a needle.

But don’t worry — women have been doing this for literally thousands of years, and pregnancy will get your vagina delivery-ready by your due date. But what you may not realize is that to get there, there are many changes in store down below.

Those changes start earlier — a lot earlier, in fact.

So we’d like to introduce you to your changing anatomy and tell you what else you might expect over the next 9 months. This is your vagina on pregnancy:

When you think of a certain body part turning blue, you generally don’t think of a vagina — but that’s exactly what can happen when you’re newly pregnant.

Known as Chadwick’s sign, it’s caused by increased blood flow down below. Unless you’re literally looking for it, you may not even know that it’s happened since it doesn’t cause any discomfort. Regardless, the blue or purple hue should disappear shortly after you give birth.

This change of color in the vagina, labia, and cervix can occur as early as four weeks, making it one of the first indications that you could be pregnant.

During pregnancy, your body’s blood volume can increase by as much as 50 percent, and some of that extra blood heads downtown, making your nether regions swollen and extra sensitive.

Add higher-than-normal levels of oxytocin, estrogen, and progesterone to the equation and that just might translate into heightened arousal and bigger and better orgasms, as well as increased desire.

This can happen in the first and second trimesters, so remember to communicate any changes to your partner! Because on the flip side, this blood rush could lead to sensitivity and discomfort.

It’s not uncommon to develop these telltale bulging, purple blood vessels on your legs during pregnancy because of the added pressure and weight of your belly. But believe it or not, they can appear on your privatest of private parts as well.

According to one recent study, around 18 to 22 percent of pregnant women will develop this medical condition, usually in the second or third trimester. While not everyone will experience discomfort or even know they have this problem, some people will feel swelling, pressure, or pain.

The good news is that most vulvar varicosities will disappear a few weeks after childbirth.

Translation: You’re likely going to smell and taste different — so heads up when your significant other is down under. That taste may be more “metallic or salty,” according to The Journal of Perinatal Education.

A change or increase in odor — while likely occurring because of your fluctuating hormones — may also seem more pungent to you because your olfactory senses are also heightened during pregnancy.

Still, if the smell seems overpowering or foul, or comes with burning or itching, you could have an infection and should definitely talk to your doctor.

And chances are no one told you this can happen. So when you’re actually experiencing it, you might end up calling your doctor in a panic because you legit think you’re dying.

But generally speaking, it’s nothing to worry about and is a pregnancy side effect known as “lightning crotch.” (Yep, really.)

It’s caused by the baby pressing on certain nerves or because of cervical changes, and it often occurs in the third trimester when you’ve been sitting or lying in the same spot for a while and then get up.

Do what it takes to get yourself comfortable, if you feel this happening.

First up: yeast infections. This proliferates during pregnancy, thanks to increased estrogen levels and changes to your vagina’s pH levels.

Topical antifungals are preferred as a first line of defense, especially in light of a recent study that linked the common oral medication fluconazole (Diflucan) to a possible increased likelihood of miscarriage.

You may want to look into alternative remedies and lifestyle changes before trying any oral medication.

The other problem you might be facing throughout your pregnancy? Urinary tract infections (UTIs) — which aren’t only uncomfortable but also achieve the amazing feat of making you feel like you have to pee even more than you already do.

While a pregnant person’s odds of developing a UTI is only slightly higher than when not pregnant, the risk of having it progress to a kidney infection rises by a whopping 40 percent.

That, in turn, may lead to an increased risk of preeclampsia, preterm birth, and low birth weight.

Stock up on panty liners. Shortly after conception and often before you even realize you’re pregnant, your private parts go into hormonal overdrive, producing more discharge to keep your cervix protected and to help prevent infections.

The technical term for this discharge is leukorrhea, and it should be relatively thin in consistency, have a milky color, and smell mild — similar to your normal discharge, only heavier, more frequent, and stickier.

If, however, it takes on a yellow or green color, looks thick, or smells foul, you may have an infection and need antibiotics. Later in pregnancy, you may also lose the gooey mucus plug on your cervix, which indicates that labor is coming.

Even if you like giving cutesy nicknames to your private parts, Itchy and Scratchy probably isn’t what you had in mind. Unfortunately, itchiness down there is a common pregnancy symptom that can happen at any time.

The cause? The increased discharge and pH changes mentioned above, which could irritate sensitive skin, or a yeast infection.

Talk to your doctor if this annoyance doesn’t go away or is accompanied by other troubling symptoms, such as abnormal discharge, ulcers, or a burning sensation.

Yep, your vagina is loaded with bacteria, which sounds unwanted but is actually completely normal. Starting in your first trimester of pregnancy, though, that bacterial environment can undergo changes.

Why does that matter as long as it doesn’t cause an infection? Because, according to multiple studies, people who are pregnant with lower vaginal levels of Lactobacillus have a greater likelihood of delivering early.

Someday, measuring vaginal bacteria will help determine whether the individual is at risk for preterm labor, but for now, more research is still needed.

Where, exactly? The perineum, the area between your vagina and anus that often remains tight and, as a result, tears during childbirth.

The American College of Obstetricians and Gynecologists says that between 53 and 79 percent of those going through labor experience some sort of vaginal tearing, while other medical professionals put that number closer to 90 percent for first-time moms.

And according to one 2014 study, those who experience a severe tear during their first birth are 5 times more likely to experience another in subsequent births.

But there’s a potential solution: Massaging the area, especially in the last month of pregnancy, can cut down on your risk of experiencing this painful problem.

These vaginal changes may seem strange, but most of them are completely normal. Try to relax a little and remember that these pregnancy symptoms often reverse after you give birth.

Still, if any of these symptoms are getting in the way of your day to day (or do end up permanent), don’t hesitate to mention it to your doctor. They’ll be able to recommend treatments or alternatives.

