Cottage Cheese Discharge: What Does it Mean? | Peanut

Cottage Cheese Discharge: What Does it Mean?

By Keshia Sophia Roelofs

Nov 20, 2023

8 min read

KL

Reviewed by Kellie Leonard,

Biomedical Scientist / Medical Writer

Navigating the (many) faces of vaginal discharge can leave many of us scratching our heads. Whether it’s a shift from clear to cloudy, or a scent that reminds you of something from your kitchen (onions? Really?), you’re not the first to have discharge dominating your thoughts. A difference in color, texture, or amount has many of us scanning the pages of Google, trying to decode what our body is saying. After all, understanding your body and the signs it gives you is fundamental to maintaining good health. So, what’s the deal with cottage cheese-looking discharge? You’ve landed in the right place because we’re tackling what does cottage cheese discharge mean, why it happens, and how to treat it. Let’s get into it.
In this article: 📝

Why does my discharge look like cottage cheese?

It’s normal to feel uneasy when you notice your vaginal discharge has taken on a texture a little too akin to cottage cheese. And for good reason, too. Chunky white discharge is a common sign of a yeast infection. So, how does this happen? Basically, your vagina is home to a community of bacteria and yeast living (for the most part) harmoniously—what’s considered your vaginal microbiota. This mainly comprises the good bacteria Lactobacilli which works together with your cervical mucus to keep your vagina healthy, clean, and free from infection. This includes acting as the first line of defense against invading pathogens such as gardnerella vaginalis—the type of bacteria most commonly associated with bacterial vaginosis (BV). And your vaginal pH works to keep this delicate and dynamic microenvironment in balance. But, sometimes, factors like hormonal imbalance or antibiotics can tip the scales in yeast’s favor. Known as Candida, this yeast can multiply, leading to that distinctive white clumpy discharge. Remember, this is a common occurrence and nothing to feel embarrassed about. Many women experience it (an estimated 30-50% to be exact), especially during times of hormonal shifts like pregnancy or menopause. Still, if you notice this change—along with other unusual, uncomfortable symptoms—reach out to a healthcare professional who can guide you through the next steps and help you get back to feeling your best.

What does cottage cheese discharge look like?

A texture like cottage cheese certainly paints a picture, but this abnormal discharge can present in different variations. This includes a thick creamy white discharge or a white thin discharge. Still, it’s common to experience creamy discharge after ovulation as progesterone rises or before and after your period. Much like how you may experience white, watery discharge during ovulation. Even birth control can hold sway on texture and color. The best way to know for sure is if your discharge is abnormally chunky with itching or burning that won’t quit.

What are the symptoms of a vaginal yeast infection?

So, outside of ​​discharge that looks like cottage cheese, what other yeast infection symptoms should you keep an eye out for? Other telltale signs of vaginal candidiasis include:
  • Vaginal itching or burning

  • Pain during sex

  • A burning sensation when you pee

  • Redness and swelling of your vagina and vulva (the outer part of your genitals)

Essentially, if every trip to the bathroom or bedroom is a bit less pleasant than usual, you may just have a yeast infection. Stay with us as we guide you through what this all means and how you can find relief.

What causes cottage cheese discharge

So, an imbalance in the vagina allows candida to multiply, giving your discharge its new distinctive appearance. Case closed, right? Not quite. There’s a few usual suspects behind your abnormal discharge, from hormonal changes to a weakened immune system. And pinpointing them is your ticket to feeling A-okay again. Without further ado, here’s the most common cottage cheese discharge causes:

1. Hormonal changes

Wild fluctuations in hormone levels, especially during pregnancy or menopause, create a cozy environment for yeast. These life stages can naturally alter hormone levels, potentially leading to an imbalance. The same goes for when you’re taking birth control pills or undergoing hormone replacement therapy (HRT). It’s namely down to estrogen, which when running high, increases the risk of developing vulvovaginal candidiasis (VVC).

2. Antibiotics

As good as they are, antibiotics can sometimes play the villain by decreasing good bacteria in the vagina, allowing yeast to overpopulate. One 2008 pilot study found that short courses of oral antibiotics appear to increase vaginal candida and the rate of VVC. Basically, these medications kill bacteria, including the beneficial ones that keep yeast in check.

