I am 22-years-old and have a problem with excessive vaginal discharge. It is very watery, and I have to wear a panty liner every day. There is not much of an odor, but it is annoying. I went to see a gynecologist, but the condition is still the same. What could be causing this discharge?

Leukorrhea or excessive discharge, can be caused by a number of factors. Infections such as vaginitis or vaginosis, cervical infection and sexually transmitted infections are the most common causes.

A thorough work-up should include cultures for gonorrhea, chlamydia, Beta strep, ureoplasma/mycoplasma, and a wet mount for yeast, lactobacillus overgrowth, trichomonas and bacterial vaginosis. A vaginal pH should also be taken.

You have probably had most of these tests done, but if not, you should request them. If possible, I would recommend a clinic that employs a women's health nurse practitioner or a nurse-midwife. A Planned Parenthood office or public health department is a good start.

A profuse watery discharge (without fishy odor, painful intercourse, bleeding, pain or itching) can be a protective mechanism of the cervix. A pap smear may indicate an abnormality. If you are taking oral contraceptives, this may add to the tendency of the cervix to produce mucus.

In addition, your partner should be checked for urethritis and sexually transmitted infections. Sexual relations with multiple partners can also cause this problem. Even with an absence of infection, being continually exposed to new microorganisms can produce a discharge.

Although this has not been proven in the medical literature, I find clinically that some women are irritated by additives like fragrance, deodorant, fabric softeners and soap.