After all, once you’re welcoming your gorgeous newborn into the world, there will be plenty of other life changes to keep your mind busy.

Dawn Yanek lives in New York with her husband and their two very sweet, slightly crazy kids. Before becoming a mom, she was a magazine editor who regularly appeared on TV to discuss celebrity news, fashion, relationships, and pop culture. These days, she writes about the very real, relatable, and practical sides of parenting at Momsanity. You can also find her on Facebook, Twitter, and Pinterest.

If you know what’s normal for your vagina during pregnancy, you’ll be more likely to head- off potential complications. Here are some ways your vagina is affected by pregnancy:

Increased vaginal discharge

An increase in vaginal discharge is one of the most noticeable vaginal changes during pregnancy. It’s caused by high levels of estrogen and progesterone. An increase in blood volume and blood flow can also contribute to increased vaginal discharge.

Pregnancy discharge should be thin, white, and milky. It may get heavier as your due date approaches. It shouldn’t smell bad, but it may have a mild odor that’s more noticeable than before. If vaginal discharge bothers you, try wearing unscented panty liners or mini pads.

Increased risk of vaginal infections

In some cases, increased vaginal discharge indicates infection. Vaginal infections are common during pregnancy, thanks in part to hormonal changes that alter your vagina’s pH-balance. Common vaginal infections during pregnancy include:

Yeast infections: During pregnancy, vaginal secretions contain more sugar, yeast’s meal of choice. A yeast infection won’t harm your unborn baby, but it’ll make your life uncomfortable. Symptoms of a yeast infection include vaginal itching, vaginal discharge that resembles cottage cheese and smells yeasty, and vaginal burning.

Bacterial vaginosis (BV): According to the American Pregnancy Association, 10 to 30 percent of pregnant women will get bacterial vaginosis. The condition is caused by an imbalance of good and bad vaginal bacteria. The main symptom of BV is a fishy-smelling, gray discharge. Untreated BV is linked to pre-term labor, low birth weight, and miscarriage.

Trichomoniasis: This infection is transmitted by having sex with an infected person. It may cause serious pregnancy complications, such as your water breaking too soon and premature birth. Symptoms of trichomoniasis include a foul-smelling, yellow-green discharge, vaginal itching and redness, and pain during urination and sex.

Increased vaginal swelling

To support your growing baby, your blood flow increases significantly during pregnancy. It’s not unusual for your labia and vagina to appear swollen and feel fuller. The swelling and increased blood flow may also increase your libido and make you feel easily aroused. Hormonal changes and increased blood flow may also cause your vagina and labia to darken and take on a bluish tint.

In some cases, vaginal swelling is caused by infection. If vaginal swelling is accompanied by redness, burning, and itching, contact your doctor.

Vulvar varicose veins

Your legs aren’t the only place varicose veins can appear during pregnancy. They may also happen in your vulvar and vaginal areas. Vulvar varicose veins are caused by an increase in blood volume, and a decrease in how fast your blood flows from your lower extremities.

Vulvar varicose veins may cause pressure, fullness, and discomfort in your vulva and vagina. You can help relieve symptoms by applying a cold compress, elevating your hips when lying down, and wearing a compression garment. Most vulvar varicose veins go away on their own within several weeks of giving birth.

Vaginal bleeding

Vaginal bleeding during your first trimester isn’t unusual. It may be due to the implantation of the fertilized egg to the lining of your uterus. It may also be caused by increased blood volume. In some cases, vaginal bleeding is a sign of miscarriage, especially if it’s accompanied by severe, menstrual-like cramping, and the passing of tissue through your vagina.

Vaginal bleeding during your second and third trimesters is concerning. You should seek emergency medical care if your vaginal bleeding is caused by:

  • placenta abruption (when the placenta peels away from the uterine lining)
  • premature opening of the cervix
  • preterm labor
  • uterine rupture

When labor begins, you may experience vaginal discharge mixed with pink mucous. This is normal and is called bloody show.

No matter what scenario your vagina goes through during birth, there’ll be some swelling, bruising, and pain afterwards. It may be hurt to urinate or have a bowel movement. For most women, these symptoms go away after a few weeks. It may take longer if your vagina tore during birth, or if the skin between your vagina and anus was cut to help get your baby out.

Vaginal bleeding is common for two to six weeks after giving birth. Heavy bleeding that’s bright red and may include blood clots is normal for the first 24 hours after delivery. After that, bleeding should gradually decrease. Even so, you may experience vaginal bleeding for up to six weeks.

Your vagina will probably feel wide and stretchy after giving birth. It usually regains much of its elasticity within six weeks. Kegel exercises and other pelvic floor exercises performed during and after pregnancy help increase vaginal tone and decrease your risk of organ prolapse into the vagina.

Women who are breastfeeding have lower estrogen levels and are more likely to experience dryness. Water-based lubricants and natural moisturizers may help relieve vaginal dryness symptoms, such as painful sex, vaginal itching, and vaginal burning.

Your vagina plays a key role in pregnancy and childbirth, so it deserves special attention. Here are some tips for keeping your vagina healthy during and after pregnancy:

  • Dry your vaginal area with a hair dryer on a low, cool setting after bathing or swimming.
  • Wipe from front to back after going to the bathroom.
  • Don’t douche or use scented sanitary pads or tampons.
  • Avoid feminine hygiene sprays or perfumed personal care products.
  • Wear looser clothing or underwear.
  • Eat yogurt regularly.
  • Reduce your sugar intake.
  • Stay hydrated.
  • Eat a healthy, balanced diet and get regular exercise.
  • Practice responsible sex.

Consult your doctor when in doubt about vaginal discharge or other vaginal concerns. Some vaginal symptoms may be a sign of a serious problem, so it’s best to be cautious.

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