White Vaginal Discharge: Normal Variations and When to See a Doctor

Normal Physiological Discharge

  • Ovulation (EWCM) – Clear, stretchy, egg-white; peak fertility.
  • Post-ovulation – White, thicker, less stretchy (progesterone effect).
  • Pregnancy – Increased white/creamy discharge (leukorrhea); protective.

Abnormal Causes

When to See a Clinician

  • Odor, itching, burning, pain.
  • Color change (yellow, green, gray).
  • Blood-tinged (outside period).
  • New partner or unprotected sex.
  • Persistent heavy discharge.

Self-diagnosis is unreliable; swab testing guides correct treatment.

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ConditionDischargeOther Symptoms
Yeast infectionThick, white, clumpy (cottage cheese)Itching, burning, vulvar redness
Bacterial vaginosisThin, white/gray, fishy odorOdor worse after sex
TrichomoniasisFrothy, yellow-greenItching, dysuria
Chlamydia/GonorrheaYellow, mucopurulentOften asymptomatic; pelvic pain