Abnormal Vaginal Discharge: When to Seek Help

Q: Abnormal Vaginal Discharge: When to Seek Help

Hello： Abnormal vaginal discharge is likely caused by an infection. <br>Typically, a speculum examination is required to assess the vagina. <br>If there has been no sexual intercourse, a small cotton swab can be inserted through the hymenal opening to collect discharge for saline

Secretion issues?

Since the first year of high school, I have felt that my genital area is unusual; the external genitalia seems larger and longer than before.
By the second year, my endocrine system was also not functioning properly, partly due to poor hygiene habits.
Instead of using sanitary pads, I have been using regular tissue paper since the first year of junior high.
I would remove some tissue and continue using it, even though I suspected it might lead to health issues, but I didn't pay much attention to it.

In my second year of high school, I noticed that my vaginal discharge was thick and white, and sometimes it would appear light yellow on my underwear due to increased secretion.
I used panty liners for a while but decided to stop.
Over the past two years, the areas where I have pubic hair and my genital area often feel itchy, but I would scratch and then ignore it.
Recently, after my menstrual period, I noticed some residual blood, resulting in brown discharge.
This morning, I felt a pain in my lower abdomen while half-awake, which made me wonder if something was wrong.
Just now, while wiping after using the restroom, I noticed a light green discharge.

I looked online and am wondering if I need to undergo a colposcopy to address my current situation, but I also think I can't let this drag on.
Therefore, I would like your advice.

Jan, 10~19 year old female. Ask Date: 2016/08/28

Dr. Yang Wangjun reply Obstetrics and Gynecology

Hello: Abnormal vaginal discharge is likely caused by an infection.
Typically, a speculum examination is required to assess the vagina.
If there has been no sexual intercourse, a small cotton swab can be inserted through the hymenal opening to collect discharge for saline wet mount, potassium hydroxide prep, Gram stain, or bacterial culture.
If you prefer not to insert anything into the hymen, discharge that flows to the vulva can also be collected for these tests.
Generally, if there has been no sexual activity and there is itching in the genital area, the likelihood of candidal vaginitis is higher.
Thank you for your message!

Reply Date: 2016/08/28

More Info

When it comes to abnormal vaginal discharge, it's essential to understand the various factors that can contribute to changes in discharge and when to seek medical help. Based on your description, it seems you have been experiencing a range of symptoms, including changes in the appearance and consistency of your discharge, discomfort, and abdominal pain. These symptoms can be indicative of several underlying conditions, and it's crucial to address them promptly.

Firstly, the changes in your discharge, such as the thick white discharge and the recent appearance of a light green discharge, could suggest an infection. Common infections that can cause abnormal discharge include bacterial vaginosis, yeast infections, and sexually transmitted infections (STIs) like trichomoniasis. Each of these conditions has distinct characteristics:
1. Bacterial Vaginosis (BV): This condition often presents with a thin, grayish-white discharge with a fishy odor. It occurs due to an imbalance in the normal bacteria found in the vagina.

2. Yeast Infection: Typically characterized by thick, white, cottage cheese-like discharge, yeast infections can also cause itching and irritation.

3. Trichomoniasis: This STI can lead to a frothy, yellow-green discharge and is often accompanied by itching and discomfort.

The presence of abdominal pain, especially if it is persistent or severe, is another critical symptom that should not be ignored. It could indicate a more serious condition, such as pelvic inflammatory disease (PID), which can occur when infections spread to the reproductive organs. PID can lead to long-term complications, including infertility, if left untreated.

Given your history of poor hygiene practices and the prolonged duration of your symptoms, it is advisable to seek medical attention as soon as possible. A healthcare provider can perform a thorough examination, which may include a pelvic exam and possibly a Pap smear or vaginal swab to test for infections. A colposcopy, which involves using a special magnifying instrument to examine the cervix and vagina, may be necessary if there are concerns about abnormal cells or other issues.

In terms of hygiene, it’s important to adopt better practices to maintain vaginal health. This includes using breathable cotton underwear, avoiding douching, and ensuring that you change sanitary products regularly during your menstrual cycle. Using pads instead of tampons or menstrual cups, especially if you have concerns about irritation, might also be beneficial.

In summary, your symptoms warrant a medical evaluation. Abnormal vaginal discharge, especially when accompanied by pain, should be taken seriously. Early diagnosis and treatment can help prevent complications and ensure your reproductive health is maintained. Do not hesitate to reach out to a healthcare professional for a proper assessment and treatment plan. Your health is paramount, and addressing these concerns promptly will lead to better outcomes.

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