Mylonas Ioannis, Friese Klaus
1. Frauenklinik - Klinikum Innenstadt, LMU München.
MMW Fortschr Med. 2007 Sep 6;149(35-36):42-6; quiz 47.
The most frequent cause of genital discharge in women is an infection or colonization with different microorganisms, including sexually transmitted pathogens. Mechanical or chemical irritations are additional causes. Malignant diseases can also cause increased discharge. For this reason, especially postmenopausal and brown, bloody discharges should be differentiated and if necessary, histologically confirmed. Due to the variety of causes, a symptomatic treatment should not be prescribed without prior diagnosis.
女性生殖道分泌物增多最常见的原因是感染或被包括性传播病原体在内的不同微生物定植。机械性或化学性刺激也是额外的原因。恶性疾病也可导致分泌物增多。因此,尤其对于绝经后出现的褐色、血性分泌物,应加以鉴别,必要时进行组织学确诊。由于病因多样,未经事先诊断不应给予对症治疗。