3. Hygiene practices

Turns out there’s such a thing as being too overzealous with vaginal cleaning. Look keeping clean is good, but overdoing it can disrupt the natural environment of the vagina. Things like excessive washing, vaginal douching, or using harsh or scented products can disturb the vaginal pH and bacterial balance, making it easier for yeast to thrive.

4. High sugar diet

We can practically hear the boos and exasperated sighs. Unfortunately, yes, a sweet tooth can sometimes be a sneaky accomplice to yeast infection. Basically, yeast feeds on sugar, making a high-sugar diet a feast for yeast overgrowth. So much so that a 2021 study found that vaginal yeast infections are more common in patients with diabetes mellitus than in those with lower blood sugar.

5. Compromised immune system

A weakened immune system can happen for a plethora of reasons, from lack of sleep to health conditions such as HIV or diabetes. And when your immune system isn’t functioning at its best, it might not be able to keep yeast growth in check, leading to changes in discharge.

6. Stress

Speaking of a weakened immune system, stress is another big factor behind vulvovaginal candidosis. One reason could be the impact chronic stress has on hormone levels—specifically cortisol. One small 2005 study found that women with lower morning cortisol levels were more vulnerable to reoccurring VVC. This is important because prolonged exposure to stress can cause cortisol levels to repeatedly surge before eventually burning out—resulting in cortisol dysfunction. Add to that the fact that cortisol raises blood sugar, and you’ve quite the recipe for white cottage cheese discharge.

What STD causes cottage cheese discharge?

It’s crucial to clarify that cottage cheese-like discharge is not typically a sign of a sexually transmitted infection (STI) or disease (STD). Usually, this is reserved for discharge that smells foul, like fish, or is sporting concerning hues like green, dark yellow, or grey. It all depends on the type of STD:
  • Trichomoniasis: Also known as “trich”, this is an infection caused by a protozoan parasite called trichomonas vaginalis. In this case, discharge can vary from greenish or yellow to a white watery discharge often joined by a fish smell.

  • Gonorrhea: Gonorrhea stems from infection by Neisseria gonorrhoeae bacterium and can result in increased vaginal discharge that is green or yellow in color.

  • Chlamydia: chlamydia discharge tends to be yellow or cloudy in color and comes with a strong foul smell.

Considering symptoms of yeast infections and STDs can overlap—vaginal itching, pain, and burning—it’s easy to confuse the two. Still, as much as STDs can cause changes in discharge, cottage cheese discharge with no smell firmly belongs to yeast infections. Really, rare is the case that white cottage cheese discharge is not a yeast infection.

How to treat cottage cheese discharge

Discovering cottage cheese-like discharge can certainly raise eyebrows (and questions). The good news is yeast infection treatment is actually pretty straightforward and super effective. It all depends on the underlying cause:
  • Consult your doctor: Before diving into treatment, it’s crucial to get a proper diagnosis. Different causes require different remedies.

  • OTC antifungal medication: Over-the-counter antifungal medications target the yeast causing the infection, helping to bring balance back to your vaginal environment. They usually come in the form of ointments, tablets, or suppositories.

  • Antibiotics: In some cases, like recurring or severe infections, your doctor might prescribe a stronger antifungal medication or other treatments based on your specific needs.

  • Lifestyle adjustments: This could be bringing balance back into your diet, managing stress, or addressing any underlying health conditions that are hindering your immune system.

  • Switch up your hygiene practices: Banish cottage cheese discharge by keeping your vaginal pH balanced with a safe vaginal cleaning routine. Stick to unscented, gentle products for intimate hygiene and avoid douching.

  • Embrace breathable cotton underwear: More of a prevention than a cure, wearing underwear that allows air to circulate can keep trapped moisture at bay and yeast levels down where they should be.

Discovering cottage cheese discharge is undoubtedly unsettling, but it’s a fairly common experience for many. As alarming as it may feel, know that it’s often a sign of a treatable imbalance. And there’s plenty of women on Peanut who can help put your worries at ease. You’ve already made the best move by understanding the potential causes and treatments. Next step: Enlisting your doctor and getting your vaginal health back on track.

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