Creamy white discharge: What does it mean, causes, and is it normal?
Key takeaways:
- Creamy white discharge called leukorrhea that has no or a mild odor and is a very common and healthy type of vaginal discharge
- Your vagina's self-cleaning mechanism expels old cells, mucus, and bacteria through vaginal discharge
- A white discharge accompanied by a foul smell and other unpleasant symptoms like itching, dryness, pain, and irritation is a sign of an infection
What is a creamy white discharge?
Creamy white discharge, also called leukorrhea [2], is a very common type of vaginal discharge that happens throughout our cycle due to the natural effect of certain reproductive hormones. As we mentioned, the vagina is self-cleaning and vaginal discharge is how the vagina expels old skin cells, bacteria, and mucus [3].
Is it normal?
Yes, creamy white discharge is completely normal in most cases [4]. The appearance of the white discharge might vary slightly depending on the different phases of the cycle. Know that if you are on hormonal birth control, the appearance and patterns of your vaginal discharge might be different [5].
Creamy white discharge vs. egg white discharge
As we already discussed, the normal vaginal discharge might be a slightly different texture depending on where in our cycles we are. It's all due to hormonal changes. You might notice that during the follicular phase, the discharge is white and creamy [6]. During ovulation, the discharge might be more like wet egg white due to the rise in estrogen. The purpose of the white discharge during ovulation is to help the sperm travel to the egg [7]. After ovulation, during the luteal phase of our cycles, it tends to turn thick, dry, and creamy white or slightly yellow [8,7].
What does creamy white discharge mean?
Creamy white discharge that has no smell or only a mild odor is a sign that your vagina is doing its job. However, white discharge can look different from person to person, and its consistency and appearance might vary.
Thin white discharge
Thin white or clear discharge is very typical. The amount of this type of discharge varies from person to person. If it's odorless or has a very mild odor that's familiar to you, there is no reason to be worried. This discharge helps safeguard the vaginal and urinary tracts from infections and offers lubrication to the vaginal tissues. Thin white or clear discharge is the natural lubrication that the vagina has to keep itself moist. You might notice increased levels of this type of discharge when you're sexually aroused [3].
However, if you notice white thin, watery discharge that has a very strong, foul scent, it might be a sign of an infection called Bacterial Vaginosis [7]. Bacterial Vaginosis is one of the most common causes of abnormal discharge [8]. Usually, this infection is easily treatable if you seek medical help when you notice the symptoms.
Thick white discharge
You might notice your discharge becoming thick and white, sometimes even dry after the ovulation, during your luteal phase [6]. The change happens as levels of estrogen fall, and it's nothing to worry about.
If you notice a thick, white discharge after sex, it could be leftover sperm if you had intercourse without a condom. Or, it could also be female ejaculate. Both are normal and harmless.
However, in some cases, a thick white vaginal discharge might be a cause for concern. If you notice this type of discharge accompanied by itching, vaginal discomfort, and stinging or burning sensations, it could be a sign of Vulvovaginal Candidiasis [7], otherwise known as yeast infection, and you might want to see a doctor. It’s an uncomfortable infection but easily treatable.
Creamy white discharge with odor — signs of an infection?
Every vagina has a scent that's unique to it. It's very normal and natural and nothing to be ashamed about. If you notice a white discharge that's either odorless or has a mild scent that's natural to you, there is no reason to be alarmed.
However, if your white discharge is accompanied by a very strong, foul scent or other uncomfortable symptoms like bleeding between periods, bleeding during or after intercourse, itching, dryness, or pain in the pelvic area or while urinating, it could be a sign of infection [7], so you might want to speak with your doctor.
Is thick white discharge normal?
Yes. In most cases, a thick white discharge that has no or mild odor is normal to you and is completely normal and healthy. It might be prevalent throughout your whole cycle, varying slightly in consistency and color. You might only notice it during certain parts of your cycle, like ovulation or the luteal phase [3].
The amount of discharge can vary greatly from person to person — some might have very little, while others might even want to wear panty liners to help absorb the excess.
Creamy white discharge and pregnancy
It's normal to experience white vaginal discharge during pregnancy. The uterus and vagina continue self-cleaning to protect the growing fetus from any harmful bacteria [9]. However, it's important to keep a close eye on the consistency and smell of the vaginal discharge during pregnancy.
Ways to prevent vaginal discharge
Vaginal discharge is healthy in most cases. It's a sign that the vagina is working well and is healthy. How much discharge and how often we experience it is not something we have control over – it's a natural way our reproductive system regulates, protects, and cleans itself. If you are concerned with the amount of vaginal discharge you experience, wearing panty liners might help absorb the access and offer more comfort throughout the day.
When to see a doctor
You might want to see a doctor if you notice a sudden change in your normal discharge pattern. If the smell changes or becomes foul, as well as if you notice a clumpy cottage cheese-like texture or a change in color from clear or white to yellow or green, don't hesitate to reach out to your doctor.
Keep track of your sexual health with Natural Cycles
Knowing your body and what type of discharge is normal throughout your cycle is essential. With Natural Cycles, you can easily track not only your fertile days but also your discharge patterns. When you know what's normal for you, you'll feel more at ease and know when it might be time to see a doctor.
- Trilisnawati, D., Purwoko, N. I. H., Devi, N. M., Nugroho, N. S. A., Fitriani, N., & Toruan, N. T. L. (2021). Etiology, Diagnosis, and treatment of leukorrhea. Bioscientia Medicina Journal of Biomedicine and Translational Research, 5(6), 571–590. https://doi.org/10.32539/bsm.v5i6.323
- Stricker, T. (2010). Vulvovaginitis. Paediatrics and Child Health, 20(3), 143–145. https://doi.org/10.1016/j.paed.2009.10.002
- Patient education: Vaginal discharge in adult women (Beyond the Basics) - UpToDate. (n.d.). UpToDate. https://www.uptodate.com/contents/vaginal-discharge-in-adult-women-beyond-the-basics/print
- Spence, D., & Melville, C. (2007). Vaginal discharge. BMJ, 335(7630), 1147–1151. https://doi.org/10.1136/bmj.39378.633287.80
- Chappell, C. A., Rohan, L. C., Moncla, B. J., Wang, L., Meyn, L. A., Bunge, K., & Hillier, S. L. (2014). The effects of reproductive hormones on the physical properties of cervicovaginal fluid. American Journal of Obstetrics and Gynecology, 211(3), 226.e1-226.e7. https://doi.org/10.1016/j.ajog.2014.03.041
- Najmabadi, S., Schliep, K. C., Simonsen, S. E., Porucznik, C. A., Egger, M. J., & Stanford, J. B. (2021). Cervical mucus patterns and the fertile window in women without known subfertility: a pooled analysis of three cohorts. Human Reproduction, 36(7), 1784–1795. https://doi.org/10.1093/humrep/deab049
- Vaginal discharge: evaluation and management in primary care | SMJ. (n.d.). http://www.smj.org.sg/article/vaginal-discharge-evaluation-and-management-primary-care
- Professional, C. C. M. (2024, May 1). Luteal phase. Cleveland Clinic. https://my.clevelandclinic.org/health/articles/24417-luteal-phase
- Vaginal discharge: evaluation and management in primary care | SMJ. (n.d.). http://www.smj.org.sg/article/vaginal-discharge-evaluation-and-management-primary-care
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