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What is the best treatment for severe leucorrhea?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 21 years old. I have been suffering from leucorrhea since I was 13. This condition is not purely physiological. My body feels tired all the time, whether I am working or just sitting. I can not sit for long because my spinal cord starts to feel painful and sore, and my lower back also becomes painful.

Kindly guide.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern. It sounds like you have been dealing with chronic leucorrhea (abnormal vaginal discharge) along with severe fatigue, lower back pain, and spinal discomfort for several years. Since this condition has persisted and is causing systemic symptoms, there might be an underlying issue that needs medical attention. Various factors, including infections, hormonal imbalances, nutritional deficiencies, spinal or nerve issues, and chronic conditions like chronic fatigue syndrome or fibromyalgia, can cause chronic leucorrhea. Infections such as bacterial vaginosis (BV) or yeast infections can cause continuous vaginal discharge and fatigue if left untreated. Chronic pelvic infections (PID) can also lead to persistent leucorrhea and lower back pain.

Hormonal imbalances, such as those seen in polycystic ovary syndrome (PCOS) or other endocrine disorders, can contribute to abnormal vaginal discharge, fatigue, and body pain. Estrogen dominance can lead to excessive vaginal mucus production and body weakness. Nutritional deficiencies, including iron deficiency anemia, can cause tiredness, weakness, and body pain. Deficiencies in vitamin D or calcium can lead to spinal and lower back pain.

Spinal or nerve issues, such as sciatica or a herniated disc, could be causing the shock-like pain in your spine and lower back. Pelvic nerve compression might also be contributing to your symptoms. Additionally, if you feel exhausted even without much activity, it could be due to a deeper neurological or autoimmune issue like chronic fatigue syndrome or fibromyalgia.

To address these symptoms, it is essential to consult a gynecologist for a pelvic exam, vaginal swab, and hormonal tests to rule out infections and imbalances. Getting a blood test to check for iron, vitamin D, calcium, and B12 levels can help identify any deficiencies. If your spinal pain feels like shocks or nerve pain, consulting a neurologist or orthopedist for a spine check-up might be necessary. Improving your diet by increasing the intake of iron-rich foods (spinach, red meat, nuts), vitamin D sources (sunlight, fish, eggs), and calcium (dairy, leafy greens) can help. Staying hydrated by drinking plenty of water may also help reduce discharge and flush out toxins.

Seek urgent medical attention if the discharge has a strong odor, is yellow or green, or causes itching, as this could indicate an infection. If you experience unexplained weight loss, fever, or persistent pelvic pain, it is important to consult a doctor. Additionally, if your fatigue is severe and significantly affecting your daily life, a thorough medical evaluation is recommended.

Since you have been experiencing this since your early teens, a full-body checkup is crucial to identifying the root cause. Let me know if you need guidance on specific tests or treatment options.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 29, 2025
Reviewed At June 4, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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