What should I do if my leucorrhea turns yellow again one month after my miscarriage?

The yellowing of leucorrhea one month after miscarriage can be improved by keeping the vulva clean, adjusting diet, using drugs, physical therapy, and surgical treatment. Yellow leucorrhea may be related to bacterial vaginosis, trichomonas vaginitis, cervicitis, pelvic inflammatory disease, endometritis and other diseases.

1. Keep the vulva clean

After a miscarriage, the vagina is in the recovery period. It is necessary to wash the vulva with warm water every day and avoid using irritating lotions. Choose pure cotton breathable underwear and change it daily to reduce local friction and moist environment. Wipe from front to back when cleaning to prevent anal bacteria from contaminating the vagina. During menstruation, you need to cleanse more frequently and avoid using built-in tampons.

2. Adjust your diet

Appropriately increase probiotic-containing foods such as yogurt and natto to help maintain the balance of vaginal flora. Supplement fresh fruits and vegetables such as broccoli and kiwi that are rich in vitamin C to enhance immunity. Reduce the intake of spicy foods to avoid aggravating the inflammatory response. Drink more than 1500 ml of water every day to promote the discharge of metabolic waste.

3. Use drugs

For bacterial vaginosis, you can use metronidazole vaginal effervescent tablets and clindamycin phosphate vaginal gel as directed by your doctor. Trichomonas vaginitis needs to be treated with oral tinidazole tablets, and sexual partners need to be treated simultaneously. For cervicitis, Chinese patent medicines such as Baofukang suppository and Xiaomi vaginal effervescent tablets can be used. Pelvic inflammatory disease requires the combined use of cefixime dispersible tablets and doxycycline tablets. Endometritis may require levofloxacin tablets combined with Gynecology Qianjin Capsules.

4. Physical therapy

Chronic pelvic inflammatory disease can be treated with ultrashort wave physical therapy on the lower abdomen to promote the absorption of inflammation. When cervical erosion is accompanied by increased secretions, laser or cryotherapy can be used. When there is pelvic adhesion, the doctor may recommend traditional Chinese medicine enema combined with iontophoresis. Bathing and sexual intercourse are prohibited during treatment to avoid cross-infection.

5. Surgical treatment

When the residual tissue in the uterine cavity is combined with infection, hysteroscopic curettage is required, and postoperative antibiotic treatment is required. Pyosalpinx requires laparoscopic drainage and irrigation. Severe cervical lesions may require cervical conization, and HPV and TCT should be reviewed regularly after surgery. All surgeries must be performed 3-7 days after menstruation, and relevant examinations must be completed before surgery.

After abortion, changes in the color, smell and amount of leucorrhea need to be observed. If the yellow discharge lasts for more than 3 days or is accompanied by itching or abdominal pain, seek medical attention from a gynecologist promptly. During the recovery period, avoid swimming, hot spring bathing and other activities that may cause infection. It is recommended to have sexual intercourse after a review to confirm recovery. Maintaining a regular schedule and moderate exercise can help improve immunity and promote recovery. Ultrasound and secretion examinations need to be reviewed 1 month and 3 months after surgery to evaluate the recovery. If you have abnormal symptoms such as fever, severe abdominal pain or heavy bleeding, you should seek medical attention immediately.