Vaginal Cell Infections and Bleeding: A Guide for Women

Genital cell infection and bleeding?

I started experiencing itching in the genital area around mid-March and visited a gynecologist on April 11.
During the internal examination, I informed the doctor that I had no sexual experience.
The doctor did not use any special instruments and mentioned that I had a bit of excess discharge and a cellular infection.
I was advised to avoid tight clothing and to wear looser garments.
I was prescribed oral medication and a topical ointment for three days.
However, I only occasionally took the oral medication and have not finished the ointment yet.
Previously, I would sometimes apply the ointment just once, but the doctor recommended applying it twice a day, in the morning and evening.
Starting about a week ago (April 17-18), whenever I had the ointment and experienced itching, I would apply it more than twice a day.
I have a few questions:
1.
Before my appointment and even now, I have noticed yellow discharge on my underwear.
Is this normal? I didn't specifically ask the doctor about it during my visit, and I don't often wear underwear at home or outside.
2.
On April 22 or 23, I noticed a small amount of blood in the genital area.
It wasn't a continuous flow; I only noticed it when I wiped with toilet paper, and it felt like I might have scraped the skin from wiping too hard.
I had been wiping frequently due to the itching.
My family suggested it might be related to the medication, but I hadn't taken any medication for a few days.
Can I continue taking the medication? Do I need to see a gynecologist again? I hope my condition improves soon.
Thank you, doctor.

Niming, 10~19 year old female. Ask Date: 2016/04/25

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
If the discharge is light yellow, it's generally fine.
However, if it is a thick yellow, it may indicate that the inflammation has not resolved, and a follow-up visit is recommended.

2.
It is unlikely that the bleeding is caused by medication; rather, it could be due to not taking the medication, which may have resulted in unresolved inflammation.

3.
Excessive wiping with tissue can also cause bleeding.

4.
It is advisable to schedule another consultation and follow the physician's instructions regarding medication.

Dr.
Lu Li-Cheng

Reply Date: 2016/04/25

More Info

Understanding vaginal infections and associated symptoms such as itching, abnormal discharge, and bleeding is crucial for women's health. Based on your description, it seems you have been experiencing some discomfort, including itching and yellow discharge, which can be indicative of a vaginal infection.
Firstly, it’s important to understand that the vagina has a natural balance of bacteria and yeast. When this balance is disrupted, it can lead to infections such as bacterial vaginosis or yeast infections. The yellow discharge you mentioned could be a sign of bacterial vaginosis, which is characterized by an overgrowth of certain bacteria in the vagina. This condition often presents with a fishy odor and can be accompanied by itching or irritation.
Regarding your concerns about the discharge being normal, it’s not uncommon for women to experience variations in vaginal discharge throughout their menstrual cycle. However, if the discharge is accompanied by an unusual odor, color, or consistency, it may warrant further investigation. It’s also worth noting that wearing tight clothing can contribute to moisture retention, which may exacerbate symptoms of irritation or infection. Opting for loose-fitting clothing and breathable fabrics can help maintain a healthier environment for vaginal flora.

As for the bleeding you experienced, it’s essential to differentiate between menstrual bleeding and spotting that may occur due to irritation or injury. If you noticed blood after wiping, it could be due to friction from wiping too hard, especially if the area is already irritated. However, if the bleeding persists or is accompanied by other symptoms such as severe pain, it would be advisable to consult a healthcare provider for a thorough evaluation.

You mentioned that you were prescribed both oral medication and a topical cream. It’s crucial to follow your healthcare provider’s instructions regarding the use of these medications. If you have missed doses or have concerns about the effectiveness of the treatment, it’s best to reach out to your doctor. They can provide guidance on whether to continue the medication or if a follow-up appointment is necessary.

In terms of self-care, maintaining good hygiene is essential. This includes avoiding douching, which can disrupt the natural balance of bacteria in the vagina, and using mild, unscented soaps for cleaning the external genital area. Additionally, wearing cotton underwear and avoiding tight-fitting clothes can help reduce moisture and irritation.

If your symptoms persist despite treatment, or if you notice any new symptoms, such as increased pain, fever, or a change in the nature of the discharge, it’s important to seek medical attention. Persistent or recurrent infections may require further investigation to rule out underlying conditions, such as sexually transmitted infections (STIs) or other gynecological issues.

In summary, while some degree of vaginal discharge can be normal, changes in color, consistency, or accompanying symptoms like itching and bleeding should be evaluated by a healthcare professional. It’s essential to communicate openly with your doctor about your symptoms and any concerns you may have. Regular gynecological check-ups are also vital for maintaining reproductive health and addressing any issues that may arise.

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